Document:

Loan and Secuirty Agreement

 Exhibit 10.1 
  
  
 Loan and Security Agreement 
 by and between 
 TRANSCEND SERVICES,
INC. and MEDICAL 
 DICTATION SERVICES, INC. 
 each individually and collectively as the “Borrower” 
 and 
 REGIONS BANK 
 as the
“Lender” 
 August 31, 2009 
  
  

 TABLE OF CONTENTS 
  

							
	 	  	 	  	 	  	Page
	1.	  	Definitions; Related Terms	  	1
		  	1.1.	  	Certain UCC Terms.	  	1
		  	1.2.	  	Defined Terms.	  	1
		  	1.3.	  	Financial Terms.	  	12
		  	1.4.	  	Rules of Construction.	  	12
	2.	  	The Credit Facility.	  	13
		  	2.1.	  	The Commitments.	  	13
		  	2.2.	  	The Notes.	  	13
		  	2.3.	  	Interest.	  	13
		  	2.4.	  	Requesting New Loans.	  	14
		  	2.5.	  	Requests for Borrowings	  	15
		  	2.6.	  	Excess Outstandings.	  	15
		  	2.7.	  	Repayment of Loans.	  	15
		  	2.8.	  	Additional Payment Provisions.	  	16
		  	2.9.	  	Lockboxes; Collections Accounts.	  	17
		  	2.10.	  	Letters of Credit.	  	18
		  	2.11.	  	Fees.	  	18
		  	2.12.	  	Statement of Account.	  	19
		  	2.13.	  	Termination.	  	19
		  	2.14.	  	USA Patriot Act Notice.	  	19
	3.	  	Security Agreement.	  	19
		  	3.1.	  	Security Interest.	  	19
		  	3.2.	  	Financing Statements; Power of Attorney.	  	20
		  	3.3.	  	Entry.	  	20
		  	3.4.	  	Other Rights.	  	20
		  	3.5.	  	Accounts.	  	20
		  	3.6.	  	Waiver of Marshaling.	  	20
		  	3.7.	  	Control; Further Assurances.	  	21
	4.	  	Conditions Precedent to Extensions of Credit.	  	21
		  	4.1.	  	Conditions Precedent to Initial Loans.	  	21
		  	4.2.	  	Conditions Precedent to Each Loan and Letter of Credit.	  	23
	5.	  	Representations and Warranties.	  	23
		  	5.1.	  	Valid Existence and Power.	  	23
		  	5.2.	  	Authority.	  	23
		  	5.3.	  	Financial Condition.	  	24
		  	5.4.	  	Litigation.	  	24
		  	5.5.	  	Agreements, Etc.	  	24
		  	5.6.	  	Authorizations.	  	24
		  	5.7.	  	Title.	  	24
		  	5.8.	  	Collateral.	  	24
		  	5.9.	  	Jurisdiction of Organization; Location.	  	25
		  	5.10.	  	Taxes.	  	25
		  	5.11.	  	Labor Law Matters.	  	25
		  	5.12.	  	Accounts.	  	25
		  	5.13.	  	Judgment Liens.	  	25
		  	5.14.	  	Corporate Structure.	  	26
		  	5.15.	  	Deposit Accounts.	  	26
		  	5.16.	  	Environmental.	  	26
		  	5.17.	  	ERISA.	  	26
		  	5.18.	  	Investment Company Act.	  	26
		  	5.19.	  	Insider.	  	26
		  	5.20.	  	Sanctioned Persons; Sanctioned Countries.	  	27
		  	5.21.	  	Compliance with Covenants; No Default.	  	27

  

 i 

 TABLE OF CONTENTS 
 (continued) 
  

							
	 	  	 	  	 	  	Page
		  	5.22.	  	Full Disclosure.	  	27
		  	5.23.	  	Additional Representations.	  	27
		  	5.24.	  	Collateral Disclosure Certificates.	  	27
		  	5.25.	  	Operating and Capital Leases.	  	27
	6.	  	Affirmative Covenants of Borrower.	  	27
		  	6.1.	  	Use of Loan Proceeds.	  	27
		  	6.2.	  	Maintenance of Business and Properties.	  	27
		  	6.3.	  	Insurance.	  	27
		  	6.4.	  	Certain Notices.	  	28
		  	6.5.	  	Inspections of Books and Records and Field Examinations; Appraisals; Physical Inventories.	  	28
		  	6.6.	  	Financial Information.	  	28
		  	6.7.	  	Maintenance of Existence and Rights.	  	30
		  	6.8.	  	Payment of Taxes, Etc.	  	30
		  	6.9.	  	Subordination.	  	30
		  	6.10.	  	Compliance; Hazardous Materials.	  	30
		  	6.11.	  	Further Assurances.	  	30
		  	6.12.	  	Covenants Regarding Collateral	  	31
		  	6.13.	  	Reserved.	  	31
		  	6.14.	  	Post-Closing Matters	  	31
	7.	  	Negative Covenants of Borrower.	  	32
		  	7.1.	  	Debt.	  	32
		  	7.2.	  	Liens.	  	33
		  	7.3.	  	Restricted Payments; Payments on Subordinated Debt.	  	33
		  	7.4.	  	Loans and Other Investments.	  	34
		  	7.5.	  	Change in Business; Activities Covered by Insurance.	  	34
		  	7.6.	  	Accounts.	  	34
		  	7.7.	  	Transactions with Affiliates.	  	34
		  	7.8.	  	No Change in Name, Offices, or Jurisdiction of Organization; Trade Names; Removal of Collateral.	  	34
		  	7.9.	  	No Sale, Leaseback.	  	35
		  	7.10.	  	Margin Stock.	  	35
		  	7.11.	  	Tangible Collateral.	  	35
		  	7.12.	  	Subsidiaries.	  	35
		  	7.13.	  	Liquidation, Mergers, Consolidations, and Dispositions of Assets; Good Standing.	  	35
		  	7.14.	  	Change of Fiscal Year or Accounting Methods.	  	35
		  	7.15.	  	Deposit Accounts.	  	35
		  	7.16.	  	Material Agreements.	  	35
	8.	  	Other Covenants of Borrower.	  	36
		  	8.1.	  	Definitions.	  	36
		  	8.2.	  	Financial Covenants.	  	36
	9.	  	Default.	  	37
		  	9.1.	  	Events of Default.	  	37
		  	9.2.	  	Remedies.	  	38
		  	9.3.	  	Receiver.	  	39
		  	9.4.	  	Deposits; Insurance.	  	39
	10.	  	Miscellaneous.	  	39
		  	10.1.	  	No Waiver, Remedies Cumulative.	  	39
		  	10.2.	  	Survival of Representations.	  	39
		  	10.3.	  	Indemnity By Borrower; Expenses.	  	39
		  	10.4.	  	Notices.	  	40
		  	10.5.	  	Governing Law.	  	40
		  	10.6.	  	Successors and Assigns.	  	41

  

 ii 

 TABLE OF CONTENTS 
 (continued) 
  

							
	 	  	 	  	 	  	Page
		  	10.7.	  	Counterparts; Telecopied Signatures.	  	41
		  	10.8.	  	No Usury.	  	41
		  	10.9.	  	Powers.	  	41
		  	10.10.	  	Approvals; Amendments.	  	41
		  	10.11.	  	Participations and Assignments.	  	41
		  	10.12.	  	Dealings with Multiple Borrowers.	  	41
		  	10.13.	  	Waiver of Certain Defenses.	  	41
		  	10.14.	  	Additional Provisions.	  	42
		  	10.15.	  	Integration; Final Agreement.	  	42
		  	10.16.	  	LIMITATION ON LIABILITY; WAIVER OF PUNITIVE DAMAGES.	  	42
		  	10.17.	  	WAIVER OF JURY TRIAL.	  	42
		  	10.18.	  	Submission to Jurisdiction; Venue.	  	42
		  	10.19.	  	Credit Inquiries.	  	43
		  	10.20.	  	Information.	  	43
		  	10.21.	  	No Tax Advice.	  	43

  

 iii 

 EXHIBITS AND SCHEDULES 
 EXHIBITS: 
  

					
	Exhibit A-1	 	-	  	Form of Revolving Note
	Exhibit A-2	 	-	  	Form of Term Note
	Exhibit B	 	-	  	Form of Notice of Borrowing
	Exhibit C	 	-	  	Collateral Disclosure Certificate
	Exhibit T	 	-	  	Form of Telephone Instruction Letter
	Exhibit 6.6(a)	 	-	  	Form of Borrowing Base Certificate
	Exhibit 6.6(d)	 	-	  	Form of Compliance and No Default Certificate

  

					
	SCHEDULES:
			
	Schedule 5.3	  	-	  	Direct or Contingent Obligations and Liabilities
	Schedule 5.4	  	-	  	Pending or Threatened Litigation
	Schedule 5.8(b)	  	-	  	Insurance Policies
	Schedule 5.11	  	-	  	Labor Law Matters
	Schedule 5.14	  	-	  	Corporate Structure
	Schedule 5.16	  	-	  	Environmental
	Schedule 5.25	  	-	  	Operating and Capital Leases
	Schedule 7.1	  	-	  	Scheduled Permitted Debt
	Schedule 7.2	  	-	  	Scheduled Permitted Liens
	Schedule 7.7	  	-	  	Transactions with Affiliates

 LOAN AND SECURITY AGREEMENT 
 THIS LOAN AND SECURITY AGREEMENT (the “Agreement”), dated as of August 31, 2009, by and between TRANSCEND SERVICES, INC., a
Delaware corporation (“Transcend”), MEDICAL DICTATION SERVICES, INC., a Maryland corporation (“MDS”; Transcend and MDS shall be referred to herein, both collectively and each individually, as
“Borrower”), and REGIONS BANK, an Alabama bank (together with its successors and assigns, “Lender”). 
 W
I T N E S S E T H : 
 In consideration of the premises and of the mutual covenants herein contained and to induce Lender to extend
credit to Borrower, the parties agree as follows: 
 1. DEFINITIONS; RELATED TERMS. 
 1.1. Certain UCC Terms. Any term used in this Agreement or in any financing statement filed in connection herewith which is defined in the UCC and
not otherwise defined in this Agreement or in any other Loan Document shall have the meaning given to the term in the UCC, including, without limitation, Accession, Account Debtor, Chattel Paper, Account, Commercial Tort Claim, Deposit Account,
Document, Electronic Chattel Paper, Equipment, Fixture, Instrument, Inventory, Investment Property, Letter-of-Credit Right, Proceeds, Supporting Obligation, and Tangible Chattel Paper. 
 1.2. Defined Terms. Capitalized terms that are not otherwise defined herein shall have the meanings set forth in this Section 1.2. Certain
terms relating to financial covenants are set forth in Section 8. 
 “Accounts Payable Report” has the meaning given
such term in Section 6.6(a). 
 “Accounts Receivable Report” has the meaning given such term in Section 6.6(a).

 “Affiliate” means, with respect to any Person, (a) any other Person directly or indirectly owning 5% or more of the
Equity Interests of such Person or of which such Person owns 5% or more of such Equity Interests; (b) any other Person controlling, controlled by, or under common control with such Person; (c) any officer, director, or employee of such
Person or any Affiliate of such Person; and (d) any family member or Affiliate of such Person. 
 “Applicable Margin”
means an amount determined as follows: 
 (a) For the period commencing on the Closing Date and ending on (and including) December 31,
2009, as to (i) any Revolving Loan, or portion thereof, that is a LIR Loan, 2.75%; and (ii) any portion of the Term Loan that is a LIR Loan, 2.50%. 
 (b) Thereafter, an amount determined from time to time on each Determination Date (as defined below and commencing with the first Determination Date occurring after December 31, 2009) by reference to the
following table and corresponding to the Leverage Ratio for the most recently ended Fiscal Quarter: 
  

							
	 	  	 	  	Type of Loan
	 	  	 Leverage Ratio
	  	For any Revolving Loan that is
a LIR Loan	 	For any portion of the Term
Loan that is a LIR Loan
	 Level I
	  	Less than 1.00 to 1.00	  	2.50%	 	2.25%
				
	 Level II
	  	Greater than or equal to 1.00 to 1.00, but less than 1.25 to 1.00	  	2.75%	 	2.50%
				
	 Level III
	  	Greater than or equal to 1.25 to 1.00	  	3.00%	 	2.75%

 (c) If any Loans are converted to Base Rate Loans because of Section 2.3(g), then the
Applicable Margin for such Base Rate Loans shall be 0.50% for Revolving Loans and 0.50% for Term Loans 

 The Applicable Margin shall be subject to reduction or increase, as applicable and as set forth in the
table above, on a quarterly basis as of each Determination Date (as defined below), according to the performance of the Borrower as measured by the Leverage Ratio as determined in the manner provided in Section 8 and reported in accordance with
Section 6.6(d). Except as otherwise provided in this paragraph, any increase or reduction in the Applicable Margin provided for herein shall be effective on each Determination Date. Without limiting Lender’s rights to invoke the Default
Rate, if (i) the financial statements and the compliance certificate of the Borrower setting forth the Leverage Ratio are not received by Lender within 5 days after the date required pursuant to Section 6.6(b) and (d), as applicable, or
(ii) an Event of Default occurs and Lender so elects, then, in each case, the Applicable Margin shall be at Level I until such time as such financial statements and compliance certificate are received and any Event of Default (whether resulting
from a failure to timely deliver such financial statements or compliance certificate or otherwise) is waived in writing by Lender. As used herein, “Determination Date” means the first day of the first calendar month after the date
on which Borrower provides the quarterly compliance certificate and financial statements under Section 6.6(b) and (d), as applicable, for March, June, September, and December of each year. 
 In the event that any financial statement or certificate required by Section 6.6(b), (c), or (d) is shown to be inaccurate (regardless of
whether this Agreement or the Commitment is in effect when such inaccuracy is discovered), and such inaccuracy, if corrected, would have led to the application of a higher Applicable Margin for any period (an “Applicable Period”)
than the Applicable Margin applied for such Applicable Period, then (i) Borrower shall immediately deliver to Lender a correct certificate for such Applicable Period, (ii) the Applicable Margin for such Applicable Period shall be
determined by reference to such certificate, and (iii) Borrower shall promptly pay Lender, ON DEMAND, the accrued additional interest owing as a result of such increased Applicable Margin for such Applicable Period, which payment shall
be promptly applied by Lender in accordance with the terms hereof. 
 “Average Excess Availability” means, for any period,
an amount equal to the sum of the amount of Excess Availability on each day during such period, as determined by Lender, divided by the number of days in such period. 
 “Bank Products” means all bank, banking, financial, and other similar or related products and services, including, without limitation, (a) merchant card services, credit or stored value cards,
and corporate purchasing cards; (b) cash management or related services, including, without limitation, the automated clearinghouse transfers of funds and any other ACH services, remote deposit capture services, account reconciliation services,
lockbox services, depository and checking services, Deposit Accounts, securities accounts, controlled disbursement services, and wire transfer services; (c) bankers’ acceptances, drafts, Letters of Credit or letters of credit (and the
issuance, amendment, renewal, or extension thereof), documentary services, foreign currency exchange services; (d) Hedge Agreements; and (e) leasing products. 
 “Base Rate” means, for any day, the rate per annum (rounded upwards, if necessary, to the nearest whole multiple of
 1/100 of 1%) equal to the greater of (a) the Federal Funds
Rate in effect on such day plus  1/2 of 1% and
(b) the Prime Rate in effect on such day. If for any reason Lender shall have determined (which determination shall be conclusive absent manifest error) that it is unable, after due inquiry, to ascertain the Federal Funds Rate for any reason,
including the inability or failure of Lender to obtain sufficient quotations in accordance with the terms hereof, the Base Rate shall be determined without regard to clause (a) of the first sentence of this definition until the circumstances
giving rise to such inability no longer exist. Any change in the Base Rate due to a change in the Prime Rate or the Federal Funds Rate shall be effective on the effective date of such change in the Prime Rate or the Federal Funds Rate, respectively.

 “Base Rate Loan” means a Loan, or portion thereof, during any period in which it bears interest at a rate
based on the Base Rate. No Loan shall be a Base Rate Loan unless required or permitted by Section 2.3(g). 
 “Borrowing
Base” means, on any date of determination, an amount equal to: 
 (a) up to 80% (or such lesser percentage as Lender may determine
from time to time in its sole and absolute discretion) of the total amount of Eligible Accounts, minus 
  

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 (b) any Reserves. 
 “Borrowing Base Certificate” has the meaning set forth in Section 6.6(a). 
 “Business Day” means any weekday on which Lender is open for business in Birmingham, Alabama, and Atlanta, Georgia. 
 “Capital Expenditures” means, for any period, the aggregate cost of all capital assets acquired by Borrower and its Subsidiaries during such period (including gross leases to be capitalized under GAAP and leasehold
improvements), as determined in accordance with GAAP. 
 “Cash Flow Leverage Ratio” has the meaning given such term in
Section 8.1. 
 “Closing Date” means the earliest date on which all of the conditions precedent in Section 4 of
this Agreement are satisfied (or waived by Lender in accordance with the terms of this Agreement) and the initial extensions of credit are made under this Agreement. 
 “Collateral” means all property of Borrower, wherever located and whether now owned by Borrower or hereafter acquired, including but not limited to (a) all Inventory; (b) all General
Intangibles; (c) all Accounts; (d) all Chattel Paper; (e) all Instruments and Documents and any other instrument or intangible representing payment for goods or services; (f) all Equipment; (g) all Investment Property;
(h) all Commercial Tort Claims; (i) all Letter-of-Credit Rights; (j) all Deposit Accounts and funds on deposit therein, including but not limited to any Funding Account, Collections Account, and funds otherwise on deposit with or
under the Control of Lender or its agents or correspondents; (k) all Goods; (l) all Fixtures; and (m) all parts, replacements, substitutions, profits, products, Accessions, cash and non-cash Proceeds, and Supporting Obligations of any
of the foregoing (including, but not limited to, insurance proceeds) in any form and wherever located. Collateral also includes (x) all written or electronically recorded books and records relating to any such Collateral and other rights
relating thereto and (y) any other real or personal property as to which Lender, at any time of determination, has a Lien to secure the Obligations. 
 “Collateral Disclosure Certificate” means each certificate substantially in the form of Exhibit C, attached hereto and made a part hereof, executed and delivered by a Credit Party to Lender in
accordance with or pursuant to the terms of this Agreement, as the same may be amended, restated, supplemented, or otherwise modified from time to time to the extent permitted or required herein. 
 “Collections Account” means any Deposit Account maintained by Borrower with Lender to which collections, deposits, and other payments on
or with respect to Collateral may be made pursuant to the terms hereof and to which only Lender shall have access to withdraw or otherwise direct the disposition of funds on deposit therein. 
 “Commitments” means each of the (a) the Revolving Loan Commitment and (b) the Term Loan Commitment. 
 “Control” means, with respect to any asset, right, or property with respect to which a security interest therein is perfected by a
secured party’s having “control” thereof (whether pursuant to the terms of an agreement or through the existence of certain facts and circumstances), that Lender has “control” of such asset, right, or property in accordance
with the terms of Article 9 of the UCC. 
 “Credit Party” means the Borrower, each Guarantor, and each other Person
obligated to Lender under any Loan Document. 
 “Debt” means, without duplication, all liabilities of a Person as determined
under GAAP and all obligations which such Person has guaranteed or endorsed or is otherwise secondarily or jointly liable for, and shall include, without limitation, (a) all obligations for borrowed money or purchased assets;
(b) obligations secured by assets whether or not any personal liability exists; (c) the capitalized amount of any capital or finance lease obligations; (d) obligations as a general partner; (e) contingent obligations pursuant to
guaranties, endorsements, letters of credit and other secondary liabilities; (f) obligations for deposits; and (g) obligations under Hedge Agreements. 
  

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 “Default” means any event or circumstance which, upon satisfaction of any requirement
for the giving of notice or the lapse of time, or the happening of any further condition, event, or act, would constitute an Event of Default. 
 “Default Rate” means, as of any date, a rate per annum that is equal to (a) in the case of each Loan outstanding on such date, 2.00% in excess of the rate otherwise applicable to such Loan on such date; (b) in the
case of fees payable with respect to Letters of Credit, 2.00% in excess of the fees otherwise applicable to Letters of Credit; and (c) in the case of any other Obligations outstanding on such date, the Base Rate, plus 2.00%; provided,
however, that Obligations arising under any Hedge Agreement between Borrower and Lender or any of its Affiliates shall bear interest at the rates and on the terms set forth in such Hedge Agreement. 
 “EBITDA” has the meaning given such term in Section 8.1. 
 “Eligible Accounts” means all of Borrower’s Accounts (valued at the face amount of such invoice, minus the maximum
discounts, credits, and allowances which may be taken by Account Debtors on such Accounts, and net of any sales tax, finance charges, or late payment charges included in the amount invoiced) created or acquired by Borrower and arising from the sale
of Inventory or, to the extent approved by Lender, the rendering of services, in each case, in Borrower’s ordinary course of business, but excluding (without duplication), Accounts: 
 (a) which are not denominated in U.S. dollars; 
 (b) which are not evidenced by a paper invoice or an electronic equivalent acceptable to Lender; 
 (c) over which Lender does not
have a duly perfected, first-priority (and only) Lien or which, by contract, subrogation, mechanics’ lien laws, or otherwise, are subject to claims by Borrower’s creditors or other third parties or which are owed by Account Debtors as to
whom any creditor of Borrower (including any bonding company) has lien or retainage rights; 
 (d) as to which any representation, warranty,
or covenant herein relating thereto shall be untrue, misleading, or in default; 
 (e) outstanding for longer than 90 days from original
invoice date; 
 (f) owed by any Account Debtor if more than 50% of the Accounts owed by such Account Debtor to Borrower are deemed
ineligible pursuant to clause (e); 
 (g) owed by any of Borrower’s Affiliates; 
 (h) owed by any of Borrower’s creditors, but only to the extent of Borrower’s Debt to such creditors; 
 (i) which the Account Debtor disputes the liability therefor or are otherwise in dispute or are subject to any counterclaim, contra-account, volume
rebate, cooperative advertising accrual, deposit, or offset, but only to the extent thereof; 
 (j) owing by any Account Debtor (and such
Account Debtor’s Affiliates) whose aggregate Accounts exceed 20% of the total of Borrower’s Accounts, but only in each case to the extent of such excess; 
 (k) owing by any Account Debtor which is not Solvent or which is subject to any proceeding of the types described in Section 9.1(h) or (i); 
 (l) arising from a sale on a bill-and-hold, progress billing, guaranteed sale, sale-or-return, sale-on-approval, consignment, or similar basis or due
from any credit or charge card company or any credit or charge card processor, servicer, or administrator; 
 (m) owed by an Account Debtor
which (i) is a Sanctioned Person or (ii) is located outside of the United States of America; 
 (n) owed by the United States of
America or any other Governmental Entity unless Borrower shall have complied with all applicable Federal and state assignment of claims laws as required by Lender; 
  

 -4- 

 (o) (i) as to which the goods or services giving rise to such Account (A) have not been delivered or
provided to, and accepted by, the Account Debtor, (B) are subject to repurchase or have been returned, rejected, repossessed, lost, or damaged, or (C) have not been completely performed, as applicable, or (ii) which do not represent a
final sale; 
 (p) evidenced by a note or other Instrument or Chattel Paper or which have been reduced to judgment; 
 (q) as to which Borrower or Lender, in its sole and absolute discretion, shall have determined the validity, collectability, or amount thereof to be
doubtful; 
 (r) owed by an Account Debtor which is located in a jurisdiction where Borrower is required to qualify to transact business or
to file reports, unless Borrower has so qualified or filed; and 
 (s) which Lender deems, in its sole and reasonable discretion, to be
ineligible. 
 To the extent applicable, “Eligible Accounts” shall not include aged credit balances outstanding for longer than 90 days.

