Document:

Exhibit 10.1

Exhibit 10.1

Fifth Third Bank

Amended and Restated Revolving Note

			
	OFFICER No. 04009
	 	NOTE No. 0902074749-00026
	$2,750,000.00
	 	October 21, 2009
	 
	 	(Effective Date)

1. PROMISE TO PAY. On or before October 1, 2011 (the “Maturity Date”), the
undersigned, Streamline Health, Inc., an Ohio corporation located at 10200 Alliance Road Suite 200,
Cincinnati, Hamilton County, Ohio 45242 (“Borrower”) for value received, hereby promises to pay to
the order of Fifth Third Bank, an Ohio banking corporation located at 38 Fountain Square Plaza,
Cincinnati, Hamilton County, Ohio 45263 for itself and as agent for any affiliate of Fifth Third
Bancorp (together with its successors and assigns, the “Lender”) the sum of Two Million Seven
Hundred Fifty Thousand and 00/100 Dollars ($2,750,000.00) (the “Borrowing”), plus interest as
provided herein, less such amounts as shall have been repaid in accordance with this Amended and
Restated Revolving Note (this “Note”). The outstanding balance of this Note shall appear on a
supplemental bank record and is not necessarily the face amount of this Note, which record shall
evidence the balance due pursuant to this Note at any time.

Principal and interest payments shall be initiated by Lender in accordance with the terms of this
Note from Borrower’s account through BillPayer 2000®. Borrower hereby authorizes Lender to
initiate such payments from Borrower’s account located at Fifth Third Bank, routing number
042000314 account number 7*******. Borrower acknowledges and agrees that use of BillPayer 2000®
shall be governed by the BillPayer 2000® Terms and Conditions, a copy of which Borrower
acknowledges receipt. Borrower further acknowledges and agrees to maintain payments hereunder
through BillPayer 2000® throughout the term of this Note. Each payment hereunder shall be applied
in the following order: accrued interest, principal, fees, charges and advanced costs.

Subject to the terms and conditions hereof and in reliance upon the representations and warranties
of Borrower herein, Lender hereby extends to Borrower a line of credit facility pursuant to which
Lender, in its reasonable discretion, may make loans hereunder to Borrower, on a revolving basis
and upon Borrower’s request from time to time during the term of this Note (each, a “Revolving
Loan”), provided that: (a) the aggregate principal amount borrowed hereunder at any time shall not
exceed the lesser of (i) the Borrowing, or (ii) the Borrowing Base (as defined below) and (b) no
Event of Default shall exist or be caused thereby. Lender may create and maintain reserves from
time to time based on such credit and collateral considerations as Lender may deem appropriate.
Borrower may borrow, prepay, in whole or in part, and reborrow hereunder; provided that, in the
event that the principal amount of all Revolving Loans outstanding at any one time under this Note
shall exceed the foregoing limits, Borrower shall immediately repay the amount of such excess to
Lender in cash. In the event Borrower fails to pay such excess, Lender may, in its discretion,
setoff such amount against Borrower’s accounts at Lender.

 

 

 

Borrower may request a Revolving Loan by written notice to Lender, via facsimile transmission,
electronic mail or otherwise, no later than 10:00 a.m. local time on the date Borrower shall
request that such Revolving Loan be advanced, which written request shall include a Borrowing Base
Certificate certified by the Borrower or financial officer of Borrower that sets forth the
calculation of the Borrowing Base as of such date if requested or required by Lender. Lender shall
make each Revolving Loan by crediting the amount thereof to Borrower’s account at Lender.

The entire principal balance, together with all accrued and unpaid interest and any other charges,
advances and fees, if any, outstanding hereunder, and all other Obligations which are then due and
payable, shall be due and payable in full on the earlier of the Maturity Date or upon acceleration
of the Note.

The principal balance outstanding hereunder, shall bear interest from the date of the first advance
until paid at an annual floating rate of interest equal to the Adjusted LIBOR Rate (as defined
below) in effect from time to time plus three and one-quarter percent (3.25%).

Borrower will pay to Lender any loss, cost or expense incurred in connection with (a) the failure
of any Revolving Loan to be made as requested by Borrower and (b) the pre-payment or re-payment of
any Revolving Loan at any time other than on the 1st day of any month or on the Maturity Date.

If, because of the introduction of or any change in, or because of any judicial, administrative, or
other governmental interpretation of, any law or regulation, there shall be any increase in the
cost to Lender of making, funding, maintaining, or allocating capital to any advance bearing
interest at the Adjusted LIBOR Rate, including a change in Reserve Percentage (as defined below),
then Borrower shall, from time to time upon demand by Lender, pay to Lender additional amounts
sufficient to compensate Lender for such increased cost.

If Lender determines (which determination shall be conclusive and binding upon Borrower, absent
manifest error) (i) that dollar deposits are not generally available at such time in the London
Interbank Market for deposits in dollars, (ii) that the rate at which such deposits are being
offered will not adequately and fairly reflect the cost to Lender of maintaining an Adjusted LIBOR
Rate for the Revolving Loan due to circumstances affecting the London Interbank Market generally,
(iii) that reasonable means do not exist for ascertaining an Adjusted LIBOR Rate, (iv) that an
Adjusted LIBOR Rate would be in excess of the maximum interest rate which Borrower may by law pay
or (v) if a default or Event of Default shall occur and be continuing, then, in any such event,
Lender shall so notify Borrower and all portions of the advances bearing interest at an Adjusted
LIBOR Rate that are so affected shall, as of the date of such notification, bear interest at the
Base Rate until such time as the situations described herein are no longer in effect.

If, because of the introduction of or any change in, or because of any judicial, administrative, or
other governmental interpretation of, any law or regulation, it becomes unlawful for Lender to
make, fund, or maintain any advance at the Adjusted LIBOR Rate, then (a) Lender shall notify
Borrower that Lender is no longer able to maintain the interest rate at an Adjusted LIBOR Rate and
(b) the interest rate for the Revolving Loan shall automatically be converted to the Base
Rate. Thereafter, the Revolving Loan shall bear interest at the Base Rate until such time as the
situation described herein is no longer in effect.

 

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The interest rate charged hereunder with respect to any Revolving Loan bearing interest at the Base
Rate will change automatically upon each change in the Prime Rate.

Accrued and unpaid interest will be due and payable monthly during the term hereof. Interest will
be calculated based on a 360-day year and charged for the actual number of days elapsed. Any
amount not paid when due, whether by acceleration or otherwise, will bear interest (computed and
adjusted in the same manner, and with the same effect, as interest hereon prior to maturity)
payable on demand, at a rate per annum equal to the Default Rate (as defined below), until paid,
and whether before or after the entry of judgment hereon.

Accrued and unpaid interest shall be due and payable monthly commencing November 1, 2009 and
continuing on the first (1st) day of each calendar month thereafter during the term
hereof. Accrued and unpaid interest on the Prior Note shall be due and payable monthly on November
1, 2009.

Notwithstanding any provision to the contrary in this Note, in no event shall the interest rate
charged on the Borrowing exceed the maximum rate of interest permitted under applicable state
and/or federal usury law. Any payment of interest that would be deemed unlawful under applicable
law for any reason shall be deemed received on account of, and will automatically be applied to
reduce, the principal sum outstanding and any other sums (other than interest) due and payable to
Lender under this Note, and the provisions hereof shall be deemed amended to provide for the
highest rate of interest permitted under applicable law.

2. USE OF PROCEEDS. Borrower certifies that the proceeds of this loan are to be used
for working capital and business purposes.

3. SECURITY AGREEMENT. To secure repayment of this Revolving Note and all other
Obligations together with all modifications, extensions and renewals thereof, Borrower and Lender
have entered into a Security Agreement as of the date hereof. The rights of Lender in and to the
Collateral are set forth in the Security Agreement.

4. RENEWAL. This Note is issued, not as a payment toward, but as a continuation of,
the obligations of Borrower to Lender pursuant to that certain note dated January 6, 2009, in the
principal amount of $2,000,000.00 (together with all prior amendments thereto or restatements
thereof the “Prior Note”). Accordingly, this Note shall not be construed as a novation or
extinguishment of, the obligations arising under the Prior Note, and its issuance shall not affect
the priority of any security interest granted in connection with the Prior Note.

