Document:

Loan and Security Agreement

 Exhibit 10.1 
  
 Silicon Valley Bank 
  
 Loan and Security Agreement 
  

			
	Borrower:	 	Essential Group, Inc.
	 	 	AmericasDoctor.com Coordinator Services, Inc.
		
	Address:	 	1325 Tri-State Parkway, Suite 300
	 	 	Gurnee, IL 60031
		
	Date:	 	September 27, 2004

  
 THIS LOAN AND SECURITY
AGREEMENT is entered into on the above date between SILICON VALLEY BANK (“Silicon”), whose address is 3003 Tasman Drive, Santa Clara, California 95054 and the borrower(s) named above (jointly and severally, the “Borrower”),
whose chief executive office is located at the above address (“Borrower’s Address”). The Schedule to this Agreement (the “Schedule”) shall for all purposes be deemed to be a part of this Agreement, and the same is an
integral part of this Agreement. (Definitions of certain terms used in this Agreement are set forth in Section 8 below.) 
  
 1. LOANS. 
  
 1.1 Loans. Silicon will make loans to Borrower (the “Loans”) up to the amounts (the “Credit Limit”) shown on the
Schedule, provided no Default or Event of Default has occurred and is continuing, and subject to deduction of Reserves for accrued and unpaid interest and such other Reserves as Silicon deems proper from time to time in its good faith business
judgment. 
  
 1.2 Interest. All Loans and all other
monetary Obligations shall bear interest at the rate shown on the Schedule, except where expressly set forth to the contrary in this Agreement. Interest shall be payable monthly, on the last Business Day of the month. Interest may when due
hereunder, in Silicon’s discretion, be charged to Borrower’s loan account, and the same shall thereafter bear interest at the same rate as the other Loans until paid. Silicon may, in its discretion, charge interest when due hereunder to
Borrower’s Deposit Accounts maintained with Silicon. Regardless of the amount of Obligations that may be outstanding from time to time, Borrower shall pay Silicon minimum monthly interest during the term of this Agreement in the amount set
forth on the Schedule (the “Minimum Monthly Interest”). 
  
 1.3 Overadvances. If at any time or for any reason the total of all outstanding Loans and all other monetary Obligations exceeds the Credit Limit (an “Overadvance”), Borrower shall pay the amount of the excess to
Silicon within two days of any such Overadvance occurring, without notice or demand; provided, however, that if the Overadvance results directly from a change by Silicon of the amount of Reserves, the Minimum Eligibility Requirements or the Advance
Rate, then such Overadvance shall be due and payable from Borrower to Silicon within two days of the earlier of (i) Borrower becoming aware of such Overadvance or (ii) demand by Silicon. Without limiting Borrower’s obligation to repay to
Silicon the amount of any Overadvance, Borrower agrees to pay Silicon interest on the outstanding amount of any Overadvance that is due and payable, on demand, at the Default Rate. 
  
 1.4 Fees. Borrower shall pay Silicon the fees shown on the Schedule, which are in addition to all interest and
other sums payable to Silicon and are not refundable. 
  
 1.5 Loan Requests. To obtain a Loan, Borrower shall make a request to Silicon by facsimile or telephone. Loan requests received after 12:00 Noon Pacific time will not be considered by Silicon until the next Business Day.
Silicon may rely on any telephone request for a Loan given by a person whom Silicon believes is an authorized representative of Borrower, and Borrower will indemnify Silicon for any loss Silicon suffers as a result of that reliance. 
  
 1.6 Letters of Credit. [Not Applicable]. 
  
 2. SECURITY INTEREST. To secure the payment and performance of
all of the Obligations when due, Borrower hereby grants to Silicon a security interest in all of the following (collectively, the “Collateral”): all right, title and interest of Borrower in and to all of the following, whether now owned or
hereafter arising or acquired and wherever located: all 
  

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 Silicon Valley BankLoan and Security Agreement 
  
 Accounts; all Inventory; all Equipment; all Deposit Accounts; all General Intangibles
(including without limitation all Intellectual Property); all Investment Property; all Other Property; and any and all claims, rights and interests in any of the above, and all guaranties and security for any of the above, and all substitutions and
replacements for, additions, accessions, attachments, accessories, and improvements to, and proceeds (including proceeds of any insurance policies, proceeds of proceeds and claims against third parties) of, any and all of the above, and all
Borrower’s books relating to any and all of the above. 
  
 3.
REPRESENTATIONS, WARRANTIES AND COVENANTS OF BORROWER. 
  
 To
induce Silicon to enter into this Agreement and to make Loans, Borrower represents and warrants to Silicon as follows, and Borrower covenants that the following representations will continue to be true, and that Borrower will at all times comply
with all of the following covenants, throughout the term of this Agreement and until all Obligations have been paid and performed in full: 
  
 3.1 Corporate Existence and Authority. Borrower is and will continue to be, duly organized, validly existing and in good standing under the
laws of the jurisdiction of its incorporation. Borrower is and will continue to be qualified and licensed to do business in all jurisdictions in which any failure to do so would result in a Material Adverse Change. The execution, delivery and
performance by Borrower of this Agreement, and all other documents contemplated hereby (i) have been duly and validly authorized, (ii) are enforceable against Borrower in accordance with their terms (except as enforcement may be limited by equitable
principles and by bankruptcy, insolvency, reorganization, moratorium or similar laws relating to creditors’ rights generally), and (iii) do not violate Borrower’s articles or certificate of incorporation, or Borrower’s by-laws, or any
law or any material agreement or instrument which is binding upon Borrower or its property, and (iv) do not constitute grounds for acceleration of any material indebtedness or obligation under any agreement or instrument which is binding upon
Borrower or its property. 
  
 3.2 Name; Trade Names and
Styles. The name of Borrower set forth in the heading to this Agreement is its correct name. Listed in the Representations are all prior names of Borrower used within the past six years and all of Borrower’s present and prior trade
names. Borrower shall give Silicon 30 days’ prior written notice before changing its name and will provide Silicon with prior written notice before doing business under any other name. Borrower has complied, and will in the future comply, in
all material respects, with all laws relating to the conduct of business under a fictitious business name, except where the failure to so comply would not reasonably be expected to result in a Material Adverse Change. 
  
 3.3 Place of Business; Location of Collateral. The address set
forth in the heading to this Agreement is Borrower’s chief executive office. In addition, Borrower has places of business and Collateral is located only at the locations set forth in the Representations and Equipment and Inventory located at
physician offices and other employee, agent or representative locations. Borrower will give Silicon at least 30 days prior written notice before opening any additional place of business, changing its chief executive office, or moving any of the
Collateral other than (in the ordinary course of business) Equipment and Inventory with an estimated book value not in excess of $25,000 to a location other than Borrower’s Address or one of the locations set forth in the Representations.

  
 3.4 Title to Collateral; Perfection; Permitted Liens.

  
 (a) Borrower is now, and will at all times in the
future be, the sole owner of all the Collateral, except for items of Equipment which are leased to Borrower. The Collateral now is and will remain free and clear of any and all liens, charges, security interests, encumbrances and adverse claims,
except for Permitted Liens. Silicon now has, and will continue to have, a first-priority perfected and enforceable security interest in all of the Collateral, subject only to the Permitted Liens and the need to enter into a control agreement with
Harris Bank regarding Borrower’s accounts at such institution, and Borrower will at all times defend Silicon and the Collateral against all contrary claims of others. 
  
 (b) Borrower has set forth in the Representations all of Borrower’s current Deposit Accounts, and Borrower will give
Silicon five Business Days advance written notice before establishing any new Deposit Accounts and will cause the institution where any such new Deposit Account is maintained to execute and deliver to Silicon a control agreement in form sufficient
to perfect Silicon’s security interest in the Deposit Account and otherwise satisfactory to Silicon in its good faith business judgment. Nothing herein limits any requirements which may be set forth in the Schedule as to where Deposit Accounts
will be maintained. 
  
 (c) If Borrower shall at any time after
the date hereof have any commercial tort claims against others, which it is asserting or intends to assert, and in which the potential recovery exceeds $100,000, Borrower shall promptly notify Silicon thereof in writing and provide Silicon with such
information regarding the same as Silicon shall request (unless providing such information would waive the Borrower’s attorney-client privilege). Such notification to Silicon shall constitute a grant of a security interest in the commercial
tort claim and all proceeds thereof to Silicon, and Borrower shall execute and deliver all such documents and take all such actions as Silicon shall reasonably request in connection therewith. 
  

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 Silicon Valley BankLoan and Security Agreement 
  
 (d) None of the Collateral now is or will be affixed to any real property in
such a manner, or with such intent, as to become a fixture. Borrower is not and will not become a lessee under any real property lease (other than any such lease with respect to which Borrower has provided Silicon with a landlord waiver and
subordination as provided for below) pursuant to which the lessor may obtain any rights in any of the Collateral with a book value in excess of $50,000, or other than a Permitted Lien, and no such lease now prohibits, restrains, impairs or will
prohibit, restrain or impair Borrower’s right to remove any Collateral with a book value in excess of $50,000 from the leased premises. Whenever any Collateral is located upon premises leased or rented by Borrower in which any third party has
an interest, Borrower shall, whenever requested by Silicon, use commercially reasonable efforts to cause such third party to execute and deliver to Silicon, in form acceptable to Silicon, such waivers and subordinations as Silicon shall specify in
its good faith business judgment. Borrower will comply with all material terms of, any lease by it of real property where any of the Collateral now or in the future may be located. Any termination of a lease by the Borrower shall be conducted
in compliance with the terms of such lease and will not result in a lien in favor of the landlord of such lease, or otherwise allow the landlord to obtain rights, in any of the Collateral. 
  
 3.5 Maintenance of Collateral. Borrower will maintain the
Collateral in good working condition (ordinary wear and tear excepted), and Borrower will not use the Collateral for any unlawful purpose. Borrower will promptly advise Silicon in writing upon becoming aware of any material loss or damage to the
Collateral. 
  
 3.6 Books and Records. Borrower has
maintained and will maintain at Borrower’s Address complete and accurate books and records, comprising an accounting system in accordance with GAAP. 
  