 “Environmental Laws” means, collectively, the Comprehensive Environmental Response, Compensation and Liability Act of
1980; the Superfund Amendments and Reauthorization Act of 1986; the Resource Conservation and Recovery Act; the Toxic Substances Act; the Clean Water Act; the Clean Air Act; the Oil Pollution and Hazardous Substances Control Act of 1978; and any
other “Superfund” or “Superlien” law or any other Federal, state, or local statute, law, ordinance, code, rule, regulation, order, or decree relating to, or imposing liability or standards of conduct concerning, any hazardous,
toxic or dangerous waste, substance, or material, as now or at any time hereafter in effect, in each case, as the same may be amended from time to time. 
 “Equity Interest” means, with respect to any Person, any and all shares, interests, rights to purchase, warrants, options, participations or other equivalents of or interest in (however designated)
equity of such Person, including, without limitation, any common stock, preferred stock, limited or general partnership interests, and limited liability company membership interests, whether voting or non-voting. 
 “ERISA” means the Employee Retirement Income Security Act of 1974, as amended. 
 “ERISA Termination Event” means a “reportable event” as defined in Section 4043(b) of ERISA, or the filing of a notice of
intent to terminate under Section 4041 of ERISA. 
 “Event of Default” has the meaning given such term in
Section 9.1. 
 “Excess Availability” means, at any time of determination, the amount by which (a) the lesser of
(i) the Borrowing Base and (ii) the Revolving Loan Commitment exceeds (b) the Working Capital Obligations. 
 “Federal
Funds Rate” means, for any period, a fluctuating interest rate per annum equal, for each day during such period, to the weighted average of the rates on overnight Federal funds transactions with members of the Federal Reserve System
arranged by Federal funds brokers, as published for such day (or, if such day is not a Business Day, for the next preceding Business Day) by the Federal Reserve Bank of New York, or, if such rate is not so published for any day that is a Business
Day, the average of the quotations at approximately 10:00 a.m. (Birmingham, Alabama, time) for such day on such transactions received by Lender from 3 Federal Funds brokers of recognized standing selected by it in its discretion. 
 “Fiscal Month,” “Fiscal Quarter,” and “Fiscal Year” means each of Borrower’s fiscal months,
quarters, or years, as applicable. 
 “Fixed Charge Coverage Ratio” has the meaning given such term in Section 8.1.

 “Funded Debt” has the meaning given such term in Section 8.1. 
 “Funding Account” means any Deposit Account maintained by Borrower with Lender for the purpose of depositing the proceeds of Loans.

  

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 “GAAP” means generally accepted accounting principles as in effect in the United States
from time to time. 
 “General Intangibles” has the meaning set forth in the UCC, and includes, without limitation, general
intangibles of Borrower, whether now owned or hereafter created or acquired by Borrower, including all choses in action, causes of action, company or other business records, inventions, blueprints, designs, patents, patent applications, trademarks,
trademark applications, trade names, trade secrets, service marks, goodwill, brand names, copyrights, registrations, licenses, franchises, customer lists, permits, tax refund claims, computer programs, operational manuals, internet addresses and
domain names, insurance refunds and premium rebates, all claims under guaranties, security interests or other security held by or granted to Borrower to secure payment of any of any of Borrower’s Accounts by an Account Debtor, all rights to
indemnification and all other intangible property of Borrower of every kind and nature (other than Accounts). 
 “Governmental
Entity” means any (a) court (whether in law or at equity or trial or appellate), tribunal, or arbitrator or arbitration proceeding and (b) any local, city, state, Federal, municipal or quasi-municipal, foreign, or international
government or any subdivision, agency, authority, commission, bureau, branch, regulatory body, or other body thereof. 
 “Guarantor” means any Person now or hereafter guaranteeing, endorsing, acting as surety of, or otherwise becoming liable for any Obligations. 
 “Guaranty” means any guaranty of all or any Obligations now or hereafter executed and delivered by any Guarantor to Lender, as the same may be amended, restated, supplemented, or otherwise modified
from time to time. 
 “Healthcare Laws” means, collectively, any and all federal, state or local laws, rules, regulations,
codes, ordinances and administrative manuals, orders, decrees, judgments, injunctions, guidelines and requirements issued under or in connection with Medicare, Medicaid, any other government payment program or any law governing the licensing or
regulation of healthcare providers, professionals, facilities or payors or otherwise governing or regulating the provision of, or payment for, medical services or the sale of medical supplies, including HIPAA. 
 “HIPAA” means the Health Insurance Portability and Accountability Act of 1996. 
 “Hedge Agreement” has the meaning for swap agreement as defined in 11 U.S.C. § 101, as in effect from time to time, or any
successor statute, and includes, without limitation, any rate swap agreement, forward rate agreement, commodity swap, commodity option, interest rate option, forward foreign exchange agreement, spot foreign exchange agreement, rate cap agreement,
rate floor agreement, rate collar agreement, currency swap agreement, cross-currency rate swap agreement, currency option and any other similar agreement. 
 “Item” means any “item” as defined in Section 4-104 of the UCC, and shall also mean and include checks, drafts, money orders or other media of payment. 
 “Jurisdiction” means the State of Georgia. 
 “LC Obligations” means, at any time of determination, the aggregate undrawn and unreimbursed amounts under all Letters of Credit. 
 “Letter of Credit” means a letter of credit issued by Lender for the account of Borrower as provided in Section 2.1(a) and 2.10.

 “Leverage Ratio” has the meaning given such term in Section 8.1. 
 “LIBOR” means the per annum rate equal to the rate per annum offered by prime banks in the London interbank Eurodollar market for
deposits in United States dollars in an amount comparable to the Loan for which such rate is being determined and for a period equal to the interest period applicable thereto, all as determined by Lender with reference to the financial information
reporting service used by Lender at the time of such determination. Each calculation by Lender of LIBOR shall be conclusive and binding for all purposes, absent manifest error. 
  

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 “LIBOR Index Rate” means, for any LIR Loan and at any time of determination, a per annum
rate equal to LIBOR determined with respect to an interest period of one month. The LIBOR Index Rate shall be determined monthly on the first Business Day of each calendar month and shall be increased or decreased, as applicable, automatically and
without notice to any Person on the date of each such determination. Upon Borrower’s request from time to time, Lender will quote the current LIBOR Index Rate to Borrower. 
 “LIBOR Reserve Requirements” means the maximum reserves (whether basic, supplemental, marginal, emergency, or otherwise) prescribed from
time to time by the Board of Governors of the Federal Reserve System (or any successor) with respect to liabilities or assets consisting of or including “Eurocurrency liabilities” (as defined in Regulation D of the Board of Governors of
the Federal Reserve System). 
 “LIR Loan” means a Loan, or portion thereof, during any period in which it bears interest at
a rate based on the LIBOR Index Rate. 
 “Lien” means any lien (statutory or otherwise), mortgage, deed of trust, deed to
secure debt, pledge, hypothecation, security interest, trust arrangement, security deed, financing lease, collateral assignment, encumbrance, conditional sale or title retention agreement, or any other interest in property designed to secure the
repayment or performance of any obligation, whether arising by agreement or under any statute or law or otherwise. 
 “Loans” means the Revolving Loans and the Term Loan. 
 “Loan Documents” means this Agreement and
each other now existing or hereafter arising document, agreement, or instrument evidencing, describing, guaranteeing, or securing the Obligations or delivered in connection with this Agreement (but excluding any Hedge Agreement between Borrower and
Lender or any of its Affiliates), including, without limitation, each Security Agreement, Note, Guaranty, Notice of Borrowing, Collateral Disclosure Certificate, Borrowing Base Certificate, and UCC financing statement, as the same may be amended,
restated, supplemented, or otherwise modified from time to time. 
 “Loss” has the meaning given such term in
Section 6.3. 
 “Material Adverse Effect” means any (a) material adverse effect upon the validity, performance, or
enforceability of any of the Loan Documents or any of the transactions contemplated hereby or thereby; (b) material adverse effect upon the properties, operations, business, or condition (financial or otherwise) of the Credit Parties taken as a
whole; (c) material adverse effect upon the ability of any Credit Party to fulfill any obligation under any of the Loan Documents; or (d) material adverse effect on the Collateral. 
 “Material Agreement” means an agreement to which any Credit Party is a party (other than the Loan Documents) and for which breach,
termination, cancellation, nonperformance, or failure to renew could reasonably be expected to have a Material Adverse Effect. 
 “Medicaid” means, collectively, the healthcare assistance program established by Title XIX of the Social Security Act (42 U.S.C. §§1396 et seq.) and all laws applicable to such program and plans for medical
assistance enacted in connection with such program. 
 “Medicare” means, the health insurance program for the aged and
disabled established by Title XVIII of the Social Security Act (42 U.S.C. §§1395 et seq.) and all laws applicable to such program. 
 “MDS Acquisition” means the acquisition by Transcend of all of the capital stock of MDS. 
 “Net
Proceeds” means, with respect to the disposition of any property, (a) the proceeds (including cash receivable (when received) by way of deferred payment) received by Borrower in cash from the sale, lease, transfer, or other disposition
of such property, including insurance proceeds and awards of compensation received with 

  

 -7- 

 
respect to any Loss affecting all or part of such property, minus (b) (i) the reasonable and customary costs and expenses of such sale,
lease, transfer, or other disposition (including legal fees and sales commissions) not to exceed 5% of the total purchase price; (ii) amounts applied to repayment of Debt for borrowed money (other than the Obligations) secured by a Permitted
Lien on such property which is senior to Lender’s Liens; and (iii) in connection with any sale of such property, a reasonable reserve (not to exceed 5% of the total purchase price) for post-closing adjustments to the purchase price
(provided that upon the expiration of 90 days after the sale, any remaining reserve balance shall constitute Net Proceeds). 
 “Notes” shall mean the Revolving Note and the Term Note and any other promissory note now or hereafter evidencing any Obligations, as the same may be amended, restated, supplemented, or otherwise modified from time to time.

 “Notice of Borrowing” means each written request for a Revolving Loan substantially in the form of Exhibit B,
attached hereto and made a part hereof. 
 “OFAC” means the United States Department of the Treasury’s Office of
Foreign Assets Control or any successor thereto. 
 “Obligations” means all obligations and covenants now or hereafter from
time to time owed to Lender or any Affiliate of Lender by Borrower, related to the Loans, this Agreement, or the Loan Documents, including, without limitation or duplication, (a) the Loans; (b) the LC Obligations; (c) all fees,
charges, interest, commissions, expenses, obligations, and liabilities arising from, related to, or on account of any Bank Products issued to, accepted for or on behalf of, used by, or provided to or on behalf of Borrower or any of its Subsidiaries
by Lender or any Affiliate of Lender, including, without limitation, (i) all existing and future obligations under any Letters of Credit and (ii) all existing and future obligations under any Hedge Agreements between Borrower and Lender or
any of its Affiliates whenever executed (including, without limitation, obligations under Hedge Agreements entered into prior to any transfer or sale of Lender’s or such Affiliate’s interests hereunder if Lender or such Affiliate ceases to
be a party hereto); and (d) all other amounts now owed or hereafter from time to time owed under the terms of this Agreement and the other Loan Documents, or arising out of the transactions described herein or therein, including, without
limitation, principal, interest, commissions, fees (including, without limitation, attorneys’ fees actually incurred), charges, costs, expenses, and all amounts due or from time to time becoming due under the indemnification and reimbursement
provisions of this Agreement and the other Loan Documents (including, without limitation, Section 10.3), together, in each of the foregoing cases in this definition, with all interest accruing thereon, including any interest on pre-petition
Debt accruing after bankruptcy (whether or not allowable in such bankruptcy), and whether any of the foregoing amounts are now due or from time to time hereafter become due, are direct or indirect, or are certain or contingent, and whether such
amounts due are from time to time reduced or entirely extinguished and thereafter re-incurred. 
 “Operating Account” means,
collectively, Deposit Account number 0095399623 maintained by Borrower with Lender and any other Deposit Account maintained with Lender as an “operating account” of Borrower. 
 “Permitted Acquisition” means the acquisition by Borrower of all or a portion of the capital stock or assets of a Person organized under
the laws of the United States of America or any state thereof so long as each of the following conditions is satisfied: 
 (a)
such acquired Person is engaged in one or more businesses in which Borrower is engaged or incidental thereto; 
 (b) any
Person whose stock is directly or indirectly purchased shall be, after giving effect to such purchase, a direct or an indirect wholly-owned Subsidiary of Borrower organized in the United States; 
 (c) with respect to any Person that is or becomes a direct or indirect Subsidiary, such Person (i) executes and delivers to Lender a
joinder agreement to this Agreement to add such Person as an additional Borrower or, at Lender’s request, as a Guarantor, and (ii) takes all actions deemed necessary by Lender to cause the Lien created by this Agreement to be a duly
perfected, first priority Lien against the assets of such Person, including the filing of financing statements in such jurisdictions as may be requested by Lender; 
  

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 (d) Borrower has made available to Lender, not later than 15 days prior to the proposed
dated of such acquisition, copies of lien search results and copies of the acquisition documents (including a copy of the purchase and sale agreement with all schedules and exhibits thereto), organizational documents (if applicable), and other due
diligence information as reasonably requested by Lender, which Lender shall have reviewed promptly and found reasonably acceptable in all respects; 
 (e) Borrower shall have executed and delivered such amendments or supplements to this Agreement or the other Security Agreements or such other documents as Lender deems necessary to grant Lender a first priority lien
on all of the acquired assets; 
 (f) at the time of such acquisition and immediately after giving effect thereto,
(i) Excess Availability is at least $2,000,000, (ii) Average Excess Availability for the immediately preceding 30 days is at least $2,000,000, and (iii) no Default or Event of Default exists; and 
 (g) Lender consents in writing to such acquisition prior to the consummation thereof. 
 “Permitted Debt” has the meaning set forth in Section 7.1 hereof. 
 “Permitted Liens” has the meaning set forth in Section 7.2 hereof. 
 “Permitted Location” means (a) any location described on Schedule 2 or Schedule 8 of each Collateral Disclosure Certificate and
(b) any location as to which Borrower shall have provided written notice to Lender and Lender shall have consented in writing to such location’s being a “Permitted Location.” 
 “Permitted Seller Debt” means Debt owing by Transcend to Seller evidenced by that certain Unsecured Promissory Note dated on or about
the Closing Date, in an original principal amount of $2,000,000, as in existence on the date of such note. 
 “Person” means
any natural person, corporation, unincorporated organization, trust, joint-stock company, joint venture, association, company, limited or general partnership, limited liability company, any government or any agency or political subdivision of any
government, or any other entity or organization. 
 “Plan” means any employee benefit plan or other plan maintained for
employees of Borrower or any Subsidiary and covered by Title IV of ERISA. 
 “Prime Rate” means that rate announced by
Lender from time to time as its prime rate and is one of several interest rate bases used by Lender. Lender lends at rates both above and below its prime rate, and Borrower acknowledges that Lender’s prime rate is not represented or intended to
be the lowest or most favorable rate of interest offered by Lender. 
 “Projections” means, for any period and as to such
period, Borrower’s and its Subsidiaries’ forecasted consolidated (a) balance sheets, (b) profit and loss statements, (c) cash flow statements, and (d) Borrowing Base availability calculations, all prepared on a
month-by-month basis and on a basis consistent with Borrower’s and its Subsidiaries’ historical financial statements, together with appropriate supporting details and a statement of underlying assumptions. 
 “Properly Contested” means, in the case of any Debt of any Credit Party (including any taxes) which is not paid when due or payable by
reason of such Credit Party’s bona fide dispute over its liability therefor or the amount thereof, (a) such Debt is being properly contested in good faith by appropriate proceedings promptly instituted and diligently conducted;
(b) such Credit Party has established appropriate reserves in accordance with GAAP; (c) the non-payment of such Debt will not have a Material Adverse Effect and will not result in a forfeiture or sale of any of such Credit Party’s
assets; (d) no Lien is imposed upon any of such Credit Party’s assets with respect to such Debt 

  

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unless such Lien is at all times subordinate in priority to the Liens in favor of Lender (except only with respect to property taxes that have priority as a
matter of applicable law) and enforcement of such Lien is stayed pending the final resolution or disposition of such dispute; (e) if the Debt results from, or is determined by the entry, rendition, or issuance against such Credit Party or any
of its assets of a judgment, writ, order, or decree, enforcement of such judgment, writ, order, or decree is stayed pending a timely appeal or other judicial review; and (f) if such contest is abandoned, settled, or determined adversely (in
whole or in part) to such Credit Party, such Credit Party forthwith pays such Debt and all penalties, interest, and other amounts due in connection therewith. Only that portion of the Debt which is in dispute may be Properly Contested. 

“Regulated Materials” means any hazardous, toxic, or dangerous waste, substance, or material, the generation, handling, storage,
disposal, treatment, or emission of which is subject to any Environmental Law. 
 “Rent Reserves” means, on any date, an
amount equal to 2 months rent or other charges with respect to Borrower’s leased business premises located at One Glenlake Parkway, Fulton County, Atlanta, Georgia 30328. 
 “Reserves” means the Rent Reserve and such other amounts as may be required by Lender at any time and from time to time in Lender’s
sole and absolute discretion. 
 “Restricted Payment” means (a) any cash dividend or other cash distribution, direct or
indirect, on account of any Equity Interests issued by the Borrower or any of its Subsidiaries, as the case may be, now or hereafter outstanding, (b) any redemption, retirement, sinking fund or similar payment, purchase or other acquisition for
value, direct or indirect, of any Equity Interests issued by the Borrower or any of its Subsidiaries now or hereafter outstanding by the Borrower or any of its Subsidiaries, as the case may be, except for any redemption, retirement, sinking funds or
similar payment payable solely in such other shares or units of the same class of Equity Interests or any class of Equity Interests which are junior to that class of Equity Interests, or (c) any cash payment made to redeem, purchase, repurchase
or retire, or to obtain the surrender of, any outstanding warrants, options or other rights to acquire any Equity Interests issued by the Borrower or any of its Subsidiaries now or hereafter outstanding. 
 “Revolving Loan Commitment” means the commitment of Lender, subject to the terms and conditions herein, to make Revolving Loans and
issue Letters of Credit in accordance with the provisions of Section 2 in an aggregate amount not to exceed $5,000,000 at any one time. 
 “Revolving Loan Commitment Increase” has the meaning set forth in Section 2.1(c). 
 “Revolving Loan
Term” means the period from and including the Closing Date to but not including the Revolving Loan Termination Date. 
 “Revolving Loan Termination Date” means the earliest to occur of (a) August 31, 2010; (b) the date on which Borrower terminates the Revolving Loan Commitment pursuant to Section 2.13; and (c) the
date on which Lender terminates its Revolving Loan Commitment pursuant to Section 9.2(a) hereof. 
 “Revolving Loan”
means a loan made by Lender pursuant to Section 2.1(a). 
 “Revolving Note” has the meaning set forth in
Section 2.2(a). 
 “Sanctioned Country” means a country subject to the sanctions programs identified on the list
maintained by OFAC and available at the following website or as otherwise published from time to time: http://www.treas.gov/offices/enforcement/ofac/programs/. 
 “Sanctioned Person” means (a) any Person named on the list of Specially Designated Nationals or Blocked Persons maintained by OFAC available at
http://www.treas.gov/offices/eotffc/ofac/sdn/index.html or as otherwise published from time to time, (b) any agency, authority, or subdivision of the government of a Sanctioned Country, (c) any Person or organization controlled by a
Sanctioned Country, or (d) any Person resident in a Sanctioned Country, to the extent subject to a sanctions program administered by OFAC. 
  

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 “Security Agreement” means this Agreement as it relates to a security interest in the
Collateral, and any other mortgage instrument, deed of trust, pledge agreement, life insurance assignment, security agreement, or similar agreement or instrument now or hereafter executed by any Credit Party or other Person granting Lender a Lien in
any property to secure the Obligations. 
 “Seller” means Dorothy K. Fitzgerald, an individual resident of the State of
Maryland. 
 “Senior Officer” means, as to any Credit Party, the chairman of the board of directors, the chief executive
officer, chief financial officer, chief legal officer, manager (with respect to any manager-managed limited liability company), or president of such Credit Party. 
 “Solvent” means, as to any Person, that such Person has capital sufficient to carry on its business and transactions in which it is currently engaged and all business and transactions in which it is
about to engage, is able to pay its Debts as they mature, and has assets having a value greater than its liabilities, at fair valuation. 
 “Subordinated Debt” means any Debt (other than trade Debt incurred in the ordinary course of business) payable by Borrower or a Subsidiary which is subordinate in right of payment and Lien priority to the Obligations and
Lender’s Lien on the Collateral pursuant to a subordination agreement in form and substance satisfactory to Lender. 
 “Subsidiary” means, as to any Person, (a) any other Person of which more than 50% of the Equity Interests issued by such other Person are directly or indirectly owned or effectively controlled by such Person or
(b) any other Person of which such Person is a general partner. Any unqualified reference to “Subsidiary” shall be deemed a reference to the Borrower’s Subsidiaries (if any), unless the context requires otherwise. 
 “Telephone Instruction Letter” means a telephone instruction letter substantially in the form of Exhibit T, attached hereto and
made a part hereof. 
 “Term Loan” means the term loan made by Lender to Borrower pursuant to Section 2.1(b) and any
portion of such term loan bearing interest at the same rate. 
 “Term Loan Commitment” means the commitment of Lender to
make the Term Loan pursuant to Section 2.1(b). 
 “Term Loan Maturity Date” means August 31, 2013. 
 “Term Note” has the meaning set forth in Section 2.2(b). 
 “Third Party” means (a) any lessor, mortgagee, mechanic or repairman, warehouse operator, processor, packager, consignee, or other
third party which may have possession of any Collateral or lienholders’ enforcement rights against any Collateral or (b) any licensor whose rights in or with respect to any intellectual property or Collateral limit or restrict or may, in
Lender’s determination, limit or restrict Borrower’s or Lender’s right to sell or otherwise dispose of such Collateral. 
 “Third Party Agreement” means an agreement in form and substance satisfactory to Lender pursuant to which a Third Party, as applicable and as reasonably required by Lender, (i) waives or subordinates in favor of Lender
any Liens such Third Party may have in and to any Collateral; (ii) grants Lender access to Collateral which may be located on such Third Party’s premises or in the custody, care, or possession of such Third Party for purposes of allowing
Lender to inspect, repossess, sell, or otherwise exercise its rights under the Loan Documents with respect to such Collateral; (iii) authorizes Lender to complete the manufacture of work-in-process (if the manufacturing of such Goods requires
the use or exploitation of a Third Party’s intellectual property); (iv) authorizes Lender to dispose of Collateral bearing or consisting of, in whole or in part, such Third Party’s intellectual property; or (v) agrees to terms
regarding Collateral held on consignment by such Third Party, in each case containing terms reasonably acceptable to Lender and as the same may be amended, restated, supplemented, or otherwise modified from time to time. 
  