5. UNUSED COMMITMENT FEE. Borrower shall pay the following fees at the times stated
below:

On the 30th day of each May, August, November, and February of each year that Obligations (defined
herein) remain outstanding, an unused commitment fee, to be determined as follows: the average
daily amount of the Borrowing unused by Borrower for the previous three-month period
as measured on each April 30, July 31, October 31, and January 31, multiplied by 0.0060 (60 basis
points).

 

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6. NOTE PROCESSING FEE. Borrower shall pay on the above Effective Date a fully earned
non-refundable commitment fee in the amount of $5,000.00.

7. REPRESENTATIONS AND WARRANTIES. Borrower hereby warrants and represents to Lender
the following:

(a) Organization and Qualification. Borrower is duly organized, validly
existing and in good standing under the laws of the State of its incorporation, has the
power and authority to carry on its business and to enter into and perform all documents
relating to this loan transaction, and is qualified and licensed to do business in each
jurisdiction in which such qualification or licensing is required. All information provided
to Lender with respect to Borrower and its operations is true and correct.

(b) Due Authorization. The execution, delivery and performance by Borrower of
the Loan Documents have been duly authorized by all necessary corporate action, and shall
not contravene any law or any governmental rule or order binding on Borrower, or the
articles of incorporation and code of regulations or by-laws of Borrower, nor violate any
agreement or instrument by which Borrower is bound nor result in the creation of a Lien on
any assets of Borrower except the Lien granted to Lender herein. Borrower has duly executed
and delivered to Lender the Loan Documents and they are valid and binding obligations of
Borrower enforceable according to their respective terms, except as limited by equitable
principles and by bankruptcy, insolvency or similar laws affecting the rights of creditors
generally. No notice to, or consent by, any governmental body is needed in connection with
this transaction.

(c) Litigation. There are no suits or proceedings pending or threatened
against or affecting Borrower, and no proceedings before any governmental body are pending
or threatened against Borrower except as otherwise specifically disclosed to Lender on or
prior to the Effective Date or as set forth on any Litigation Exhibit which may be attached
hereto.

(d) Business. Borrower is not a party to or subject to any agreement or
restriction that may have a material adverse effect on Borrower’s business, properties or
prospects. Borrower has all franchises, authorizations, patents, trademarks, copyrights and
other rights necessary to advantageously conduct its business. They are all in full force
and effect and are not in known conflict with the rights of others.

(e) Licenses, etc. Borrower has obtained any and all licenses, permits,
franchises, governmental authorizations, patents, trademarks, copyrights or other rights
necessary for the ownership of its properties and the advantageous conduct of its business.
Borrower possesses adequate licenses, patents, patent applications, copyrights, trademarks,
trademark applications, and trade names to continue to conduct its business as heretofore
conducted by it, without any conflict with the rights of any other person or
entity. All of the foregoing are in full force and effect and none of the foregoing
are in known conflict with the rights of others.

 

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(f) Laws. Borrower is in material compliance with all laws, regulations,
rulings, orders, injunctions, decrees, conditions or other requirements applicable to or
imposed upon Borrower by any law or by any governmental authority, court or agency.

(g) Title. Borrower has good and marketable title to the assets reflected on
the most recent balance sheet submitted to Lender, free and clear from all liens and
encumbrances of any kind, except for (collectively, the “Permitted Liens”) (a) current taxes
and assessments not yet due and payable, (b) liens and encumbrances, if any, reflected or
noted on such balance sheet or notes thereto, (c) assets disposed of in the ordinary course
of business, and (d) any security interests, pledges, assignments or mortgages granted to
Lender to secure the repayment or performance of the Obligations.

(h) Subsidiaries and Partnerships. Borrower has no subsidiaries and is not a
party to any partnership agreement or joint venture agreement.

8. AFFIRMATIVE COVENANTS. Borrower covenants with, and represents and warrants to,
Lender that, from and after the execution date of the Loan Documents until the Obligations are paid
and satisfied in full:

(a) Access to Business Information. Borrower shall maintain proper books of
accounts and records and enter therein complete and accurate entries and records of all of
its transactions in accordance with generally accepted accounting principles and give
representatives of Lender access thereto at all reasonable times, including permission to:
(a) examine, copy and make abstracts from any such books and records and such other
information which might be helpful to Lender in evaluating the status of the Obligations as
it may reasonably request from time to time, and (b) communicate directly with any of
Borrower’s officers, employees, agents, accountants or other financial advisors with respect
to the business, financial conditions and other affairs of the Borrower.

(b) Inspection of Collateral. Borrower shall give Lender reasonable access to
the Collateral and the other property securing the Obligations for the purpose of performing
examinations thereof and to verify its condition or existence.

(c) Financial Statements. Borrower shall maintain a standard and modern system
for accounting and shall furnish to Lender.

(i) Immediately upon any officer of Borrower obtaining knowledge of any
condition or event which constitutes or, after notice or lapse of time or both,
would constitute an Event of Default, a certificate of such person specifying the
nature and period of the existence thereof, and what action Borrower has taken or is
taking or proposes to take in respect thereof; and

(ii) Within 20 days after the end of each month, Borrower shall deliver to
Lender an accounts receivable aging report and a Borrowing Base Certificate in form
and substance reasonably acceptable to Lender.

 

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All of the statements referred to in (ii) above shall be in conformance with generally
accepted accounting principles and give representatives of Lender access thereto at all
reasonable times, including permission to examine, copy and make abstracts from any such
books and records and such other information which might be helpful to Lender in evaluating
the status of the loans as it may reasonably request from time to time.

With all financial statements delivered to Lender as provided in (ii) above, Borrower shall
deliver to Lender a Financial Statement Compliance Certificate in addition to the other
information set forth therein, which certifies the Borrower’s compliance with the covenants
set forth herein and that no Event of Default has occurred.

If at any time Borrower has any additional subsidiaries which have financial statements that
could be consolidated with those of Borrower under generally accepted accounting principles,
the financial statements required by subsection (ii) above shall be the financial statements
of Borrower and all such subsidiaries prepared on a consolidated and consolidating basis.

(d) Condition and Repair. Borrower shall maintain its equipment and all
Collateral used in the operation of its business in good repair and working order and shall
make all appropriate repairs, improvements and replacements thereof so that the business
carried on in connection therewith may be properly and advantageously conducted at all
times.

(e) Insurance. At its own cost, Borrower shall obtain and maintain insurance
against (a) loss, destruction or damage to its properties and business of the kinds and in
the amounts customarily insured against by corporations with established reputations engaged
in the same or similar business as Borrower and, in any event, sufficient to fully protect
Lender’s interest in the Collateral, and (b) insurance against public liability and third
party property damage of the kinds and in the amounts customarily insured against by
corporations with established reputations engaged in the same or similar business as
Borrower. All such policies shall (i) be issued by financially sound and reputable
insurers, (ii) name Lender as an additional insured and, where applicable, as loss payee
under a Lender loss payable endorsement satisfactory to Lender, and (iii) shall provide for
thirty (30) days written notice to Lender before such policy is altered or canceled. All of
the insurance policies required hereby shall be evidenced by one or more Certificates of
Insurance delivered to Lender by Borrower on the Closing Date and at such other times as
Lender may request from time to time.

(f) Taxes. Borrower shall pay when due all taxes, assessments and other
governmental charges imposed upon it or its assets, franchises, business, income or profits
before any penalty or interest accrues thereon (provided, however, that extensions for
filing and payment of such taxes shall be permitted hereunder if disclosed to and consented
to by Lender), and all claims (including, without limitation, claims for labor, services,
materials and supplies) for sums which by law might be a lien or charge upon any of its
assets, provided that (unless any material item or property would be lost, forfeited or
materially damaged as a result thereof) no such charge or claim need be paid if it is being
diligently contested in good faith, if Lender is notified in advance of such
contest and if Borrower establishes an adequate reserve or other appropriate provision
required by generally accepted accounting principles and deposits with Lender cash or bond
in an amount acceptable to Lender.

 

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(g) Existence; Business. Borrower shall (a) maintain its existence as a
corporation, (b) continue to engage primarily in business of the same general character as
that now conducted, and (c) refrain from entering into any lines of business substantially
different from the business or activities in which Borrower is presently engaged.

(h) Compliance with Laws. Borrower shall comply with all federal, state and
local laws, regulations and orders applicable to Borrower or its assets including but not
limited to all Environmental Laws, in all respects material to Borrower’s business, assets
or prospects and shall immediately notify Lender of any violation of any rule, regulation,
statute, ordinance, order or law relating to the public health or the environment and of any
complaint or notifications received by Borrower regarding to any environmental or safety and
health rule, regulation, statute, ordinance or law. Borrower shall obtain and maintain any
and all licenses, permits, franchises, governmental authorizations, patents, trademarks,
copyrights or other rights necessary for the ownership of its properties and the
advantageous conduct of its business and as may be required from time to time by applicable
law.