 3.7 Financial Condition, Statements and Reports. All financial statements now or in the future delivered to Silicon have been, and will be,
prepared in conformity with GAAP and now and in the future will fairly present the results of operations and financial condition of Borrower, in accordance with GAAP, at the times and for the periods therein stated. Between the last date covered by
any such statement provided to Silicon and the date hereof, there has been no Material Adverse Change other than with respect to matters disclosed in business and financial projections provided to Silicon. 
  
 3.8 Tax Returns and Payments; Pension Contributions. Subject to
the following sentence, Borrower has timely filed, and will timely file, all required tax returns and reports, and Borrower has timely paid, and will timely pay, all foreign, federal, state and local taxes, assessments, deposits and contributions
now or in the future owed by Borrower. Borrower may, however, defer payment of any contested taxes, provided that Borrower (i) in good faith contests Borrower’s obligation to pay the taxes by appropriate proceedings promptly and diligently
instituted and conducted, (ii) notifies Silicon in writing of the commencement of, and any material development in, the proceedings, and (iii) posts bonds or takes any other steps required to keep the contested taxes from becoming a lien upon any of
the Collateral. Borrower is unaware of any claims or adjustments proposed for any of Borrower’s prior tax years which could result in additional taxes becoming due and payable by Borrower. Borrower has paid, and shall continue to pay, all
amounts necessary to fund all present and future pension, profit sharing and deferred compensation plans in accordance with their terms, and Borrower has not and will not withdraw from participation in, permit partial or complete termination of, or
permit the occurrence of any other event with respect to, any such plan which could reasonably be expected to result in any liability of Borrower (other than the payment of benefits and contributions in the ordinary course of business which Borrower
represents and warrants it has paid and shall continue to pay as provided for above), including any liability to the Pension Benefit Guaranty Corporation or its successors or any other governmental agency. 
  
 3.9 Compliance with Law. Borrower has, to its knowledge,
complied, and will comply, in all material respects, with all provisions of all foreign, federal, state and local laws and regulations applicable to Borrower, including, but not limited to, those relating to Borrower’s ownership of real or
personal property, the conduct and licensing of Borrower’s business, and all environmental matters. 
  
 3.10 Litigation. There is no claim, suit, litigation, proceeding or investigation pending or (to Borrower’s knowledge) threatened
against or materially adversely affecting Borrower in any court or before any governmental agency (or any basis therefor known to Borrower) which could reasonably be expected to result, either separately or in the aggregate, in any Material Adverse
Change. Borrower will promptly inform Silicon in writing of any claim, proceeding, litigation or investigation in the future threatened or instituted against Borrower involving any single claim of $50,000 or more, or involving $100,000 or more in
the aggregate. 
  
 3.11 Use of Proceeds. All
proceeds of all Loans shall be used solely for lawful business purposes. Borrower is not purchasing or carrying any “margin stock” (as defined in Regulation U of the Board of Governors of the Federal Reserve System) and no part of the
proceeds of any Loan will be used to purchase or carry any “margin stock” or to extend credit to others for the purpose of purchasing or carrying any “margin stock.” 
  
 4. Accounts. 
  
 4.1 Representations Relating to Accounts. Borrower represents and warrants to Silicon as follows: Each Account identified by Borrower to
Silicon as an Eligible Account and shown by Borrower to meet the Minimum Eligibility 
  

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 Silicon Valley BankLoan and Security Agreement 
  
 Requirements set forth in the definition thereof in a report required hereunder shall, at the
time of such report, (i) represent an undisputed bona fide existing unconditional obligation of the pertinent Account Debtor created by the sale, delivery, and acceptance of goods or the rendition of services, or the non-exclusive licensing of
Intellectual Property, in the ordinary course of Borrower’s business, and (ii) meet the Minimum Eligibility Requirements. 
  
 4.2 Representations Relating to Documents and Legal Compliance. Borrower represents and warrants to Silicon as follows: All statements made
and all unpaid balances appearing in all invoices, instruments and other documents evidencing the Accounts are and shall be true and correct and all such invoices, instruments and other documents and all of Borrower’s books and records are and
shall be genuine and in all respects what they purport to be. All sales and other transactions underlying or giving rise to each Account shall comply in all material respects with all applicable laws and governmental rules and regulations. To the
best of Borrower’s knowledge, all signatures and endorsements of Borrower on all documents, instruments, and agreements relating to all Accounts are and shall be genuine, and all such documents, instruments and agreements are and shall be
legally enforceable in accordance with their terms. 
  
 4.3
Schedules and Documents relating to Accounts. Borrower shall deliver to Silicon transaction reports and schedules of collections, as provided in the Schedule, on Silicon’s standard forms; provided, however, that Borrower’s failure
to execute and deliver the same shall not affect or limit Silicon’s security interest and other rights in all of Borrower’s Accounts, nor shall Silicon’s failure to advance or lend against a specific Account affect or limit
Silicon’s security interest and other rights therein. If requested by Silicon, Borrower shall furnish Silicon with copies (or, at Silicon’s request, originals, to the extent available to Borrower,) of all contracts, orders, invoices, and
other similar documents, and all shipping instructions, delivery receipts, bills of lading, and other evidence of delivery, for any goods the sale or disposition of which gave rise to such Accounts, and Borrower warrants the genuineness of all of
the foregoing. Borrower shall also furnish to Silicon an aged accounts receivable trial balance as provided in the Schedule. In addition, Borrower shall deliver to Silicon, on its request, the originals, to the extent available to Borrower, of all
instruments, chattel paper, security agreements, guarantees and other documents and property evidencing or securing any Accounts, in the same form as received, with all necessary indorsements, and copies of all credit memos. 
  
 4.4 Collection of Accounts. Borrower shall have the right to
collect all Accounts, unless and until a Default or an Event of Default has occurred and is continuing. Whether or not an Event of Default has occurred and is continuing, Borrower shall hold all payments on, and proceeds of, Accounts in trust for
Silicon, and Borrower shall immediately deliver all such payments and proceeds to Silicon in their original form, duly endorsed, to be applied to the Obligations in such order as Silicon shall determine. Silicon may, in its good faith business
judgment, require that all proceeds of Collateral be deposited by Borrower into a lockbox account, or such other “blocked account” as Silicon may specify, pursuant to a blocked account agreement in such form as Silicon may specify in its
good faith business judgment. Any credit balance in such lockbox account, or such other blocked account, shall be applied to the Obligations in such order as Silicon shall determine, and the surplus, if any, will be directed to
Borrower’s operating account maintained with Silicon. 
  
 4.5. Remittance of Proceeds. All proceeds arising from the disposition of any Collateral shall be delivered, in kind, by Borrower to Silicon in the original form in which received by Borrower not later than the following
Business Day after receipt by Borrower, to be applied to the Obligations in such order as Silicon shall determine; provided that, if no Default or Event of Default has occurred and is continuing, Borrower shall not be obligated to remit to Silicon
the proceeds of the sale of worn out or obsolete Equipment disposed of by Borrower in good faith in an arm’s length transaction for an aggregate purchase price of $25,000 or less (for all such transactions in any fiscal year). Borrower agrees
that it will not commingle proceeds of Collateral with any of Borrower’s other funds or property, but will hold such proceeds separate and apart from such other funds and property and in an express trust for Silicon. Nothing in this Section
limits the restrictions on disposition of Collateral set forth elsewhere in this Agreement. 
  
 4.6 Disputes. Borrower shall notify Silicon promptly of all disputes or claims relating to Accounts in excess of $10,000. Borrower shall not forgive (completely or partially), compromise or settle any
Account for less than payment in full, or agree to do any of the foregoing, except that Borrower may do so, provided that: (i) Borrower does so in good faith, in a commercially reasonable manner, in the ordinary course of business, and in arm’s
length transactions, which are reported to Silicon on the regular reports provided to Silicon; (ii) no Default or Event of Default has occurred and is continuing; and (iii) taking into account all such discounts, settlements and forgiveness, the
total outstanding Loans will not exceed the Credit Limit. 
  
 4.7 Returns. Provided no Event of Default has occurred and is continuing, if any Account Debtor returns any Inventory to Borrower, Borrower shall promptly determine the reason for such return and promptly issue a credit
memorandum to the Account Debtor in the appropriate amount. In the event any attempted return occurs after the occurrence and during the continuance of any Event of Default, Borrower shall hold the returned Inventory in trust for Silicon, and
immediately notify Silicon of the return of the Inventory. 
  

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 Silicon Valley BankLoan and Security Agreement 
  
 4.8 Verification. Silicon may, from time to time, verify
directly with the respective Account Debtors the validity, amount and other matters relating to the Accounts, by means of mail, telephone or otherwise, either in the name of Borrower or Silicon or such other name as Silicon may choose.
Silicon will use commercially reasonable efforts to notify Borrower prior to any such verification and will provide the Borrower with an opportunity to participate in such verification; provided, however, that Silicon shall have no liability to
Borrower or anyone else for inadvertently or negligently failing to provide such notice to Borrower (exclusive of any gross negligence or willful misconduct on the part of Silicon), the Borrower shall not be able to prohibit or prevent Silicon from
proceeding with any verification, and if an Event of Default has occurred and is continuing, Silicon shall have the right to verify in accordance with the preceding sentence without regard to the terms of this sentence (including the effort to
provide notice). 
  
 4.9 No Liability. Silicon shall
not be responsible or liable for any shortage or discrepancy in, damage to, or loss or destruction of, any goods, the sale or other disposition of which gives rise to an Account, or for any error, act, omission, or delay of any kind occurring in the
settlement, failure to settle, collection or failure to collect any Account, or for settling any Account in good faith for less than the full amount thereof, nor shall Silicon be deemed to be responsible for any of Borrower’s obligations under
any contract or agreement giving rise to an Account. Nothing herein shall, however, relieve Silicon from liability for its own gross negligence or willful misconduct. 
  
 5. ADDITIONAL DUTIES OF BORROWER. 
  
 5.1 Financial and Other Covenants. Borrower shall at all times comply with the financial and other covenants set forth in the Schedule.