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 “Trigger Event” means (a) (i) the existence of an Event of Default or
(ii) Excess Availability is less than $2,000,000 and (b) Lender has notified Borrower in writing of Lender’s election to exercise its rights under Sections 2.7(b), 2.9(a) or 2.9(b), or all of them. 
 “Type” means, with respect to a Loan, whether such Loan is a LIR Loan or, if required or permitted by Section 2.3(g), a Base Rate
Loan. 
 “UCC” means the Uniform Commercial Code (or any successor statute), as adopted and in force in the Jurisdiction or,
when the laws of any other state govern the method or manner of the perfection or enforcement of any Lien in any of the Collateral, the Uniform Commercial Code (or any successor statute) of such other state. 
 “U.S.” means the United States of America. 
 “USA Patriot Act” means the Uniting and Strengthening America by Providing Appropriate Tools Required to Intercept and Obstruct Terrorism (USA PATRIOT) Act of 2001, as the same may be amended,
restated, supplemented, or otherwise modified from time to time. 
 “Working Capital Obligations” means the aggregate
principal amount of all Revolving Loans. 
 1.3. Financial Terms. All financial terms used herein shall have the meanings assigned to
them under GAAP unless another meaning shall be specified. When determining the amount of any Debt for purposes of this Agreement, any election by the Borrower or any other Credit Party to measure an item of Debt using fair value (as permitted by
Statement of Financial Accounting Standards No. 159 or any similar accounting standard) shall be disregarded and such determination shall be made as if such election had not been made. 
 1.4. Rules of Construction. The terms “herein”, “hereof,” and “hereunder” and other words of similar import refer to
this Agreement as a whole and not to any particular section, paragraph , or subdivision. Any pronoun used shall be deemed to cover all genders. In the computation of periods of time from a specified date to a later specified date, the word
“from” means “from and including” and the words “to” and “until” each means “to but excluding.” The section titles, table of contents, and list of exhibits appear as a matter of convenience only and
shall not affect the interpretation of this Agreement. All references to (a) statutes and related regulations shall include all related rules and implementing regulations and any amendments of same and any successor statutes, rules, and
regulations; (b) any agreement, instrument, or other documents (including any of the Loan Documents) shall include any and all modifications and supplements thereto and any and all restatements, extensions, or renewals thereof to the extent
such modifications, supplements, restatements, extensions, or renewals of any such documents are permitted by the terms thereof; (c) any Person (including Borrower or Lender) shall mean and include the successors and permitted assigns of such
Person; (d) “Borrower” in the singular shall be deemed to be a reference to each of Transcend, MDS and any other Person joined as a borrower hereunder at any time; (e) “applicable law” shall be deemed to include
Healthcare Laws to the extent applicable in a particular context; (f) “including” and “include” shall be understood to mean “including, without limitation,” regardless of whether the “without limitation”
is included in some instances and not in others (and, for purposes of each Loan Document, the parties agree that the rule of ejusdem generis shall not be applicable to limit a general statement, which is followed by or referable to an
enumeration of specific matters to matters similar to the matters specifically mentioned); or (g) the “discretion” of Lender shall mean the sole and absolute discretion of Lender. A Default or an Event of Default shall be deemed to
exist at all times during the period commencing on the date that such Default or Event of Default occurs to the date on which such Default or Event of Default is waived in writing by Lender pursuant to this Agreement or, in the case of a Default, is
cured within any period of cure expressly provided in this Agreement. An Event of Default shall “continue” or be “continuing” until such Event of Default has been waived in writing by Lender. Whenever the phrase “to
Borrowers’ knowledge” or words of similar import relating to the knowledge or the awareness of Borrower are used in this Agreement or other Loan Documents, such phrase shall mean and refer to (i) the actual knowledge of a Senior
Officer of Borrower or (ii) the knowledge that a Senior Officer of Borrower would have obtained if he had engaged in good faith and diligent performance of his or her duties. 
  

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 2. THE CREDIT FACILITY. 
 2.1. The Commitments. 
 (a)
Revolving Loan Commitment. Subject to the terms and conditions of this Agreement, Lender agrees to make Revolving Loans to Borrower and issue Letters of Credit on Borrower’s account from time to time during the Term. Lender shall have no
obligation to make any Revolving Loan or issue any Letter of Credit if doing so would, after giving effect thereto, cause the Working Capital Obligations to exceed the lesser of (i) the Revolving Loan Commitment and (ii) the Borrowing
Base. Within the foregoing limit and subject to the terms and conditions of this Agreement, Borrower may borrow, repay, and reborrow the principal amount of the Revolving Loans at any time during the Revolving Loan Term. Borrower shall use the
proceeds of the Revolving Loans only for its working capital and general corporate purposes and for Permitted Acquisitions. 
 (b) Term
Loan Commitment. Subject to the terms and conditions of this Agreement, Lender agrees to make a Term Loan to Borrower in the principal amount not to exceed $7,000,000. Lender shall fund the Term Loan in a single draw on the Closing Date. The
Term Loan Commitment shall automatically terminate upon the making of the Term Loan. Borrower may not reborrow any repaid principal of the Term Loan. Borrower shall use the proceeds of the Term Loan only to fund the costs and expenses of and, to the
extent necessary, a portion of the cash purchase price for the MDS Acquisition and for no other purpose. 
 (c) Increase of Revolving Loan
Commitment. During the period from the Closing Date through the Revolving Loan Termination Date, the Revolving Loan Commitment may, if requested by Borrower and approved by Lender in Lender’s sole and absolute discretion, be increased by
$3,000,000 (the “Revolving Loan Commitment Increase”) to $8,000,000, provided that: (a) Borrower’s request for such increase must be in writing; (b) Borrower must execute a new Revolving Note reflecting
the increase in the Revolving Loan Commitment and any additional documents, instruments or agreements Lender deems necessary in connection therewith, including any amendments to the other Loan Documents that Lender deems necessary; and (c) no
Event of Default exists as of the date of such request for the Revolving Loan Commitment Increase or as of the date on which such Revolving Loan Commitment Increase is to occur. After such increase, all of the terms and conditions of the Loan
Documents shall apply to the increased amount of the Revolving Loan Commitment. 
 2.2. The Notes. 
 (a) Revolving Note. On the Closing Date, Borrower shall execute and deliver to Lender a promissory note in the form of Exhibit A-1, attached
hereto and made a part hereof (as the same may be amended, restated, supplemented, or otherwise modified from time to time, the “Revolving Note”), which Revolving Note, together with Lender’s records, shall evidence the
Revolving Loans and interest accruing thereon. 
 (b) Term Note. On the Closing Date, Borrower shall execute and deliver to Lender a
promissory note substantially in the form of Exhibit A-2, attached hereto and made a part hereof (as the same may be amended, restated, supplemented, or otherwise modified from time to time, the “Term Note”), which Term Note,
together with Lender’s records, shall evidence the Term Loan and interest accruing thereon. 
 2.3. Interest. 
 (a) Types of Loans. No Loan shall be a Base Rate Loan unless required by the terms of Section 2.3(g). Subject to the terms and conditions of
this Agreement, (i) the Revolving Loans may be LIR Loans, and (ii) the Term Loan may be a LIR Loan. 
 (b) Agreement to Pay
Interest. Borrower agrees to pay interest on all unpaid principal amounts of the Loans from the respective date each such Loan is made until such Loan is paid (whether at stated maturity, upon acceleration, or otherwise) at the rates of interest
and at the times set forth in this Agreement. 
 (c) Interest Rate. All LIR Loans shall bear interest at a rate per annum equal to the
greater of (i) 3.75% and (ii) the sum of the LIBOR Index Rate plus the Applicable Margin. If any Loan is converted into a Base Rate Loan because of Section 2.3(g), such Base Rate Loan shall bear interest at a rate per annum
equal to the Base Rate, plus the Applicable Margin. 
  

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 (d) All interest on any Loan and on all other Obligations shall be calculated on the presumed basis of a
year of 360 days, for the actual number of days elapsed. 
 (e) Adjustment of Interest Rate. The rate of interest on any LIR Loan
shall be adjusted as provided in the definition of “LIBOR Index Rate,” subject to Section 2.3(g). If any Loan is converted into a Base Rate Loan because of Section 2.3(g), the rate of interest on such Base Rate Loan shall be
adjusted automatically and without notice on and as of the date of any change in the Base Rate. 
 (f) Default Rate. At Lender’s
option, during the existence of any Event of Default, the principal amount of all Obligations (other than Obligations arising under Hedge Agreements between Borrower and Lender or any of its Affiliates) shall bear interest at the Default Rate. In
any event, the Default Rate shall automatically and without notice to any Person apply from the time the Obligations have become due and payable under Section 9.2 (whether because of Lender’s exercising its right to accelerate the
Obligations under Section 9.2 or because the Obligations have automatically become due and payable under Section 9.2) until the Obligations or any judgment thereon are paid in full. 
 (g) Automatic Conversion to Base Rate. Any provision of this Agreement to the contrary notwithstanding, if Lender should at any time determine
that (i) it is not reasonably possible to determine the LIBOR Index Rate, (ii) that the LIBOR Index Rate is no longer available, (iii) it is no longer lawful for Lender to make Loans at any rate based on the LIBOR Index Rate, or
(iv) a Default or Event of Default exists and Lender shall so elect, then, in each case, (A) all affected LIR Loans shall automatically and without notice be converted into Base Rate Loans and (B) all obligations of Lender to make LIR
Loans shall cease until such time as Lender shall have determined that it is able to determine the LIBOR Index Rate, such illegality shall be reversed, or such Event of Default shall have been waived or cured, as applicable. 
 (h) Opening LIBOR Index Rate. The LIBOR Index Rate on the date hereof is 0.26125% per annum and, therefore, the rate of interest in effect
hereunder on the date hereof, expressed in simple interest terms (but on a 360-day basis), is, subject to Section 2.3(c), (i) 3.01125% per annum with respect to any portion of the Revolving Loans bearing interest as a LIR Loan; and
(ii) 2.76125% per annum with respect to any portion of the Term Loan bearing interest as a LIR Loan. 
 2.4. Requesting New
Loans. 
 (a) Revolving Loans. Revolving Loans shall be deemed requested pursuant to the following clauses (i) and
(ii) or requested pursuant to the following clause (iii). 
 (i) Subject to Subsections 2.4(b) and 2.8(a), the becoming due of any
Obligation (whether as principal, accrued interest, fees, or other charges owed to Lender or any Affiliate of Lender) shall in all respects constitute Borrower’s irrevocable request for a Revolving Loan in an amount equal to such Obligations,
and Lender may make such Revolving Loan and apply the proceeds thereof to the payment of such Obligations. 
 (ii) Subject to Subsection
2.4(b) and 2.8(a), the presentment for payment of any instrument drawn on, or request for any wire or other transfer from, a Funding Account at a time when there are insufficient funds in such account to cover such instrument shall in all respects
constitute Borrower’s irrevocable request for a Revolving Loan in an amount equal to the amount payable on such instrument to be made by Lender, and Lender may make such Revolving Loan and apply the proceeds thereof to such Funding Account for
payment of such instrument or transfer. 
 (iii) For all other Revolving Loans, Borrower shall provide Lender a request in accordance with
Section 2.5. 
  

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 (b) Provisions Regarding Deemed Requests for Revolving Loans. Lender shall have no obligation to
honor any deemed request for a Revolving Loan under Sections 2.4(a)(i) or (ii), if (i) such request is deemed made after the Revolving Loan Termination Date, (ii) doing so would cause the Working Capital Obligations to exceed the lesser of
the Revolving Loan Commitment and the Borrowing Base, or (iii) Lender determines that any condition precedent in Section 4.2 hereof or any other condition precedent to the making of such Loan is not then satisfied or will not be satisfied
when such Loan is to be made; provided, Lender may make such Revolving Loan in its sole and absolute discretion and without regard to the existence of, and without being deemed to have waived, any Default or Event of Default which may then
exist or arise from the making of such Revolving Loan. Subject to Subsection 2.8(a), Lender may make Revolving Loans under Sections 2.4(a)(i) and (ii) without Borrower’s having submitted a request (whether telephonic or in writing)
therefor. Subject to Section 2.3(g), all Revolving Loans made pursuant to Sections 2.4(a)(i) and (ii) shall be made as LIR Loans. 
 2.5. Requests for Borrowings. 
 (a) Making Requests for New Loans. Each request for the making of a new Revolving Loan
may be made telephonically; provided, however, that Lender, in its sole and absolute discretion, may from time to time require each such request to be in writing. If Lender requires Borrower to make a request for a new Revolving Loan
in writing, Borrower shall submit a Notice of Borrowing therefor. Each request (whether telephonic or in writing) shall specify (i) the date for the making of the applicable Loan, which date must be a Business Day; (ii) the principal
amount of the applicable Loan to be made; (iii) for any new Loan, lawful instructions for the disbursement of the proceeds of such Loan (provided that, if such instructions are not included, the proceeds will be deposited into a Funding
Account); (iv) if requested by Lender, a written calculation of the Borrowing Base and a reconciliation of such Borrowing Base to the previous Borrowing Base; and (vi) such other information Lender may require from time to time.

 (b) Timing and Acceptance of Requests. Requests made under this Section 2.5 (whether telephonic or in writing) are
irrevocable. Requests under this Section 2.5 which Lender receives after 11:00 a.m. (Birmingham, Alabama, time) shall be deemed received on the next Business Day. Lender’s acceptance of a request for the making of a new Loan under this
Section 2.5 shall be indicated by its making the Loan requested. With respect to Revolving Loans which are to be LIR Loans or, if required or permitted under Section 2.3(g), Base Rate Loans, Lender shall make such Revolving Loans in
immediately available funds on the same Business Day it receives or is deemed to have received the request therefor. 
 2.6. Excess
Outstandings. Any provision of this Agreement to the contrary notwithstanding, Lender may, in its sole and absolute discretion, make or permit to remain outstanding Revolving Loans which are causing or would cause the Working Capital Obligations
to exceed the Revolving Loan Commitment or the Borrowing Base, and all such excess amounts shall (i) be part of the Obligations evidenced by the Revolving Note, (ii) bear interest as provided herein, (iii) be payable ON DEMAND,
(iv) be secured by the Collateral, and (v) be entitled to all rights and security as provided under the Loan Documents. 
 2.7.
Repayment of Loans. 
 (a) Repayment of Obligations Generally. Borrower shall pay all outstanding principal amounts and accrued
interest under any Note in accordance with the terms of such Note and this Agreement. 
 (b) Repayment of Revolving Loans. 

(i) Upon the occurrence of a Trigger Event, Borrower shall thereafter (unless and until otherwise notified by Lender) promptly repay the principal
amount of the Revolving Loans with (and to the extent of) the proceeds of any Collateral of the type included in the Borrowing Base received by Borrower from time to time; provided, however, that, to the extent Lender receives and
applies such proceeds in the manner described in, and in accordance with, Section 2.9, Borrower’s payment obligation under this Section 2.7(b)(i) shall be satisfied with respect to such proceeds. All payments made pursuant to this
subsection shall be applied in the manner set forth in Section 2.9. All outstanding principal of the Revolving Loans shall be due and payable on the Revolving Loan Termination Date. 
  

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 (ii) Interest accrued on the Revolving Loans shall be due and payable, in arrears, on (A) the first
day of each month (for the immediately preceding month), computed through the last calendar day of the preceding month whether a Base Rate Loan or a LIR Loan; and (B) on the Revolving Loan Termination Date. 
 (c) Repayment of Term Loan. 
 (i)
Borrower shall repay the principal amount of the Term Loan in consecutive monthly installments, each in an amount equal to $155,555.55 and each due and payable on the first day of each calendar month, commencing on December 1, 2009. If not
sooner paid, all outstanding principal and interest on the Term Loan shall be due and payable in full on the Term Loan Maturity Date. 
 (ii) Interest accrued on the Term Loan shall be due and payable, in arrears, on (A) the first calendar day of each month for the immediately preceding month, (B) on the date of any mandatory or optional prepayment of principal of
the Term Loan, and (D) the Term Loan Maturity Date. 
 (d) Optional Prepayments of Term Loan. From time to time, Borrower may
prepay the principal amount of the Term Loan, in whole or in part, on one Business Days’ written notice for prepayment of that portion of the Term Loan which constitutes a Base Rate Loan or a LIR Loan. Each such notice shall be irrevocable and
must be in writing or made telephonically promptly followed by a confirming writing. Each prepayment of any portion of the Term Loan which constitutes a Base Rate or LIR Loan shall be in a minimum amount of $100,000. Lender shall apply each
prepayment on the Term Loan first to accrued but unpaid interest thereon and then to installments of principal in the inverse order of their maturities. That portion of any prepayment to be applied to principal shall be applied first to Base Rate
Loans, then to LIR Loans. 
 (e) Mandatory Prepayments of Term Loan. Borrower shall prepay the principal balance of the Term Loan
promptly upon receipt of, and in an amount equal to, the Net Proceeds in excess of $100,000 received with respect to any real property or Equipment, except to the extent otherwise permitted under Section 6.3(b) or Section 7.13(d). Nothing
in this subsection constitutes Lender’s consent to any disposition of any Equipment or real property. Lender shall apply any payments made under this subsection to any accrued interest on the Term Loans and then to principal of the Term Loans
as determined by Lender but in the inverse order of the maturities thereof or in such other order determined by Lender. 
 2.8. Additional
Payment Provisions. Borrower shall pay Lender the amount owing in respect of any Obligations under the Loan Documents on the terms set forth in the Loan Documents, or, if no date of payment is otherwise specified in the Loan Documents, ON
DEMAND. 
 (a) Authorization to Debit. Lender may, without notice to, or the consent of, Borrower, debit the Operating Account and
apply such amounts to the payment of Obligations which are then due and payable. If at any time there are insufficient funds in the Operating Account to cover all or any portion of Obligations which are due and payable, Lender shall have the right
at such time, without notice to, or the consent of, Borrower to (i) make a deemed Revolving Loan under Section 2.4(a), (ii) debit any Funding Account, Collections Account, other Deposit Account, or other account over which Lender has
Control and apply such amounts to the payment of Obligations which are then due and payable, or (iii) both. 
 (b) Time and Location
of Payment. Except for payments made pursuant to Section 2.9 and 2.4(a)(i), Borrower shall make each payment of principal of and interest and other Obligations which are due and payable not later than 12:00 noon (Birmingham, Alabama, time)
on the date due, without set-off, counterclaim, or other deduction, in immediately available funds to Lender at its address referred to in Section 10.4. If any payment of any Obligations shall be due on a day which is not a Business Day, such
payment shall be due and payable the next Business Day, and interest shall accrue during such time. 
 (c) Excess Over Borrowing Base.
At any time the Working Capital Obligations exceed the Borrowing Base, Borrower shall immediately pay the amount of such excess to Lender. 
 (d) Hedge Agreements Are Independent. Prepayment of any Loans shall not affect Borrower’s obligation to continue making payments under any Hedge Agreement between Borrower and Lender or any of its Affiliates, which shall remain
in full force and effect notwithstanding such prepayment, subject to the terms of such Hedge Agreement. 
  

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 (e) Capital Requirements; Increased Costs. If (i) the introduction of, or any change in, or
in the interpretation of, any applicable law or (ii) compliance with any guideline or request from any central bank or comparable agency or other governmental authority (whether or not having the force of law), has or would have the effect of
reducing the rate of return on the capital of, or has affected or would affect the amount of capital required to be maintained by Lender or any Person controlling Lender as a consequence of, or with reference to, the Revolving Loan Commitment, the
Term Loan Commitment, and other commitments of this type, below the rate which Lender or such other Person could have achieved but for such introduction, change, or compliance, then within 5 Business Days after Lender’s written demand therefor,
Borrower shall pay Lender from time to time as specified by Lender additional amounts sufficient to compensate Lender or such other Person for such reduction. Lender’s accounting of such amounts submitted in writing to Borrower shall be
presumed conclusive absent manifest error. If there is any change in the LIBOR Reserve Requirements, then Borrower shall, from time to time upon demand by Lender, pay to Lender such additional amounts as Lender may deem necessary to
compensate Lender for any increased costs resulting from such change. Borrower agrees that Lender’s determination of such additional amounts and increased costs will be made in Lender’s sole and absolute discretion and shall be conclusive
absent manifest error. 
 2.9. Lockboxes; Collections Accounts. 
 (a) Establishment of Lockboxes. Upon the occurrence of a Trigger Event, Borrower shall (i) promptly establish and thereafter maintain one or
more lockboxes under Lender’s control and (ii) contemporaneously therewith, direct all of its Account Debtors to make payments to such lockboxes (or, if made by wire or other transfer, to a Collections Account). 
 (b) Collections Accounts. Upon the occurrence of a Trigger Event, all Items or funds received by Borrower in respect of Accounts or the sale of
Inventory or as Net Proceeds of other Collateral shall be held by Borrower in trust for Lender, shall not be commingled with Borrower’s funds, and shall be deposited promptly by Borrower into a Collections Account or forwarded to Lender in the
form received. All such Items and funds shall be the exclusive property of Lender upon the earlier of the receipt thereof by Lender or by Borrower. Lender shall promptly process all Items received pursuant to this Section 2.9(b) into each
lockbox and deposit such Items into a Collections Account. Subject to Section 2.9(c), Lender shall apply available balances from any Item or funds deposited into a Collections Account pursuant to this Section 2.9(b) to the payment of
Obligations in whatever order Lender shall determine. 
 (c) Chargebacks. No payment item received by Lender shall constitute payment
to Lender until such item is actually collected by Lender and credited to the Collections Account; provided, however, that Lender shall have the right to charge back to the Collections Account (or any other account of Borrower
maintained with Lender) an Item which is returned for inability to collect, plus accrued interest during the period of Lender’s provisional credit for such item prior to receiving notice of dishonor. 
 (d) Power of Attorney; Security Interest; Applicable Fees. Borrower hereby irrevocably appoints Lender (and any Person designated by Lender) as
Borrower’s attorney-in-fact to indorse Borrower’s name on any Items which come into Lender’s possession or control, this power being coupled with an interest is irrevocable so long as any of the Obligations remain outstanding. Such
indorsement by Lender under such power of attorney shall, for all purposes, be deemed to have been made by Borrower (prior to any subsequent indorsement by Lender) in negotiation of the Item. In addition to the security interest granted Lender in
Section 3, Borrower hereby grants Lender a security interest in and to all Items, funds, and balances held in any lockbox, any Funding Account, and any Collections Account, in each case as Collateral for the Obligations. Borrower shall pay all
of Lender’s standard fees and charges in connection with any lockboxes, Funding Accounts, and Collections Accounts and the processing of Items and other transactions relating thereto, as such fees and charges may change from time to time.

  

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 2.10. Letters of Credit. 
 (a) Issuance of Letters of Credit. Subject to the terms and conditions of this Agreement, Lender shall from time to time issue, extend, or renew
Letters of Credit for the account of Borrower and its Subsidiaries; provided that (i) Borrower shall have given Lender not less than 5 Business Days’ written notice thereof; (ii) Lender shall have no obligation to issue any
Letter of Credit, if (A) doing so would cause (1) the Working Capital Obligations to exceed the lesser of the Borrowing Base and the Revolving Loan Commitment or (2) the LC Obligations to exceed $0 or (B) the expiration date of
such requested Letter of Credit would occur after the date specified in clause (a) of the definition of Revolving Loan Termination Date; and (iii) all other conditions precedent to the issuance of each such Letter or Credit set forth in
this Agreement shall have been satisfied or waived in writing by Lender. All payments made by Lender under any Letter of Credit (whether or not Borrower is the account party) and all fees, commissions, discounts, and other amounts owed or to be owed
to Lender in connection therewith, shall be paid ON DEMAND, unless (x) Borrower instructs Lender to make a Revolving Loan to pay such amount, (y) Lender agrees to do so, and (z) sufficient Excess Availability exists to make
such Revolving Loan. All LC Obligations shall be secured by the Collateral. Borrower shall complete and sign such applications and supplemental agreements and provide such other documentation as Lender may require in respect to the issuance and
administration of the Letters of Credit. The form and substance of all Letters of Credit shall be subject to Lender’s approval. Lender may charge certain fees or commissions for the issuance, handling, renewal or extension of a Letter of
Credit, in addition to the fees payable pursuant to Section 2.11. Borrower unconditionally guarantees the payment and performance of all obligations of any Subsidiary with respect to Letters of Credit issued for the account of such Subsidiary.
Upon Lender’s request during the existence of an Event of Default, Borrower shall immediately deliver to Lender immediately available funds in an amount equal to 105% of the LC Obligations, which Lender shall hold as cash collateral for the
payment of Obligations related to the Letters of Credit. 
 (b) Law Governing Letter of Credit. Each Letter of Credit issued hereunder
shall be governed, as applicable, by (i) the Uniform Customs and Practice for Documentary Credits International Chamber of Commerce (“ICC”), Publication 500, or any subsequent revision or restatement thereof adopted by the ICC and in
use by Lender or (ii) the International Standby Practices, ICC Publication No. 590, or any subsequent revision or restatement thereof adopted by the ICC and in use by Lender, except to the extent that the terms of such publication would
limit or diminish rights granted to Lender hereunder or in any other Loan Document. 
 2.11. Fees. 
 (a) Closing Fee. On the Closing Date, Borrower shall pay Lender a non-refundable, fully earned closing fee with respect to the Revolving Loan
Commitment in the amount of $20,000. 
 (b) Reserved. 
 (c) Reserved. 
 (d) Letter of Credit Fees. Borrower shall pay to Lender, at such times as
Lender shall require, Lender’s standard fees, commissions, and charges in connection with Letters of Credit (including, without limitation, with respect to the initial issuance thereof and any amendments, extensions, or modifications with
respect thereto), as in effect from time to time, and with respect to standby and commercial Letters of Credit, at the time of issuance of each Letter of Credit, a fee equal to the Applicable Margin for LIR Loans on the face amount of the Letter of
Credit for the period of time the Letter of Credit will be outstanding. Borrower agrees that, in all instances in which Lender has invoked the Default Rate in accordance with Section 2.3(f), Borrower shall pay Lender an additional issuance fee
for each Letter of Credit for the period of time during which the Default Rate is in effect and such additional issuance fee shall be payable ON DEMAND. 
 (e) Field Examinations. Borrower shall pay for all field examinations to the extent required by Section 6.5. 
 (f) Reserved. 
 (g) Method of Calculation; Fees Fully Earned. Unless otherwise expressly
provided, all fees payable hereunder or with respect to any Obligations shall be calculated on the presumed basis of a year of 360 
  

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days, for the actual number of days elapsed. Unless otherwise expressly stated herein, all fees payable to Lender pursuant to this Agreement or the other
Loan Documents shall be deemed fully earned when they become due and payable and, once paid, shall be deemed non-refundable, in whole or in part. 
 2.12. Statement of Account. If Lender provides Borrower with a statement of account on a periodic basis, each such statement will be binding on Borrower unless, within 45 days of its receipt, Borrower objects in writing and with
specificity to such statement. 
 2.13. Termination. Borrower may terminate the Revolving Loan Commitment before the Revolving Loan
Termination Date, in whole but not in part, by giving Lender 10 days prior written notice; provided, however, no termination by Borrower shall be effective until (a) Lender shall have received cash collateral or an irrevocable
direct-pay letter of credit naming Lender as beneficiary, which letter of credit shall be in form and substance satisfactory to Lender, be issued by a bank satisfactory to Lender, and be in an original face amount equal to 105% of all Obligations
which remain contingent (e.g., LC Obligations and pending indemnification payments) and (b) all other Obligations have been fully and finally paid and performed. Any notice of termination shall be irrevocable. Lender may terminate the Revolving
Loan Commitment at any time, without notice, during the existence of an Event of Default. 
 2.14. USA Patriot Act Notice. To help
fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each Person who opens an account. For purposes of this section, account shall
be understood to include loan accounts. 
 3. SECURITY AGREEMENT. 
 3.1. Security Interest. 
 (a) As
security for the full and final payment and performance of the Obligations, Borrower hereby grants to Lender (for itself and its Affiliates) a continuing security interest in and to all right, title, and interest of Borrower in and to the
Collateral, whether now owned or hereafter acquired by Borrower. 
 (b) Except as expressly required by the Security Agreements or applicable
law, Lender shall have no obligation to (i) exercise any degree of care in connection with any Collateral in its possession or (ii) take any steps necessary to preserve any rights in the Collateral or to preserve any rights in the
Collateral against senior or prior parties (which steps Borrower agrees to take). In any case, Lender shall be deemed to have exercised reasonable care of the Collateral if Lender takes such steps for the care and preservation of the Collateral or
rights therein as Borrower reasonably requests Lender to take; provided that Lender’s omission to take any action not requested by Borrower shall not be deemed a failure to exercise reasonable care. Lender’s segregation or specific
allocation of specified items of Collateral against any of Borrower’s liabilities shall not waive or affect any Lien against other items of Collateral or any of Lender’s options, powers, or rights under this Agreement or otherwise arising.