(i) Notice of Default. Borrower shall, within ten (10) days of its knowledge
thereof, give written notice to Lender of: (a) the occurrence of any event or the existence
of any condition which would be, after notice or lapse of applicable grace periods, an Event
of Default, and (b) the occurrence of any event or the existence of any condition which
would prohibit or limit the ability of Borrower to reaffirm any of the representations or
warranties, or to perform any of the covenants, set forth herein.

(j) Costs. Borrower shall reimburse Lender for any and all fees, costs and
expenses including, without limitation, reasonable attorneys’ fees, other professionals’
fees, appraisal fees, environmental assessment fees (including Phase I and Phase II
assessments), field exam audits, expert fees, court costs, litigation and other expenses
(collectively, the “Costs”) incurred or paid by Lender or any of its officers, employees or
agents in connection with: (a) the preparation, negotiation, procurement, review,
administration or enforcement of the Loan Documents or any instrument, agreement, document,
policy, consent, waiver, subordination, release of lien, termination statement, satisfaction
of mortgage, financing statement or other lien search, recording or filing related thereto
(or any amendment, modification or extension to, or any replacement or substitution for, any
of the foregoing), whether or not any particular portion of the transactions contemplated
during such negotiations is ultimately consummated, and (b) the defense, preservation and
protection of Lender’s rights and remedies thereunder, including without limitation, its
security interest in the Collateral or any other property pledged to secure the Loans,
whether incurred in bankruptcy, insolvency, foreclosure or other litigation or proceedings
or otherwise. The Costs shall be due and payable upon demand by Lender. If Borrower fails
to pay the Costs when upon such demand, Lender is entitled to disburse such sums as
Obligations. Thereafter, the Costs shall bear interest from the date incurred or disbursed
at the highest rate set forth in the Note(s). This
provision shall survive the termination of this Agreement and/or the repayment of any
amounts due or the performance of any Obligation.

 

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(k) Other Amounts Deemed Loans. If Borrower fails to pay any tax, assessment,
governmental charge or levy or to maintain insurance within the time permitted or required
by this Note, or to discharge any Lien prohibited hereby, or to comply with any other
Obligation, Lender may, but shall not be obligated to, pay, satisfy, discharge or bond the
same for the account of Borrower. To the extent permitted by law and at the option of
Lender, all monies so paid by Lender on behalf of Borrower shall be deemed Obligations and
Borrower’s payments under this Note may be increased to provide for payment of such
Obligations plus interest thereon.

(l) Further Assurances. Borrower shall execute, acknowledge and deliver, or
cause to be executed, acknowledged or delivered, any and all such further assurances and
other agreements or instruments, and take or cause to be taken all such other action, as
shall be reasonably necessary from time to time to give full effect to the Loan Documents
and the transactions contemplated thereby.

9. NEGATIVE COVENANTS. Borrower covenants with, and represents and warrants to,
Lender that, from and after the execution date hereof until the Obligations are paid and satisfied
in full:

(a) Indebtedness. Borrower shall not incur, create, assume or permit to exist
any additional Indebtedness for borrowed money (other than the Obligations) or Indebtedness
on account of deposits, notes, bonds, debentures or similar obligations or other
indebtedness evidenced by notes, bonds, debentures, capitalized leases or similar
obligations.

(b) Merger; Disposition of Assets. Borrower shall not (a) change its capital
structure, (b) merge or consolidate with any entity, (c) amend or change its articles of
incorporation and code of regulations or by-laws or (d) sell, lease, transfer or otherwise
dispose of, or grant any person an option to acquire, or sell and leaseback, all or any
substantial portion of its assets, whether now owned or hereafter acquired, except for bona
fide sales of Inventory in the ordinary course of business and dispositions of property
which is obsolete and not used or useful in its business.

10. DEFINITIONS. Certain capitalized terms have the meanings set forth on any exhibit
hereto, in the Security Agreement, if applicable, or any other Loan Document. All financial terms
used herein but not defined on the exhibits, in the Security Agreement, if applicable, or any other
Loan Document have the meanings given to them by generally accepted accounting principles. All
other undefined terms have the meanings given to them in the Uniform Commercial Code as adopted in
the state whose law governs this instrument. The following definitions are used herein:

(a) “Account Debtor” means Borrower’s customers and all other persons obligated to
Borrower on Accounts.

 

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(b) “Adjusted LIBOR Rate” means an interest rate per annum equal to the rate obtained
by dividing (x) the LIBOR Rate in effect from time to time by (y) a percentage equal to one
hundred percent (100%) minus the Reserve Percentage for an interest period of one month.

(c) “Base Rate” means the Prime Rate as in effect from time to time plus three percent
(3.0%).

(d) “Borrowing Base” means, as of the relevant date of determination, borrowings will
be limited to the lesser of (i) 80% of the net amount of Borrower’s Eligible Accounts or
(ii) Borrower’s TTM EBITDA, as of the relevant date of determination, multiplied by two (2).

(e) “Collateral” has the meaning set forth in the Security Agreement.

(f) “Eligible Accounts” means, as of the relevant date of determination, those trade
accounts arising in the ordinary course of business that: (i) shall be due and payable
within 90 days from the invoice date, (ii) have been validly assigned to Lender and in which
Lender has a first priority, perfected security interest, (iii) strictly comply with all of
Borrower’s warranties and representations to Lender in the Loan Documents, (iv) with regard
to which Borrower strictly complies with its covenants with Lender in the Loan Documents and
(v) with respect to which goods or services give rise to such account have been shipped or
performed and accepted by the Account Debtor; provided that Eligible Accounts shall not
include the following: (a) Accounts with respect to which the Account Debtor is a
shareholder, officer, employee or agent of Borrower, or a corporation more than 5% of the
stock of which is owned by any of such persons; (b) Accounts with respect to which the
Account Debtor is not a resident of the United States or Canada; (c) Accounts with respect
to which the Account Debtor is the United States or any department, agency or
instrumentality of the United States unless Borrower has assigned its interests in such
Accounts to Lender pursuant to Federal Assignment of Claims Act or Lender has expressly
waived that requirement with respect to specific receivables; (d) Accounts with respect to
which the Account Debtor is any State of the United States or any city, town municipality or
division thereof that requires Borrower to support its obligations to such Account Debtor
with a performance bond issued by a surety company; (e) Accounts with respect to which the
Account Debtor is a subsidiary of, related to, affiliated or has common officers or
directors with Borrower, (f) any Accounts of a particular Account Debtor if Borrower is or
may become liable to that Account Debtor for goods sold or services rendered by that Account
Debtor to Borrower or if such Account Debtor has any other right of set off against
Borrower, (g) any Accounts owed by a particular Account Debtor, other than the U.S.
Government, or a department or agency thereof, which exceed 20% of all Eligible Accounts;
(h) any and all Accounts owed by a particular Account Debtor more than 90 days old from the
invoice date; (i) any Accounts owed by an Account Debtor who does not meet Lenders standards
of creditworthiness, in Lender’s sole credit judgment exercised in good faith; (j) any
Accounts owed by any Account Debtor which has filed or has had filed against it a petition
for bankruptcy, insolvency, reorganization or any other type of relief under insolvency
laws; (k) any Accounts owed by an Account Debtor which has made an
assignment for the benefit of creditors; and (l) any Accounts deemed to be ineligible
by Lender based upon credit and collateral considerations as Lender may deem appropriate, in
Lender’s sole judgment exercised in good faith.

 

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(g) “Guaranty” means that certain Continuing Guaranty Agreement between Guarantor and
Lender, as may be amended or modified from time to time, evidencing such Guarantor’s
guaranty of Borrower’s Obligations to Lender.

(h) “Guarantor” means Streamline Health Solutions, Inc.