  
 5.2 Insurance. Borrower shall, at all times
insure all of the tangible personal property Collateral and carry such other business insurance, with insurers reasonably acceptable to Silicon, in such form and amounts as Silicon may reasonably require and that are customary and in accordance with
standard practices for Borrower’s industry and locations, and Borrower shall provide evidence of such insurance to Silicon. All such property insurance policies shall name Silicon as an additional loss payee, and shall contain a lenders loss
payee endorsement in form reasonably acceptable to Silicon. Upon receipt of the proceeds of any such insurance, Silicon shall apply such proceeds in reduction of the Obligations as Silicon shall determine in its good faith business judgment, except
that, provided no Default or Event of Default has occurred and is continuing, Silicon shall release to Borrower insurance proceeds with respect to Equipment totaling less than $100,000, which shall be utilized by Borrower for the replacement of the
Equipment with respect to which the insurance proceeds were paid. Silicon may require reasonable assurance that the insurance proceeds so released will be so used. If Borrower fails to provide or pay for any insurance, Silicon may, but is not
obligated to, obtain the same at Borrower’s expense. Borrower shall promptly deliver to Silicon copies of all material reports made to insurance companies. 
  

5.3 Reports. Borrower, at its expense, shall provide Silicon with the written reports set forth in the Schedule, and such other written
reports with respect to Borrower (including budgets, sales projections, operating plans and other financial documentation), as Silicon shall from time to time specify in its good faith business judgment. 
  
 5.4 Access to Collateral, Books and Records. At reasonable
times, and on one full Business Day’s notice, Silicon, or its agents, shall have the right to inspect the Collateral, and the right to audit and copy Borrower’s books and records. The audits will be performed no more frequently than
quarterly, unless (i) Silicon believes that it is advisable to do conduct audits more frequently in Silicon’s good faith business judgment, or (ii) a Default or Event of Default has occurred and is continuing. Silicon shall take reasonable
steps to keep confidential all information obtained in any such inspection or audit, but Silicon shall have the right to disclose any such information to its auditors, regulatory agencies, and attorneys, and to the extent required by any subpoena or
other legal process. The foregoing inspections and audits shall be at Borrower’s expense and the charge therefor shall be $750 per person per day (or such higher amount as shall represent Silicon’s then current standard charge for the
same), plus reasonable out-of-pocket expenses. If Borrower and Silicon schedule an audit more than 10 days in advance, and Borrower seeks to reschedules the audit with less than 10 days written notice to Silicon, then (without limiting any of
Silicon’s rights or remedies), Borrower shall pay Silicon a cancellation fee of $1,000 plus any out-of-pocket expenses incurred by Silicon, to compensate Silicon for the anticipated costs and expenses of the cancellation. 
  
 5.5 Negative Covenants. Except as may be permitted in the
Schedule, Borrower shall not, without Silicon’s prior written consent (which shall be a matter of its good faith business judgment), do any of the following: (i) merge or consolidate with another corporation or entity other than another
co-Borrower under this Agreement; (ii) acquire assets with an estimated book value in excess of $50,000 in any fiscal year outside of the ordinary course of business; (iii) enter into any transaction outside the ordinary course of business except to
the extent permitted under another clause of this section; (iv) sell or transfer any Collateral with a book value in excess of $25,000 in the aggregate in any fiscal year, except for the sale of finished Inventory in the ordinary course of
Borrower’s business, and except for the sale of obsolete or unneeded Equipment in the ordinary course of business; (v) store any Inventory or other Collateral with any warehouseman or other third party; (vi) sell any Inventory on a
sale-or-return, guaranteed sale, consignment, or other contingent basis; (vii) make any loans of any money or other assets except for advances to employees made in the ordinary course of business and provided such advances do not 
  

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 Silicon Valley BankLoan and Security Agreement 
  
 exceed $15,000 for any single employee and $25,000 in the aggregate for all employees in any
fiscal year; (viii) incur any debts, outside the ordinary course of business, which would result in a Material Adverse Change; (ix) guarantee or otherwise become liable with respect to the obligations of another party or entity other than another
co-Borrower under this Agreement and only with respect to obligations that would otherwise be permitted under this Agreement; (x) pay or declare any dividends on Borrower’s stock (except for dividends payable solely in stock of Borrower); (xi)
redeem, retire, purchase or otherwise acquire, directly or indirectly, any of Borrower’s stock or other equity securities; (xii) make any change in Borrower’s capital structure which would result in a Material Adverse Change; (xiii)
engage, directly or indirectly, in any business other than the businesses currently engaged in by Borrower or reasonably related thereto; or (xiv) dissolve or elect to dissolve. Transactions permitted by the foregoing provisions of this Section are
only permitted if no Default or Event of Default would occur as a result of such transaction. 
  
 5.6 Litigation Cooperation. Should any third-party suit or proceeding be instituted by or against Silicon with respect to any Collateral or relating to Borrower, Borrower shall, without expense to
Silicon, make available Borrower and its officers, employees and agents and Borrower’s books and records, to the extent that Silicon may deem them reasonably necessary in order to prosecute or defend any such suit or proceeding. 
  
 5.7 Further Assurances. Borrower agrees, at its expense, on
request by Silicon, to execute all documents and take all actions, as Silicon, may, in its good faith business judgment, deem necessary or useful in order to perfect and maintain Silicon’s perfected first-priority security interest in the
Collateral (subject to Permitted Liens), and in order to fully consummate the transactions contemplated by this Agreement. 
  
 6. TERM. 
  
 6.1 Maturity Date. This Agreement shall continue in effect until the maturity date set forth on the Schedule (the “Maturity
Date”), subject to Section 6.2 and Section 6.3 below. 
  
 6.2 Early Termination. This Agreement may be terminated prior to the Maturity Date as follows: (i) by Borrower, effective three Business Days after written notice of termination is given to Silicon; or (ii) by Silicon at any
time after the occurrence and during the continuance of an Event of Default, without notice, effective immediately. If this Agreement is terminated by Borrower or by Silicon under this Section 6.2, Borrower shall pay to Silicon a termination fee in
an amount equal to (i) one-half of one percent (0.50%) of the Maximum Credit Limit if this Agreement is terminated by Borrower or (ii) one-quarter of one percent (0.25%) of the Maximum Credit Limit if this Agreement is terminated by Silicon,
provided that no termination fee shall be charged if the credit facility hereunder is replaced with a new facility from another division of Silicon Valley Bank. The termination fee shall be due and payable on the effective date of termination and
thereafter shall bear interest at a rate equal to the highest rate applicable to any of the Obligations. 
  
 6.3 Payment of Obligations. On the Maturity Date or on any earlier effective date of termination, Borrower shall pay and perform in full all
Obligations, whether evidenced by installment notes or otherwise, and whether or not all or any part of such Obligations are otherwise then due and payable. Without limiting the generality of the foregoing, if on the Maturity Date, or on any earlier
effective date of termination, there are any outstanding Letters of Credit issued by Silicon or issued by another institution based upon an application, guarantee, indemnity or similar agreement on the part of Silicon, then on such date Borrower
shall provide to Silicon cash collateral in an amount equal to 105% of the face amount of all such Letters of Credit plus all interest, fees and cost due or to become due in connection therewith (as estimated by Silicon in its good faith business
judgment), to secure all of the Obligations relating to said Letters of Credit, pursuant to Silicon’s then standard form cash pledge agreement. Notwithstanding any termination of this Agreement, all of Silicon’s security interests in all
of the Collateral and all of the terms and provisions of this Agreement shall continue in full force and effect until all Obligations have been paid and performed in full (or, with respect to Letters of Credit as provided for above, cash
collateralized); provided that Silicon may, in its sole discretion, refuse to make any further Loans after termination. No termination shall in any way affect or impair any right or remedy of Silicon, nor shall any such termination relieve Borrower
of any Obligation to Silicon, until all of the Obligations have been paid and performed in full (or, with respect to Letters of Credit as provided for above, cash collateralized). Upon payment and performance in full of all the Obligations (and,
with respect to Letters of Credit as provided for above, cash collateralization thereof) and termination of this Agreement, Silicon shall promptly terminate its financing statements with respect to the Borrower and deliver to Borrower such other
documents as may be required to fully terminate Silicon’s security interests. 
  
 7. EVENTS OF DEFAULT AND REMEDIES. 
  
 7.1
Events of Default. The occurrence of any of the following events shall constitute an “Event of Default” under this Agreement, and Borrower shall give Silicon immediate written notice thereof: (a) Any warranty, representation,
statement, report or certificate made or delivered to Silicon by Borrower or any of Borrower’s officers, employees or agents, now or in the future, shall be untrue or misleading in a material respect when made or deemed to be made; or (b)
Borrower shall fail to pay when due any Loan or any interest thereon or any other monetary Obligation; or (c) the total Loans and other Obligations 
  

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 outstanding at any time shall exceed the Credit Limit and is not repaid in accordance with
Section 1.3 hereof; or (d) Borrower shall fail to comply with any of the financial covenants set forth in the Schedule, or shall fail to perform any other non-monetary Obligation which by its nature cannot be cured, or shall fail to permit Silicon
to conduct an inspection or audit as specified in Section 5.4 hereof; or (e) Borrower shall fail to perform any other non-monetary Obligation, which failure is not cured within five Business Days after the date due; or (f) any levy, assessment,
attachment, seizure, lien or encumbrance (other than a Permitted Lien) is made on all or any part of the Collateral which is not cured within 10 days after the occurrence of the same; or (g) any default or event of default occurs under any
obligation in excess of $20,000 secured by a Permitted Lien, which is not cured within any applicable cure period or waived in writing by the holder of the Permitted Lien; or (h) Borrower breaches any material contract or obligation, which has
resulted or may reasonably be expected to result in a Material Adverse Change; or (i) dissolution, termination of existence, insolvency or business failure of Borrower; or appointment of a receiver, trustee or custodian, for all or any part of the
property of, assignment for the benefit of creditors by, or the commencement of any proceeding by Borrower under any reorganization, bankruptcy, insolvency, arrangement, readjustment of debt, dissolution or liquidation law or statute of any
jurisdiction, now or in the future in effect; or (j) the commencement of any proceeding against Borrower or any guarantor of any of the Obligations under any reorganization, bankruptcy, insolvency, arrangement, readjustment of debt, dissolution or
liquidation law or statute of any jurisdiction, now or in the future in effect, which is not cured by the dismissal thereof within 60 days after the date commenced; or (k) revocation or termination of, or limitation or denial of liability upon, any
guaranty of the Obligations or any attempt to do any of the foregoing, or commencement of proceedings by any guarantor of any of the Obligations under any bankruptcy or insolvency law; or (l) revocation or termination of, or limitation or denial of
liability upon, any pledge of any certificate of deposit, securities or other property or asset of any kind pledged by any third party to secure any or all of the Obligations, or any attempt to do any of the foregoing, or commencement of proceedings
by or against any such third party under any bankruptcy or insolvency law; or (m) Borrower makes any payment on account of any indebtedness or obligation which has been subordinated to the Obligations other than as permitted in the applicable
subordination agreement, or if any Person who has subordinated such indebtedness or obligations terminates or in any way limits his subordination agreement; or (n) there shall be a change in the record or beneficial ownership of an aggregate of more
than 20% of the outstanding shares of stock of Borrower in any single transaction (excluding transactions by and between the existing shareholders of Borrower provided such transactions do not result in a violation of the 50% limit described below)
or if there shall be a change in the record or beneficial ownership of the outstanding shares of stock of Borrower (regardless of the percentage involved) that results in any Person (other than another co-Borrower under this Agreement) owning 50% or
more of the outstanding shares of Borrower; or (o) Borrower shall generally not pay its debts as they become due, or Borrower shall conceal, remove or transfer any part of its property, with intent to hinder, delay or defraud its creditors, or make
or suffer any transfer of any of its property which may be fraudulent under any bankruptcy, fraudulent conveyance or similar law; or (p) a Material Adverse Change shall occur. Silicon may cease making any Loans hereunder during any of the above cure
periods, and thereafter if an Event of Default has occurred and is continuing. 
  