 (c) Lender may at any time after the occurrence and during the continuation of an Event of Default, with or without notice to Borrower,
(i) transfer any of the Collateral into the name of Lender or the name of Lender’s nominee, (ii) notify any Account Debtor or other obligor with respect to any of the Collateral to make payment of any amounts due or to become due
thereon directly to Lender, and (iii) receive and direct the disposition of any proceeds of any Collateral. All proceeds of Collateral shall be applied in whatever order Lender shall determine. 
 (d) Any term or provision of this Agreement or the other Loan Documents to the contrary notwithstanding, (i) no Account, Instrument, Chattel Paper,
or other obligation or property of any kind due from, owed by, or belonging to, a Sanctioned Person or (ii) any lease under which the lessee is a Sanctioned Person shall be Collateral or shall be credited toward the payment of the Obligations.

 (e) Unless otherwise expressly provided in a separate Security Document, the Collateral shall not include more than
66 2/3% of any voting Equity Interests (as contemplated in Treas.
Reg. Section 1.956-2(c)(2)) issued to Borrower by any “controlled foreign corporation” (as such term is defined in Section 957 of the Internal Revenue Code). 
  

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 3.2. Financing Statements; Fixture Filings; Power of Attorney. Borrower authorizes Lender to file
any financing statements (and other similar filings or public records or notices relating to the perfection of Liens), fixture filings, and amendments thereto relating to the Collateral which Lender deems appropriate, in form and substance required
by Lender, and to (a) describe the Collateral thereon (i) as “all personal property of the debtor,” “all assets,” or words of similar effect, if appropriate and permitted by applicable law, regardless of whether any
particular asset comprised in the Collateral falls within the scope of Article 9 of the UCC or any other applicable law, or (ii) by specific collateral category and (b) include therein all other information which is required by Article 9
of the UCC or other applicable law with respect to the preparation or filing of a financing statement (or other similar filings or public records or notices relating to the perfection of Liens), fixture filing, or amendment. Borrower appoints Lender
as its attorney-in-fact to perform all acts which Lender deems appropriate to perfect and to continue perfection of the Lien granted to Lender under any Security Agreement, including, without limitation, (x) the filing of financing statements
(and other similar filings or public records or notices relating to the perfection of Liens), fixture filings, and amendments, (y) at any time that an Event of Default exists, the execution in Borrower’s name of any agreements providing
for Control over any applicable Collateral, and (z) at any time that Event of Default exists, the indorsement, presentation, and collection on behalf of Borrower and in Borrower’s name of any Items or other documents necessary or desirable
to collect any amounts which Borrower may be owed, such power of attorney being coupled with an interest and is therefore irrevocable. Borrower grants Lender a non-exclusive license and right to use at any time that an Event of Default exists,
without royalty or other charge, Borrower’s intellectual and other property (including, without limitation, any licensed intellectual property, unless prohibited by the enforceable terms of such license) for purposes of advertising any
Collateral for sale, collecting any Accounts, disposing of or liquidating any Collateral, settling claims, or otherwise exercising any of its rights and remedies under the Loan Documents (including, without limitation, labels, patents, copyrights,
trade secrets, trade names, trademarks, service marks, product line names, advertising materials, and any other property of a similar nature). Borrower’s rights under all licenses and all franchise agreements shall inure to Lender’s
benefit. Borrower shall be liable for any and all expense incurred in connection with Lender’s exercising its rights under this Section 3.2. 
 3.3. Entry. Borrower (for itself and on behalf of its Subsidiaries) irrevocably consents to any act by Lender or its agents in entering upon any premises for the purposes of either (a) inspecting any
Collateral, whether or not a Default or Event of Default exists, or (b) taking possession of any Collateral at any time that an Event of Default exists. Borrower waives, as to Lender and its agents, any now existing or hereafter arising claim
based upon trespass or any similar cause of action for entering upon any premises where Collateral may be located. 
 3.4. Other
Rights. Without limiting any Credit Party’s obligations under the Loan Documents, Borrower authorizes Lender from time to time (a) to (i) take from any party and hold additional Collateral or Guaranty for the payment of the
Obligations or any part thereof, (ii) exchange, enforce, or release such Collateral or Guaranty or any part thereof, and (iii) release or substitute any indorser or Guarantor or any party who has granted Lender any security interest in any
property as security for the payment of the Obligations or any part thereof or any party in any way obligated to pay the Obligations or any part thereof, and (b) during the existence of any Event of Default, to direct the manner of the
disposition of the Collateral and the enforcement of any indorsements, guaranties, letters of credit, or other security or Supporting Obligations relating to the Obligations or any part thereof as Lender in its sole and absolute discretion may
determine. 
 3.5. Accounts. After the occurrence and during the continuation of any Event of Default, Lender may contact any Account
Debtor (a) to ensure such Account Debtor is directing payments on Borrower’s Accounts to a lockbox or a Collections Account (as applicable), (b) to direct such Account Debtor to make payment directly to Lender, a lockbox, or a
Collections Account, and (c) to notify such Account Debtor of the existence of Lender’s Liens under the Security Agreements. 
 3.6. Waiver of Marshaling. Borrower hereby waives any right it may have to require marshaling of its assets. 
  

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 3.7. Control; Further Assurances. Borrower will, at its expense, cooperate with Lender in
(a) obtaining Control of, or Control agreements with respect to, Collateral for which Control or a Control agreement is required for perfection of Lender’s security interest under the UCC and (b) perfecting Lender’s Lien in the
Collateral. 
 4. CONDITIONS PRECEDENT TO EXTENSIONS OF CREDIT. 
 4.1. Conditions Precedent to Initial Loans. In addition to any other requirement set forth in this Agreement, Lender shall not be required to fund
any Loan or make any other extensions of credit hereunder unless and until the following conditions shall have been satisfied, in the sole opinion of Lender and its counsel: 
 (a) Execution and Delivery of Documents. Each Credit Party and each other party to any Loan Document, as applicable, shall have executed and
delivered each of the following documents, each of which shall be in form and substance satisfactory to Lender: 
 (i) This Agreement;

 (ii) The Revolving Note and the Term Note; 
 (iii) Each Guaranty required by Lender; 
 (iv) All deposit account control agreements, securities account
control agreements, and commodities account control agreements required by Lender; 
 (v) A Collateral Disclosure Certificate duly completed
by Borrower; 
 (vi) A Landlord Agreement from the owner/lessor of Borrower’s leased business premises located 10065 Cortez Boulevard,
Brooksville, Florida 34613; 
 (vii) A Certificate Regarding Purchase Documents, executed by an officer of Borrower; 
 (viii) A Collateral Assignment of Rights and Sums Due Under Purchase Agreement, executed by an officer of Borrower, together with an Acknowledgement of
Collateral Assignment of Rights and Sums Due Under Purchase Agreement, executed by Seller; 
 (ix) A complete and final payoff letter from
any Lender whose outstanding Debt is to be paid in full with the proceeds of the initial Loans; 
 (x) A fully executed Telephone
Instruction Letter; 
 (xi) A secretary’s certificate (or substantively similar document acceptable to Lender) for each Credit Party
which shall include, either directly or by incorporated attachments, (A) certifications as to the incumbency of each of such Credit Party’s officers, together with specimen signatures of those of those officers who will have the authority
to execute documents on behalf of such Credit Party; (B) true and complete copies of (1) such Credit Party’s articles or certificate of incorporation, organization, or formation; (2) such Credit Party’s bylaws, operating
agreement, partnership agreement or other constitutional documents; and (3) resolutions of the appropriate governing body or board authorizing the transaction contemplated herein; and (C) certifications as to such other matters as Lender
may require; 
 (xii) The legal opinion of each Credit Party’s legal counsel addressed to Lender, which is reasonably satisfactory in
both form and substance to Lender in Lender’s sole and reasonable discretion; 
 (xiii) A copy of Seller’s legal counsel opinion
letter being delivered in connection with the MDS Acquisition which contains language which is reasonably satisfactory in both form and substance to Lender in Lender’s sole and reasonable discretion entitling Lender to rely on such legal
opinion as if it were addressed to Lender; 
  

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 (xiv) A Borrowing Base Certificate duly completed by Borrower, together with all supporting statements,
schedules, and reconciliations as required by Lender; and 
 (xv) All additional opinions, documents, certificates, and other assurances
that Lender or its counsel may reasonably require. 
 (b) Supporting Documents and Other Conditions. Borrower shall cause to be
delivered to Lender the following documents (each of which must be in form and substance satisfactory to Lender) and shall satisfy the following conditions: 
 (i) Good standing certificates (or certificates of similar import and substance) for each Credit Party from the state or other jurisdiction in which such Credit Party was incorporated, organized, or formed and from
each state or other jurisdiction in which such Credit Party is authorized to do business, each of which shall be certified by the appropriate official of each such jurisdiction; 
 (ii) UCC searches and other Lien searches showing no existing security interests in or Liens on the Collateral (other than Permitted Liens acceptable to
Lender); 
 (iii) Certificates of, evidence of, copies of all policies of, and other documents regarding the insurance required by
Section 6.3, together with a lender’s loss payable endorsement as required by Section 6.3; 
 (iv) UCC financing statements
(and other similar filings or public records or notices relating to the perfection of Liens) and, if applicable, certificates of title covering the Collateral shall duly have been recorded or filed in the manner and places required by law to
establish, preserve, protect, and perfect the interests and rights created or intended to be created by the Security Agreements, and all taxes, fees, and other charges in connection with the execution, delivery, and filing of the Security Agreements
and the financing statements (and any other similar filings or public records or notices relating to the perfection of Liens) shall have been paid; 
 (v) All collateral and field exams required by Lender shall have been completed; 
 (vi) Lender shall be
satisfied in all respects with Borrower’s capital structure (both before and after giving effect to the transactions contemplated in this Agreement and the other Loan Documents) and the terms of Borrower’s and its Subsidiaries’ debt
and equity; 
 (vii) Satisfactory evidence of payment of all fees due and reimbursement of all costs incurred by Lender, and evidence of
payment to other parties of all fees or costs which any Credit Party is required under the Loan Documents to pay by the date of the initial Loan or Letter of Credit; 
 (viii) There shall be no litigation in which any Credit Party or Subsidiary is a party defendant, which Lender determines may have a Material Adverse Effect; 
 (ix) Lender shall have received Borrower and its Subsidiaries’ financial statements for the Fiscal Year ending on or about December 31, 2008
and for the Fiscal Quarter ending on or about June 30, 2009, together with such other financial reports and information concerning such Persons as Lender shall request; 
 (x) Lender shall have received Projections for Borrower for Fiscal Years 2009 and 2010, prepared on an annual basis; and 
 (xi) Lender shall have determined that, after giving effect to, the Loans to be made on the Closing Date and the payment of all fees and closing costs
incurred on or prior to the Closing Date, Excess Availability shall not be less than an amount equal to $2,500,000. 
  

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 4.2. Conditions Precedent to Each Loan and Letter of Credit. In addition to any other requirements
set forth in this Agreement, Lender shall not be required to fund any Loan or issue any Letter of Credit (including those made or issued on the Closing Date) unless and until each of the following conditions shall have been satisfied, in
Lender’s sole opinion, and each request for a Loan (whether or not a written Notice of Borrowing is required) or issuance of a Letter of Credit shall be deemed to be a representation that all such conditions have been satisfied: 
 (a) Notice of Borrowing; Letter of Credit Request. If required by this Agreement or by Lender, Borrower shall have delivered to Lender a Notice of
Borrowing (for the making of Loans) or a request for the issuance of a Letter of Credit (in accordance with Section 2.10), together with, in each case, such other information Lender may request; 
 (b) No Default. No Default or Event of Default shall have occurred and be continuing or would result from the making or issuance of the requested
Loan or Letter of Credit; 
 (c) Correctness of Representations. All representations and warranties made to Lender by any Credit Party
in any Loan Document or otherwise in writing shall be true and correct in all material respects with the same effect as though such representations and warranties had been made on and as of date of the requested Loan or Letter of Credit; 

(d) No Material Adverse Effect. There shall have been no change which could have a Material Adverse Effect on any Credit Party or Subsidiary of
Borrower since the date of the most recent financial statements of such Person delivered to Lender from time to time; 
 (e) Limitations
Not Exceeded. Any making or issuance of any requested Revolving Loan or Letter of Credit would not cause the Working Capital Obligations to exceed the lesser of the Revolving Loan Commitment and the Borrowing Base; and 
 (f) Further Assurances. Each Credit Party shall have delivered such further documentation or assurances as Lender may reasonably require.

 5. REPRESENTATIONS AND WARRANTIES. 
 To induce Lender to enter into this Agreement and to make the Loans or extend credit as provided for herein, Borrower makes the following representations and warranties, all of which shall survive the execution and
delivery of the Loan Documents. Unless otherwise specified, such representations and warranties shall be deemed made as of the date hereof and as of the date of each request for a Loan or extension of credit hereunder: 
 5.1. Valid Existence and Power. Borrower and each Subsidiary is a corporation, limited liability company, or limited partnership, as applicable,
duly incorporated, organized, or formed, validly existing, and in good standing under the laws of the jurisdiction of its incorporation, organization, or formation and is duly qualified or licensed to transact business in all places where the
failure to be so qualified could reasonably be likely to have a Material Adverse Effect. Each of Borrower and each other Person which is a party to any Loan Document (other than Lender) has the power to make and perform the Loan Documents executed
by it and all Loan Documents will constitute the legal, valid, and binding obligations of such Person, enforceable in accordance with their respective terms, subject only to bankruptcy and similar laws affecting creditors’ rights generally.
Borrower is organized under the laws of the jurisdiction set forth in the Collateral Disclosure Certificate and has not changed the jurisdiction of its organization within the 5 years preceding the date hereof except as disclosed in the Collateral
Disclosure Certificate. 
 5.2. Authority. The execution, delivery, and performance thereof by Borrower and each other Person (other
than Lender) executing any Loan Document have been duly authorized by all necessary actions of such Person, and do not and will not violate any provision of law or regulation, or any writ, order, or decree of any Governmental Entity or any provision
of the governing instruments of such Person, and do not and will not, with the passage of time or the giving of notice, result in a breach of, or constitute a default or require any consent under, or result in the creation of any Lien upon any
property or assets of such Person pursuant to, any law, regulation, instrument, or agreement to which any such Person is a party or by which any such Person or its respective properties may be subject, bound, or affected. 
  

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 5.3. Financial Condition. Other than as disclosed in financial statements delivered to Lender on
or before the Closing Date or on Schedule 5.3, attached hereto and made a part hereof, none of Borrower, any Subsidiary, or (to the knowledge of Borrower) any Guarantor has any material direct or contingent obligations or liabilities or any material
unrealized or anticipated losses from any commitments of such Person. As of the Closing Date, all material operating and capital leases under which Borrower, any Subsidiary, or (to the knowledge of Borrower) any Guarantor is lessee are disclosed in
the financial statements delivered to Lender on or before the Closing Date or on Schedule 5.3. All financial statements from time to time delivered to Lender by Borrower shall have been prepared in accordance with GAAP and fairly present the
financial condition of such Person as of the date thereof. Borrower is not aware of any material adverse fact (other than facts which are generally available to the public and not particular to Borrower, such as general economic trends) concerning
the condition (financial or otherwise) or future prospects of Borrower or any Subsidiary or any Guarantor which has not been fully disclosed to Lender, including any material adverse change in the operations or financial condition of such Person
since the date of the most recent financial statements delivered to Lender. Each Credit Party is Solvent and, after consummation of the transactions set forth in this Agreement and the other Loan Documents, will be Solvent. 
 5.4. Litigation. Except as disclosed on Schedule 5.4, attached hereto and made a part hereof, there are no suits or proceedings pending or, to
Borrower’s knowledge, threatened by or before any Governmental Entity against or affecting Borrower, any Subsidiary or (to Borrower’s knowledge) any Guarantor, or their respective assets, which if adversely determined could reasonably be
expected to have a Material Adverse Effect. 
 5.5. Agreements, Etc. Neither Borrower nor any Subsidiary is a party to any agreement
or instrument or subject to any order or decree of any Governmental Entity or any charter or other corporate restriction, materially adversely affecting its business, assets, operations, or condition (financial or otherwise), nor is any such Person
in default in the performance, observance, or fulfillment of any of the obligations, covenants, or conditions contained in any agreement or instrument to which it is a party, or any law, regulation, decree, order, or the like to which it is subject.

 5.6. Authorizations. All authorizations, consents, approvals, and licenses required under applicable law for the ownership or
operation of the property owned or operated by Borrower or any Subsidiary or for the conduct of any business in which it is engaged have been duly issued and are in full force and effect, and it is not in default, nor has any event occurred which
with the passage of time or the giving of notice, or both, would constitute a default, under any of the terms or provisions of any part thereof, or under any order, decree, ruling, regulation, closing agreement or other decision or instrument of any
Governmental Entity having jurisdiction over such Person, which default would have a Material Adverse Effect on such Person. Except as noted herein, no approval, consent or authorization of, or filing or registration with, any governmental
commission, bureau or other regulatory authority or agency is required with respect to the execution, delivery or performance of any Loan Document. 
 5.7. Title. Each of Borrower and each Subsidiary has good title to all of the assets shown in its financial statements free and clear of all Liens, except Permitted Liens. Borrower alone has full ownership rights in all Collateral.

 5.8. Collateral. 
 (a)
The security interests granted to Lender herein and pursuant to any other Security Agreement (a) constitute and, as to subsequently acquired property included in the Collateral covered by the Security Agreement, will constitute, security
interests under the UCC entitled to all of the rights, benefits, and, if perfected, priorities provided by the UCC and (b) are and, as to such subsequently acquired Collateral, will be fully perfected, superior, and prior to the rights of all
third persons, now existing or hereafter arising, upon the filing of a UCC-1 financing statement (with respect to all Collateral which may be perfected by the filing of a UCC-1 financing statement). All of the Collateral is intended for use solely
in Borrower’s business. 
 (b) Schedule 5.8(b) sets forth all of the Credit Parties’ insurance policies in effect as of the Closing
Date and sets forth as to each such policy (as applicable) the type of insurance provided by such policy, 

  

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the underwriter thereof, the maximum coverage provided thereunder, the deductible applicable thereto, and a brief description of any non-customary term as
set forth therein. Each of such policies is currently in effect and all premiums thereon have been paid to date. 
 (c) All of the Marks (as
defined in the Collateral Disclosure Certificate) which are material to the operation of Borrower’s business as currently conducted are shown in Schedule 3 of the Collateral Disclosure Certificate. All of the copyrights which are material to
the operation of Borrower’s business as currently conducted are shown in Schedule 4 of the Collateral Disclosure Certificate. All of the Patents (as defined in the Collateral Disclosure Certificate) which are material to the operation of
Borrower’s business as currently conducted are shown in Schedule 5 of the Collateral Disclosure Certificate. 
 5.9. Jurisdiction of
Organization; Location. The jurisdiction in which each of Borrower and each Subsidiary is organized, the chief executive office of Borrower and each Subsidiary, the office where Borrower’s and each Subsidiary’s books and records are
located, all of Borrower’s and each Subsidiary’s other places of business, and any other places where any Collateral (other than Inventory in-transit) is kept, are all correctly and completely indicated in the Collateral Disclosure
Certificate. The Collateral (other than Inventory in-transit) is located and shall at all times be kept and maintained only at a Permitted Location. No Collateral is attached or affixed to any real property so as to be classified as a Fixture unless
Lender has otherwise agreed in writing. Borrower has not changed it legal status or the jurisdiction in which it is organized or moved its chief executive office within the 5 years preceding the Closing Date, other than as set forth in the
applicable Collateral Disclosure Certificate). 
 5.10. Taxes. Borrower and each Subsidiary have filed all Federal and state income
and other tax returns which are required to be filed, and have paid all taxes as shown on said returns and all taxes, including withholding, FICA, and ad valorem taxes, shown on all assessments received by it to the extent that such taxes have
become due. Neither Borrower nor any Subsidiary is subject to any Federal, state, or local tax Liens nor has such Person received any notice of deficiency or other official notice to pay any taxes. Borrower and each Subsidiary have paid all sales
and excise taxes payable by it. 
 5.11. Labor Law Matters. 
 (a) No goods or services have been or will be produced by Borrower or any Subsidiary in violation of any applicable labor laws or regulations or any
collective bargaining agreement or other labor agreements or in violation of any minimum wage, wage-and-hour or other similar laws or regulations. 
 (b) Except as set forth on Schedule 5.11, no Borrower or any Subsidiary is party to or bound by any collective bargaining agreement, management agreement, or consulting agreement. There are no material grievances, disputes, or
controversies with any union or other organization of any Borrower’s or Subsidiary’s employees, or, to any Borrower’s knowledge, any asserted or threatened strikes, work stoppages, or demands for collective bargaining. 
 5.12. Accounts. Each Account, Instrument, Chattel Paper, and other writing constituting any portion of the Collateral (a) is genuine and
enforceable in accordance with its terms except for such limits thereon arising from bankruptcy and similar laws relating to creditors’ rights; (b) is not subject to any deduction or discount (other than as stated in the invoice and
disclosed to Lender in writing), defense, set-off, claim, or counterclaim of a material nature against Borrower except as to which Borrower promptly notified Lender in writing; (c) is not subject to any other circumstances that would impair the
validity, enforceability or amount of such Collateral except as to which Borrower promptly notified Lender in writing; (d) arises from a bona fide sale of goods or delivery of services in the ordinary course and in accordance with the terms and
conditions of any applicable purchase order, contract or agreement; (e) is free of all Liens; and (f) is for a liquidated amount maturing as stated in the invoice therefor. That portion of any Account included in any Notice of Borrowing,
Borrowing Base Certificate, report, or other document as an Eligible Account meets all the requirements of an Eligible Account set forth herein. 
 5.13. Judgment Liens. Neither Borrower nor any Subsidiary, nor any of their respective assets, are subject to any unpaid judgments (whether or not stayed) or any judgment Liens in any jurisdiction, in each case, (a) which were
not disclosed to Lender in writing on or before the Closing Date or (b) of which Borrower has not given notice to Lender in accordance with Section 6.4. 
  