(i) “Indebtedness” means (i) all items (except items of capital stock, of capital
surplus, of general contingency reserves or of retained earnings, deferred income taxes, and
amount attributable to minority interest if any) which in accordance with generally accepted
accounting principles would be included in determining total liabilities on a consolidated
basis (if Borrower should have a subsidiary) as shown on the liability side of a balance
sheet as at the date as of which indebtedness is to be determined, (ii) all indebtedness
secured by any mortgage, pledge, lien or conditional sale or other title retention agreement
to which any property or asset owned or held is subject, whether or not the indebtedness
secured thereby shall have been assumed (excluding non-capitalized leases which may amount
to title retention agreements but including capitalized leases), and (iii) all indebtedness
of others which Borrower or any subsidiary has directly or indirectly guaranteed, endorse
(otherwise than for collection or deposit in the ordinary course of business), discounted or
sold with recourse or agreed (contingently or otherwise) to purchase or repurchase or
otherwise acquire, or in respect of which Borrower or any subsidiary has agreed to apply or
advance funds (whether by way of loan, stock purchase, capital contribution or otherwise) or
otherwise to become directly or indirectly liable.

(j) “LIBOR Rate” means the rate per annum (rounded upwards, if necessary, to the next
1/8 of 1%) calculated by the Lender in good faith, which Lender determines with reference to
the rate per annum at which deposits in United States dollars are offered by prime banks in
the London interbank eurodollar market two LIBOR Business Days prior to the first day of
each month, based on an interest period equal to one month.

(k) “LIBOR Business Day” means a day on which dealings are carried on in the London
interbank eurodollar market.

(l) “Lien” means any security interest, mortgage, pledge, assignment, lien or other
encumbrance of any kind, including interests of vendors or lessors under conditional sale
contracts or capital leases.

(m) “Loan Documents” means any and all Rate Management Agreements and each and every
document or agreement executed by any party evidencing, guarantying or securing any of the
Obligations; and “Loan Document’ means any one of the Loan Documents.

 

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(n) “Obligation(s)” means all loans, advances, indebtedness and each and every other
obligation or liability of Borrower owed to each of Lender and/or any affiliate
of Fifth Third Bancorp, however created, of every kind and description whether now
existing or hereafter arising and whether direct or indirect, primary or as guarantor or
surety, absolute or contingent, liquidated or unliquidated, matured or unmatured,
participated in whole or in part, created by trust agreement, lease overdraft, agreement or
otherwise, whether or not secured by additional collateral, whether originated with Lender
or owed to others and acquired by Lender by purchase, assignment or otherwise, and
including, without limitation, all loans, advances, indebtedness and each and every
obligation or liability arising under the loan document, any and all Rate Management
Obligations (as defined in the Loan Documents), letters of credit now or hereafter issued by
Lender or any affiliate of Fifth Third Bancorp for the benefit of or at the request of
Borrower, all obligations to perform or forbear from performing acts, and agreements,
instruments and documents evidencing, guarantying, securing or otherwise executed in
connection with any of the foregoing, together with any amendments, modifications and
restatements thereof, and all expenses and attorneys’ fees incurred by Lender hereunder or
any other document, instrument or agreement related to any of the foregoing.

(o) “Prime Rate” means the rate of interest per annum announced to be the Prime Rate
from time to time by Lender at its principal office in Cincinnati, Ohio whether or not
Lender will at times lend to borrowers at lower rates of interest, or, if there is no such
Prime Rate, then its base rate or such other rate as may be substituted by Lender for the
Prime Rate.

(p) “Rate Management Agreement” means any agreement, device or arrangement providing
for payments which are related to fluctuations of interest rates, exchange rates, forward
rates, or equity prices, including, but not limited to, dollar-denominated or cross-currency
interest rate exchange agreements, forward currency exchange agreements, interest rate cap
or collar protection agreements, forward rate currency or interest rate options, puts and
warrants, and any agreement pertaining to equity derivative transactions (e.g., equity or
equity index swaps, options, caps, floors, collars and forwards), including without
limitation any ISDA Master Agreement between Borrower and Lender or any affiliate of Fifth
Third Bancorp, and any schedules, confirmations and documents and other confirming evidence
between the parties confirming transactions thereunder, all whether now existing or
hereafter arising, and in each case as amended, modified or supplemented from time to time.

(q) “Rate Management Obligations” means any and all obligations of Borrower to Lender
or any affiliate of Fifth Third Bancorp, whether absolute, contingent or otherwise and
howsoever and whensoever (whether now or hereafter) created, arising, evidenced or acquired
(including all renewals, extensions and modifications thereof and substitutions therefore),
under or in connection with (i) any and all Rate Management Agreements, and (ii) any and all
cancellations, buy backs, reversals, terminations or assignments of any Rate Management
Agreement.

(r) “Reserve Percentage” means that percentage which is specified by the Board of
Governors of the Federal Reserve System (or any successor) or any other governmental or
quasi-governmental authority with jurisdiction over the Lender for determining the maximum
reserve requirement (including, but not limited to, any basic, supplemental, marginal, or emergency reserve requirement) for Lender with respect to
liabilities or assets constituting or including (among other liabilities) “Eurocurrency
liabilities” (as defined in Regulation D of the Board of Governors of the Federal Reserve
System) applicable hereto.

 

11

 

(s) “Security Agreement” means that certain Security Agreement entered into between
Borrower and Lender simultaneously herewith to secure the Collateral.

(t) “TTM EBITDA” means on a consolidated basis, the amount of Borrower’s earnings
before interest, taxes, depreciation and amortization expense for the measurement period to
be calculated on a historical trailing twelve month basis.

11. EVENTS OF DEFAULT. Upon the occurrence of any of the following events (each, an
“Event of Default”), Lender may, at its option, without any demand or notice whatsoever, cease
making advances and declare this Note and all Obligations to be fully due and payable in their
aggregate amount, together with accrued interest and all prepayment premiums, fees, and charges
applicable thereto:

(a) Any failure to make any payment when due of principal or accrued interest on this
Note or any other Obligation and such nonpayment remains uncured for 10 days after written
notice from Lender to Borrower of such default.

(b) Any representation or warranty of Borrower set forth in this Note or the Guarantor
or of Borrower or Guarantor in any agreement, instrument, document, certificate or financial
statement evidencing, guarantying, securing or otherwise related to, this Note or any other
Obligation shall be materially inaccurate or misleading.

(c) Borrower shall fail to observe or perform any other material term or condition of
this Note or Borrower or Guarantor shall fail to observe or perform any other term or
condition set forth in any agreement, instrument, document, certificate or financial
statement evidencing, guarantying (including the Guaranty) or otherwise related to this
Note, the Guaranty or any other Obligation, or Borrower or Guarantor shall otherwise default
in the observance or performance of any covenant or agreement set forth in any of the
foregoing for 30 days after written notice from Lender to Borrower of such default.

(d) The dissolution of Borrower, Guarantor or of any endorser or guarantor of the
Obligations, or the merger or consolidation of any of the foregoing with a third party, or
the lease, sale or other conveyance of a material part of the assets or business of any of
the foregoing to a third party outside the ordinary course of its business, or the lease,
purchase or other acquisition of a material part of the assets or business of a third party
by any of the foregoing.

(e) The creation of any Lien (except a lien to Lender) on, the institution of any
garnishment proceedings by attachment, levy or otherwise against, the entry of a judgment
against, or the seizure of, any of the property of Borrower, Guarantor or any endorser or
guarantor hereof including, without limitation, any property deposited with Lender.

 

12

 

(f) In the reasonable judgment of Lender in good faith, any material adverse change
occurs in the existing or prospective financial condition of Borrower that will affect the
ability of Borrower to repay the Obligations.

(g) A commencement by the Borrower or Guarantor of a voluntary case under any
applicable bankruptcy, insolvency or other similar law now or hereafter in effect; or the
entry of a decree or order for relief in respect of the Borrower or Guarantor in a case
under any such law or appointing a receiver, liquidator, assignee, custodian, trustee,
sequestrator (or other similar official) of the Borrower or Guarantor, or for any
substantial part of the property of Borrower or Guarantor, or ordering the wind-up or
liquidation of the affairs of Borrower or Guarantor, or the filing and pendency for 30 days
without dismissal of a petition initiating an involuntary case under any such bankruptcy,
insolvency or similar law; or the making by Borrower or Guarantor of any general assignment
for the benefit of creditors; or the failure of the Borrower or Guarantor generally to pay
its debts as such debts become due; or the taking of action by the Borrower or Guarantor in
furtherance of any of the foregoing.

(h) Nonpayment by the Borrower of any Rate Management Obligation relating to this Note
when due or the breath by the Borrower of any term, provision or condition contained in any
Rate Management Agreement.

(i) An “Event of Default” under and as defined in the Guaranty shall occur.

