Document:

EX-10.13

 Exhibit 10.13 

FIRST AMENDMENT 
 TO

 LOAN AND SECURITY AGREEMENT 

This First Amendment to Loan and Security Agreement is entered into as of May 31, 2019 (the “Amendment”) by and among COMERICA
BANK (“Bank”), PALADINA HEALTH, LLC, a Delaware limited liability company formerly known as Davita DPC Management Company, LLC (“Paladina”), DPC MEDICAL GROUP, P.C., a Washington corporation (“DPC”), PALADINA MEDICAL
GROUP OF NEW JERSEY, P.C., a New Jersey corporation (“Paladina New Jersey”), PALADINA HEALTH MEDICAL GROUP, PC, a Colorado corporation (“Paladina PC”), ACTIVATE HEALTHCARE LLC, an Indiana limited liability company
(‘Activate”, and together with Paladina, DPC, Paladina New Jersey, Paladina PC, each a “Borrower” and collectively, the “Borrowers” provided that each reference to “Borrower” or “Borrowers” in the
Agreement and the Loan Documents shall mean and refer to each Borrower, individually, and/or to all the Borrowers, collectively and in the aggregate, as determined by Bank as the context may require). 

RECITALS 

A.    Paladina, DPC, Paladina New Jersey and Paladina PC (collectively, the “Existing Borrowers”) and Bank are
parties to that certain Loan and Security Agreement dated as of June 27, 2018 (as the same may from time to time be amended, restated, modified or supplemented, the “Agreement”), that certain LIBOR/ Prime Referenced Rate Addendum
dated as of June 27, 2018 (the “LIBOR/PRRA”) and that certain Intellectual Property Security Agreement June 27, 2018 (as the same may from time to time be amended, restated, modified or supplemented, the “Existing Borrower
IPSA”). 
 B.    Existing Borrowers wish to add Activate Healthcare LLC, an Indiana limited liability company, (the
“New Borrower”) as a Borrower under the Agreement. Bank is willing to do so, on the terms and conditions set forth in this Amendment. Bank and Borrowers also wish to amend the Agreement and the Existing Borrower IPSA in accordance with the
terms of this Amendment. 
 NOW, THEREFORE, the parties agree as follows: 

 

	 	1.	 Addition of Co-Borrowers; Joinder. 

 

	 	1.1	 By execution and delivery of this Amendment, New Borrower shall, and hereby, becomes a Borrower (as defined in
the Agreement) under the Agreement and the applicable Loan Documents as if an original signatory thereto effective as of the date hereof. New Borrower is hereby deemed a Borrower under the Agreement and the Loan Documents. Each reference to
“Borrower” in the Agreement and/or in each Loan Document shall mean and refer to each of Paladina, DPC, Paladina New Jersey, Paladina PC and Activate, both individually and collectively, as determined by Bank as the context may require.

  

	 	1.2	 New Borrower further: (i) acknowledges and agrees that it has read the Agreement and the
Loan Documents, (ii) consents to all of the provisions of the Agreement and the Loan Documents relating to a Borrower, and (iii) acknowledges and agrees that this Amendment and the Agreement have been freely executed without
duress and after an opportunity was provided to New Borrower for review of this Amendment by competent legal counsel of its choice. 

  

	 	1.3	 Without limiting the generality of the foregoing. Activate grants Bank a security interest in the
Collateral to secure performance and payment of all Obligations under the Agreement. Each Borrower authorizes Bank to file UCC Financing Statements reflecting New Borrower as Debtor and Bank as Secured Party. 

  
 1 

	 	2.	 Amendments 

  

	 	2.1	 Definitions. The following defined terms in Exhibit A referenced in Section 1.1 of
the Agreement are added to, or amended, to read as follows: 

 “Borrowing Base” means, as of any date of
determination, an amount equal to (i) 85% of Eligible Accounts, as determined by Bank with reference to the most recent Borrowing Base Certificate delivered by Borrowers, plus (iii) the Non-Formula Amount

 “Equipment Line” means a Credit Extension of up to Ten Million Dollars ($10,000,000). 

“First Amendment Date” means May 31, 2019. 

“Liquidity” means the sum of unrestricted cash maintained at Bank plus the net amount of Advances available under
Section 2.1(b)(i). 
 “Non-Formula Amount” means an amount not to exceed
(i) prior to June 1, 2020, Two Million Dollars ($2,000,000), and (ii) beginning on June 1, 2020 through December 1, 2020, One Million Five Hundred Thousand Dollars ($1,500,000), and (iii) beginning on December 1,
2020 and thereafter. One Million Dollars ($1,000,000). 
 “Revolving Line” means a Credit Extension of up to Ten Million Dollars
($10,000,000). 
 “Revolving Maturity Date” means May 31, 2021. 