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 5.14. Corporate Structure. 
 (a) As of the date hereof, Schedule 5.14, attached hereto and made a part hereof, sets forth (i) the correct name of each Subsidiary and its
jurisdiction of organization; (ii) the name of each of Borrower’s Affiliates (including, without limitation, any joint ventures) and the nature of the affiliation; and (iii) the number and type or class of all issued and outstanding
Equity Interests of MDS. 
 (b) Borrower has good title to all of the Equity Interests it purports to own of each of its Subsidiaries, free
and clear in each case of any Lien other than Permitted Liens. All such Equity Interests have been duly issued and are fully paid and non-assessable. Since the date of the last audited financial statements of Borrower and its Subsidiaries delivered
to Lender, Borrower has not made, or obligated itself to make, any Restricted Payment, except as otherwise permitted hereunder. Except as set forth on Schedule 5.14, there are no outstanding options to purchase, or any rights or warrants to
subscribe for or acquire, or any commitments or agreements to issue or sell, or any Equity Interests or obligations convertible into, or any powers of attorney relating to, Equity Interests issued by Borrower or any of its Subsidiaries. 

(c) As of the Closing Date, the number and type or class of all issued and outstanding Equity Interests of Transcend and each of its Subsidiaries
(other than MDS) has not materially changed from the most recent 10-Q filed by Transcend with the U.S. Securities and Exchange Commission. 
 5.15. Deposit Accounts. Borrower and its Subsidiaries have no Deposit Accounts other than (a) on the Closing Date, those listed in the Collateral Disclosure Certificate and (b) after the Closing Date, those permitted by
Section 7.15. 
 5.16. Environmental. Except as disclosed on Schedule 5.16, attached hereto and made a part hereof, and except
for ordinary and customary amounts of solvents, cleaners and similar materials used in the ordinary course of Borrower’s or a Subsidiary’s business and in strict compliance with all Environmental Laws, none of Borrower, any Subsidiary, or,
to Borrower’s knowledge, any current or previous owner or operator of any real property currently owned or operated by Borrower or a Subsidiary, has generated, stored, or disposed of any Regulated Material on any portion of such property, or
transferred any Regulated Material from such property to any other location in violation of any applicable Environmental Laws. Except as disclosed on Schedule 5.16, no Person (other than Borrower or a Subsidiary) has generated, stored or disposed of
any Regulated Material on any portion of the real property currently owned or operated by Borrower or any Subsidiary, and, except for ordinary and customary amounts of solvents, cleaners and similar materials used in the ordinary course of
Borrower’s or a Subsidiary’s business and in strict compliance with all Environmental Laws, no Regulated Material is now located on such property. Except as disclosed on Schedule 5.16, each of Borrower and its Subsidiaries is in full
compliance with all applicable Environmental Laws and neither Borrower nor any Subsidiary has been notified of any action, suit, proceeding, or investigation which calls into question compliance by Borrower or any Subsidiary with any Environmental
Laws or which seeks to suspend, revoke or terminate any license, permit, or approval necessary for the generation, handling, storage, treatment, or disposal of any Regulated Material. 
 5.17. ERISA. If requested by Lender, Borrower has furnished to Lender true and complete copies of the latest annual report required to be filed
pursuant to Section 104 of ERISA, with respect to each Plan, and no ERISA Termination Event with respect to any Plan has occurred and is continuing. None of Borrower or its Subsidiaries has any unfunded liability with respect to any such Plan.

 5.18. Investment Company Act. None of Borrower or its Subsidiaries is an “investment company” as defined in the
Investment Company Act of 1940, as amended. 
 5.19. Insider. Borrower is not, and no Person having “control” (as that term
is defined in 12 U.S.C. § 375(b)(5) or in regulations promulgated pursuant thereto) of Borrower is, an “executive officer,” “director,” or “principal shareholder” (as those terms are defined in 12 U.S.C.
§ 375(b) or in regulations promulgated pursuant thereto) of Lender, of a bank holding company of which Lender is a subsidiary, or of any subsidiary of a bank holding company of which Lender is a subsidiary. 
  

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 5.20. Sanctioned Persons; Sanctioned Countries. None of Borrower, its Subsidiaries, or its
Affiliates (a) is a Sanctioned Person or (b) does business in a Sanctioned Country or with a Sanctioned Person in violation of the economic sanctions of the United States administered by OFAC. Borrower will not use the proceeds of any
extension of credit hereunder to fund any operation in, finance any investments or activities in, or make any payments to, a Sanctioned Person or a Sanctioned Country. 
 5.21. Compliance with Covenants; No Default. Borrower is, and upon the making of the initial extensions of credit on the Closing Date will be, in compliance with all of the covenants hereof. No Default is in
existence, and the execution, delivery, and performance of the Loan Documents and the making of the initial extensions of credit on the Closing Date will not cause a Default. 
 5.22. Full Disclosure. Each Credit Party has disclosed to Lender each fact and circumstance which such Credit Party knows or should know and
which, by itself or together with any other fact disclosed or undisclosed, could reasonably be expected to have Material Adverse Effect. No Loan Document or any other agreement, document, certificate, or statement delivered by a Credit Party or a
Subsidiary to Lender contains any untrue statement of a material fact or omits to state any material fact which is known or which should be known by such Person necessary to keep the other statements from being misleading. 
 5.23. Reserved. 
 5.24. Collateral
Disclosure Certificates. All information set forth in the Collateral Disclosure Certificates is true and correct as of the date thereof. 
 5.25. Operating and Capital Leases. Schedule 5.25, attached hereto and made a part hereof, sets forth (a) each operating and capital lease to which Borrower or any Subsidiary is a party as a lessee and which requires aggregate
rentals of greater than $250,000 per year; (b) the name of the lessor, (c) a summary of the rental terms thereof, and (d) a brief description of the property leased thereunder. 
 6. AFFIRMATIVE COVENANTS OF BORROWER. 
 Borrower
covenants and agrees that from the date hereof until the full and final payment and performance of the Obligations and the termination of this Agreement, Borrower and each Subsidiary: 
 6.1. Use of Loan Proceeds. Shall use the proceeds of the Loans and any Letters of Credit only in accordance with the uses permitted by
Section 2 and shall furnish Lender all evidence it may require with respect to such uses. 
 6.2. Maintenance of Business and
Properties. Shall at all times (a) (i) maintain, preserve, and protect all Collateral and the remainder of its property used or useful in the conduct of its business, (ii) keep the same in good repair, working order, and
condition, and (iii) make, or cause to be made, all material needful and proper repairs, renewals, replacements, betterments, and improvements thereto so that the business carried on in connection therewith may be conducted properly and in
accordance with standards generally accepted in businesses of a similar type and size and (b) maintain and keep in full force and effect all licenses and permits necessary to the proper conduct of its business. 
 6.3. Insurance. 
 (a) Shall
(i) maintain (A) such liability insurance, workers’ compensation insurance, business interruption insurance, and casualty insurance in amounts equal to the greater of (1) such amounts that may be required by law, (2) such
amounts that are customary and usual for prudent businesses in its industry and (3) such amounts as may be reasonably required by Lender from time to time and (B) any other insurance that may be reasonably required by Lender and
(ii) insure and keep insured all Collateral and other properties with 

  

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insurance companies reasonably acceptable to Lender. All property, casualty, and hazard insurance policies covering any Collateral shall be in amounts
reasonably acceptable to Lender, shall name and directly insure Lender pursuant to one or more lender loss payable endorsements acceptable to Lender, and shall not be terminable except upon 30 days’ written notice to Lender. All policies of
liability insurance shall be in amounts acceptable to Lender and shall name Lender as an additional insured thereunder pursuant to one or more endorsements in form and substance satisfactory to Lender. On or before the Closing Date and thereafter on
an annual basis (or at such other more frequent intervals as Lender may request from time to time), Borrower shall furnish Lender copies of all such policies (or summaries thereof, if requested by Lender) and evidence of insurance in the form of an
Acord Form 27 with respect to casualty and property insurance and an Acord Form 25 with respect to liability insurance. 
 (b) If any of
Borrower’s real property or Equipment suffers a casualty or is condemned by a Governmental Entity (each, a “Loss”), all Net Proceeds of such Loss in excess of $100,000 shall be paid over to Lender for application to the
Obligations, unless Lender otherwise agrees in writing. If Lender does otherwise agree in writing, Borrower may apply the Net Proceeds of any such casualty or condemnation to the repair, restoration, or replacement of the assets suffering such Loss,
so long as (i) such repair, restoration, or replacement is completed within 180 days after the date of such Loss (or such longer period of time agreed to in writing by Lender), (ii) while such repair, restoration, or replacement is
underway, all of such Net Proceeds are on deposit with Lender in a separate Deposit Account over which Lender has exclusive Control, and (iii) such Loss did not cause an Event of Default. If an Event of Default occurs pursuant to which Lender
exercises its rights to accelerate the Obligations as provided in Section 9.2 or the Obligations are automatically accelerated or such repair, restoration, or replacement is not completed within 180 days of the date of such Loss (or such longer
period of time agreed to in writing by Lender), Lender may immediately and without notice to any Person apply all of such Net Proceeds to the Obligations, regardless of any other prior agreement regarding the disposition of such Net Proceeds.

 6.4. Certain Notices. Shall provide Lender immediate notice of (a) the occurrence of a Default and what action (if any)
Borrower is taking to correct the same; (b) any litigation involving an amount at issue in excess of $250,000 or changes in existing litigation or any judgment against it or its assets in excess of $250,000; (c) any damage or loss to
property in excess of $250,000; (d) any notice from taxing authorities as to claimed deficiencies or any tax lien or any notice relating to alleged ERISA violations; (e) any Reportable Event, as defined in ERISA; (f) any rejection,
return, offset, dispute, loss, or other circumstance in an amount equal to or greater than $250,000 or otherwise having a Material Adverse Effect on any Collateral; (g) the cancellation or termination of, or any default under, any Material
Agreement; (h) any acceleration of the maturity of any Debt of any Credit Party or the occurrence or existence of any event or circumstances which gives the holder of such Debt the right to accelerate; and (i) any loss or threatened loss
of material licenses or permits. 
 6.5. Inspections of Books and Records and Field Examinations; Appraisals; Physical Inventories.
Shall permit Lender and its agents to conduct inspections, verifications (of accounts and otherwise), appraisals, and field examinations of the Collateral and such Person’s other property and books and records during normal business hours at
such times and with such frequency as Lender may request from time to time, with (a) when no Default or Event of Default is in existence, reasonable notice thereof and (b) when any Default or Event of Default is in existence, no notice
thereof. Borrower shall pay the cost of such inspections, verifications, appraisals, and field examinations; provided, the cost of field examinations shall not exceed $950 per examiner per day, plus Lender’s and its agents’ actual
out-of-pocket expenses; provided further that, so long as no Default or Event of Default has occurred during a given Fiscal Year, Borrower shall not be required to pay or reimburse Lender for the cost of more than one field examination
during such Fiscal Year (it being understood that such limitation does not restrict Lender from conducting additional field examinations during any Fiscal Year at its own expense). 
 6.6. Financial Information. Shall maintain books and records in accordance with GAAP and shall furnish to Lender the following periodic financial
information: 
 (a) Periodic Borrowing Base Information. Within 20 days of the end of each month (and more frequently if required by
Lender), a completed Borrowing Base Certificate in the form of Exhibit 6.6(a), attached hereto and made a part hereof (each, a “Borrowing Base Certificate”). Borrower shall attach the following to each Borrowing Base
Certificate, which shall be certified by Borrower’s chief financial officer or president to be 

  

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accurate and complete and in compliance with the terms of the Loan Documents: (i) a report in form and substance satisfactory to Lender listing
(A) all Accounts of Borrower as of the last day of such month, (B) the amount and age of each Account on an original invoice date aging basis, (C) if required by Lender, the name and mailing address of each Account Debtor,
(D) all Accounts which do not constitute Eligible Accounts, and (E) such other information as Lender may require (each, an “Accounts Receivables Report”); (ii) a report listing (A) all of Borrower’s accounts
payable, (B) the number of days which have elapsed since the original date of invoice of such accounts payable, (C) the name and address of each Person to whom such accounts payable are owed, and (D) such other detail Lender may
request (each, an “Accounts Payable Report”); and (iii) each other report as Lender may from time to time require in its sole and reasonable discretion, each prepared with respect to such periods and with respect to such
information and reporting as Lender may request. Notwithstanding the foregoing, Borrower shall not be required to deliver a completed Borrowing Base Certificate at any time that the outstanding balance of Revolving Loans is $0; provided
that Borrower shall not be entitled to request Revolving Loans during any month that a completed Borrowing Base Certificate has not been timely delivered unless a completed Borrowing Base Certificate is delivered in advance of or concurrently
with such request. 
 (b) Interim Statements. Within 45 days after the end of each Fiscal Quarter, (i) a consolidated balance
sheet of Borrower and its Subsidiaries at the end of that period and a consolidated income statement and statement of cash flows for such period (and for the portion of the Fiscal Year ending with such period), together with all supporting
schedules, setting forth in comparative form the figures for the same period of the preceding Fiscal Year and (ii) a report reconciling (A) Borrower’s Accounts as set forth in the Accounts Receivable Report attached to the Borrowing
Base Certificate to (B) the Borrower’s aggregate Accounts set forth in the financial statements delivered to Lender pursuant hereto (which shall be based upon Borrower’s general ledger). The foregoing statements and reports shall be
certified by Borrower’s chief financial officer as true and correct and fairly representing the financial condition of Borrower and its Subsidiaries and that such statements are prepared in accordance with GAAP, except without footnotes and
subject to normal year-end audit adjustments. 
 (c) Annual Statements. Within 120 days after the end of each Fiscal Year, a detailed
audited financial report of Borrower and its Subsidiaries containing a consolidated balance sheet at the end of such period and a consolidated income statement and statement of cash flows for such period, setting forth in comparative form the
figures for the preceding Fiscal Year, together with all supporting schedules and footnotes, and containing an unqualified audit opinion of independent certified public accountants acceptable to Lender that the financial statements were prepared in
accordance with GAAP. 
 (d) Compliance and No Default Certificate. Together with each report required by subsections (b) and
(c), a compliance certificate in the form of Exhibit 6.6(d), attached hereto and made a part hereof, and a certificate of Borrower’s president or chief financial officer certifying that no Default then exists or, if a Default exists, the
nature and duration thereof and Borrower’s intention with respect thereto. Each such compliance certificate will be accompanied by a spreadsheet showing Borrower’s calculations of all financial covenants, which must be of such detail as
requested by Lender from time to time. Borrower shall also cause Borrower’s independent auditor (if applicable) to submit to Lender, together with its audit report, a statement that, in the course of conducting such audit, it discovered no
circumstances which it believes would result in a Default or, if it discovered any such circumstances, the nature and duration thereof. 
 (e) Auditor’s Management Letters. Promptly upon receipt thereof, copies of each report submitted to Borrower by independent public accountants in connection with any annual, interim, or special audit made by them of the
Borrower’s books including, without limitation, each report submitted to Borrower concerning its accounting practices and systems and any final comment letter submitted by such accountants to management in connection with Borrower’s annual
audit. 
 (f) Statements of Guarantors. With respect to any Guarantor who is an individual, (i) such Guarantor’s detailed
annual financial statement, including a balance sheet (including all contingent liabilities) as of the end of such annual period and a statement of income for such annual period, all in form and substance satisfactory to Lender and delivered to
Lender within thirteen months after the date of the most recent financial statement delivered to Lender and (ii) a copy of such Guarantor’s personal Federal income tax returns, delivered to Lender within 15 days of the date on which such
returns are filed. With respect to any Guarantor which is not an individual, a detailed audited financial report of Guarantor and its Subsidiaries containing a consolidated balance 

  

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sheet at the end of that period and a consolidated income statement and statement of cash flows for that period, setting forth in comparative form the
figures for the preceding fiscal year, together with all supporting schedules and footnotes, and containing an unqualified audit opinion of independent certified public accountants acceptable to Lender that the financial statements were prepared in
accordance with GAAP, all delivered to Lender within 90 days after each of such Guarantor’s fiscal years. Guarantor shall obtain such written acknowledgments from Guarantor’s independent certified public accountants as Lender may request
permitting Lender to rely on such annual financial statements. 
 (g) Other Information. Such other information reasonably requested
by Lender from time to time concerning the business, properties, or financial condition of the Credit Parties and their respective Subsidiaries. 
 (h) Projections. Within 45 days following the commencement of each Fiscal Year, Projections for such Fiscal Year. 
 (i)
Customer List. Within 30 days following the commencement of each Fiscal Year, or more frequently if requested by Lender, Borrower shall provide Lender with a listing of all of the Credit Parties’ customers and their names and addresses
as of the end of the immediately preceding Fiscal Year or as of such other date requested by Lender. 
 (j) Collateral Disclosure
Certificate. Within 30 days following the commencement of each Fiscal Year, Borrower shall, and shall cause each other Person who has executed and delivered a Collateral Disclosure Certificate to, execute and deliver a Collateral Disclosure
Certificate with then-current information. The proper disclosure of any information in any Collateral Disclosure Certificate shall not, in and of itself, constitute any waiver of any Default or Event of Default which may otherwise exist. 

6.7. Maintenance of Existence and Rights. Shall preserve and maintain its legal existence, authorities to transact business, rights and
franchises, trade names, patents, trademarks, and permits to the extent that the failure to do so in any instance would have a Material Adverse Effect. 
 6.8. Payment of Taxes, Etc. Shall pay before delinquent all of its Debts and taxes, except to the extent such taxes are being Properly Contested or (other than with respect to income, withholding, or FICA
taxes) do not exceed $1,000 individually or in the aggregate and are promptly paid upon Borrower obtaining knowledge of such delinquency. 
 6.9. Reserved. 
 6.10. Compliance; Hazardous Materials. Shall strictly comply with all laws, regulations, ordinances,
and other legal requirements, including, without limitation, ERISA, all securities laws, and all laws relating to hazardous materials and the environment. Unless approved in writing by Lender, neither Borrower nor any Subsidiary shall engage in the
storage, manufacture, disposition, processing, handling, use, or transportation of Regulated Materials, whether or not in compliance with Environmental Laws, except for ordinary and customary amounts of solvents, cleaners and similar materials used
in the ordinary course of Borrower’s or a Subsidiary’s business and in strict compliance with all Environmental Laws. Borrower shall promptly report to Lender any notices of any violations of such laws or regulations received from any
Governmental Entity, along with Borrower’s proposed corrective action as to such violation. 
 6.11. Further Assurances. Shall
(a) promptly execute and deliver to the Lender, or cause to be executed and delivered to the Lender, all such further documents, agreements, and instruments, and (b) take such further action, in each case in compliance with or for the
accomplishment of the covenants and agreements of the Credit Parties’ in this Agreement and the other Loan Documents, all as may be necessary or appropriate in connection herewith or therewith and as may be reasonably requested by Lender.

  

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 6.12. Covenants Regarding Collateral. 
 (a) Shall use the Collateral only in the ordinary course of its business and will not permit the Collateral to be used in violation of any applicable law
or policy of insurance; 
 (b) Shall defend the Collateral against all claims and demands of all Persons, except for Permitted Liens;

 (c) Shall obtain and deliver to Lender such Third Party Agreements as Lender may reasonably request from time to time (with it being
understood that the failure for whatever reason to obtain any such Third Party Agreements shall not in any way limit Lender’s right to institute Reserves); 
 (d) Shall promptly deliver to Lender all Items, Instruments, Chattel Paper, Investment Property in the form of certificated securities, and, if requested by Lender, Documents which constitute Collateral, in each case
appropriately indorsed to Lender’s order; 
 (e) Shall not create any Electronic Chattel Paper without first granting Lender Control
thereof pursuant to such measures as Lender shall request; 
 (f) Shall promptly notify Lender of any patents, trademarks, or copyrights to
which Borrower or a Subsidiary acquires title or rights after the Closing Date and any license agreements entered into after the Closing Date by Borrower or any Subsidiary authorizing Borrower or such Subsidiary to use any third party’s
patents, trademarks, or copyrights; 
 (g) Shall give Lender at least 30 days written notice before using any trade, assumed, or fictitious
name not already disclosed in the Collateral Disclosure Certificate and shall use all trade, assumed, or fictitious names in accordance with all applicable laws; 
 (h) Shall promptly notify Lender of the existence of any Commercial Tort Claims which arise after the Closing Date and shall provide Lender with such information, and otherwise take such action with respect to such
Commercial Tort Claims, as is reasonably necessary for Lender to perfect its security interest thereon; and 
 (i) Within three Business Days
after Lender’s request made during the existence of an Event of Default, shall deliver to Lender the original certificates of title in its possession or similar title documents in its possession for all of such Person’s owned vehicles and
Equipment which are subject to certificate of title or similar statutes (as contemplated in Section 9-311 of the UCC) and take such further actions from time to time as Lender requests for purposes of perfecting Lender’s security interest
in and to such vehicles and Equipment; 
 6.13. Reserved. 
 6.14. Post-Closing Matters. On or before December 1, 2009, Borrower shall have delivered to Lender: 
 (a) An executed Landlord Agreement in form and substance reasonably satisfactory to Lender in its sole and reasonable discretion with
respect to the leased premises of MDS located at 101 Lake Forest Boulevard, Gaithersburg, Maryland; 
 (b) Evidence
satisfactory to Lender in its sole and reasonable discretion of the transfer and assignment to Transcend as the lessee thereunder of that certain Office Building Lease, dated May 17, 1993, by and between Professional Equity Limited Partnership
and Seller; 
 (c) Evidence filed in the Court of Common Please of Stark County, Ohio satisfactory to Lender in its sole and
reasonable discretion of the satisfaction in full of the judgment recorded in the Court of Common Pleas of Stark County, Ohio against DeVenture Global Partners, Inc. in favor of the State of Ohio Department of Taxation in the amount of $7,355.41
(the “Ohio Judgment”); 
  

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 (d) Evidence satisfactory to Lender in its sole and reasonable discretion of the release
of the Writ of Fieri Facias recorded on October 15, 2008 in Fulton County, Georgia in favor of The City of Atlanta, Georgia (the “Fulton County Fi Fa”); and 
 (e) A copy of the UCC-3 Termination Statement, in the form previously approved by Lender, recorded with the Ohio Secretary of State with
respect to UCC-1 Financing Statement number OH00120166398 naming The Huntington National Bank as secured party and DeVenture Global Partners, Inc. as debtor (the “Huntington Financing Statement”). 
 Notwithstanding any other provision of this Agreement to the contrary, no Default or Event of Default shall be deemed to exist prior to December 1,
2009, solely by reason of (1) the appearance of the Ohio Judgment in the public records of the Court of Common Pleas of Stark County, Ohio, (2) the appearance of the Fulton County Fi Fa in the public records of Fulton County, Georgia, or
(3) the appearance of the Huntington Financing Statement in the UCC records of the Ohio Secretary of State. 
 7. NEGATIVE COVENANTS
OF BORROWER. 
 Borrower covenants and agrees that from the date hereof and until the full and final payment and performance of all Obligations and the
termination of this Agreement, Borrower and each Subsidiary: 
 7.1. Debt. Shall not create or permit to exist any Debt, including any
guaranties or other contingent obligations, except the following (“Permitted Debt”): 
 (a) The Obligations; 
 (b) Endorsement of Items for collection in the ordinary course of business; 
 (c) Debts which are payable to suppliers and other trade creditors and were incurred in the ordinary course of business, on ordinary and customary trade
terms; 
 (d) Purchase money Debt (which, for the avoidance of doubt, shall not include accounts payable) incurred to purchase Equipment;
provided that the amount of such Debt shall not at any time (i) exceed the purchase price of the Equipment purchased or (ii) exceed in aggregate principal amount at any time outstanding for Borrower and its Subsidiaries $250,000;