12. REMEDIES. After the occurrence of an Event of Default, in addition to any other
remedy permitted by law, Lender may at any time, without notice, apply the Collateral to this Note
or such other Obligations, whether due or not, and Lender may, at its option, proceed to enforce
and protect its rights by an action at law or in equity or by any other appropriate proceedings;
provided that this Note and the Obligations shall be accelerated automatically and immediately if
the Event of Default is a filing under the Bankruptcy Code.

Lender’s rights and remedies hereunder are cumulative, and may be exercised together, separately,
and in any order. No delay on the part of Lender in the exercise of any such right or remedy shall
operate as a waiver. No single or partial exercise by Lender of any right or remedy shall preclude
any other further exercise of it or the exercise of any other right or remedy. No waiver or
indulgence by Lender of any Event of Default shall be effective unless in writing and signed by
Lender, nor shall a waiver on one occasion be construed as a waiver of any other occurrence in the
future.

13. LATE PAYMENTS; DEFAULT RATE; FEES. If any payment is not paid when due (whether
by acceleration or otherwise) or within 10 days thereafter, undersigned agrees to pay to Lender a
late payment fee as provided for in any loan agreement or 5% of the payment amount, whichever is
greater with a minimum fee of $20.00. After an Event of Default, Borrower agrees to pay to Lender
a fixed charge of $25.00, or Borrower agrees that Lender may, without notice, increase the interest
rate by three percentage points (3%) (the “Default Rate”), whichever is greater. Lender may impose
a non-sufficient funds fee for any check that is presented for payment that is returned for any
reason. In addition, Lender may charge loan documentation fees as may be reasonably determined by
the Lender.

 

13

 

14. ENTIRE AGREEMENT. Borrower agrees that there are no conditions or understandings
which are not expressed in this Note and the documents referred to herein.

15. SEVERABILITY. The declaration of invalidity of any provision of this Note shall
not affect any part of the remainder of the provisions.

16. ASSIGNMENT. Borrower agrees not to assign any of Borrower’s rights, remedies or
obligations described in this Note without the prior written consent of Lender. Borrower agrees
that Lender may assign some or all of its rights and remedies described in this Note without notice
to, or prior consent from, the Borrower.

17. MODIFICATION; WAIVER OF LENDER. The modification or waiver of any of Borrower’s
obligations or Lender’s rights under this Note must be contained in a writing signed by Lender.
Lender may perform Borrower’s obligations, or delay or fail to exercise any of its rights or
remedies, without causing a waiver of those obligations or rights. A waiver on one occasion shall
not constitute a waiver on another occasion. Borrower’s obligations under this Note shall not be
affected if Lender amends, compromises, exchanges, fails to exercise, impairs or releases (i) any
of the obligations belonging to any co-borrower, endorser or guarantor or (ii) any of its rights
against any co-borrower, guarantor or endorser.

18. WAIVER OF BORROWER. Demand, presentment, protest and notice of dishonor, notice
of protest and notice of default are hereby waived by Borrower, and any endorser or guarantor
hereof. Each of Borrower, including but not limited to all co-makers and accommodation makers of
this Note, hereby waives all suretyship defenses including but not limited to all defenses based
upon impairment of Collateral and all suretyship defenses described in Section 3-605 of the Uniform
Commercial Code (the “UCC”). Such waiver is entered to the full extent permitted by Section 3-605
(i) of the UCC.

19. GOVERNING LAW; CONSENT TO JURISDICTION. This Note is delivered in, is intended to
be performed in, will be governed, construed, and enforceable in accordance with and governed by
the internal laws of, the State of Ohio, without regard to principles of conflicts of law.
Borrower agrees that the state and federal courts in the County where the Lender is located shall
have exclusive jurisdiction over all matters arising out of this Note, and that service of process
in any such proceeding shall be effective if mailed to Borrower at the address set forth herein.

20. JURY WAIVER. BORROWER, AND ANY ENDORSER OR GUARANTOR HEREOF, WAIVE THE RIGHT TO A
TRIAL BY JURY OF ANY MATTERS ARISING OUT OF THIS NOTE OR THE TRANSACTIONS CONTEMPLATED HEREBY.

21. WARRANT OF ATTORNEY. Borrower authorizes any attorney of record to appear for it
in any court of record in the State of Ohio, after maturity of this Note, whether by its terms or
upon default, acceleration or otherwise, to waive the issuance and service of process, and release
all errors, and to confess judgment against it in favor of Lender for the principal sum due herein
together with interest, charges, court costs and attorneys’ fees. Stay of execution and all
exemptions are hereby waived. If this Note or any Obligation is referred to an attorney for
collection, and the payment is obtained without the entry of a judgment, the obligors shall
pay to the holder of such obligations its attorneys’ fees. EACH OF BORROWER AND ANY ENDORSER OR
ANY GUARANTOR AGREES THAT AN ATTORNEY WHO IS COUNSEL TO LENDER OR ANY OTHER HOLDER OF SUCH
OBLIGATION MAY ALSO ACT AS ATTORNEY OF RECORD FOR BORROWER WHEN TAKING THE ACTIONS DESCRIBED ABOVE
IN THIS PARAGRAPH. BORROWER AGREES THAT ANY ATTORNEY TAKING SUCH ACTIONS MAY BE PAID FOR THOSE
SERVICES BY LENDER OR HOLDER OF SUCH OBLIGATION. BORROWER WAIVES ANY CONFLICT OF INTEREST THAT MAY
BE CREATED BECAUSE THE ATTORNEY REPRESENTING THE BORROWER IS BEING PAID BY LENDER OR THE HOLDER OF
SUCH OBLIGATION.

 

14

 

WARNING — BY SIGNING THIS PAPER YOU GIVE UP YOUR RIGHT TO NOTICE AND COURT TRIAL. IF YOU DO NOT
PAY ON TIME A COURT JUDGMENT MAY BE TAKEN AGAINST YOU WITHOUT YOUR PRIOR KNOWLEDGE AND THE POWERS
OF A COURT CAN BE USED TO COLLECT FROM YOU REGARDLESS OF ANY CLAIMS YOU MAY HAVE AGAINST THE
CREDITOR WHETHER FOR RETURNED GOODS FAULTY GOODS, FAILURE ON HIS PART TO COMPLY WITH THE AGREEMENT,
OR ANY OTHER CAUSE.

	 	 	 	 	 
	 	BORROWER:

Streamline Health, Inc. fka LanVision, Inc.,

an Ohio corporation

 	 
	 	By  	/s/ Donald E. Vick, Jr.
 	 
	 	 	(Authorized Signer) 	 
	 	 	 	 
	 	 	 
	 	Donald E. Vick, Jr., Interim CFO
 	 
	 	(Print Name and Title) 	 
	 	 	 	 
	 

 

15Exhibit 10.2

Exhibit 10.2

001 — FTCI

Fifth Third Bank

Amended and Restated

Continuing Guaranty Agreement

THIS AMENDED AND RESTATED CONTINUING GUARANTY AGREEMENT (the “Guaranty”) made as of October
21, 2009 by and between Streamline Health Solutions, Inc., a Delaware corporation located at 10200
Alliance Road, Cincinnati, Hamilton County, Ohio 45242 (the “Guarantor”) and Fifth Third Bank, an
Ohio banking corporation located at 38 Fountain Square Plaza, Cincinnati, Hamilton County, Ohio
45263 for itself and as agent for any affiliate of Fifth Third Bancorp (“Beneficiary”).

WITNESSETH:

WHEREAS, Beneficiary has agreed to extend credit and financial accommodations to Streamline
Health, Inc., an Ohio corporation (“Borrower”), pursuant to the Amended and Restated Revolving
Note, dated October 21, 2009, executed by Borrower and made payable to the order of Beneficiary,
and all agreements, instruments and documents executed or delivered in connection with any of the
foregoing or otherwise related thereto (together with any amendments, modifications, or
restatements thereof, the “Loan Documents”); and

WHEREAS, Guarantor is affiliated with Borrower and, as such, shall be benefited directly by
the transaction contemplated by the Loan Documents, and shall execute this Guaranty in order to
induce Beneficiary to enter into such transaction.