 7.2 Remedies. Upon the occurrence and during the continuance of any Event of Default, Silicon, at its option, and without notice or demand of any kind (all of which are hereby expressly waived by
Borrower), may do any one or more of the following: (a) Cease making Loans or otherwise extending credit to Borrower under this Agreement or any other Loan Document; (b) Accelerate and declare all or any part of the Obligations to be immediately
due, payable, and performable, notwithstanding any deferred or installment payments allowed by any instrument evidencing or relating to any Obligation; (c) Take possession of any or all of the Collateral wherever it may be found, and for that
purpose Borrower hereby authorizes Silicon without judicial process to enter onto any of Borrower’s premises without interference to search for, take possession of, keep, store, or remove any of the Collateral, and remain on the premises or
cause a custodian to remain on the premises in exclusive control thereof, without charge for so long as Silicon deems it necessary, in its good faith business judgment, in order to complete the enforcement of its rights under this Agreement or any
other agreement; provided, however, that should Silicon seek to take possession of any of the Collateral by court process, Borrower hereby irrevocably waives: (i) any bond and any surety or security relating thereto required by any statute, court
rule or otherwise as an incident to such possession; (ii) any demand for possession prior to the commencement of any suit or action to recover possession thereof; and (iii) any requirement that Silicon retain possession of, and not dispose of, any
such Collateral until after trial or final judgment; (d) Require Borrower to assemble any or all of the Collateral and make it available to Silicon at places designated by Silicon which are reasonably convenient to Silicon and Borrower, and to
remove the Collateral to such locations as Silicon may deem advisable; (e) Complete the processing, manufacturing or repair of any Collateral prior to a disposition thereof and, for such purpose and for the purpose of removal, Silicon shall have the
right to use Borrower’s premises, vehicles, hoists, lifts, cranes, and other Equipment and all other property without charge; (f) Sell, lease or otherwise dispose of any of the Collateral, in its condition at the time Silicon obtains possession
of it or after further manufacturing, processing or repair, at one or more public and/or private sales, in lots or in bulk, for cash, exchange or other property, or on credit, and to adjourn any such sale from time to time without notice other than
oral announcement at the time scheduled for sale. Silicon shall have the right to conduct such disposition on Borrower’s premises without charge, for such time or times as Silicon deems reasonable, or on Silicon’s premises, or elsewhere
and the Collateral need not be located at the place of disposition. Silicon may directly or through any affiliated company purchase or lease any Collateral at any such public disposition, and if 
  

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 Silicon Valley BankLoan and Security Agreement 
  
 permissible under applicable law, at any private disposition. Any sale or other disposition
of Collateral shall not relieve Borrower of any liability Borrower may have if any Collateral is defective as to title or physical condition or otherwise at the time of sale; (g) Demand payment of, and collect any Accounts and General Intangibles
comprising Collateral and, in connection therewith, Borrower irrevocably, upon the occurrence and during the continuance of any Event of Default, authorizes Silicon to endorse or sign Borrower’s name on all collections, receipts, instruments
and other documents, to take possession of and open mail addressed to Borrower and remove therefrom payments made with respect to any item of the Collateral or proceeds thereof, and, in Silicon’s good faith business judgment, to grant
extensions of time to pay, compromise claims and settle Accounts and the like for less than face value; (h) Offset against any sums in any of Borrower’s general, special or other Deposit Accounts with Silicon against any or all of the
Obligations; and (i) Demand and receive possession of any of Borrower’s federal and state income tax returns and the books and records utilized in the preparation thereof or referring thereto. All reasonable attorneys’ fees, expenses,
costs, liabilities and obligations incurred by Silicon with respect to the foregoing shall be added to and become part of the Obligations, shall be due on demand, and shall bear interest at a rate equal to the highest interest rate applicable to any
of the Obligations. Without limiting any of Silicon’s rights and remedies, from and after the occurrence and during the continuance of any Event of Default, the interest rate applicable to the Obligations shall be increased by an additional
four percent per annum (the “Default Rate”). 
  
 7.3 Standards for Determining Commercial Reasonableness. Borrower and Silicon agree that a sale or other disposition (collectively, “sale”) of any Collateral which complies with the following standards will
conclusively be deemed to be commercially reasonable: (i) Notice of the sale is given to Borrower at least ten days prior to the sale, and, in the case of a public sale, notice of the sale is published at least five days before the sale in a
newspaper of general circulation in the county where the sale is to be conducted; (ii) Notice of the sale describes the collateral in general, non-specific terms; (iii) The sale is conducted at a place designated by Silicon, with or without the
Collateral being present; (iv) The sale commences at any time between 8:00 a.m. and 6:00 p.m. Pacific time; (v) Payment of the purchase price in cash or by cashier’s check or wire transfer is required; (vi) With respect to any sale of any of
the Collateral, Silicon may (but is not obligated to) direct any prospective purchaser to ascertain directly from Borrower any and all information concerning the same. Silicon shall be free to employ other methods of noticing and selling the
Collateral, in its discretion, if they are commercially reasonable. 
  
 7.4 Power of Attorney. Upon the occurrence and during the continuance of any Event of Default, without limiting Silicon’s other rights and remedies, Borrower grants to Silicon an irrevocable power of attorney coupled with
an interest, authorizing and permitting Silicon (acting through any of its employees, attorneys or agents) at any time, at its option, but without obligation, with or without notice to Borrower, and at Borrower’s expense, to do any or all of
the following, in Borrower’s name or otherwise, but Silicon agrees that if it exercises any right hereunder, it will do so in good faith and in a commercially reasonable manner: (a) Execute on behalf of Borrower any documents that Silicon may,
in its good faith business judgment, deem advisable in order to perfect and maintain Silicon’s security interest in the Collateral, or in order to exercise a right of Borrower or Silicon, or in order to fully consummate all the transactions
contemplated under this Agreement, and all other Loan Documents; (b) Execute on behalf of Borrower, any invoices relating to any Account, any draft against any Account Debtor and any notice to any Account Debtor, any proof of claim in bankruptcy,
any Notice of Lien, claim of mechanic’s, materialman’s or other lien, or assignment or satisfaction of mechanic’s, materialman’s or other lien; (c) Take control in any manner of any cash or non-cash items of payment or proceeds
of Collateral; endorse the name of Borrower upon any instruments, or documents, evidence of payment or Collateral that may come into Silicon’s possession; (d) Endorse all checks and other forms of remittances received by Silicon; (e) Pay,
contest or settle any lien, charge, encumbrance, security interest and adverse claim in or to any of the Collateral, or any judgment based thereon, or otherwise take any action to terminate or discharge the same; (f) Grant extensions of time to pay,
compromise claims and settle Accounts and General Intangibles for less than face value and execute all releases and other documents in connection therewith; (g) Pay any sums required on account of Borrower’s taxes or to secure the release of
any liens therefor, or both; (h) Settle and adjust, and give releases of, any insurance claim that relates to any of the Collateral and obtain payment therefor; (i) Instruct any third party having custody or control of any books or records belonging
to, or relating to, Borrower to give Silicon the same rights of access and other rights with respect thereto as Silicon has under this Agreement; and (j) Take any action or pay any sum required of Borrower pursuant to this Agreement and any other
Loan Documents. Any and all reasonable sums paid and any and all reasonable costs, expenses, liabilities, obligations and attorneys’ fees incurred by Silicon with respect to the foregoing shall be added to and become part of the Obligations,
shall be payable on demand, and shall bear interest at a rate equal to the highest interest rate applicable to any of the Obligations. In no event shall Silicon’s rights under the foregoing power of attorney or any of Silicon’s other
rights under this Agreement be deemed to indicate that Silicon is in control of the business, management or properties of Borrower. 
  
 7.5 Application of Proceeds. All proceeds realized as the result of any sale of the Collateral shall be applied by Silicon first to the
reasonable costs, expenses, liabilities, obligations and attorneys’ fees incurred by Silicon in the exercise of its rights under this Agreement, second to the interest due upon any of the Obligations, and third to the principal of the
Obligations, in such order as Silicon shall determine in its sole discretion. Any surplus shall be paid to Borrower or other persons legally entitled thereto; Borrower shall remain liable to Silicon for any deficiency. If, Silicon, in its good faith

  

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 Silicon Valley BankLoan and Security Agreement 
  
 business judgment, directly or indirectly enters into a deferred payment or other credit
transaction with any purchaser at any sale of Collateral, Silicon shall have the option, exercisable at any time, in its good faith business judgment, of either reducing the Obligations by the principal amount of purchase price or deferring the
reduction of the Obligations until the actual receipt by Silicon of the cash therefor. 
  