 (e) Subordinated Debt in an aggregate principal amount at any time outstanding for Borrower and its Subsidiaries not to exceed $250,000;

 (f) Debt listed in Schedule 7.1, attached hereto and made a part hereof, to the extent such Debt exists as of the Closing Date and
is not otherwise permitted by this Section 7.1, together with any Debt incurred in any refinancing or renewal thereof (each, a “Refinancing”), so long as the principal amount of such Refinancing is not greater than the existing
principal amount of such Debt, the effective, all-in rate of interest rate to such Refinancing (including any applicable margin or spread thereto) is no greater than the effective, all-in rate of interest applicable to such Debt, the principal
amount of such Refinancing does not amortize more quickly than the amortization applicable to such Debt, the maturity date of such Refinancing is no sooner than 180 days after the date specified in clause (a) of the definition of
“Revolving Loan Termination Date,” and the covenants, representations, warranties, and events of default related to such Refinancing are no more rigorous or onerous as to the Credit Party thereto than those existing in connection with such
Debt; 
 (g) Debt of any Subsidiary to Borrower or another Subsidiary; 
 (h) Any Debt incurred under any Hedge Agreements entered into in the ordinary course of business and not for speculative purposes with a counterparty
reasonably acceptable to Lender; 
 (i) Permitted Seller Debt; or 
  

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 (j) Any Debt secured by a Lien of the type described in Subsection 7.2(i) or (j), the principal amount of
which, together with the principal amount of Debt permitted pursuant to Section 7.1(d), shall not exceed $250,000. 
 7.2. Liens.
Shall not create or permit or suffer to exist any Liens on any of its property except the following (“Permitted Liens”): 
 (a)
Liens securing the Obligations; 
 (b) Liens for taxes, assessments, and charges or levies instituted or levied by any Governmental Entity
(but not including any Lien imposed pursuant to ERISA or any Environmental Law) which are not yet due and payable or which are being Properly Contested; 
 (c) The claims of Third Parties arising out of operation of law so long as the obligations secured thereby are not past due or are being Properly Contested; 
 (d) Liens existing in respect of deposits or pledges made in the ordinary course of business in connection with workers’ compensation, unemployment
insurance, social security, and similar laws; 
 (e) Judgment and other similar non-tax Liens arising in connection with court proceedings,
but only to the extent and for so long as (i) the execution or enforcement of such Liens is and continues to be effectively stayed and bonded on appeal; (ii) the validity or amount of the claims secured thereby are being Properly
Contested; and (iii) such Liens do not, in the aggregate, materially detract from the value of the assets of the Person whose assets are subject to such Lien or materially impair the use thereof in the operation of such Person’s business;

 (f) Liens securing purchase money Debt incurred solely to purchase Equipment, but only to the extent such Liens attach only to the
Equipment purchased and secure no more than the purchase price therefor; 
 (g) Liens in favor of a consignor of Goods consigned to Borrower
(as consignee), but only to the extent such Lien arises on account of Section 9-103(d) of the UCC; 
 (h) Liens listed in Schedule
7.2, attached hereto and made a part hereof, to the extent such Liens exist as of the Closing Date and are not otherwise permitted by this Section 7.2; 
 (i) Liens existing on any specific fixed asset of any Person at the time such Person becomes a Subsidiary or is merged or consolidated with Transcend in connection with a Permitted Acquisition, so long as such Lien is
not created in contemplation of such event; or 
 (j) Liens existing on any specific fixed asset prior to the acquisition thereof by Borrower
or a Subsidiary pursuant to a Permitted Acquisition, so long as such Lien is not created in contemplation of such acquisition. 
 7.3.
Restricted Payments; Payments on Subordinated Debt. 
 (a) Shall not make any Restricted Payment, except that any Subsidiary may pay
dividends to Borrower or another Subsidiary wholly-owned by Borrower. 
 (b) Borrower or any Subsidiary may make payments of principal on
Subordinated Debt, but only to the extent each such payment is expressly permitted under the terms of the subordination agreement related thereto. 
  

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 (c) Borrower or any Subsidiary may make payments of interest on Subordinated Debt, but only to the extent
each such payment is expressly permitted under the terms of the subordination agreement related thereto.  
 7.4. Loans and Other
Investments. With respect to any Person, shall not (a) make or permit to exist any advances or loans to such Person which, when aggregated with all outstanding advances and loans of Borrower to all Persons at such time, would exceed
$100,000, (b) guarantee or become contingently liable, directly or indirectly, in connection with the obligations, leases, Equity Interests, or dividends or distributions of such Person, (c) own, purchase, or make any commitment to
purchase any Equity Interests, bonds, notes, debentures, or other securities of, or any interest in such Person, or (d) make any capital contributions to such Person (all of which are sometimes collectively referred to herein as
“Investments”), except for (i) purchases of direct obligations of the Federal Government; (ii) deposits in commercial banks; (iii) commercial paper of any U.S. corporation having the highest ratings then given by the
Moody’s Investors Services, Inc. or Standard & Poor’s Corporation; (iv) existing investments in Subsidiaries; (v) endorsement of negotiable Instruments for collection in the ordinary course of business;
(vi) advances to employees for business travel and other expenses incurred in the ordinary course of business which do not at any time exceed in the aggregate $250,000; (vii) any Hedge Agreements entered into in the ordinary course of
business and not for speculative purposes with a counterparty reasonably acceptable to Lender; and (viii) Permitted Acquisitions. 
 7.5. Change in Business; Activities Covered by Insurance. 
 (a) Shall not enter into any business which is substantially
different from the business in which it is engaged on the Closing Date unless such business is incidental or ancillary to Borrower’s business or to medical transcription services generally. 
 (b) Shall not (i) undertake any business or other activity which is not insured by such the policies of insurance required by Section 6.3 or
(ii) permit or undergo any changes in its business and related activities which could result in the termination, revocation, ineffectiveness, or unenforceability of any of such policies of insurance. 
 7.6. Accounts. (a) Shall not sell, assign, or discount any of its Accounts, Chattel Paper, or Instruments other than the discount of promissory
notes in the ordinary course of business for collection; (b) shall not create or accept any Account, Instrument, Chattel Paper or other obligation of any kind due from or owed by a Sanctioned Person or own any Chattel Paper in the form of a
lease where (i) the lessee thereunder is a Sanctioned Person and (ii) such Chattel Paper is Collateral; and (c) shall promptly notify Lender in writing of (i) any discount, set-off, or other deductions not shown on the face of an
invoice relating to any Account involving an amount in excess of 20% of such Account’s face value and (ii) any dispute over an Account involving an amount in excess of 20% of such Account’s face value; and (d) any information
relating to a material adverse change in any Account Debtor’s financial condition or ability to pay its obligations or an Account Debtor’s status as a Sanctioned Person. 
 7.7. Transactions with Affiliates. Shall not, in the ordinary course of business or otherwise, (a) directly or indirectly purchase, acquire,
lease, or license any property from any Affiliate, (b) sell, transfer, lease, or license any property to any Affiliate, (c) pay any management, consulting, or similar fees to any Affiliate (it being understood that this limitation shall
not affect compensation paid in the ordinary course of business to officers or employees who are Affiliates), or (d) otherwise deal with any Affiliate, other than (i) where such Affiliate is a Subsidiary and a Credit Party,
(ii) transactions described on Schedule 7.7, attached hereto and made a part hereof, and (iii) transactions on arms’-length terms which are no less favorable to the Borrower or such Subsidiary than would exist if the parties thereto
were not Affiliates and for which Lender has received prior written notice. 
 7.8. No Change in Name, Offices, or Jurisdiction of
Organization; Trade Names; Removal of Collateral. Shall not (a) change its legal name or the jurisdiction in which it is organized, (b) conduct business under any trade name, assumed name, or fictitious name which was not listed in its
Collateral Disclosure Certificate as of the Closing Date, (c) unless it shall have given 30 days advance written notice thereof to Lender, change the location of its chief executive office or other office where books or records are kept,
(c) locate its chief executive office or keep its books and records in any jurisdiction other than in a state within the United States of America or the District of Columbia, (c) amend, restate, or modify its articles or certificate of
incorporation, organization, formation, or 

  

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limited partnership in any manner which would be contrary to the terms and conditions of this Agreement or the other Loan Documents or in any manner which
could reasonably be expected to have a Material Adverse Effect, or (d) permit any Inventory or other tangible Collateral (other than Inventory in-transit) to be located at any location other than a Permitted Location. 
 7.9. No Sale, Leaseback. Shall not enter into any sale-and-leaseback or similar transaction. 
 7.10. Margin Stock. Shall not use any proceeds of the Loan to purchase or carry any margin stock (within the meaning of Regulation U of the Board
of Governors of Federal Reserve System) or extend credit to others for the purpose of purchasing or carrying any margin stock. 
 7.11.
Tangible Collateral. Shall not, except to the extent otherwise permitted herein or as otherwise permitted by Lender in writing, (a) allow any Collateral to be commingled with, or become an Accession to or part of, any property of any
other Person or (b) allow any Collateral to become a Fixture. 
 7.12. Subsidiaries. Shall not, except to the extent consented to
by Lender in writing, (a) acquire or form any Subsidiary except in connection with Permitted Acquisitions, (b) cause or permit any Subsidiary to dissolve, voluntarily or involuntarily if such dissolution would have a Material Adverse
Effect, or (c) permit any Subsidiary to issue any Equity Interests except to its parent. 
 7.13. Liquidation, Mergers,
Consolidations, and Dispositions of Assets; Good Standing. Shall not (a) merge, reorganize, consolidate, or amalgamate with any Person (other than (i) a merger of MDSI with and into Transcend, with Transcend being surviving entity, and
(ii) mergers of Subsidiaries acquired pursuant to, or formed in connection with, Permitted Acquisitions into Transcend where Transcend is the surviving entity); (b) liquidate, wind up its affairs or dissolve itself except in the case of
Subsidiaries to the extent permitted pursuant to Section 7.12(b); (c) acquire by purchase, lease, or otherwise any of the assets of any Person, except for (1) Permitted Acquisitions and (2) the acquisition of inventory and
equipment (to the extent not prohibited hereunder) in the ordinary course of business; (d) sell, transfer, lease, or otherwise dispose of any of its assets, except for the sale of Inventory in the ordinary course of business, the voluntary
termination of Hedge Agreements to which Borrower or such Subsidiary is a party and the disposition of Equipment which, in the aggregate during any 12-month period, has a fair market or book value, whichever is more, of $100,000 or less;
(e) sell or dispose of any Equity Interests in any Subsidiary, whether in a single transaction or in a series of related transactions; (f) change its Federal Employer Identification Number; or (g) fail to remain in good standing and
qualified to transact business as a foreign entity in any state or other jurisdiction in which it is required to be qualified to transact business as a foreign entity and in which the failure to do so could reasonably be expected to have a Material
Adverse Effect. 
 7.14. Change of Fiscal Year or Accounting Methods. Shall not change its Fiscal Year (provided that MDS or any
Subsidiary acquired pursuant to, or formed in connection with, a Permitted Acquisition shall be permitted to change its Fiscal Year to be concurrent with the Fiscal Year of Transcend) or its accounting methods. As of the Closing Date,
Transcend’s fiscal year ends on or about December 31 of each year, and MDS’s fiscal year ends on or about March 31 of each year. 
 7.15. Deposit Accounts. Shall not open or maintain any Deposit Accounts except for (a) Deposit Accounts with Lender; (b) Deposit Accounts listed in the Collateral Disclosure Certificate;
(c) Deposit Accounts which are not with Lender but which are subject to Lender’s Control on terms satisfactory to Lender; and (d) such other Deposit Accounts as shall be necessary for payroll, petty cash, local trade payables, and
other occasional needs of Borrower; provided that the aggregate balance of any Deposit Accounts which are not subject to Lender’s Control on terms acceptable to Lender may not at any time exceed $100,000 without Lender’s
prior written consent; provided further that the restrictions contained in this Section 7.15 shall not apply to MDS until December 1, 2009. Borrower shall maintain its primary Deposit Account and cash management
Deposit Accounts with Lender. All Deposit Accounts maintained with Lender shall be deemed to be under Lender’s Control. 
 7.16.
Material Agreements. Shall not amend, restate, supplement, or otherwise modify any Material Agreement without Lender’s prior written consent if such modification, amendment, restatement or supplementation would materially increase or
decrease any parties’ obligations thereunder in a manner that could reasonably be expected to have a Material Adverse Effect. 
  

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 8. OTHER COVENANTS OF BORROWER. 
 8.1. Definitions. As used in this Agreement: 
 (a) “Cash Flow Leverage Ratio” means, at any time of determination and for any period, (i) the sum of (A) Funded Debt for such period, plus (B) the net present value of Borrower’s capital leases
that are in existence during such period divided by (ii) EBITDA for such period; 
 (b) “EBITDA” means, for any
period of determination and without duplication, the sum of (i) consolidated net income of Borrower and its Subsidiaries for such period (computed without regard to any extraordinary items of gain or loss), plus (ii) to the extent
included in the calculation of revenue in computing consolidated net income for such period, the sum of (A) interest expense, (B) income tax expense, (C) depreciation and amortization, (D) non-cash deductions related to stock
compensation plans under FASB 123R minus (iii) non-cash gains; 
 (c) “Fixed Charges” means, at any time of
determination and for any period, the sum of (i) cash interest payments paid in such period, plus (ii) the current portion of scheduled principal amortization on Funded Debt coming due in the next 12 months as of the end of the most
recent Fiscal Quarter, plus (iii) unfinanced Capital Expenditures in such period, plus (iv) rent with respect to operating leases, plus (vi) the greater of (A) cash taxes paid by Borrower in such period (without the
benefit of any refunds) and (B) income tax expense for such period, net of any operating loss carryforward used during such period. 
 (d) “Fixed Charge Coverage Ratio” means, at any time of determination and for any period, the ratio of (i) EBITDA for such period to (ii) Fixed Charges for such period. 
 (e) “Funded Debt” means, at any time of determination and without duplication, (i) Debt for borrowed funds, (ii) Debt
evidenced by notes, bonds, debentures, or other instruments (other than checks drawn in the ordinary course of business), (iii) the principal component of all capital leases; (iv) all Debt that is secured by a Lien, (v) Debt for the
deferred payment by one year or more of any purchase money obligation, and (vi) any Debt which constitutes Subordinated Debt; 
 (f)
“Leverage Ratio” means, at the end of any applicable Fiscal Quarter, the ratio of Funded Debt to EBITDA; 
 (g)
“Total Liabilities” means, at any time of determination, all of Borrower’s liabilities, including capitalized leases and all reserves for deferred taxes and other deferred sums, appearing on the liabilities side of
Borrower’s balance sheet, determined in accordance with GAAP applied on a consistent basis; and 
 (h) “Tangible Net
Worth” means, at any time of determination, (i) the total assets appearing on the asset side of Borrower’s balance sheet, determined in accordance with GAAP applied on a consistent basis, minus (ii) Total Liabilities,
minus (iii) the aggregate amount owed to Borrower by any officers, holders of Equity Interests issued by, or other Affiliates of Borrower, minus (iv) the aggregate amount of any intangible assets of Borrower including,
without limitation, goodwill, franchises, licenses, patents, trademarks, trade names, copyrights, service marks, brand names and deferred or prepaid loan fees. 
 8.2. Financial Covenants. Borrower covenants and agrees that, from the date hereof and until the full and final payment and performance of all Obligations and the termination of this Agreement, Borrower shall
comply with each of the following covenants: 
 (a) Fixed Charge Coverage Ratio. As of the end of each Fiscal Quarter ending after the
Closing Date, the Fixed Charge Coverage Ratio for the 4 Fiscal Quarters then ending shall equal or exceed 1.50 to 1.00. 
 (b) Tangible
Net Worth. Borrower shall, at the end of each month, have a Tangible Net Worth equal to or greater than $1,000,000. 
  

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 (c) Cash Flow Leverage Ratio. As of the end of each Fiscal Quarter ending after the Closing Date,
the Cash Flow Leverage Ratio shall not exceed 2.00 to 1.00. 
 (d) Leases. Borrower shall not, and shall not permit its Subsidiaries
to, incur, create, or assume any direct or indirect liability for the payment of rent or otherwise under any lease or rental arrangement (excluding capitalized leases), if immediately thereafter the sum of lease or rental payments to be made by
Borrower and its Subsidiaries during any consecutive 12-month period (for such lease or rental arrangement and all other of Borrower’s and its Subsidiaries’ lease and rental arrangements) would exceed $500,000. 
 9. DEFAULT. 
 9.1. Events of
Default. Each of the following shall constitute an Event of Default: 
 (a) Borrower shall fail to pay when due any principal of or
interest on any Note, any fee or other amounts due to Lender hereunder or any other Loan Document, or (except as provided in (b) and (c) below) any other Obligations; or 
 (b) Borrower shall default on the performance of any agreement, covenant, or obligation contained in Section 6.1, 6.4, 6.5, 6.6(a), 6.9, 6.12, 6.14
or Sections 7 or 8; 
 (c) Borrower shall default on the performance of any agreement, covenant, or obligation contained in Subsections
6.6(b) or 6.6(c) and shall fail to cure such default within 5 days of such performance being due; or 
 (d) Borrower or any other party to
any Loan Document (other than Lender) shall default on the performance of any other agreement, covenant, or obligation contained in this Agreement or such Loan Document not provided for elsewhere in this Section 9 and the breach of such
agreement, covenant, or obligation shall not have been cured to Lender’s satisfaction within 15 days after the sooner to occur of (i) any Senior Officer’s receipt of notice of such breach from Lender or (ii) the date on which
such failure or neglect first became known to any Senior Officer; provided, however, that such notice and opportunity to cure shall not apply in the case of any default on an agreement, covenant, or obligation which is not capable of
being cured at all or within such 15-day period or which was a willful and knowing breach by Borrower or such other party; or 
 (e) Any
representation or warranty made by Borrower or any other party to any Loan Document (other than Lender) in this Agreement or any other Loan Document, or in any certificate or report furnished in connection with this Agreement or any other Loan
Document, shall prove to have been untrue or incorrect in any material respect when made; or 
 (f) Borrower, any Subsidiary, or any
Guarantor shall default in any obligation which (i) is owed to Lender or any of Lender’s Affiliates and (ii) arose under any agreement other than a Loan Document, but only if such default was not cured within any applicable cure
period provided for in such agreement; or 
 (g) Borrower, any Subsidiary, or any Guarantor shall fail to make any payment in respect of
outstanding Debt (other than the Obligations) having an aggregate outstanding principal amount in excess of $250,000 or more when due after the expiration of any applicable grace period, or any event or condition shall occur which results in the
acceleration of the maturity of such Debt (including, without limitation, any required mandatory prepayment or “put” of such Debt to any such Person) or enables (or, with the giving of notice or passing of time or both, would enable) the
holders of such Debt or a commitment related to such Debt (or any Person acting on such holders’ behalf) to accelerate the maturity thereof or terminate any such commitment before its normal expiration (including, without limitation, any
required mandatory prepayment or “put” of such Debt to such Person); or 
 (h) Borrower or any Subsidiary or any Guarantor shall
(i) voluntarily dissolve, liquidate, or terminate operations or apply for or consent to the appointment of, or the taking of possession by, a receiver, custodian, trustee, or liquidator of such Person or of all or of a substantial part of its
assets, (ii) admit in writing its 

  

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inability, or be generally unable, to pay its debts as the debts become due, (iii) make a general assignment for the benefit of its creditors,
(iv) commence a voluntary case under the Federal Bankruptcy Code (as now or hereafter in effect), (v) file a petition seeking to take advantage of any other law relating to bankruptcy, insolvency, reorganization, winding-up, or
composition, or adjustment of debts, (vi) fail to controvert in a timely and appropriate manner, or acquiesce in writing to, any petition filed against it in an involuntary case under Bankruptcy Code, or (vii) take any corporate action for
the purpose of effecting any of the foregoing; or 
 (i) An involuntary petition or complaint shall be filed against Borrower or any
Subsidiary or any Guarantor seeking bankruptcy relief or reorganization or the appointment of a receiver, custodian, trustee, intervenor, or liquidator of Borrower or any Subsidiary or any Guarantor, of all or substantially all of its assets, and
such petition or complaint shall not have been dismissed within 60 days of the filing thereof; or an order, order for relief, judgment, or decree shall be entered by any competent Governmental Entity approving or ordering any of the foregoing
actions; or 
 (j) A judgment of more than $250,000 in excess of insurance coverage therefor (as provided by an underwriter acceptable to
Lender, where such underwriter has agreed in writing to pay such judgment, and for which the deductible does not exceed $250,000 shall be rendered against Borrower or any Subsidiary or any Guarantor and shall remain undischarged, undismissed, and
unstayed for more than 10 days or there shall occur any levy upon, or attachment, garnishment, or other seizure of, any portion of the Collateral or other assets of Borrower, any Subsidiary, or any Guarantor in excess of $250,000 by reason of the
issuance of any tax levy, judicial attachment, garnishment, or levy of execution; or 
 (k) Any Guarantor shall repudiate, revoke, or attempt
to revoke any Guaranty, in whole or in part; or 
 (l) Loss, theft, damage, or destruction of any material portion of the Collateral for
which there is either no insurance coverage or for which, in Lender’s reasonable opinion, there is insufficient insurance coverage; or 
 (m) Borrower shall be excluded or suspended from participation in the Medicare program or from providing services to health care providers that participate in the Medicare program. 
 9.2. Remedies. During the existence of any Default, Lender may, without notice to Borrower and at its option, refuse to make Loans, issue Letters
of Credit, or make other extensions of credit to Borrower. During the existence of any Event of Default, Lender may at its option take any or all of the following actions: 
 (a) Lender may declare any or all Obligations (other than Obligations under any Hedge Agreements between Borrower and Lender or any Affiliate of Lender,
all of which shall be due in accordance with and governed by the provisions of said Hedge Agreements) to be immediately due and payable (if not earlier demanded) (provided, that, upon the occurrence of any Event of Default described in
Sections 9.1(h) or 9.1(i), all Obligations shall automatically become immediately due and payable), terminate its obligation to make Loans and other extensions of credit to Borrower, bring suit against Borrower to collect the Obligations, exercise
any remedy available to Lender hereunder or at law, and take any action or exercise any remedy provided herein or in any other Loan Document or under applicable law. 
 (b) Without waiving any of its other rights hereunder or under any other Loan Document, Lender shall have all rights and remedies of a secured party under the UCC (and the Uniform Commercial Code of any other
applicable jurisdiction) and such other rights and remedies as may be available hereunder, under other applicable law, or pursuant to contract. If requested by Lender, Borrower will promptly assemble the Collateral and make it available to Lender at
a place designated by Lender. Borrower agrees that any notice by Lender of the sale or disposition of the Collateral or any other intended action hereunder, whether required by the UCC or otherwise, shall constitute reasonable notice to Borrower if
the notice is mailed to Borrower by regular or certified mail, postage prepaid, at least 5 days before the action to be taken. The proceeds realized from the sale or other disposition of any Collateral shall be applied in accordance with
Section 2.9. Each Credit Party shall be liable for any deficiencies in the event the proceeds of the disposition of the Collateral do not satisfy the Obligations in full. 
  