NOW, THEREFORE, in consideration of the foregoing premises and other good and valuable
consideration, Guarantor hereby guarantees, promises and undertakes as follows (with this Guaranty
amending and restating in its entirety the Continuing Guaranty Agreement dated as of January 6,
2009 between Lender and Guarantor:

1. GUARANTY.

(a) Guarantor hereby unconditionally, absolutely and irrevocably guarantees to
Beneficiary the full and prompt payment and performance when due (whether at maturity by
acceleration or otherwise) of any and all loans, advances, indebtedness and each and every
other obligation or liability of Borrower owed to Beneficiary and any affiliate of Fifth
Third Bancorp, however created, of every kind and description, whether now existing or
hereafter arising and whether direct or indirect, primary or as guarantor or surety,
absolute or contingent, due or to become due, liquidated or unliquidated, matured or
unmatured, participated in whole or in part, created by trust agreement, lease, overdraft,
agreement, or otherwise, whether or not secured by additional collateral, whether originated
with Beneficiary or owed to others and acquired by Beneficiary by purchase, assignment or
otherwise, and including, without limitation, all loans, advances, indebtedness and each and
every other obligation or liability arising under the Loan Documents, letters of credit now
or hereafter issued by Beneficiary or any affiliate of Fifth Third Bancorp for the benefit
of or at the request of Borrower, all obligations to perform or forbear from performing
acts, any and all Rate Management Obligations (as defined in the Loan Documents), and all agreements, instruments and documents
evidencing, guarantying, securing or otherwise executed in connection with any of the
foregoing, together with any amendments, modifications, and restatements thereof, and all
expenses and attorneys’ fees incurred or other sums disbursed by Beneficiary or any
affiliate of Fifth Third Bancorp under this Guaranty or any other document, instrument or
agreement related to any of the foregoing (collectively, the “Obligations”).

 

 

 

(b) This Guaranty is a continuing guaranty of payment, and not merely of collection,
that shall remain in full force and effect until expressly terminated in writing by
Beneficiary, notwithstanding the fact that no Obligations may be outstanding from time to
time. Such termination by Beneficiary shall be applicable only to transactions having their
inception after the effective date thereof, and shall not affect the enforceability of this
Guaranty with regard to any Obligations arising out of transactions having their inception
prior to such effective date, even if such Obligations shall have been modified, renewed,
compromised, extended, otherwise amended or performed by Beneficiary subsequent to such
termination. In the absence of any termination of this Guaranty as provided above,
Guarantor agrees that Guarantor’s obligations hereunder shall not be deemed discharged or
satisfied until the Obligations are fully paid and performed, and no such payments or
performance with regard to the Obligations is subject to any right on the part of any person
whomsoever, including but not limited to any trustee in bankruptcy, to recover any of such
payments. If any such payments are so set aside or settled without litigation, all of which
is within Beneficiary’s discretion, Guarantor shall be liable for the full amount
Beneficiary is required to repay, plus costs, interest, reasonable attorneys’ fees and any
and all expenses that Beneficiary paid or incurred in connection therewith. A successor of
Borrower, including Borrower in its capacity as debtor in a bankruptcy reorganization case,
shall not be considered to be a different person than Borrower; and this Guaranty shall
apply to all Obligations incurred by such successor.

(c) Guarantor agrees that Guarantor is directly and primarily liable to Beneficiary and
that the Obligations hereunder are independent of the Obligations of Borrower, or of any
other guarantor. The liability of Guarantor hereunder shall survive discharge or compromise
of any Obligation of Borrower in bankruptcy or otherwise. Beneficiary shall not be required
to prosecute or seek to enforce any remedies against Borrower or any other party liable to
Beneficiary on account of the Obligations, or to seek to enforce or resort to any remedies
with respect to any collateral granted to Beneficiary by Borrower or any other party on
account of the Obligations, as a condition to payment or performance by Guarantor under this
Guaranty.

(d) Beneficiary may, without notice or demand and without affecting its rights
hereunder, from time to time: (i) renew, extend, accelerate or otherwise change the amount
of, the time for payment of, or other terms relating to, any or all of the Obligations, or
otherwise modify, amend or change the terms of the Loan Documents or any other document or
instrument evidencing, securing or otherwise relating to the Obligations, (ii) take and hold
collateral for the payment of the Obligations guaranteed hereby, and exchange, enforce,
waive, and release any such collateral, and apply such collateral and direct the order or
manner of sale thereof as Beneficiary in its discretion may determine. Accordingly, Guarantor hereby waives notice of any and all of the
foregoing.

 

2

 

(e) Guarantor hereby waives all defenses, counterclaims and off-sets of any kind or
nature, whether legal or equitable, that may arise: (i) directly or indirectly from the
present or future lack of validity, binding effect or enforceability of the Loan Documents
or any other document or instrument evidencing, securing or otherwise relating to the
Obligations, (ii) from Beneficiary’s impairment of any collateral, including the failure to
record or perfect the Beneficiary’s interest in the collateral, or (iii) by reason of any
claim or defense based upon an election of remedies by Beneficiary in the event such
election may, in any manner, impair, affect, reduce, release, destroy or extinguish any
right of contribution or reimbursement of Guarantor, or any other rights of the Guarantor to
proceed against any other guarantor, or against any other person or any collateral.

(f) Guarantor hereby waives all presentments, demands for performance or payment,
notices of nonperformance, protests, notices of protest, notices of dishonor, notices of
default or nonpayment, notice of acceptance of this Guaranty, and notices of the existence,
creation, or incurring of new or additional Obligations, and all other notices or
formalities to which Guarantor may be entitled, and Guarantor hereby waives all suretyship
defenses, including but not limited to all defenses set forth in the Uniform Commercial
Code, as revised from time to time (the “UCC”) to the full extent such a waiver is permitted
thereby.

(g) Guarantor hereby irrevocably waives all legal and equitable rights to recover from
Borrower any sums paid by the Guarantor under the terms of this Guaranty, including without
limitation all rights of subrogation and all other rights that would result in Guarantor
being deemed a creditor of Borrower under the federal Bankruptcy Code or any other law, and
Guarantor hereby waives any right to assert in any manner against Beneficiary any claim,
defense, counterclaim and offset of any kind or nature, whether legal or equitable, that
Guarantor may now or at any time hereafter have against Borrower or any other party liable
to Beneficiary.

(h) In order to secure repayment of all Obligations, Guarantor and Lender have entered
into a Security Agreement dated as of the date hereof. The rights of Lender in and to the
Collateral are set forth in the Security Agreement.

2. REPRESENTATIONS, WARRANTIES AND COVENANTS. Guarantor hereby represents, warrants
and covenants as follows:

(a) Guarantor is duly organized, validly existing and in good standing under the laws
of the state of its incorporation, has the power and authority to carry on its business and
to enter into and perform this Guaranty and is qualified and licensed to do business in each
jurisdiction in which such qualification or licensing is required.

(b) The execution, delivery and performance by Guarantor of this Guaranty have been
duly authorized by all necessary corporate action, and shall not violate any
provision of law or regulation applicable to Guarantor, or the articles of
incorporation, regulations or bylaws of Guarantor, or any writ or decree of any court or
governmental instrumentality, or any instrument or agreement to which Guarantor is a party
or by which Guarantor may be bound; this Guaranty is a legal, valid and binding obligation
of said Guarantor, enforceable in accordance with its terms; and there is no action or
proceeding before any court or governmental body agency now pending that may materially
adversely affect the condition (financial or otherwise) of Guarantor.

 

3

 

3. AFFIRMATIVE COVENANTS. Guarantor covenants with, and represents and warrants to,
Beneficiary that, from and after the execution date of the Loan Documents until the Obligations are
paid and satisfied in full:

(a) Financial Statements. Guarantor shall maintain a standard and modem system
for accounting and shall furnish to Beneficiary:

(i) Within 30 days after the end of each month, a copy of Guarantor’s
internally prepared consolidated financial statements for that month and for the
year to date in a form reasonably acceptable to Beneficiary, prepared and certified
as complete and correct, subject to changes resulting from year-end adjustments, by
the principal financial officer of Guarantor;

(ii) Within 45 days after the end of each quarter, a copy of Guarantor’s
financial statements for that quarter and for the year to date and certified as
complete and correct, subject to changes resulting from year-end adjustments, by the
principal financial officer of Guarantor;

(iii) Within 120 days after the end of each fiscal year, a copy of Guarantor’s
financial statements audited by a firm of independent certified public accountants
acceptable to Beneficiary (which acceptance shall not be unreasonably withheld) and
accompanied by an audit opinion of such accountants without qualification;

(iv) With all financial statements delivered to Beneficiary as provided in (i),
(ii) and (iii) above, Guarantor shall deliver to Beneficiary a Financial Statement
Compliance Certificate in addition to the other information set forth therein, which
certifies the Guarantor’s compliance with the financial covenants set forth herein
and that no Event of Default has occurred.