 7.6 Remedies Cumulative. In addition to the rights and remedies set forth in this Agreement, Silicon shall have all the other rights and remedies accorded a secured party under the California Uniform
Commercial Code and under all other applicable laws, and under any other instrument or agreement now or in the future entered into between Silicon and Borrower, and all of such rights and remedies are cumulative and none is exclusive. Exercise or
partial exercise by Silicon of one or more of its rights or remedies shall not be deemed an election, nor bar Silicon from subsequent exercise or partial exercise of any other rights or remedies. The failure or delay of Silicon to exercise any
rights or remedies shall not operate as a waiver thereof, but all rights and remedies shall continue in full force and effect until all of the Obligations have been fully paid and performed. 
  
 8. Definitions. AS USED IN THIS AGREEMENT, THE FOLLOWING TERMS HAVE THE
FOLLOWING MEANINGS: 
  
 “Account
Debtor” means the obligor on an Account. 
  
 “Accounts” means all present and future “accounts” as defined in the California Uniform Commercial Code in effect on the date hereof with such additions to such term as may hereafter be made, and includes without
limitation all accounts receivable and other sums owing to Borrower. 
  
 “Affiliate” means, with respect to any Person, a relative, partner, shareholder (provided, however, that with respect to any physicians who are shareholders of Borrower and who provide services related to the clinical
research business, such physicians must own at least 2.5% of the outstanding stock of the Borrower in order to be deemed an Affiliate), director, officer, or employee of such Person, or any parent or subsidiary of such Person, or any Person
controlling, controlled by or under common control with such Person. 
  
 “Business Day” means any day other than a Saturday, Sunday or any other day on which commercial banks are authorized to close under the laws of, or are in fact generally closed in, the State of California; provided further
that any day on which Silicon is not open for business shall not be a Business Day. 
  
 “Code” means the Uniform Commercial Code as adopted and in effect in the State of California from time to time. 
  

“Collateral” has the meaning set forth in Section 2 above. 
  
 “continuing” and “during the continuance of” when used with reference to a Default or
Event of Default means that the Default or Event of Default has occurred and has not been either waived in writing by Silicon or cured within any applicable cure period. 
  
 “Default” means any event which with notice or passage of time or both, would constitute an Event of
Default. 
  
 “Default Rate” has the meaning set
forth in Section 7.2 above. 
  
 “Deposit
Accounts” means all present and future “deposit accounts” as defined in the California Uniform Commercial Code in effect on the date hereof with such additions to such term as may hereafter be made, and includes without limitation
all general and special bank accounts, demand accounts, checking accounts, savings accounts and certificates of deposit. 
  
 “Eligible Inventory” [Not Applicable] 
  
 “Eligible Accounts” means Accounts and General Intangibles arising in the ordinary course of Borrower’s business from the sale of
goods or the rendition of services, or the non-exclusive licensing of Intellectual Property, which Silicon, in its good faith business judgment, shall deem eligible for borrowing. Without limiting the fact that the determination of which Accounts
are eligible for borrowing is a matter of Silicon’s good faith business judgment, the following (the “Minimum Eligibility Requirements”) are the minimum requirements for a Account to be an Eligible Account: (i) the Account must
not be outstanding for more than 120 days from its invoice date (the “Eligibility Period”), (ii) the Account must not represent progress billings (for the purposes hereof, invoices that are distributed with respect to work that has
been performed and earned pertaining to clinical research services shall not be deemed progress billings hereunder), or be due under a fulfillment or requirements contract with the Account Debtor, (iii) the Account must not be subject to any
contingencies (including Accounts arising from sales on consignment, guaranteed sale or other terms pursuant to which payment by the Account Debtor may be conditional), (iv) the Account must not be owing from an Account Debtor with whom Borrower has
any dispute (whether or not relating to the particular Account) provided that in such case all Accounts owing from any such Account Debtor will be deemed not eligible, in the aggregate, only to the extent of any such dispute(s), (v) the Account must
not be owing from an Affiliate of Borrower, (vi) the Account must not be owing from an Account Debtor which is subject to 
  

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 Silicon Valley BankLoan and Security Agreement 
  
 any insolvency or bankruptcy proceeding, or whose financial condition is not acceptable to
Silicon in its good faith business judgment, or which fails or goes out of a material portion of its business from which the Account arose, (vii) the Account must not be owing from the United States or any department, agency or instrumentality
thereof (unless there has been compliance, to Silicon’s satisfaction, with the United States Assignment of Claims Act), (viii) the Account must not be owing from an Account Debtor located outside the United States or Canada (unless pre-approved
by Silicon in its discretion in writing, or backed by a letter of credit satisfactory to Silicon, or FCIA insured satisfactory to Silicon), (ix) the Account must not be owing from an Account Debtor to whom Borrower is or may be liable other than
with respect to Deferred Revenue (as defined below) for goods purchased from such Account Debtor or otherwise (but, in such case, the Account will be deemed not eligible only to the extent of any amounts owed by Borrower to such Account Debtor) and
(x) the Account must not represent a credit balance outstanding more than 120 days. The aggregate amount of Eligible Accounts shall be reduced by an amount equal to forty percent (40%) of the amount of Deferred Revenue set forth in the most recent
Deferred Revenue Report, provided that if an audit of Borrower shows the actual percentage amount of Deferred Revenue which is subject to offset against Accounts owing from Account Debtors (calculated on a per Account Debtor basis) is different from
the percentage of Deferred Revenue then being used to calculate the reduction of the aggregate amount of Eligible Receivables pursuant to this sentence, such differing percentage shall as of such time be used in such calculation. Accounts owing from
one Account Debtor will not be deemed Eligible Accounts to the extent they exceed 25% of the total Accounts outstanding. In addition, if more than 50% of the Accounts owing from an Account Debtor are outstanding for a period longer than their
Eligibility Period (without regard to unapplied credits) or are otherwise not eligible Accounts, then all Accounts owing from that Account Debtor will be deemed ineligible for borrowing. Silicon may, from time to time, in its good faith business
judgment, revise the Minimum Eligibility Requirements, upon written notice to Borrower. For the purposes hereof, the term “Deferred Revenue” shall mean all amounts received or invoiced, as appropriate, in advance of performance
under contracts and not yet recognized as revenue. 
  
 “Equipment” means all present and future “equipment” as defined in the California Uniform Commercial Code in effect on the date hereof with such additions to such term as may hereafter be made, and includes
without limitation all machinery, fixtures, goods, vehicles (including motor vehicles and trailers), and any interest in any of the foregoing. 
  
 “Event of Default” means any of the events set forth in Section 7.1 of this Agreement. 
  
 “GAAP” means generally accepted accounting principles
consistently applied. 
  
 “General Intangibles”
means all present and future “general intangibles” as defined in the California Uniform Commercial Code in effect on the date hereof with such additions to such term as may hereafter be made, and includes without limitation all
Intellectual Property, payment intangibles, royalties, contract rights, goodwill, franchise agreements, purchase orders, customer lists, route lists, telephone numbers, domain names, claims, income tax refunds, security and other deposits, options
to purchase or sell real or personal property, rights in all litigation presently or hereafter pending (whether in contract, tort or otherwise), insurance policies (including without limitation key man, property damage, and business interruption
insurance), payments of insurance and rights to payment of any kind. 
  
 “good faith business judgment” means honesty in fact and good faith (as defined in Section 1201 of the Code) in the exercise of Silicon’s business judgment. 
  
 “including” means including (but not limited to). 
  
 “Intellectual Property” means all present and future (a)
copyrights, copyright rights, copyright applications, copyright registrations and like protections in each work of authorship and derivative work thereof, whether published or unpublished, (b) trade secret rights, including all rights to unpatented
inventions and know-how, and confidential information; (c) mask work or similar rights available for the protection of semiconductor chips; (d) patents, patent applications and like protections including without limitation improvements, divisions,
continuations, renewals, reissues, extensions and continuations-in-part of the same; (e) trademarks, servicemarks, trade styles, and trade names, whether or not any of the foregoing are registered, and all applications to register and registrations
of the same and like protections, and the entire goodwill of the business of Borrower connected with and symbolized by any such trademarks; (f) computer software and computer software products; (g) designs and design rights; (h) technology; (i) all
claims for damages by way of past, present and future infringement of any of the rights included above; (j) all licenses or other rights to use any property or rights of a type described above. 
  
 “Inventory” means all present and future
“inventory” as defined in the California Uniform Commercial Code in effect on the date hereof with such additions to such term as may hereafter be made, and includes without limitation all merchandise, raw materials, parts, supplies,
packing and shipping materials, work in process and finished products, including without limitation such inventory as is temporarily out of Borrower’s custody or possession or in transit and including any returned goods and any documents of
title representing any of the above. 
  
 “Investment
Property” means all present and future investment property, securities, stocks, bonds, debentures, debt securities, partnership interests, limited liability company interests, options, security entitlements, securities accounts, 

 

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 Silicon Valley BankLoan and Security Agreement 
  
 commodity contracts, commodity accounts, and all financial assets held in any securities
account or otherwise, and all options and warrants to purchase any of the foregoing, wherever located, and all other securities of every kind, whether certificated or uncertificated. 
  
 “Loan Documents” means, collectively, this Agreement, the Representations, and all other present and future
documents, instruments and agreements between Silicon and Borrower, including, but not limited to, those relating to this Agreement, and all amendments and modifications thereto and replacements therefor. 
  
 “Material Adverse Change” means any of the following: (i) a
material adverse change in the business, operations, or financial or other condition of the Borrower, or (ii) a material impairment of the prospect of repayment of any portion of the Obligations; or (iii) a material impairment of the value or
priority of Silicon’s security interests in the Collateral. 
  
 “Obligations” means all present and future Loans, advances, debts, liabilities, obligations, guaranties, covenants, duties and indebtedness at any time owing by Borrower to Silicon, whether evidenced by this Agreement or
any note or other instrument or document, or otherwise, whether arising from an extension of credit, opening of a letter of credit, banker’s acceptance, loan, guaranty, indemnification or otherwise, whether direct or indirect (including,
without limitation, those acquired by assignment and any participation by Silicon in Borrower’s debts owing to others), absolute or contingent, due or to become due, including, without limitation, all interest, charges, expenses, fees,
attorney’s fees, expert witness fees, audit fees, letter of credit fees, collateral monitoring fees, closing fees, facility fees, termination fees, minimum interest charges and any other sums chargeable to Borrower under this Agreement or under
any other Loan Documents. 
  