 -38- 

 (c) Lender may demand, collect, and sue for all amounts owed pursuant to Accounts, General Intangibles,
Chattel Paper, Instruments, or Documents or for proceeds of any Collateral (either in Borrower’s name or Lender’s name at Lender’s option), with the right to enforce, compromise, settle, or discharge any such amounts. 
 (d) Borrower hereby grants Lender a worldwide, non-exclusive, and royalty-free license to use solely during the existence of an Event of Default
Borrower’s trademarks, service marks, and trade names for purposes of invoicing and collecting Accounts and otherwise disposing of or liquidating Collateral. 
 9.3. Receiver. In addition to any other remedy available to it, Lender shall have the absolute right, during the existence of an Event of Default, to seek and obtain the appointment of a receiver to take
possession of and operate and/or dispose of the business and assets of Borrower. 
 9.4. Deposits; Insurance. Borrower
(a) authorizes Lender to, during the existence of an Event of Default, collect and apply against the Obligations when due any refund of insurance premiums or any insurance proceeds payable on account of the loss or damage to any Collateral and
(b) irrevocably appoints Lender as its attorney-in-fact to endorse any check or draft or take other action necessary to obtain such funds. 
 10. MISCELLANEOUS. 
 10.1. No Waiver, Remedies Cumulative. No failure or delay on the part of Lender to exercise any
right under this Agreement, any other Loan Document, or applicable law shall operate as a waiver thereof, nor shall any single or partial exercise of any right hereunder preclude any other or further exercise thereof or the exercise of any other
right. The remedies herein provided are cumulative and are in addition to any other remedies provided by applicable law, any Loan Document, or otherwise. 
 10.2. Survival of Representations. All representations and warranties made in this Agreement and the other Loan Documents shall survive the making of any extension of credit hereunder and the delivery of any
Note and shall continue in full force and effect until the full and final payment and performance of the Obligations and the termination of this Agreement. 
 10.3. Indemnity By Borrower; Expenses. In addition to all other Obligations, the obligations and liabilities described in this Section 10.3 shall constitute Obligations and shall be in addition to, and
cumulative of, any other indemnification provisions set forth in any other Loan Document. Borrower agrees to defend, protect, indemnify, and hold harmless Lender and its Affiliates and all of their respective officers, directors, employees,
attorneys, consultants, and agents from and against any and all losses, damages, liabilities, obligations, penalties, fines, fees, costs, and expenses (including, without limitation, reasonable attorneys’ and paralegals’ fees, costs and
expenses, and fees, costs and expenses for investigations and experts) incurred by such indemnitees, whether before or from and after the Closing Date, as a result of or arising from or relating to (a) all legal, accounting, appraisal,
consulting, and other fees, costs, and expenses incurred by Lender or any of its Affiliates in connection with their due diligence effort (including, without limitation, public records searches, recording fees, examinations, and investigations of
the properties of the Credit Parties or any of their Subsidiaries and their respective operations), negotiation, preparation, execution, performance of any of the Loan Documents or of any document executed in connection with the transactions
contemplated hereby or thereby, perfection of Lender’s Liens in the Collateral, maintenance of the Loans by Lender, and any and all amendments, modifications, and supplements of any of the Loan Documents, or work-out or restructuring of the
Obligations; (b) any suit, investigation, action, or proceeding by any Person (other than Borrower), whether threatened or initiated, asserting a claim for any legal or equitable remedy against any Person under any statute, regulation, or
common law principle, arising from or in connection with Lender’s making extensions of credit or furnishing funds to Borrower under this Agreement; (c) Lender’s preservation, administration, and enforcement of its rights under the
Loan Documents and applicable law, including, without limitation, (i) all fees, costs of collection, attorneys’ fees actually incurred and expenses of, or advances by, Lender which Lender pays or incurs (A) in discharge of obligations
of any Credit Party, (B) to inspect, repossess, remove, transport, deliver, protect, store, preserve, complete, collect, store, sell or otherwise dispose of any Collateral, or (C) in connection with the appointment and administration of
any receiver; (ii) the administration of and actions relating to any Collateral, this Loan Agreement or the other Loan Documents and the transactions contemplated hereby and thereby, including any actions taken to perfect or maintain priority
of Lender’s Liens on 

  

 -39- 

 
any Collateral, to maintain any insurance required hereunder or to verify Collateral; and (iii) subject to Section 6.5, each inspection, audit,
field examination, or appraisal with respect to Borrower, any Guarantor, or any of their Subsidiaries, whether prepared by Lender’s personnel or a third party; and (d) attorneys’ fees actually incurred of counsel for Lender incurred
in connection therewith, whether any suit is brought or not and whether incurred at trial or on appeal; (e) any civil penalty or fine assessed by OFAC against Lender or any Affiliate of Lender and all reasonable costs and expense (including,
without limitation, attorneys’ fees actually incurred) incurred in connection with defense thereof by Lender or such Affiliate, as a result of Lender’s making extensions of credit hereunder, the acceptance of payments due under the Loan
Documents or any Hedge Agreement between Borrower and Lender or any of its Affiliates, acceptance of Collateral, or providing of any Bank Product; (f) any matter relating to the financing transactions contemplated by the Loan Documents or by
any document executed in connection with the transactions contemplated thereby, other than for such loss, damage, liability, obligation, penalty, fee, cost or expense arising from such indemnitee’s gross negligence or willful misconduct;
(g) any liability for payment of any state documentary stamp taxes, intangible taxes, or similar taxes (including interest or penalties, if any) which may now or hereafter be determined to be payable in respect to the execution, delivery, or
recording of any Loan Document or the making of any Loan, whether originally thought to be due or not, and regardless of any mistake of fact or law on the part of Lender (or its counsel) or Borrower, any Guarantor, or any of their Subsidiaries with
respect to the applicability of such tax; and (h) any payment made by Lender or any of its Affiliates with respect to any taxes or other amount payable by Borrower, any Guarantor, or any of their Subsidiaries required to be paid by the terms of
this Agreement or any other Loan Agreement and which may be reasonably necessary to protect or preserve any Collateral or the applicable Credit Party’s or Lender’s interests therein. 
 Borrower’s obligation for indemnification and reimbursement for all of the foregoing losses, damages, liabilities, obligations, penalties, fees, costs, and expenses
of Lender or any of its Affiliates shall be part of the Obligations, shall be secured by the Collateral, shall be due and payable by Borrower ON DEMAND, and shall be chargeable against Borrower’s Operating Account and Borrower’s loan
account in the manner provided in, and pursuant to the terms of, Section 2.4(a) and Section 2.8(a) (provided, however, that Lender shall have no obligation to debit the Operating Account for such amount or charge
Borrower’s loan account for such amounts), and shall survive termination of this Agreement. 
 10.4. Notices. Any notice or other
communication hereunder or under the Notes to any party hereto or thereto shall be by hand delivery, overnight delivery via nationally recognized overnight delivery service, facsimile with receipt confirmed, or registered or certified United States
mail with return receipt and unless otherwise provided herein shall be deemed to have been given or made when delivered, telegraphed, faxed or, if sent via United States mail, when receipt therefor is signed by the receiver, postage prepaid,
addressed to the party at its address specified below (or at any other address that the party may hereafter specify to the other parties in writing): 
  

			
	Lender:	  	Regions Bank
		  	One Glenlake Parkway
		  	Suite 400
		  	Atlanta, GA 30328
		  	Fax: 770-481-4395
		  	Attn: Transcend Services Loan Administration
		
	Borrower:	  	Transcend Services, Inc.
		  	One Glenlake Parkway
		  	Suite 1400
		  	Atlanta, GA 30328
		  	Fax: 678-808-0601
		  	Attn: Lance Cornell, Chief Financial Officer

 10.5. Governing Law. This Agreement and the other Loan Documents shall be deemed contracts
made under the laws of the Jurisdiction and shall be governed by and construed in accordance with the laws of the Jurisdiction (excluding its conflict of laws provisions if such provisions would require application of the laws of another
jurisdiction) except insofar as (a) the laws of another jurisdiction may, by reason of mandatory provisions of law, govern the perfection, priority, or enforcement of security interests in the Collateral or (b) the terms of such Loan
Document expressly state that the law of a different jurisdiction shall govern. 
  

 -40- 

 10.6. Successors and Assigns. This Agreement shall be binding upon and shall inure to the
benefit of Borrower and Lender and their respective successors and assigns; provided, that Borrower may not assign any of its rights hereunder without the prior written consent of Lender, and any such assignment made without such consent will
be void in all respects. 
 10.7. Counterparts; Telecopied Signatures. This Agreement and any amendments, waivers, or consents
relating hereto may be executed in any number of counterparts and by different parties hereto or thereto in separate counterparts, each of which when so executed and delivered shall be deemed an original and all of which when taken together shall
constitute but one and the same instrument. Any signature delivered by a party hereto or to any amendment, waiver, or consent relating hereto by facsimile transmission or by electronic email in Adobe Corporation’s Portable Document Format (or
PDF) shall be deemed to be an original signature hereto. 
 10.8. No Usury. Regardless of any other provision of this
Agreement, any Note, or in any other Loan Document, if for any reason the effective rate of interest payable hereunder or thereunder should exceed the maximum lawful rate of interest, the effective rate of interest shall be deemed reduced to, and
shall be, such maximum lawful rate of interest. Any amount paid or collected by Lender as interest which would be in excess of the amount permitted by applicable law shall be deemed applied to the reduction of the principal balance of the
Obligations and not to the payment of interest, but if such Obligations have been or are thereby paid in full, the excess shall be returned to the Person paying same, such application to the principal balance of the Obligations or the refunding of
excess to be a complete settlement and acquittance thereof. 
 10.9. Powers. All powers of attorney granted to Lender are
coupled with an interest and are irrevocable. 
 10.10. Approvals; Amendments. If this Agreement calls for Lender’s
approval or consent, such approval or consent may be given or withheld in the discretion of Lender unless otherwise specified herein. This Agreement and the other Loan Documents may not be modified, altered, or amended, except by an agreement in
writing signed by Borrower and Lender and may not be modified in any manner adverse to a counterparty to any secured or guarantied Hedge Agreement between Borrower and Lender or any of its Affiliates without that provider’s prior written
consent. 
 10.11. Participations and Assignments. Lender shall have the right to enter into one or more participations with
other banks or financial institutions with respect to the Obligations and to assign to one or more assignees all or a portion of its interest, rights, and obligations under the Loan Documents. Upon prior notice to Borrower of any such participation
or assignment, Borrower shall thereafter furnish such participant or assignee with any information furnished by Borrower to Lender pursuant to the terms of the Loan Documents. Nothing in this Agreement or any other Loan Document shall prohibit
Lender from pledging or assigning this Agreement and Lender’s rights under any of the other Loan Documents, including Collateral therefor, to any Federal Reserve Bank in accordance with applicable law. 
 10.12. Dealings with Multiple Borrowers. If more than one Person is a Borrower hereunder, all Obligations, representations, warranties, covenants,
and indemnities set forth in the Loan Documents to which such Person is a party shall be joint and several. Lender shall have the right to deal with any individual of any Borrower with regard to all matters concerning the rights and obligations of
Lender hereunder and pursuant to applicable law with regard to the transactions contemplated under the Loan Documents. All actions or inactions of the officers, managers, members, or agents of any Borrower with regard to the transactions
contemplated under the Loan Documents shall be deemed with full authority and binding upon all Borrowers. Each Borrower hereby appoints each other Borrower as its true and lawful attorney-in-fact, with full right and power, for purposes of
exercising all rights of such Person hereunder and under applicable law with regard to the transactions contemplated under the Loan Documents. The provisions of this Section 10.12 and Lender’s reliance thereon are material inducements to
the agreement of Lender to enter into this Agreement and to consummate the transactions contemplated hereby. 
 10.13. Waiver of Certain
Defenses. To the fullest extent permitted by applicable law, upon the occurrence of any Event of Default, neither Borrower nor anyone claiming by or under Borrower will claim or seek to take advantage of any law requiring Lender to
attempt to realize upon any Collateral or collateral of any Guarantor, or any appraisement, evaluation, stay, extension, homestead, redemption, or exemption laws now or hereafter in force to prevent or hinder the enforcement of this Agreement.
Borrower, for itself and all who may at 

  

 -41- 

 
any time claim through or under Borrower, hereby expressly waives to the fullest extent permitted by applicable law the benefit of all such laws. All rights
of Lender and all obligations of Borrower hereunder shall be absolute and unconditional irrespective of (a) any change in the time, manner, or place of payment of, or any other term of, all or any of the Obligations, or any other amendment or
waiver of or any consent to any departure from any provision of the Loan Documents, (b) any exchange, release, or non-perfection of any other collateral given as security for the Obligations, or any release or amendment or waiver of or consent
to departure from any guaranty for all or any of the Obligations, or (c) any other circumstance which might otherwise constitute a defense available to, or a discharge of, Borrower or any third party, other than payment and performance in full
of the Obligations. 
 10.14. Additional Provisions. Time is of the essence of this Agreement and the other Loan Documents. No
provision of this Agreement or any of the other Loan Documents shall be construed against or interpreted to the disadvantage of any party hereto by any Governmental Entity by reason of such party having or being deemed to have structured, drafted or
dictated such provision. 
 10.15. Integration; Final Agreement. This Agreement and the other Loan Documents, together with all
other instruments, agreements, and certificates executed by the parties in connection therewith or with reference thereto, embody the entire understanding and agreement between the parties hereto and thereto with respect to the subject matter hereof
and thereof and supersede all prior agreements, understandings and inducements, whether express or implied, oral or written. There are no unwritten oral agreements between the parties. 
 10.16. LIMITATION ON LIABILITY; WAIVER OF PUNITIVE DAMAGES. EACH OF THE PARTIES HERETO, INCLUDING LENDER BY ACCEPTANCE HEREOF, AGREES THAT,
IN ANY JUDICIAL, MEDIATION, OR ARBITRATION PROCEEDING OR ANY CLAIM OR CONTROVERSY BETWEEN OR AMONG THEM (A “DISPUTE”) THAT MAY ARISE OUT OF OR BE IN ANY WAY CONNECTED WITH THIS AGREEMENT, THE LOAN DOCUMENTS, OR ANY OTHER AGREEMENT
OR DOCUMENT BETWEEN OR AMONG THEM OR THE OBLIGATIONS EVIDENCED HEREBY OR RELATED HERETO, IN NO EVENT SHALL ANY PARTY HAVE A REMEDY OF, OR BE LIABLE TO THE OTHER FOR, (a) INDIRECT, SPECIAL, OR CONSEQUENTIAL DAMAGES OR (b) PUNITIVE OR
EXEMPLARY DAMAGES. EACH OF THE PARTIES HEREBY EXPRESSLY WAIVES ANY RIGHT OR CLAIM TO PUNITIVE OR EXEMPLARY DAMAGES THEY MAY HAVE OR WHICH MAY ARISE IN THE FUTURE IN CONNECTION WITH ANY DISPUTE, REGARDLESS OF WHETHER THE DISPUTE IS RESOLVED BY
ARBITRATION, MEDIATION, JUDICIALLY, OR OTHERWISE. 
 10.17. WAIVER OF JURY TRIAL. TO THE EXTENT PERMITTED BY APPLICABLE LAW,
EACH OF BORROWER BY EXECUTION HEREOF AND LENDER BY ACCEPTANCE HEREOF, KNOWINGLY, VOLUNTARILY AND INTENTIONALLY WAIVES ANY RIGHT EACH MAY HAVE TO A TRIAL BY JURY IN RESPECT OF ANY LITIGATION BASED ON, OR ARISING OUT OF, UNDER OR IN CONNECTION WITH
THIS AGREEMENT, THE LOAN DOCUMENTS OR ANY AGREEMENT CONTEMPLATED TO BE EXECUTED IN CONNECTION WITH THIS AGREEMENT OR ANY COURSE OF CONDUCT, COURSE OF DEALING, STATEMENTS (WHETHER VERBAL OR WRITTEN) OR ACTIONS OF ANY PARTY WITH RESPECT HERETO. THIS
PROVISION IS A MATERIAL INDUCEMENT TO LENDER TO ENTER INTO AND ACCEPT THIS AGREEMENT. EACH OF THE PARTIES AGREES THAT THE TERMS HEREOF SHALL SUPERSEDE AND REPLACE ANY PRIOR AGREEMENT RELATED TO ARBITRATION OF DISPUTES BETWEEN THE PARTIES CONTAINED
IN ANY LOAN DOCUMENT OR ANY OTHER DOCUMENT OR AGREEMENT HERETOFORE EXECUTED IN CONNECTION WITH, RELATED TO OR BEING REPLACED, SUPPLEMENTED, EXTENDED OR MODIFIED BY, THIS AGREEMENT. 
 10.18. Submission to Jurisdiction; Venue. 
 (a) Any legal action or proceeding with respect to this Agreement or any other Loan Document shall be brought in the courts of the State of Georgia in Cobb County or the State of Alabama in Jefferson County or of the
United States for the Northern District of Georgia or the Northern District of Alabama, and, by execution and delivery of this Agreement, the Borrower irrevocably accepts for itself and in respect of its property, generally and unconditionally, the
nonexclusive jurisdiction of such courts, and agrees to be bound by the other provisions set forth in this Section 10.18. Borrower further irrevocably consents to the service of process out of any of the aforementioned courts in any such action
or proceeding by the mailing of copies thereof by 

  

 -42- 

 
registered or certified mail, postage prepaid, to it at the address set out for notices pursuant to Section 10.4. Nothing herein shall affect the right
of Lender to serve process in any other manner permitted by law or to commence legal proceedings or to otherwise proceed against Borrower or any other Credit Party in any other jurisdiction. 
 (b) Borrower hereby irrevocably waives any objection which it may now or hereafter have to the laying of venue of any of the aforesaid actions or
proceedings arising out of or in connection with this Agreement or any other Loan Document brought in the courts referred to in subsection (a) above and hereby further irrevocably waives and agrees not to plead or claim in any such court that
any such action or proceeding brought in any such court has been brought in an inconvenient forum. 
 10.19. Credit Inquiries.
Borrower hereby authorizes and permits Lender, at its discretion and without any obligation to do so, to respond to credit inquiries from third parties concerning Borrower or any of its Subsidiaries. 
 10.20. Information. Nothing in this Agreement shall prevent Lender from disclosing confidential information provided by any Credit Party
from time to time (a) to any of Lender’s Affiliates, or any of Lender’s or any of its Affiliates’ officers, directors, employees, agents, or advisors, (b) to any other Person if reasonably incidental to the administration of
the agreements made herein, (c) as required by any law, rule, or regulation, (d) upon the order, request or demand of any Governmental Entity; provided, however, that, to the extent permitted by law, Lender shall provide
prior written notice to the affected Credit Party of any such request or demand, (e) that is or becomes available to the public or that is or becomes available to Lender other than as a result of a disclosure by Lender prohibited by this
Agreement, (f) in connection with any litigation to which Lender or any of its Affiliates may be a party, whether to defend itself, reduce its liability, protect or exercise any of its claims, rights, remedies or interests under or in
connection with the Loan Documents or any Hedge Agreements, or otherwise, (g) to the extent necessary in connection with the exercise of any remedy under this Agreement or any other Loan Document, and (h) to any actual or proposed
participant or assignee; such information to consist of deal terms and other information customarily found in such publications. Each Credit Party and each Guarantor hereby authorizes Lender to use the name, logos and other insignia and the amount
of the credit facility provided hereunder in any “tombstone” or comparable advertising, on its website or in other of Lender’s marketing materials. 
 10.21. No Tax Advice. Each Credit Party hereby acknowledges and agrees that, with respect to all tax and accounting matters relating to this Agreement, the other Loan Documents, or the transactions
contemplated herein and therein, it has not relied on any representations made, consultation provided by, or advice given or rendered by Lender or Lender’s representatives, agents, or employees, and, instead, Borrower has sought, and relied
upon, the advice of its own tax and accounting professionals with respect to all such matters. 
 [Signatures on following pages.] 

 

 -43- 

 IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be duly executed under seal
as of the day and year first above written. 
  

			
	TRANSCEND SERVICES, INC.
		
	By:	 	 /s/ Lance Cornell

	Name:	 	Lance Cornell
	Title:	 	Chief Financial Officer
	
	[SEAL]
	
	MEDICAL DICTATION SERVICES, INC.
		
	By:	 	 /s/ Lance Cornell

	Name:	 	Lance Cornell
	Title:	 	Chief Financial Officer
		
	[SEAL]	 	

 Loan and Security Agreement 

			
	Accepted in Atlanta, Georgia:
	
	REGIONS BANK
		
	By:	 	 /s/ John F. Bohan

	Name:	 	John F. Bohan
	Title:	 	Vice President

 Exhibit A-1 
 REVOLVING NOTE 
  

			
	$5,000,000	  	August 31, 2009

 FOR VALUE RECEIVED, TRANSCEND SERVICES, INC., a Delaware corporation
(“Transcend”), MEDICAL DICTATION SERVICES, INC., a Maryland corporation (“MDS”; Transcend and MDS shall be referred to herein, both collectively and each individually, as “Borrower”), promises to
pay to the order of REGIONS BANK (“Lender”) at the place and times provided in the Loan Agreement referred to below, the principal sum of FIVE MILLION AND NO/100 DOLLARS ($5,000,000) or the principal amount of all Revolving Loans
made by Lender from time to time pursuant to that certain Loan and Security Agreement dated as of August 31, 2009, by and between Borrower and Lender (as the same may be amended, restated, supplemented, or otherwise modified from time to time,
the “Loan Agreement”). Capitalized terms used herein and not defined herein shall have the meanings assigned thereto in the Loan Agreement. 
 The unpaid principal amount of this Revolving Note from time to time outstanding is subject to mandatory repayment from time to time as provided in the Loan Agreement and shall bear interest as provided in the Loan
Agreement. All payments of principal and interest on this Revolving Note shall be payable to Lender or other holder of this Revolving Note in lawful currency of the United States of America in immediately available funds in the manner and location
indicated in the Agreement or wherever else Lender or such holder may specify. 
 This Revolving Note is entitled to the benefits of, and
evidences Obligations incurred under, the Loan Agreement, to which reference is made for a description of the security for this Revolving Note and for a statement of the terms and conditions on which Borrower is permitted and required to make
prepayments and repayments of principal of the Obligations evidenced by this Revolving Note and on which such Obligations may be declared to be immediately due and payable. 
 Borrower agrees, in the event that this Note or any portion hereof is collected by law or through an attorney at law, to pay all costs of collection,
including, without limitation, attorneys’ fees actually incurred and court costs. 
 This Revolving Note shall be governed, construed
and enforced in accordance with the laws of the State of Georgia, without reference to the conflicts or choice of law principles thereof. 
 Borrower hereby waives all requirements as to diligence, presentment, demand of payment, protest, and (except as required by the Loan Agreement) notice of any kind with respect to this Revolving Note. 
 If more than one Person is a Borrower hereunder, all Obligations evidenced by this Note shall be joint and several. 
 [Remainder of page intentionally left blank] 

 IN WITNESS WHEREOF, the undersigned has executed this Revolving Note under seal as of the day and year
first written above. 
  

			
	TRANSCEND SERVICES, INC.
		
	By:	 	 /s/ Lance Cornell

	Name:	 	Lance Cornell
	Title:	 	CFO
	
	[SEAL]
	
	MEDICAL DICTATION SERVICES, INC.
		
	By:	 	 /s/ Lance Cornell

	Name:	 	Lance Cornell
	Title:	 	 CFO

	
	[SEAL]

 Exhibit A-2 
 TERM NOTE 
  

			
	$7,000,000	  	August 31, 2009

 FOR VALUE RECEIVED, TRANSCEND SERVICES, INC., a Delaware corporation
(“Transcend”), MEDICAL DICTATION SERVICES, INC., a Maryland corporation (“MDS”; Transcend and MDS shall be referred to herein, both collectively and each individually, as “Borrower”), promises to
pay to the order of REGIONS BANK (“Lender”) at the place and times provided in the Loan Agreement referred to below, the principal sum of SEVEN MILLION AND NO/100 DOLLARS ($7,000,000) or the principal amount of the Term Loan made by
Lender from time to time pursuant to that certain Loan and Security Agreement dated as of August 31, 2009, by and between Borrower and Lender (as the same may be amended, restated, supplemented, or otherwise modified from time to time, the
“Loan Agreement”). Capitalized terms used herein and not defined herein shall have the meanings assigned thereto in the Loan Agreement. 
 The Term Loan evidenced by this Term Note shall bear interest as provided in the Loan Agreement and shall be subject to the terms and conditions for such Loan set forth in the Loan Agreement. 
 This principal of and interest accrued on this Term Note shall be due and payable as set forth in the Loan Agreement. 
 The unpaid principal amount of this Term Note from time to time outstanding is subject to mandatory repayment from time to time as provided in the Loan
Agreement. All payments of principal and interest on this Term Note shall be payable to Lender or other holder of this Term Note in lawful currency of the United States of America in immediately available funds in the manner and location indicated
in the Loan Agreement or wherever else Lender or such holder may specify. 
 This Term Note is entitled to the benefits of, and evidences
Obligations incurred under, the Loan Agreement, to which reference is made for a description of the security for this Term Note and for a statement of the terms and conditions on which Borrower is permitted and required to make prepayments and
repayments of principal of the Obligations evidenced by this Term Note and on which such Obligations may be declared to be immediately due and payable. 
 Borrower agrees, in the event that this Note or any portion hereof is collected by law or through an attorney at law, to pay all costs of collection, including, without limitation, attorneys’ fees actually
incurred and court costs. 
 This Term Note shall be governed, construed and enforced in accordance with the laws of the State of Georgia,
without reference to the conflicts or choice of law principles thereof. 
 Borrower hereby waives all requirements as to diligence,
presentment, demand of payment, protest, and (except as required by the Loan Agreement) notice of any kind with respect to this Term Note. 
 If more than one Person is a Borrower hereunder, all Obligations evidenced by this Note shall be joint and several. 
 [Remainder of
page intentionally left blank] 

 IN WITNESS WHEREOF, the undersigned has executed this Term Note under seal as of the day and year first
written above. 
  