 

	 	2.2	 “Eligible Accounts”; amendment to clause (k). The words “Accounts that are billed in
advance,” in clause (k) of the defined term “Eligible Accounts” set forth in Exhibit A and incorporated by reference in Section 1.1 of the Agreement are hereby amended to be “Accounts that are billed more than
ninety (90) days in advance”. 

  

	 	2.3	 Section 2.1 (c) (Equipment Advances). Section 2.1(c) of the Agreement is hereby
amended and restated in its entirety to read as follows: 

 (c)    Equipment
Advances. 
 (i)    Subject to and upon the terms and conditions of this Agreement, Bank agrees to
make Equipment Advances to Borrowers in an aggregate outstanding amount not to exceed the Equipment Line. Subject to and upon the terms and conditions of this Agreement, Borrowers may request Equipment Advances any time from the First Amendment Date
through February 28, 2021. Each Equipment Advance shall not exceed one hundred percent (100%) of the invoice amount of capital equipment, including capitalized IT buildout expenses, and tenant improvements approved by Bank from time to time
(which equipment, tenant improvements and expenses Borrower shall, in any case, have purchased or incurred within ninety (90) days of the date of the corresponding Equipment Advance), in each case excluding taxes, shipping, warranty charges,
freight, discounts and installation expense. Bank shall have a right from time to time to conduct an appraisal of Borrower’s Equipment at Borrower’s expense. 

(ii)    Interest shall accrue from the date of each Equipment Advance at the rate specified in the Pricing
Addendum and shall be payable in accordance with Section 2.3(b) and on the terms set forth in the Pricing Addendum. Any Equipment Advances outstanding on February 28, 2021 shall be payable in thirty six (36) equal monthly installments of
principal, plus all accrued interest, beginning on March 1, 2021 and continuing on the same day of each month thereafter until February 1, 2024 (the “Equipment Maturity Date”), at which time all amounts due in connection with the
Equipment Advances and any other amounts due under this Agreement shall be immediately due and payable. Once repaid, Equipment Advances may not be reborrowed. Except 

  
 2 

 
as set forth in the Pricing Addendum, Borrowers may prepay Equipment Advances without penalty or premium. Partial prepayments hereunder shall be applied to the installments hereunder in the
inverse order of their maturities without reamortization of the repayment schedule for the remaining principal balance. 

(iii)    When Borrowers desire to obtain an Equipment Advance, Borrowers shall notify Bank (which notice
shall be irrevocable) no later than 3:00 p.m. Pacific time three (3) Business Days before the day on which the Equipment Advance is to be made. Such notice shall be made in accordance with the Pricing Addendum. The notice shall be signed by a
Responsible Officer and include a copy of the invoice for any capital equipment, capitalized IT buildout expenses and/or tenant improvements to be financed. 
  

	 	2.4	 Section 4.5 (Lockbox). A new Section 4.5 is added to the Agreement to read as
follows: 

 4.5    Lock Box. 

(a)    Each Borrower agrees that the Obligations shall be on a “remittance basis”. Each Borrower
shall at its sole expense establish and maintain (and Bank, at Bank’s option, may establish and maintain at Borrower’s expense): a United States Post Office lock box (the “Lock Box”), to which Bank shall have exclusive access and
control. Each Borrower expressly authorizes Bank, from time to time, to remove the contents from the Lock Box, for disposition in accordance with this Agreement. Each Borrower shall notify all account debtors and other parties obligated to such
Borrower that all payments made to Borrower (other than payments by electronic funds transfer) shall be remitted, for the credit of Borrower, to the Lock Box, and each Borrower shall include a like statement on all invoices. Each Borrower shall
execute all documents and authorizations as required by Bank to establish and maintain the Lock Box. 

(b)    Each Borrower shall hold in trust for Bank all amounts that Borrower receives despite the directions
to make payments to the Lock Box, and immediately deliver such payments to Bank in their original form as received from the account debtor, with proper endorsements for deposit into the Lock Box. 