 “Other Property”
means the following as defined in the California Uniform Commercial Code in effect on the date hereof with such additions to such term as may hereafter be made, and all rights relating thereto: all present and future “commercial tort
claims” (including without limitation any commercial tort claims identified in the Representations), “documents”, “instruments”, “promissory notes”, “chattel paper”, “letters of credit”,
“letter-of-credit rights”, “fixtures”, “farm products” and “money”; and all other goods and personal property of every kind, tangible and intangible, whether or not governed by the California Uniform
Commercial Code. 
  
 “Payment” means all checks,
wire transfers and other items of payment received by Silicon (including proceeds of Accounts and payment of the Obligations in full) for credit to Borrower’s outstanding Loans or, if the balance of the Loans have been reduced to zero, for
credit to its Deposit Accounts. 
  
 “Permitted
Liens” means the following: (i) purchase money security interests in specific items of Equipment; (ii) leases of specific items of Equipment; (iii) liens for taxes not yet payable or liens for taxes being contested in good faith by
appropriate proceedings for which adequate reserves have been established and are maintained in accordance with generally accepted accounting principles provided such liens do not have priority over any security interest of Silicon; (iv) additional
security interests and liens consented to in writing by Silicon, which consent may be withheld in its good faith business judgment; (v) security interests being terminated substantially concurrently with this Agreement; (vi) liens of materialmen,
mechanics, warehousemen, carriers, or other similar liens arising in the ordinary course of business and securing obligations which are not delinquent; (vii) liens incurred in connection with the extension, renewal or refinancing of the indebtedness
secured by liens of the type described above in clauses (i) or (ii) above, provided that any extension, renewal or replacement lien is limited to the property encumbered by the existing lien and the principal amount of the indebtedness being
extended, renewed or refinanced does not increase; (viii) Liens in favor of customs and revenue authorities which secure payment of customs duties in connection with the importation of goods (ix) liens in favor of Silicon Valley Bank; and (x) liens
to secure worker’s compensation, unemployment insurance and social security legislation (other than liens on Accounts). Silicon will have the right to require, as a condition to its consent under subparagraph (iv) above, that the holder of the
additional security interest or lien sign an intercreditor agreement on Silicon’s then standard form, with such changes thereto as are acceptable to Silicon, acknowledge that the security interest is subordinate to the security interest in
favor of Silicon, and agree not to take any action to enforce its subordinate security interest so long as any Obligations remain outstanding, and that Borrower agree that any uncured default in any obligation secured by the subordinate security
interest shall also constitute an Event of Default under this Agreement. 
  
 “Person” means any individual, sole proprietorship, partnership, joint venture, trust, unincorporated organization, association, corporation, government, or any agency or political division thereof,
or any other entity. 
  
 “Representations” means
the written Representations and Warranties provided by Borrower to Silicon referred to in the Schedule. 
  
 “Reserves” means, as of any date of determination, such amounts as Silicon may from time to time establish and revise in its good faith
business judgment, reducing the amount of Loans, Letters of Credit and other financial accommodations which would otherwise be available to Borrower under the lending formula(s) provided in the Schedule: (a) to reflect events, conditions,
contingencies or risks which, as determined by Silicon in its good faith business judgment, do or may adversely affect (i) the Collateral or any other property which is security for the Obligations or its value (including without limitation

  

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 Silicon Valley BankLoan and Security Agreement 
  
 any increase in delinquencies of Accounts), (ii) the assets, business or prospects of
Borrower or any Guarantor, or (iii) the security interests and other rights of Silicon in the Collateral (including the enforceability, perfection and priority thereof); or (b) to reflect Silicon’s good faith belief that any collateral report
or financial information furnished by or on behalf of Borrower or any Guarantor to Silicon is or may have been incomplete, inaccurate or misleading in any material respect; or (c) in respect of any state of facts which Silicon determines in good
faith constitutes an Event of Default or may, with notice or passage of time or both, constitute an Event of Default. 
  
 Other Terms. All accounting terms used in this Agreement, unless otherwise indicated, shall have the meanings given to such terms in accordance
with GAAP, consistently applied. All other terms contained in this Agreement, unless otherwise indicated, shall have the meanings provided by the Code, to the extent such terms are defined therein. 
  
 9. GENERAL PROVISIONS. 
  
 9.1 Interest Computation; Float Charge. In computing interest on the Obligations, all Payments received after
12:00 Noon Pacific time on any day shall be deemed received on the next Business Day. In addition, Silicon shall be entitled to charge Borrower a “float” charge in an amount equal to three Business Days interest, at the interest rate
applicable to the Loans, on all Payments received by Silicon. Said float charge is not included in interest for purposes of computing Minimum Monthly Interest (if any) under this Agreement. The float charge for each month shall be payable on the
last day of the month. Silicon shall not be required to credit Borrower’s account for the amount of any item of payment which is unsatisfactory to Silicon in its good faith business judgment, and Silicon may charge Borrower’s loan account
for the amount of any item of payment credited to Borrower’s loan account which is returned to Silicon unpaid. 
  
 9.2 Application of Payments. All payments with respect to the Obligations may be applied, and in Silicon’s good faith business judgment
reversed and re-applied, to the Obligations, in such order and manner as Silicon shall determine in its good faith business judgment. 
  
 9.3 Charges to Accounts. Silicon may, in its discretion, require that Borrower pay monetary Obligations in cash to Silicon, or charge them
to Borrower’s Loan account, in which event they will bear interest at the same rate applicable to the Loans. Silicon may also, in its discretion, charge any monetary Obligations to Borrower’s Deposit Accounts maintained with Silicon.

  
 9.4 Monthly Accountings. Silicon shall provide
Borrower monthly with an account of advances, charges, expenses and payments made pursuant to this Agreement. Except for any manifest error, such account shall be deemed correct, accurate and binding on Borrower and an account stated (except for
reverses and reapplications of payments made and corrections of errors discovered by Silicon), unless Borrower notifies Silicon in writing to the contrary within 60 days after such account is rendered, describing the nature of any alleged errors or
omissions. 
  
 9.5 Notices. All notices to be given
under this Agreement shall be in writing and shall be given either personally or by reputable private delivery service or by regular first-class mail, or certified mail return receipt requested, addressed to Silicon or Borrower at the addresses
shown in the heading to this Agreement, or at any other address designated in writing by one party to the other party or by facsimile (if to Borrower at (847) 856-6207 attn: Chief Financial Officer, or if to Silicon to both (312) 704-1532 attn: Mr.
Anthony Clarkson and (408) 654-9589 attn: Ms. Sue Butler). Notices to Silicon shall be directed to the Commercial Finance Division, to the attention of the Division Manager or the Division Credit Manager. All notices shall be deemed to have been
given upon delivery in the case of notices personally delivered, or at the expiration of one Business Day following delivery to the private delivery service, or two Business Days following the deposit thereof in the United States mail, with postage
prepaid or on the date sent by confirmed facsimile, if sent before 5:00 p.m. Pacific time, or, if so sent after 5:00 p.m. Pacific time, on the next Business Day. 
  
 9.6 Severability. Should any provision of this Agreement be held by any court of competent jurisdiction to be
void or unenforceable, such defect shall not affect the remainder of this Agreement, which shall continue in full force and effect. 
  
 9.7 Integration. This Agreement and such other written agreements, documents and instruments as may be executed in connection herewith are
the final, entire and complete agreement between Borrower and Silicon and supersede all prior and contemporaneous negotiations and oral representations and agreements, all of which are merged and integrated in this Agreement. There are no oral
understandings, representations or agreements between the parties which are not set forth in this Agreement or in other written agreements signed by the parties in connection herewith. 
  
 9.8 Waivers; Indemnity. The failure of Silicon at any time or
times to require Borrower to strictly comply with any of the provisions of this Agreement or any other Loan Document shall not waive or diminish any right of Silicon later to demand and receive strict compliance therewith. Any waiver of any default
shall not waive or affect any other default, whether prior or subsequent, and whether or not similar. None of the provisions of this Agreement or any other Loan Document shall be deemed to have been waived by any act or knowledge of Silicon or its
agents or employees, but only by a specific written waiver signed by an authorized officer of Silicon and delivered to Borrower. Borrower waives the benefit of all statutes of 
  

 -12- 

 Silicon Valley BankLoan and Security Agreement 
  
 limitations relating to any of the Obligations or this Agreement or any other Loan Document,
and Borrower waives demand, protest, notice of protest and notice of default or dishonor, notice of payment and nonpayment, release, compromise, settlement, extension or renewal of any commercial paper, instrument, account, General Intangible,
document or guaranty at any time held by Silicon on which Borrower is or may in any way be liable, and notice of any action taken by Silicon, unless expressly required by this Agreement. Borrower hereby agrees to indemnify Silicon and its
affiliates, subsidiaries, parent, directors, officers, employees, agents, and attorneys, and to hold them harmless from and against any and all claims, debts, liabilities, demands, obligations, actions, causes of action, penalties, costs and
expenses (including reasonable attorneys’ fees), of every kind, which they may sustain or incur based upon or arising out of any of the Obligations, or any relationship or agreement between Silicon and Borrower, or any other matter, relating to
Borrower or the Obligations; provided that this indemnity shall not extend to damages proximately caused by any such Person’s own gross negligence or willful misconduct. Notwithstanding any provision in this Agreement to the contrary, the
indemnity agreement set forth in this Section shall survive any termination of this Agreement and shall for all purposes continue in full force and effect. 
  
 9.9 No Liability for Ordinary Negligence. Neither Silicon, nor any of its directors, officers, employees, agents, attorneys or any other
Person affiliated with or representing Silicon shall be liable for any claims, demands, losses or damages, of any kind whatsoever, made, claimed, incurred or suffered by Borrower or any other party through the ordinary negligence of Silicon, or any
of its directors, officers, employees, agents, attorneys or any other Person affiliated with or representing Silicon, but nothing herein shall relieve Silicon from liability for its own gross negligence or willful misconduct. 
  