(v) With the statements submitted above, a certificate signed by the Guarantor,
(i) stating that no Event of Default specified herein, nor any event which upon
notice or lapse of time, or both would constitute such an Event of Default, has
occurred, or if any such condition or event existed or exists, specifying it and
describing what action Guarantor has taken or proposes to take with respect thereto,
and (ii) setting forth, in summary form, figures showing the financial status of
Guarantor in respect of the financial restrictions contained herein;

 

4

 

(vi) Immediately upon any officer of Guarantor obtaining knowledge of any
condition or event which constitutes or, after notice or lapse of time or both,
would constitute an Event of Default, a certificate of such person specifying the
nature and period of the existence thereof, and what action Guarantor has taken or
is taking or proposes to take in respect thereof;

All of the statements referred to in (i), (ii) and (iii) above shall be in conformance with
generally accepted accounting principles and give representatives of Beneficiary access
thereto at all reasonable times, including permission to examine, copy and make abstracts
from any such books and records and such other information which might be helpful to
Beneficiary in evaluating the status of the loans as it may reasonably request from time to
time.

If at any time Guarantor has any additional subsidiaries which have financial statements
that could be consolidated with those of Guarantor under generally accepted accounting
principles, the financial statements required by subsections (i), (ii) and (iii) above shall
be the financial statements of Guarantor and all such subsidiaries prepared on a
consolidated and consolidating basis.

4. NEGATIVE COVENANTS. Guarantor covenants with, and represents and warrants to,
Beneficiary that, from and after the execution date hereof until the Obligations are paid and
satisfied in full:

(a) Capital Stock and Distribution. Guarantor shall not (a) declare or pay any
dividend or distributions (except stock dividends) on its capital stock, (b) make any
payments of any kind to its shareholders (including, without limitation, debt repayments,
payments for goods or services or otherwise, but excluding ordinary salary payments to
shareholders employed by Guarantor) or (c) redeem any shares of its capital stock in any
fiscal year. Notwithstanding the foregoing, if Guarantor elects to be taxed as an “S”
corporation for federal income tax purposes, distributions to Guarantor’s shareholders shall
be permitted in amounts necessary to cover federal and state income tax liabilities payable
solely as a result of income of Guarantor being included in such shareholders’ tax returns
which distributions shall be in amounts necessary to pay such shareholders’ tax obligations
based upon such income derived from Guarantor; such distributions may be made only so long
as no Event of Default has occurred prior to such distributions or shall occur as a result
of such distribution.

5. FINANCIAL COVENANTS. Guarantor and Beneficiary hereby agrees as follows:

(a) Fixed Charge Coverage Ratio. Guarantor shall not permit its Fixed Charge
Coverage Ratio, on a consolidated basis, to be less than 1.10 to 1.0 at the end of any
quarter as measured on a rolling twelve month basis.

(b) Funded Indebtedness to EBITDA. Guarantor shall not permit its Funded
Indebtedness to EBITDA, on a consolidated basis, to be greater than 2.00:1.0 at the end of
any quarter as measured on a trailing twelve month basis.

 

5

 

6. DEFINITIONS. Certain capitalized terms have the meanings set forth on any exhibit
hereto, in the Security Agreement, if applicable, or any other Loan Document. All financial terms
used herein but not defined on the exhibits, in the Security Agreement, if applicable, or any other
Loan Document have the meanings given to them by generally accepted accounting principles. All
other undefined terms have the meanings given to them in the Uniform Commercial Code as adopted in
the state whose law governs this instrument. The following definitions are used herein:

(a) “EBITDA” means on a consolidated basis, the amount of Guarantor’s earnings before
interest, taxes, depreciation and amortization expense for the measurement period.

(b) “Fixed Charge Coverage Ratio” means the ratio of (a) Guarantor’s EBITDA plus rent
and operating lease payments, less distributions, dividends and capital expenditures (other
than capital expenditures financed with the proceeds of purchase money Indebtedness or
capital leases to the extent permitted hereunder) and other extraordinary items for the
twelve month period then ending to (b) the consolidated sum of (i) Guarantor’s interest
expense, and (ii) all principal payments with respect to Indebtedness that were paid or were
due and payable by all consolidated entities during the period plus rent and operating lease
expense incurred and all cash taxes paid in the same such period.

(c) “Funded Indebtedness” means all Indebtedness (i) in respect of money borrowed or
(ii) evidenced by a note, debenture (senior or subordinated) or other like written
obligation to pay money, or (iii) in respect of rent or hire of property under leases or
lease arrangements which under generally accepted accounting principles are required to be
capitalized, or (iv) in respect of obligations under conditional sales or other title
retention agreements.

(d) “Indebtedness” means (i) all items (except items of capital stock, of capital
surplus, of general contingency reserves or of retained earnings, deferred income taxes, and
amount attributable to minority interest if any) which in accordance with generally accepted
accounting principles would be included in determining total liabilities on a consolidated
basis (if Guarantor should have a subsidiary) as shown on the liability side of a balance
sheet as at the date as of which Indebtedness is to be determined, (ii) all indebtedness
secured by any mortgage, pledge, lien or conditional sale or other title retention agreement
to which any property or asset owned or held is subject, whether or not the indebtedness
secured thereby shall have been assumed (excluding non-capitalized leases which may amount
to title retention agreements but including capitalized leases), and (iii) all indebtedness
of others which Guarantor or any subsidiary has directly or indirectly guaranteed, endorse
(otherwise than for collection or deposit in the ordinary course of business), discounted or
sold with recourse or agreed (contingently or otherwise) to purchase or repurchase or
otherwise acquire, or in respect of which Guarantor or any subsidiary has agreed to apply or
advance funds (whether by way of loan, stock purchase, capital contribution or otherwise) or
otherwise to become directly or indirectly liable.

 

6

 

(e) “Loan Documents” means any and all Rate Management Agreements and each and every
document or agreement executed by any party evidencing, guarantying or securing any of the
Obligations; and “Loan Document” means any one of the Loan Documents.

(f) “Subsidiary” means any corporation of which Guarantor directly or indirectly owns
or controls at the time outstanding stock having ordinary circumstances (not depending on
the happening of a contingency) voting power to elect a majority of the board of directors
of said corporation.

7. EVENTS OF DEFAULT. Any of the following occurrences shall constitute an “Event of
Default” under this Guaranty:

(a) An Event of Default occurs under the terms of the Loan Documents or any other
document or instrument evidencing, securing or otherwise relating to the Obligations, as
“Event of Default” shall be defined therein.

(b) Guarantor shall fail to observe or perform (i) the covenants set forth in Sections
4 or 5 hereof or (ii) any other covenant, condition, or agreement under this Guaranty, in
the case of clause (ii) for a period of thirty (30) days from the date of such breach, or
any representation or warranty of Guarantor set forth in this Guaranty shall be materially
inaccurate or misleading when made or delivered.

(c) The dissolution of Guarantor, or of any endorser or other guarantor of the
Obligations, or the merger or consolidation of any of the foregoing with a third party, or
the lease, sale or other conveyance of a material part of the assets or business of any of
the foregoing to a third party outside the ordinary course of its business, or the lease,
purchase or other acquisition of a material part of the assets or business of a third party
by any of the foregoing.

(d) The default by Guarantor under the terms of any indebtedness of Guarantor now or
hereafter existing, which default has not been cured within any time period permitted
pursuant to the terms and conditions of such indebtedness or the occurrence of an event
which gives any creditor the right to accelerate the maturity of any such indebtedness.

(e) The commencement by Guarantor of a voluntary case under any applicable bankruptcy,
insolvency or other similar law now or hereafter in effect; or the entry of a decree or
order for relief in respect of Guarantor in a case under any such law or appointing a
receiver, liquidator, assignee, custodian, trustee, sequestrator (or other similar official)
of Guarantor or for any substantial part of Guarantor’s property, or ordering the wind-up or
liquidation of Guarantor’s affairs; or the filing and pendency for 30 days without dismissal
of a petition initiating an involuntary case under any such bankruptcy, insolvency or
similar law; or the making by Guarantor of any general assignment for the benefit of
creditors; or the failure of Guarantor generally to pay Guarantor’s debts as such debts
become due; or the taking of action by Guarantor in furtherance of any of the foregoing.