			
	TRANSCEND SERVICES, INC.
		
	By:	 	 /s/ Lance Cornell

	Name:	 	Lance Cornell
	Title:	 	 CFO

	
	[SEAL]
	
	MEDICAL DICTATION SERVICES, INC.
		
	By:	 	 /s/ Lance Cornell

	Name:	 	Lance Cornell
	Title:	 	CFO
	
	[SEAL]

 EXHIBIT B 
 FORM OF NOTICE OF BORROWING 
 [                     ], [20    ] 
 REGIONS BANK 
 One Glenlake Parkway 
 Suite 400 
 Atlanta, Georgia 30328 
 Attn: Transcend
Services Loan Administration 
 Ladies and Gentlemen: 
 This Notice of Borrowing is delivered pursuant to Section 2.5 of that certain Loan and Security Agreement dated as of August             , 2009 (as the same may be amended,
restated, supplemented, or otherwise modified from time to time, the “Loan Agreement”), by and between Transcend Services, Inc, a Delaware corporation (“Transcend”), Medical Dictation Services, Inc., a Maryland
corporation (“MDS”; Transcend and MDS shall be referred to herein, both collectively and each individually, as “Borrower”), and Regions Bank (“Lender”). Capitalized terms used herein shall have the
meanings given such terms in the Loan Agreement. 
 Borrower hereby gives you notice, irrevocably, pursuant to Section 2.5 of the Loan
Agreement, that Borrower hereby requests the following Loan be made under the Loan Agreement and, in that regard, sets forth below the information relating to such Loan (the “Proposed Borrowing”), as required by Section 2.5 of
the Loan Agreement: 
  

					
	FOR A REVOLVING LOAN:
			
	 Type of Loan
	  	 Principal Amount
	  	 Date Loan to Be Made

	 LIR
	  		  	
	 Apply the proceeds of this Loan as follows:

	
	 Name of Bank:
[                                        ]

	 Account Name:
[                                        ]

	 Account Number:
[                                        ]

	 ABA Routing Number:
[                                        ]

	 Reference:
[                                        ]

 Borrower hereby certifies that the following statements are true on the date hereof, and will be true on the date
of the Proposed Borrowing: 
 (a) the representations and warranties contained in the Loan Agreement and the other Loan Documents are true
and correct in all material respects before and after giving effect to the Proposed Borrowings and to the application of the proceeds therefrom, as though made on and as of such date[, except to the extent that such representations and warranties
expressly relate solely to an earlier date (in which case such representations and warranties shall have been accurate and complete in all material respects on and as of such earlier date)]; 
 (b) no event has occurred and is continuing, or would result from the making of such Proposed Borrowings or from the application of the proceeds thereof,
which constitutes a Default or an Event of Default; 
 (c) no development reasonably likely to have a Material Adverse Effect has occurred
and is continuing; 
 (d) [all of the conditions to the Proposed Borrowings set forth in Section 4.2 of the Loan Agreement have been
satisfied (or waived in accordance with the terms of the Loan Agreement); and 

 (e) the Proposed Borrowings satisfy all limitations set forth in the Loan Agreement (including, without
limitation, availability under the Borrowing Base and the Revolving Loan Commitment). 
  

			
	TRANSCEND SERVICES, INC.
		
	By:	 	  

	Name:	 	  

	Title:	 	  

	
	MEDICAL DICTATION SERVICES, INC.
		
	By:	 	  

	Name:	 	  

	Title:	 	  

  

 2 

 EXHIBIT C 
 COLLATERAL DISCLOSURE CERTIFICATE 
 [PREPARED SEPARATELY BY LENDER’S COUNSEL] 

 EXHIBIT 6.6(a) 
 FORM OF BORROWING BASE CERTIFICATE 
 [TO BE PREPARED BY REGIONS] 

 EXHIBIT 6.6(d) 
 COMPLIANCE AND NO DEFAULT CERTIFICATE 
 In accordance with the terms of the Loan and Security Agreement dated
August 31, 2009 (as the same may be amended, restated, supplemented, or otherwise modified from time to time, the “Loan Agreement”) by and among Transcend Services, Inc. (“Transcend”), Medical Dictation
Services, Inc., a Maryland corporation (“MDS”; Transcend and MDS shall be referred to herein, both collectively and each individually, as “Borrower”) and Regions Bank, I hereby certify that: 
  

	1.	I am the [president] [chief financial officer] of each of Transcend and MDS; 

  

	2.	The enclosed financial statements are prepared in accordance with generally accepted accounting principles; 

  

	3.	No Default (as defined in the Loan Documents) or any event which, upon the giving of notice or passing of time or both, would constitute such a Default, has occurred.

  

	4.	Borrower is in compliance with the financial covenants set forth in Section 8 of the Loan Agreement, as demonstrated by the calculations contained in Schedule I, attached
hereto and made a part hereof. 

  

			
	TRANSCEND SERVICES, INC.
		
	By:	 	  

	Name:	 	  

	Title:	 	  

	
	MEDICAL DICTATION SERVICES, INC.
		
	By:	 	  

	Name:	 	  

	Title:	 	  

 SCHEDULE 1 
 TO EXHIBIT 6.6(d)—COMPLIANCE AND NO DEFAULT CERTIFICATE 
 Borrower Name: Transcend Services, Inc.
and Medical Dictation Services, Inc. 
 For the Fiscal [Month] [Quarter] [Year] ended
[                     ], 200[    ] 
 ALL CAPITALIZED TERMS USED BUT NOT DEFINED HEREIN SHALL HAVE THE MEANINGS GIVEN IN THE LOAN AGREEMENT. 
  

					
	COVENANT	  	ACTUAL	  	REQUIRED

 [ATTACH DETAILED CALCULATIONS] 

 EXHIBIT T 
 FORM OF TELEPHONE INSTRUCTION LETTER 
 August 31, 2009 
 Regions Bank 
 One Glenlake Parkway 
 Suite 400 
 Atlanta, Georgia 30328 
  

	 	Re:	That certain Loan and Security Agreement dated as of the date hereof by and among Transcend Services, Inc. (“Transcend”), Medical Dictation Services, Inc., a
Maryland corporation (“MDS”; Transcend and MDS shall be referred to herein, both collectively and each individually, as “Borrower”) and Regions Bank (“Lender”) (such agreement, as the same may be
amended, restated, supplemented, or otherwise modified from time to time, the “Loan Agreement”) 

 Ladies and
Gentlemen: 
 Terms used but not defined in this letter shall have the meanings given such terms in the Loan Agreement. 
 Borrower hereby authorizes Lender to make Loans from time to time upon receipt of telephone instructions from any of the following designated Persons
(and the satisfaction of all applicable conditions precedent to such Loan set forth in the Loan Agreement): 
  

			
	 Name
	  	 Title

	Larry Gerdes	  	Chief Executive Officer of each of Transcend and MDS
		
	Lance Cornell	  	Chief Financial Officer, Secretary and Treasurer of each of Transcend and MDS

 Lender shall have no liability to Borrower whatsoever for acting upon any such telephone
instructions which Lender, in good faith, believes were given by any of such designated Persons (or his or her designee), and Lender shall have no duty to inquire as to the propriety of any requested Loan or the disbursement of any of the proceeds
thereof. 
 Lender shall have the right to accept the telephone instructions of any of the above designated Persons (or his or her designee)
until actual receipt by Lender of written notice (delivered to Lender in accordance with the notice provisions of the Loan Agreement) of termination of the authority of any such designated Persons (or his or her designee). Borrower may change the
persons designated to give Lender telephone instructions only by delivering to Lender notice of such change in accordance with the notice provisions of the Loan Agreement. 
 [Remainder of page intentionally left blank] 

 If required by Lender in accordance with the Loan Agreement, Borrower shall confirm all telephone
instructions for the making of a Loan by delivering to Lender a duly completed Notice of Borrowing. 
  

			
	Very truly yours,
	
	TRANSCEND SERVICES, INC.
		
	By:	 	  

	Name:	 	Lance Cornell
	Title:	 	Chief Financial Officer
	
	MEDICAL DICTATION SERVICES, INC.
		
	By:	 	  

	Name:	 	Lance Cornell
	Title:	 	Chief Financial Officer

 SCHEDULE 5.3 
 DIRECT OR CONTINGENT OBLIGATIONS AND LIABILITIES 
 Other Obligations and Liabilities: 
  

	1.	Note Payable to Dorothy K. Fitzgerald in the amount of $2,000,000, due August 31, 2010. 

 SCHEDULE 5.4 
 PENDING AND THREATENED LITIGATION 
  

	1.	Transcend Services, Inc., Plaintiff vs. Farnam Street Financial, Inc., Defendant in THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF GEORGIA ATLANTA DIVISION. This case
pertains to three leases entered into between Transcend and Defendant for computer and other equipment in 2005 and 2006. Farnam Street maintains that only lease schedule #1 contains a fair market value buyout provision. Transcend disagrees. In
addition, Farnam Street automatically renewed the leases against Transcend’s wishes when Transcend was attempting in good faith to negotiate lease buyouts. Transcend simply wants to negotiate a reasonable buyout quote as of the end of the
original lease terms. A disposition of this dispute adverse to Transcend would be immaterial. 

  

	2.	Shirley Durett was employed by DeVenture through December 31, 2008. On January 1, 2009, as part of the acquisition of DeVenture, Ms. Durett became a Transcend
employee. Ms. Durett filed a discrimination claim with the Ohio Civil Rights Commission against DeVenture on November 30, 2007. DeVenture has indemnified Transcend in regards to this claim. Ms. Durett filed two additional claims with
the Ohio Civil rights Commission against Transcend on January 30, 2009 and April 14, 2009. The claims allege retaliation by Transcend related to Ms. Durett’s prior claim, specifically that Transcend restricted her from working on
her primary account. The most recent claim also alleges racial discrimination. Transcend denies all charges and has responded in a timely manner to the Commission’s requests for information. Management expects the outcome to be immaterial to
Transcend. 

 SCHEDULE 5.8(b) 
 INSURANCE POLICIES 
  

	1.	See attached summary from The Hartford Insurance Group. 

  

	2.	See attached summary from Bruce, Grau & Associates, Inc. 

 SCHEDULE 5.11 
 LABOR LAW MATTERS 
  

	1.	None. 

 SCHEDULE 5.14 
 CORPORATE STRUCTURE 
  

	1.	Medical Dictation Services, Inc., a Maryland corporation, is a wholly owned Subsidiary of Transcend Services, Inc. The authorized capital stock of Medical Dictation Services, Inc.
consists of twenty thousand (20,000) shares of common stock and no shares of preferred stock, of which nine hundred sixty (960) shares of common stock are issued and outstanding. Transcend has no other Subsidiaries.

  

	2.	Transcend’s Affiliates include: 

 The following 5%
stockholders; Larry W. Gerdes, Walter S. Huff, Jr., and Essex Investment Management Company, LLC 
 The following executive officers

  

			
	 NAME
	  	 POSITION WITH THE COMPANY

	 Larry G. Gerdes
	  	Chairman of the Board, Chief Executive Officer and President
	 Lance Cornell
	  	Chief Financial Officer, Chief Accounting Officer, Treasurer and Corporate Secretary
	 Susan McGrogan
	  	Chief Operating Officer
	 E. Leo Cooper
	  	Executive Vice President of Sales and Marketing

 The following directors: 
 Larry W. Gerdes, Joseph G. Bleser, Joseph P. Clayton, James D. Edwards, Walter S. Huff, Jr., Sidney V. Sack and Charles E. Thoelel. 

Since Transcend has many more employees, non-executive officers, and multiple family members, with Lender’s permission their names have been
excluded. 
 Medical Dictation Services, Inc. has a Board of Directors consisting of Larry W. Gerdes, and its officers are: 
  

			
	 Name
	  	 Position

	 Larry G. Gerdes
	  	Chief Executive Officer
	 Susan McGrogan
	  	President and Chief Operating Officer
	 Lance Cornell
	  	Chief Financial Officer, Secretary, and Treasurer
	 E. Leo Cooper
	  	Executive Vice-President of Sales and Marketing

  

	3.	For authorized and issued Equity Interests of Transcend, see the Transcend quarterly report filed on Form 10-Q with the Securities and Exchange Commission on August 3, 2009.
All options, rights or warrants to subscribe or acquire, or any commitments or agreements to issue or sell, equity interests in Transcend as of June 30, 2009, were described in that Form 10-Q. There have been no material changes in the issued
Equity Interests since June 30, 2009. 

  

	4.	Medical Dictation Services, Inc. has no Subsidiaries. Its capital stock is described at 1. above. There are no options, rights or warrants to subscribe for or acquire, or any
commitments or agreements to issue or sell, or any Equity Interests convertible into, or any powers of attorney relating to shares of Medical Dictation Services, Inc. 

 SCHEDULE 5.16 
 ENVIRONMENTAL 
  

	1.	None. 

 SCHEDULE 5.25 
 OPERATING AND CAPITAL LEASES 
 Real Property Leases 
 Transcend 
  

			
	Street Address:	  	One Glenlake Pkwy Suite 1325
	City, State and Zip:	  	Atlanta, GA 30328
	County:	  	Fulton
	Brief Description of Activities Conducted on Parcel:	  	Corporate activities conducted at this site.
	Types of Tangible Personal Property at Parcel (e.g., equipment and/or inventory):	  	Office furniture, office equipment, computers, software, leasehold improvements.
	Books and Records Location?	  	Yes
	Name and Address of Lessor:	  	 Oracle USA, Inc
 1001 Sunset Blvd
 Rocklin, CA 95765

	Copy of Lease has been previously provided:	  	Yes
		
	Street Address:	  	1033 Jefferson Sr. NW A
	City, State and Zip:	  	Atlanta, GA 30318
	County:	  	Fulton
	Brief Description of Activities Conducted on Parcel:	  	Hardened data storage site (and data transmission).
	Types of Tangible Personal Property at Parcel (e.g., equipment and/or inventory):	  	Computer equipment.
	Books and Records Location?	  	Data storage
	Name and Address of Lessor:	  	 Internap Network Services Corp
 250 Williams St. Suite
E-100
 Atlanta, GA 30303

	Copy of Lease has been previously provided:	  	Yes
	
	MDSI
		
	Street Address:	  	101 Lake Forest Blvd.
	City, State and Zip:	  	Gaithersburg, MD
	County:	  	
	Brief Description of Activities Conducted on Parcel:	  	Acquired via the purchase of MDSI.
	Types of Tangible Personal Property at Parcel (e.g., equipment and/or inventory):	  	Office/computer equipment. Furniture.
	Books and Records Location?	  	No
	Name and Address of Lessor:	  	 Professional Equity Limited Partnership
 Guardian Realty
Management
 702 Russell Avenue
 Gaithersburg, MD
20877

	Copy of Lease has been previously provided:	  	Yes

 Operating Leases 
 Lease Agreement by and between Transcend and Farnam Street Financial for equipment dated May 19, 2006. Transcend has a minimum payment obligation pursuant to this lease in the amount of $289,916 

 SCHEDULE 7.1 
 SCHEDULED PERMITTED DEBT 
  

	1.	In connection with its acquisition of DeVenture in January 2009, Transcend established an escrow for $400,000 for representations and warranties to be held in escrow for a period of
one year. 

  

	2.	On January 16, 2007, Transcend entered into a three year, $330,000 unsecured promissory note in conjunction with the purchase of OTP. As of June 30, 2009, the balance of
the promissory note was $110,000. 

  

	3.	On April 1, 2009, Transcend completed the acquisition of the domestic medical transcription business of Transcription Relief Services, Inc. (“TRS”) in accordance with
the Asset Purchase Agreement entered into on March 26, 2009. A contingent payment, due in 2010, is based on fourth quarter 2009 revenue and sold backlog at December 31, 2009, subject to an overall cap of $3,000,000. Based on the
June 30, 2009 forecast for 2009, Transcend has estimated the contingent payment to be approximately $350,000. 

  

	4.	Lease Agreement by and between Transcend and Farnam Street Financial for equipment dated May 19, 2006. Transcend has a minimum payment obligation pursuant to this lease in the
amount of $289,916 

  

	5.	See also Schedules 5.25 and 7.2. 

 SCHEDULE 7.2 
 SCHEDULED PERMITTED LIENS 
 None. 

 SCHEDULE 7.7 
 TRANSACTIONS WITH AFFILIATES 
 As disclosed in the definitive proxy material of Transcend filed with the SEC
on April 6, 2009 (http://www.sec.gov/Archives/edgar/data/858452/000119312509073829/ddef14a.htm) Mr. Larry G. Gerdes, the Chairman of the Board and Chief Executive Officer of Transcend, may be deemed to own more than 5% of
Transcend’s shares and may be deemed to be an Affiliate. Similarly, as disclosed in the proxy material Mr. Walter S. Huff, Jr. a director of Transcend, may be deemed to own more than 5% of Transcend’s shares and may be deemed to
be an Affiliate. The definitive proxy material contains descriptions of several agreements and other arrangements between Transcend and these two individuals. That information is incorporated herein by reference. Transactions such as those described
therein, which arise from the employment, officer and director relationships described in the definitive proxy material, are permitted pursuant to Section 7.7. Transcend believes such agreements and arrangements meet the requirements of
Section 7.7 (iii).Promissory Note

 Exhibit 10.2 
  

			
	$2,000,000.00	  	Atlanta, Georgia
		  	August 31, 2009

 UNSECURED PROMISSORY NOTE 
 FOR VALUE RECEIVED, subject to the conditions set forth herein, the undersigned TRANSCEND SERVICES, INC., a Delaware corporation (herein called
“Maker”), promises to pay to the order of DOROTHY K. FITZGERALD, a resident of the State of Maryland (herein called “Holder”) the sum of Two Million and No/100 Dollars ($2,000,000.00) pursuant to Section 2.3 of that certain
Stock Purchase Agreement, dated August 25, 2009 (the “Purchase Agreement”), by and between Maker and Holder. The principal balance hereof shall bear interest at the simple rate of interest per annum of five percent (5%). The principal
balance and any accrued and unpaid interest shall be due and payable in full on the first anniversary date of this Note. 
 All payments of
principal or interest shall be made to Holder at the address of Holder set forth in Section 13.4 of the Purchase Agreement or at such other place as Holder may designate in writing. All capitalized terms referenced in this Note not otherwise
defined herein shall have such meanings as set forth in the Purchase Agreement. 
 All payments shall be made in immediately available funds
during regular business hours in coin or currency of the United States of America which at the time of such payment is legal tender for the payment of public and private debts. No payment shall be deemed made until actually received by Holder.

 This Note may be prepaid in whole or in partial increments at any time without penalty. Should the obligations represented by this Note or
any part hereof be collected at law or in equity or in bankruptcy, receivership or other court proceeding, or should this Note be placed in the hands of attorneys for collection after the occurrence of an Event of Default (defined below), Maker
agrees to pay, in addition to the principal and interest due and payable hereon and any other sums due and payable hereon, all costs of collecting this Note, including reasonable attorneys’ fees and expenses. This Note is an unsecured note.

 Upon the occurrence of an Event of Default, Holder, in the Holder’s sole discretion and without notice or demand, may raise the rate
of interest accruing on the unpaid principal balance by two (2) percentage points above the rate of interest otherwise applicable (hereinafter the “Default Rate”). From and after the maturity date, whether by acceleration or in due
course, the entire unpaid balance of the principal sum hereunder, all unpaid interest accrued thereon at such maturity, and all other amounts due hereunder shall bear interest at the Default Rate. 
 An event of default (“Event of Default”) shall occur if (a) Maker shall fail to timely and properly pay the principal, interest or any
fees or other amount payable hereunder when such amount becomes due; or (b) Maker shall fail to observe, keep or perform any material term, covenant, agreement or condition in this Note that is not cured to the reasonable satisfaction of Holder
within 10 days of receipt by Maker of written notice of said failure from Holder. All notices pursuant to the immediately preceding sentence shall be deemed given and received when delivered by hand, the following day after the date delivered to an
overnight courier, or two (2) days after the date deposited in the United States mail, postage prepaid, certified mail, return receipt requested, in each case to Maker’s address as set forth in Section 13.4 of the Purchase Agreement
or at such other place as Maker may designate in writing. 

 This Note is hereby expressly limited in that in no event shall the interest payable under this Note
exceed the highest lawful rate as applicable to Maker. If for any reason whatsoever, the provision of this Note, at the time performance of such provision occurs, involves the payment of interest in excess of that permitted by law, and if, under any
circumstances, Holder receives as interest any amount which would exceed the highest lawful rate applicable to Maker, such amount which would be excessive interest shall be applied to reduce the unpaid principal balance and not the payment of
interest. 
 As used herein, the terms “Maker”, “Holder” and “holder” shall be deemed to include their
respective heirs, successors, legal representatives and permitted assigns, whether by voluntary action of the parties or by operation of law. This Note is given under the seal of all parties hereto, and it is intended that this Note is and shall
constitute and have the effect of a sealed instrument according to law. This Note has been negotiated, and is being executed and delivered in the State of Georgia; provided, however, that Holder shall have no obligation to give, nor shall Maker be
entitled to receive, any notice of such acceptance for this Note to become a binding obligation of Maker. This Note shall be governed by and be construed in accordance with the laws of the State of Georgia. It is intended, and the Holder
specifically agrees, that the laws of the State of Georgia governing interest shall apply to this Note and to this transaction. This Note may not be modified except by written agreement signed by the Holder, or by its successors or permitted
assigns. Time is of the essence of this Note. If this Note is placed in the hands of an attorney for collection, or if it is collected through any legal proceeding at law or in equity, or in bankruptcy, receivership or other court proceedings, Maker
agrees to pay all costs of collection, including, but not limited to, court costs and reasonable attorney fees. 
 Any provision of this Note
prohibited by the laws of any jurisdiction shall, as to such jurisdiction, be ineffective to the extent of such prohibition or modified to conform with such laws, without invalidating the remaining provisions of this Note, and any such prohibition
in any jurisdiction shall not invalidate such provision in any other jurisdiction. 
 This Note shall bind and inure to the benefit of the
parties, their legal representatives, successors, and assigns. 
 The amount owed and evidenced by this Note represents credit extended for
business, commercial, investment or other similar purpose, and not for personal, family, household or other consumer purposes. 
 Maker
hereby waives demand, presentment, protest, notice of dishonor or non-payment, as well as all defenses with respect to this Note, the Agreement and/or any obligation, notice of acceptance hereof, and all other demands and notices of any description,
except such as are expressly provided for herein or in the Purchase Agreement. No waiver of any one or more Events of Default in the performance of any of the provisions of this Note shall operate or be construed as a waiver of any future Event of
Default, whether of a like or different nature. Except with the prior written consent of Holder, no assignment or transfer by Maker of its rights and obligations under this Note may be made. This Note is not assignable without the prior written
consent of Maker. 

 IN WITNESS WHEREOF, Maker has executed this Note under seal and has delivered this Note to Holder to be
effective as of the 31st day of August, 2009. 
  

			
	MAKER:
	
	 TRANSCEND SERVICES, INC.,
 a Delaware
corporation

		
	By:	 	 /s/ Lance Cornell

		 	Lance Cornell, Chief Financial Officer

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