 9.10 Amendment. The terms and provisions of this Agreement may
not be waived or amended, except in a writing executed by Borrower and a duly authorized officer of Silicon. 
  
 9.11 Time of Essence. Time is of the essence in the performance by Borrower of each and every obligation under this Agreement. 

 
 9.12 Attorneys’ Fees and Costs. Borrower shall
reimburse Silicon for all reasonable attorneys’ fees and all filing, recording, search, title insurance, appraisal, audit, and other reasonable costs incurred by Silicon, pursuant to, or in connection with, or relating to this Agreement
(whether or not a lawsuit is filed), including, but not limited to, any reasonable attorneys’ fees and costs Silicon incurs in order to do the following: prepare and negotiate this Agreement and all present and future documents relating to this
Agreement; obtain legal advice in connection with this Agreement or Borrower; enforce, or seek to enforce, any of its rights; prosecute actions against, or defend actions by, Account Debtors; commence, intervene in, or defend any action or
proceeding; initiate any complaint to be relieved of the automatic stay in bankruptcy; file or prosecute any probate claim, bankruptcy claim, third-party claim, or other claim; examine, audit, copy, and inspect any of the Collateral or any of
Borrower’s books and records; protect, obtain possession of, lease, dispose of, or otherwise enforce Silicon’s security interest in, the Collateral; and otherwise represent Silicon in any litigation relating to Borrower. In satisfying
Borrower’s obligation hereunder to reimburse Silicon for attorneys’ fees, Borrower may, for convenience, issue checks directly to Silicon’s attorneys, Levy, Small & Lallas, but Borrower acknowledges and agrees that Levy, Small
& Lallas is representing only Silicon and not Borrower in connection with this Agreement. If either Silicon or Borrower files any lawsuit against the other predicated on a breach of this Agreement, the prevailing party in such action shall be
entitled to recover its reasonable costs and attorneys’ fees, including (but not limited to) reasonable attorneys’ fees and costs incurred in the enforcement of, execution upon or defense of any order, decree, award or judgment. All
attorneys’ fees and costs to which Silicon may be entitled pursuant to this Paragraph shall immediately become part of Borrower’s Obligations, shall be due on demand, and shall bear interest at a rate equal to the highest interest rate
applicable to any of the Obligations. 
  
 9.13 Benefit of
Agreement. The provisions of this Agreement shall be binding upon and inure to the benefit of the respective successors, assigns, heirs, beneficiaries and representatives of Borrower and Silicon; provided, however, that Borrower may not
assign or transfer any of its rights under this Agreement without the prior written consent of Silicon, and any prohibited assignment shall be void. No consent by Silicon to any assignment shall release Borrower from its liability for the
Obligations. 
  
 9.14 Joint and Several Liability.
If Borrower consists of more than one Person, their liability shall be joint and several, and the compromise of any claim with, or the release of, any Borrower shall not constitute a compromise with, or a release of, any other Borrower. 

 
 9.15 Limitation of Actions. Any claim or cause of
action by Borrower against Silicon, its directors, officers, employees, agents, accountants or attorneys, based upon, arising from, or relating to this Loan Agreement, or any other Loan Document, or any other transaction contemplated hereby or
thereby or relating hereto or thereto, or any other matter, cause or thing whatsoever, occurred, done, omitted or suffered to be done by Silicon, its directors, officers, employees, agents, accountants or attorneys, shall be barred unless asserted
by Borrower by the commencement of an action or proceeding in a court of competent jurisdiction by the filing of a complaint within two years after the first date Borrower knew (or in the exercise of reasonable diligence should have known) of such
claim or cause of action and the service of a summons and complaint on an officer of Silicon, or on any other person authorized to accept service on behalf of Silicon, within thirty (30) days thereafter. 
  

 -13- 

 Silicon Valley BankLoan and Security Agreement 
  
 Borrower agrees that such two-year period is a reasonable and sufficient time for Borrower to
investigate and act upon any such claim or cause of action. The two-year period provided herein shall not be waived, tolled, or extended except by the written consent of Silicon in its sole discretion. This provision shall survive any termination of
this Loan Agreement or any other Loan Document. 
  
 9.16
Paragraph Headings; Construction. Paragraph headings are only used in this Agreement for convenience. Borrower and Silicon acknowledge that the headings may not describe completely the subject matter of the applicable paragraph, and the
headings shall not be used in any manner to construe, limit, define or interpret any term or provision of this Agreement. This Agreement has been fully reviewed and negotiated between the parties and no uncertainty or ambiguity in any term or
provision of this Agreement shall be construed strictly against Silicon or Borrower under any rule of construction or otherwise. 
  
 9.17 Governing Law; Jurisdiction; Venue. This Agreement and all acts and transactions hereunder and all rights and obligations of Silicon
and Borrower shall be governed by the laws of the State of California. As a material part of the consideration to Silicon to enter into this Agreement, Borrower (i) agrees that all actions and proceedings relating directly or indirectly to this
Agreement shall, at Silicon’s option, be litigated in courts located within California, and that the exclusive venue therefor shall be Santa Clara County; (ii) consents to the jurisdiction and venue of any such court and consents to service of
process in any such action or proceeding by personal delivery or any other method permitted by law; and (iii) waives any and all rights Borrower may have to object to the jurisdiction of any such court, or to transfer or change the venue of any such
action or proceeding. 
  
 9.18 Mutual Waiver of Jury
Trial. BORROWER AND SILICON EACH HEREBY WAIVE THE RIGHT TO TRIAL BY JURY IN ANY ACTION OR PROCEEDING BASED UPON, ARISING OUT OF, OR IN ANY WAY RELATING TO, THIS AGREEMENT OR ANY OTHER PRESENT OR FUTURE INSTRUMENT OR AGREEMENT BETWEEN
SILICON AND BORROWER, OR ANY CONDUCT, ACTS OR OMISSIONS OF SILICON OR BORROWER OR ANY OF THEIR DIRECTORS, OFFICERS, EMPLOYEES, AGENTS, ATTORNEYS OR ANY OTHER PERSONS AFFILIATED WITH SILICON OR BORROWER, IN ALL OF THE FOREGOING CASES, WHETHER
SOUNDING IN CONTRACT OR TORT OR OTHERWISE. 
  

							
	Borrower:	 	Silicon:
		
	    ESSENTIAL GROUP, INC.	 	SILICON VALLEY BANK
				
	    By	 	 /s/ Essential Group, Inc.

	 	By:	 	 /s/ Silicon Valley Bank

	 	 	President or Vice President	 	Title	 	  

				
	    By	 	  

	 	 	 	 
	 	 	Secretary or Ass’t Secretary	 	 	 	 
			
	Borrower:	 	 	 	 
			
	    AMERICASDOCTOR.COM COORDINATOR SERVICES, INC.	 	 	 	 
				
	    By	 	 /s/ AmericasDoctor.com Coordinator Services, Inc.

	 	 	 	 
	 	 	President or Vice President	 	 	 	 
				
	    By	 	  

	 	 	 	 
	 	 	Secretary or Ass’t Secretary	 	 	 	 

  
 Form: -3 (3/7/02) 
 Version -5 
  

 -14- 

 Silicon Valley Bank 
  
 Schedule to 
  
 Loan and Security Agreement 
  

			
	Borrower:	 	Essential Group, Inc.
	 	 	AmericasDoctor.com Coordinator Services, Inc.
		
	Address:	 	1325 Tri-State Parkway, Suite 300
	 	 	Gurnee, IL 60031
		
	Date:	 	September 27, 2004

  
 This Schedule forms an integral part
of the Loan and Security Agreement between Silicon Valley Bank and the above-borrower of even date. 
  

			
	1. CREDIT LIMIT	  	 
	     (Section 1.1):
	  	An amount not to exceed the lesser of: (i) $6,000,000 at any one time outstanding (the “Maximum Credit Limit”), or (ii) 80% (an “Advance Rate”) of the amount of
Borrower’s Eligible Accounts (as defined in Section 8 above).
	 	  	Notwithstanding the foregoing, until January 1, 2005, Borrower agrees that the Obligations shall not at any time exceed $2,500,000.
	 	  	Silicon may, from time to time, modify the Advance Rates, in its good faith business judgment, upon notice to the Borrower, based on changes in collection experience with respect to Accounts
or other changes in circumstances with respect to the Accounts or other Collateral.
	 	  	Loans will be made to each Borrower based on the Eligible Accounts of each Borrower, subject to the Maximum Credit Limit set forth above for all Loans to all Borrowers
combined.
	2. INTEREST.	  	 
	 Interest Rate (Section 1.2):
	  	  
  
 A rate equal to the “Prime Rate” in effect from time to time, plus 1.0% per annum, provided that the interest rate in effect on any day shall not be less than 5.5% per annum. Interest shall be calculated on the basis of a 360-day
year for the actual number of days elapsed. As used in this Agreement, “Prime Rate” means the interest rate announced from time to time by Silicon as its “prime rate” (which is a base rate upon which other rates charged by
Silicon are based, and it is not necessarily the best rate available at Silicon). The interest rate applicable to the Obligations shall change on each date there is a change in the Prime Rate.

	 Minimum Monthly
 Interest (Section 1.2):
	  	$3,500 per month.

			
	 3. FEES (Section 1.4):
	  	 
		
	 Loan Fee:
	  	(i) $35,000, payable concurrently herewith and (ii) $30,000 payable on the first anniversary of the date of this Agreement.
		
	 Collateral Monitoring
	  	 
	 Fee:
	  	$1,500, per month, payable in arrears (prorated for any partial month at the beginning and at termination of this Agreement).
		
	4. MATURITY DATE	  	 
	     (Section 6.1):
	  	Two years from the date of this Agreement.
		
	5. FINANCIAL COVENANTS	  	 
	     (Section 5.1):
	  	Borrower shall, on a consolidated basis, comply with each of the following covenants. Compliance shall be determined as of the end of each month, except as otherwise specifically provided
below:
	 Adjusted
	  	 
	 Quick Ratio:
	  	Borrower shall maintain an Adjusted Quick Ratio of not less than 0.75 to 1.0.
		