After the occurrence and during the continuance of an Event of Default, all items or amounts remitted to the Lock Box or that Bank has
otherwise received shall, in Bank’s sole discretion, be applied to the payment of any Obligations, whether then due or not, in such order or at such time of application as Bank may determine in its sole discretion. Bank shall not be liable for
any loss or damage which a Borrower may suffer as a result of Bank’s processing of items or its exercise of any other rights or remedies under this Agreement, including without limitation indirect, special or consequential damages, loss of
revenues or profits, or any claim, demand or action by any third party arising out of or in connection with the processing of items or the exercise of any other rights or remedies under this Agreement. Each Borrower shall indemnify and hold Bank
harmless from and against all such third party claims, demands or actions, and all related expenses or liabilities, including, without limitation, attorney’s fees and including claims, damages, fines, expenses, liabilities or causes of action
of whatever kind resulting from bank’s own negligence except to the extent (but only to the extent) caused by Bank’s gross negligence or willful misconduct 
  

	 	2.5	 Section 6.6 (Accounts). Section 6.6 of the Agreement is hereby amended and
restated in its entirety to read as follows: 

 6.6    Accounts. Each Borrower
(other than New Borrower) shall maintain at all times, and shall cause each of its Subsidiaries to maintain at all times, all of its depository, operating and investment accounts with Bank. Beginning on July 31, 2019 and at all times
thereafter. New Borrower shall maintain, and shall cause each of its Subsidiaries to maintain, all of its depository, operating and investment accounts with Bank. 

  
 3 

	 	2.6	 Section 6.7 (Financial Covenants). Section 6.7 of the Agreement is
hereby amended and restated in its entirety to read as follows: 

 6.7    Financial
Covenants. Each Borrower shall at all times maintain the following financial ratios and covenants: 

(a)    Minimum Liquidity. If, as of the last day of any calendar month, the aggregate amount of the
Obligations is equal to or greater than $12,000,000, then, beginning as of the first day of the immediately following month and continuing for the remainder of such calendar quarter and until such time as Bank receives satisfactory evidence of
Borrowers’ cumulative revenue growth for the following calendar quarter. Borrowers shall maintain minimum Liquidity on a consolidated basis in an amount greater than: 

(i)    If cumulative revenue growth for Borrowers is greater than 25%, measured quarterly as of the last
day of the respective quarter of determination, Borrowers shall maintain Liquidity in an amount greater than $3,000,000; 

(ii)    If cumulative revenue growth for Borrowers is greater than 15% and equal to or less than 25%,
measured quarterly as of the last day of the respective quarter of determination, Borrowers shall maintain Liquidity in an amount greater than $4,000,000; and 

(iii)    If cumulative revenue growth for Borrowers is less than or equal to 15%, measured quarterly as of
the last day of the respective quarter of determination Borrower shall maintain Liquidity in an amount greater than $5,000,000. 

For purposes of this Section 6.7(a), revenue growth shall be calculated on a cumulative year to date basis. Revenue growth
for 2019 shall be based on an annualized cumulative year to date amount beginning September 30, 2019. For each subsequent year, revenue growth shall be determined as follows: Quarter 1 annualized, Quarter 1 + Quarter 2 annualized, Quarter 1 +
Quarter 2 + Quarter 3 annualized, and Quarter 1 + Quarter 2 + Quarter 3 + Quarter 4 annualized. 
  

	 	2.7	 Deletion of Sections 6.10-6.13 (Collection of Accounts Receivable;
Collection of Accounts Receivable; Management of Collateral; Accounts Receivable Documentation; Status of Accounts Receivable and Other Collateral). Sections 6.10 through 6.13 of the Agreement are each hereby deleted. 

 

	 	2.8	 Section 6.18 (JPMorgan Chase Lien Terminations). A new
Section 6.18 is added to the Agreement to read as follows: 

6.18    JPMorgan Chase Lien Terminations. Within 30 days after the First Amendment Date, Borrowers
shall deliver to Bank evidence in form and substance satisfactory to Bank that all Liens in favor of JPMorgan Chase on each Borrower’s property, including each Borrower’s Intellectual Property, have been terminated and released. Without
limiting the generality of the foregoing, within 30 days after the First Amendment Date Borrowers shall deliver to Bank, each in form and substance satisfactory to Bank, (i) a file-stamped amendment to the UCC financing statement in favor of
JPMorgan Chase, amending such financing statement to exclude all property acquired by any Borrower from collateral described or covered under such financing statement and (ii) an intellectual property release, duly executed by JPMorgan Chase
and duly recorded with the United States Patent and Trademark Office, releasing JPMorgan Chase’s interest in Borrower’s trademark(s), and (iii) such further documents, instruments and agreements (and Borrowers shall take such further
action) as may be requested by Bank to effect the purposes of this Section 6.18 and Section 7.5. Bank does not waive (and nothing in this Section 6.18 is or shall be construed as a waiver of) any Borrower’s obligations under this
or any other section of the Agreement or any failure by any Borrower to perform its obligations in strict accordance with the Agreement. 