 

7

 

(f) The revocation or attempted revocation of this Guaranty by Guarantor before the
termination of this Guaranty in accordance with its terms, or the assignment or attempted
assignment of this Guaranty by Guarantor.

8. REMEDIES.

(a) Whenever any Event of Default as defined herein shall have happened, Beneficiary,
in its sole discretion, may take any remedial action permitted by law or in equity or by the
Loan Documents or any other document or instrument evidencing, securing or otherwise
relating to the Obligations, including demanding payment in full of all sums guaranteed
hereby, plus any accrued interest or other expenses.

(b) If Beneficiary should employ attorneys or incur other expenses for the enforcement
of this Guaranty, Guarantor, on demand therefor, shall reimburse the reasonable fees of such
attorneys and such other expenses to the extent permitted by law.

(c) No remedy set forth herein is exclusive of any other available remedy or remedies,
but each is cumulative and in addition to every other remedy given under this Guaranty or
now or hereafter existing at law or in equity or by statute. No delay or omission on the
part of Beneficiary to exercise any right or remedy shall be construed to be a waiver
thereof, but any such right or remedy may be exercised from time to time and as often as may
be deemed expedient thereby, and a waiver on any one occasion shall be limited to that
particular occasion.

9. FINANCIAL CONDITION OF BORROWER. Guarantor is presently informed of the financial
condition of Borrower and of all other circumstances that a diligent inquiry would reveal and which
would bear upon the risk of nonpayment of any of the Obligations. Guarantor hereby covenants that
Guarantor shall continue to keep informed of such matters, and hereby waives Guarantor’s right, if
any, to require Beneficiary to disclose any present or future information concerning such matters
including, but not limited to, the release of or revocation by any other guarantor.

10. SUBORDINATION. All indebtedness and liability now or hereafter owing by Borrower
to Guarantor is hereby postponed and subordinated to the Obligations owing to Beneficiary; and such
indebtedness and liability to Guarantor, if Beneficiary so requests, shall be collected, enforced
and received by Guarantor as trustee for Beneficiary and be paid over to Beneficiary on account of
the Obligations.

11. NOTICES. Any notices under or pursuant to this Guaranty shall be deemed duly sent
when delivered in hand or when mailed by registered or certified mail, return receipt requested,
addressed as follows:

	 	 	 
	To Guarantor:

	 	Streamline Health Solutions, Inc.

10200 Alliance Road

Cincinnati, Ohio 45242

Hamilton County, Ohio

 

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	To Beneficiary:

	 	Fifth Third Bank

38 Fountain Square Plaza

Cincinnati, Ohio 45263

Hamilton County, Ohio

Either party may change such address by sending notice of the change to the other party.

12. MISCELLANEOUS.

(a) This Guaranty may be executed by the parties hereto in separate counterparts, each
of which when so executed and delivered shall be an original, but all such counterparts
shall together constitute but one and the same instrument.

(b) This Guaranty is the complete agreement of the parties hereto and supersedes all
previous understandings and agreements relating to the subject matter hereof. Neither this
Guaranty nor any of the terms hereof may be terminated, amended, supplemented, waived or
modified orally, but only by an instrument in writing signed by the party against whom
enforcement of the termination, amendment, supplement, waiver or modification is sought.

(c) As the context herein requires, the singular shall include the plural and one
gender shall include one or both other genders.

(d) This Guaranty shall inure to the benefit of Beneficiary’s successors and assigns
and shall be binding upon the heirs, executors, administrators and successors of Guarantor.
This Guaranty is not assignable by Guarantor.

(e) If any provision of this Guaranty or the application thereof to any person or
circumstance is held invalid, the remainder of this Guaranty and the application thereof to
other persons or circumstances shall not be affected thereby.

(f) If from any cause or circumstances whatsoever, fulfillment of any provisions of
this Guaranty at the time performance of such provision shall be due involves transcending
the limit of validity presently prescribed by any applicable usury statute or any other
applicable law, with regard to obligations of like character and amount, then ipso facto the
obligation to be fulfilled shall be reduced to the limit of such validity. The provisions
of this paragraph shall control every other provision of this Guaranty.

(g) This Guaranty is assignable by Beneficiary, and any assignment hereof or any
transfer or assignment of the Loan Documents or portions thereof by Beneficiary shall
operate to vest in any such assignee all rights and powers herein conferred upon and granted
to Beneficiary.

(h) This Guaranty shall be governed by and construed in accordance with the law of the
State of Ohio. Guarantor agrees that the state and federal courts for the County in which
the Beneficiary is located or any other court in which Beneficiary initiates proceedings
have exclusive jurisdiction over all matters arising out of this Guaranty.

 

9

 

(i) GUARANTOR AND BENEFICIARY HEREBY WAIVE THE RIGHT TO TRIAL BY JURY OF ANY MATTERS
ARISING IN CONNECTION WITH THIS GUARANTY OR THE TRANSACTIONS RELATED THERETO.

13. CONFESSION OF JUDGMENT. Guarantor authorizes any attorney of record to appear for
it in any court of record in the State of Ohio, after an Obligation becomes due and payable whether
by its terms or upon default, waive the issuance and service of process, and release all errors,
and confess a judgment against it in favor of the holder of such Obligation, for the principal
amount of such Obligation plus interest thereon, together with court costs and attorneys’ fees.
Stay of execution and all exemptions are hereby waived. If an Obligation is referred to an
attorney for collection, and the payment is obtained without the entry of a judgment, the obligors
shall pay to the holder of such obligation its attorneys’ fees. GUARANTOR AGREES THAT AN ATTORNEY
WHO IS COUNSEL TO BENEFICIARY OR ANY OTHER HOLDER OF SUCH OBLIGATION MAY ALSO ACT AS ATTORNEY OF
RECORD FOR GUARANTOR WHEN TAKING THE ACTIONS DESCRIBED ABOVE IN THIS PARAGRAPH. GUARANTOR AGREES
THAT ANY ATTORNEY TAKING SUCH ACTIONS MAY BE PAID FOR THOSE SERVICES BY BENEFICIARY OR THE HOLDER
OF SUCH OBLIGATION. GUARANTOR WAIVES ANY CONFLICT OF INTEREST THAT MAY BE CREATED BECAUSE THE
ATTORNEY WHO ACTS FOR GUARANTOR PURSUANT TO THIS PARAGRAPH IS ALSO REPRESENTING BENEFICIARY OR THE
HOLDER OF SUCH OBLIGATION, OR BECAUSE SUCH ATTORNEY IS BEING PAID BY BENEFICIARY OR THE HOLDER OF
SUCH OBLIGATION.

IN WITNESS WHEREOF, Guarantor has caused this Guaranty to be executed as of the date first
above written.

WARNING — BY SIGNING THIS PAPER YOU GIVE UP YOUR RIGHT TO NOTICE AND COURT TRIAL. IF YOU DO NOT
PAY ON TIME A COURT JUDGMENT MAY BE TAKEN AGAINST YOU WITHOUT YOUR PRIOR KNOWLEDGE AND THE POWERS
OF A COURT CAN BE USED TO COLLECT FROM YOU REGARDLESS OF ANY CLAIMS YOU MAY HAVE AGAINST THE
CREDITOR WHETHER FOR RETURNED GOODS, FAULTY GOODS, FAILURE ON HIS PART TO COMPLY WITH THE
AGREEMENT, OR ANY OTHER CAUSE.

	 	 	 	 	 	 	 	 	 	 	 
	BENEFICIARY:	 	 	 	BORROWER:	 	 
	 
	 	 	 	 	 	 	 	 	 	 
	Fifth Third Bank, an Ohio
banking corporation	 	 	 	Streamline Health Solutions, Inc.,
an Ohio corporation	 	 
	 
	 	 	 	 	 	 	 	 	 	 
	By

	 	/s/ Daniel G. Feldmann
	 	 	 	By
	 	/s/ Donald E. Vick, Jr.	 	 
	 

	 	 
	 	 	 	 	 	 	 	 
	 

	 	(Signature)
	 	 	 	 	 	(Authorized Signer)	 	 
	 
	 	 	 	 	 	 	 	 	 	 
	Daniel G. Feldmann, AVP	 	 	 	Donald E. Vick, Jr., Interim CFO	 	 
	 	 	 	 	 	 	 
	(Print Name and Title)	 	 	 	(Print Name and Title)	 	 

 

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