	 Minimum Tangible
	  	 
	 Net Worth:
	  	Borrower shall maintain a Tangible Net Worth of not less than the following:
	 	  	For the month ending June 30, 2004: <$2,500,000>;
	 	  	For each of the months ending July 31, 2004, August 31, 2004 and September 30, 2004: <$3,500,000>;
	 	  	For each of the months ending October 31, 2004, November 30, 2004 and December 31, 2004: <$4,250,000>; and
	 	  	For each month ending thereafter: <$5,500,000>.
		
	 Definitions:
	  	For purposes of the foregoing financial covenants, the following terms shall have the following meaning:
	 	  	“< >“ shall mean a negative figure or loss, as applicable.
	 	  	“Adjusted Quick Ratio” shall mean, on any given date, the ratio of (i) Borrower’s Quick Assets to (ii) Borrower’s current liabilities (including the then outstanding
principal balance of the Loans) less the current portion of Borrower’s deferred revenues.
	 	  	“Current assets”, “current liabilities” and “liabilities” shall have the meaning ascribed thereto by GAAP.
	 	  	“Quick Assets” shall mean, on any given date, the Borrower’s unrestricted cash, cash equivalents and net billed accounts receivable.

					
	 	  	 	 	“Tangible Net Worth” shall mean the excess of total assets less total liabilities, determined in accordance with GAAP, with the following adjustments:
			
	 	  	 	 	 (A) there shall be excluded from assets: (i) notes, accounts receivable and other obligations owing to Borrower from its officers or other Affiliates, and (ii)
all assets which would be classified as intangible assets under GAAP, including without limitation goodwill, licenses, patents, trademarks, trade names, copyrights, capitalized software and organizational costs, licenses and franchises, and (iii)
minority investments in other Persons.

	 	  	 	 	 (B) there shall be excluded from liabilities: all indebtedness which is subordinated to the Obligations under a subordination agreement in form specified by
Silicon, with such changes thereto as are acceptable to Silicon, or by language in the instrument evidencing the indebtedness which Silicon agrees in writing is acceptable to Silicon in its good faith business judgment.

	 6. REPORTING.
	  	 	 	 
	     (Section 5.3):
	  	 	 	 
	 	  	 	 	Borrower shall provide Silicon with the following:
			
	 	  	 1.      
	 	Transaction reports and schedules of collections, each week and at the time of each Loan request, on Silicon’s standard form
			
	 	  	 2.      
	 	Monthly accounts receivable agings, aged by invoice date, within fifteen days after the end of each month.
			
	 	  	 3.      
	 	Monthly accounts payable agings, aged by invoice date, and outstanding or held check registers, if any, within fifteen days after the end of each month.
			
	 	  	 4.      
	 	Monthly reconciliations of accounts receivable agings (aged by invoice date), transaction reports, and general ledger, within fifteen days after the end of each month.
			
	 	  	 5.      
	 	Monthly schedule listing, by Account Debtor, Borrower’s deferred revenue accounts, within fifteen days after the end of each month.
			
	 	  	 6.      
	 	Monthly unaudited financial statements, as soon as available, and in any event within thirty days after the end of each month.
			
	 	  	 7.      
	 	Monthly Compliance Certificates, within thirty days after the end of each month, in such form as Silicon shall reasonably specify, signed by the Chief Financial Officer of Borrower,
certifying that as of the end of such month Borrower was in full compliance with all of the terms and conditions of this Agreement, and setting forth calculations showing compliance with the financial covenants set forth in this Agreement and such
other information as Silicon shall reasonably request, including, without limitation, a statement that at the end of such month there were no held checks or describing any such held checks.

							
	 	  	 8.      
	 	Quarterly unaudited financial statements, as soon as available, and in any event within forty-five days after the end of each fiscal quarter of Borrower.
			
	 	  	 9.      
	 	Annual operating budgets (including income statements, balance sheets and cash flow statements, by month) for the upcoming fiscal year of Borrower within thirty days after the end of
each fiscal year of Borrower.
			
	 	  	 10.    
	 	Annual financial statements, as soon as available, and in any event within 120 days following the end of Borrower’s fiscal year, certified by, and with an unqualified opinion
of, independent certified public accountants acceptable to Silicon in its good faith business judgment.
			
	 	  	 11.    
	 	Monthly Deferred Revenue Reports, within fifteen days after the end of each month, in form acceptable to Silicon.
			
	7. BORROWER INFORMATION:	  	 	 	 
			
	 	  	 	 	Borrower represents and warrants that the information set forth in the Representations and Warranties of the Borrower dated August 26, 2004, previously submitted to Silicon (the
“Representations”) is true and correct as of the date hereof.
				
	8. ADDITIONAL PROVISIONS	  	 	 	 	 	 
	 	  	 	 	(1)	 	Banking Relationship. Borrower shall, as of the forty-fifth (45th) day from the date of this Agreement and at all times thereafter maintain its primary banking relationship with Silicon. Without limiting the generality of the foregoing, Borrower shall within forty-five (45) days of the date of
this Agreement, and at all times thereafter, maintain not less than 90% of its total cash and investments on deposit with Silicon. As to any Deposit Accounts and investment accounts maintained with another institution, Borrower shall cause such
institution, within 60 days after the date of this Agreement, to enter into a control agreement in form acceptable to Silicon in its good faith business judgment in order to perfect Silicon’s first-priority security interest in said Deposit
Accounts and investment accounts.
				
	 	  	 	 	(2)	 	Subordination of Inside Debt. All present and future indebtedness for borrowed money of Borrower to its officers, directors and shareholders (“Inside Debt”) shall, at all times,
be subordinated to the Obligations pursuant to a subordination agreement on Silicon’s standard form, with such changes thereto as are acceptable to Silicon. Borrower represents and warrants

							
	 	 	 	 	 	 	that there is no Inside Debt presently outstanding, except for the following: None. Prior to incurring any Inside Debt in the future, Borrower shall cause the person to whom such Inside Debt
will be owed to execute and deliver to Silicon a subordination agreement on Silicon’s standard form, with such changes thereto as are acceptable to Silicon. For purposes of this Agreement, Inside Debt shall not include reimbursement of or
advances for out of pocket expenses in the ordinary course of business.

  

							
	 Borrower:
	 	 Silicon:

		
	     ESSENTIAL GROUP, INC.
	 	 SILICON VALLEY BANK

				
	     By
	 	 /s/ Essential Group, Inc.

	 	 By:
	 	 /s/ Silicon Valley Bank

	 	 	 President or Vice President
	 	 Title
	 	  

				
	     By
	 	  

	 	 	 	 
	 	 	 Secretary or Ass’t Secretary
	 	 	 	 
			
	 Borrower:
	 	 	 	 
			
	     AMERICASDOCTOR.COM COORDINATOR SERVICES, INC.
	 	 	 	 
				
	     By
	 	 /s/ AmericasDoctor.com Coordinator Services, Inc.

	 	 	 	 
	 	 	 President or Vice President
	 	 	 	 
				
	     By
	 	  

	 	 	 	 
	 	 	 Secretary or Ass’t Secretary
	 	 	 	 

  
 Form: -3 (3/7/02) 
 Version -5Amendment No. 1 to Loan Documents

 Exhibit 10.2 
  
 Silicon Valley Bank 
  
 Amendment to Loan Documents 
  

			
	 Borrower:
	 	 Essential Group, Inc.
 AmericasDoctor.com
Coordinator Services, Inc.

	 Date:
	 	September 27, 2004

  
 THIS AMENDMENT TO
LOAN DOCUMENTS is entered into between Silicon Valley Bank (“Silicon”) and the borrower named above (“Borrower”). 
  
 The Parties agree to amend the Loan and Security Agreement between them, dated September 27, 2004 (as otherwise amended, if at all, the “Loan
Agreement”), as follows, effective as of the date hereof. (Capitalized terms used but not defined in this Amendment shall have the meanings set forth in the Loan Agreement.) 
  
 1. Modified Minimum Tangible Net Worth Financial Covenant. The Minimum Tangible Net Worth Financial Covenant set
forth in Section 5 of the Schedule to Loan and Security Agreement is hereby modified to read as follows: 
  

			
	 Minimum Tangible
	 	 
	 Net Worth:
	 	Borrower shall maintain a Tangible Net Worth of not less than the following:
	 	 	For the month ending June 30, 2004: <$2,500,000>;
	 	 	For each of the months ending July 31, 2004, August 31, 2004 and September 30, 2004: <$3,250,000>;
	 	 	For each of the months ending October 31, 2004, November 30, 2004 and December 31, 2004: <$4,250,000>; and
	 	 	For each month ending thereafter: <$5,500,000>.

  
 2. Representations
True. Borrower represents and warrants to Silicon that all representations and warranties set forth in the Loan Agreement, as amended hereby, are true and correct (except to the extent that such representations and warranties specifically refer
to an earlier date, in which case they shall be true and correct as of such earlier date). 
  
 3. General Provisions. This Amendment, the Loan Agreement, any prior written amendments to the Loan Agreement signed by Silicon and Borrower, and the other written documents and agreements between Silicon and
Borrower set forth in full all of the representations and agreements of the parties with respect to the subject matter hereof and supersede all prior discussions, representations, agreements and understandings between the parties with respect to the
subject hereof. Except as herein expressly amended, all of the terms and provisions of the Loan Agreement, and all other documents and agreements between Silicon and Borrower shall continue in full force and effect and the same are hereby ratified
and confirmed. 
  

 - 1- 

 Silicon Valley Bank Amendment to Loan Agreement 
  

							
	 Borrower:
	 	 Silicon:

		
	 ESSENTIAL GROUP, INC.
	 	 SILICON VALLEY BANK

				
	 By
	 	 /s/ Essential Group, Inc.

	 	 By
	 	 /s/ Silicon Valley Bank

	 	 	 President or Vice President
	 	 Title
	 	  

				
	 By
	 	  

	 	 	 	 
	 	 	 Secretary or Ass’t Secretary
	 	 	 	 

			
	 Borrower:

	
	 AMERICASDOCTOR.COM COORDINATOR
 SERVICES, INC.

		
	 By
	 	 /s/AmericasDoctor.com Coordinator Services, Inc.

	 	 	 President or Vice President

		
	 By
	 	  

	 	 	 Secretary or Ass’t Secretary

  

 -2-

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