  
 4 

	 	2.9	 Section 7.14 (Transfers). A new Section 7.14 is added to the Agreement to read
as follows 

 7.14    Transfers: Investments to Provider Affiliates. No Borrower
shall pay or transfer any cash or other property to, or make any Investments in, any Provider Affiliate without Bank’s prior written consent. As used herein, a “Provider Affiliate” includes ZINNI CLINIC PC, a California corporation,
ACTIVATE CLINIC, P.C., an Illinois corporation, ACTIVATE HEALTHCARE, PC, an Indiana corporation, ACTIVATE CLINIC, PSC, a Kentucky corporation, ACTIVATE HEALTHCARE (MICHIGAN), PC, a Michigan corporation, ACTIVATE ZINNI, PC, a Nevada corporation,
ACTIVATE HEALTHCARE (OHIO), INC., an Ohio corporation, ACTIVATE PENNSYLVANIA CLINICS, PC, a Pennsylvania corporation, BROOKS ACTIVATE CLINIC PROFESSIONAL CORPORATION, a Maryland corporation (‘Brooks”), and WEST VIRGINIA HEALTH CLINICS,
PLLC, a West Virginia limited liability company and/or any other parent entity or Affiliate of such Person, and the successors and assigns of each of the foregoing. 
  

	 	2.10	 Exclusion of New Borrower Accounts from Eligible Accounts. Notwithstanding anything to the contrary
contained in the Agreement, “Eligible Accounts” shall not include Accounts of New Borrower unless Bank has first received results from a Collateral audit of New Borrower which results are satisfactory to Bank. 

 

	 	2.11	 Amendment to LIBOR/PRRA. The defined term “Applicable Margin” set forth in
Section 1c of the LIBOR/PRRA is amended to read as follows: 

c.    “Applicable Margin” means: 

(1)    in respect of the LIBOR-based Rate, (i) three percent (3.00%) per annum with respect to the
Equipment Advances (as defined in the Agreement), and (ii) three percent (3.00%) per annum with respect to the Advances (as defined in the Agreement); and 

(2)    in respect of the Prime Referenced Rate, (i) zero (0.00%) per annum with respect to the
Equipment Advances (as defined in the Agreement), and (ii) zero (0.00%) per annum with respect to the Advances (as defined in the Agreement). 
  

	 	2.12	 Exhibit C (Compliance Certificate). Exhibit C to the Agreement is hereby amended and restated in
its entirety as set forth on Exhibit C hereto. 

  

	 	2.13	 Exhibit C (Trademarks). Exhibit C (Trademarks) to the Existing Borrower IPSA is hereby amended
and restated in its entirety as set forth on Exhibit C (Trademarks) hereto. 

3.    Unless otherwise defined, all initially capitalized terms in this Amendment shall be as defined in the
Agreement. 
 4.    The Agreement, as amended by this Amendment, remains in full force and effect in accordance
with its terms. Except as expressly set forth herein, the execution, delivery, and performance of this Amendment shall not operate as a waiver of, or as an amendment of, any right, power, or remedy of Bank under the Agreement, or any other Loan
Document, as in effect prior to the date hereof. Each Borrower ratifies and reaffirms the continuing effectiveness of all agreements entered into in connection with the Agreement. 

5.    Each Borrower represents and warrants that the representations and warranties contained in the Agreement are
true and correct in all material respects as of the date of this Amendment (except to the extent such representations and warranties expressly relate to another date), and, except for the Existing Defaults, no Event of Default has occurred and is
continuing. 

  
 5 

 6.    This Amendment may be executed in two or more counterparts,
each of which shall be deemed an original, but all of which together shall constitute one instrument. 

7.    Sections 11 and 12 of the Agreement are incorporated herein, mutatis mutandis. 

8.    As a condition to the effectiveness of this Amendment, Bank shall have received, in form and substance
reasonably satisfactory to Bank, the following: 
 (a)    this Amendment, duly executed by Borrowers; 

(b)    corporation resolutions and incumbency certification authority to procure loans with respect to incumbency and
resolutions (or limited liability company authority to procure loans with respect to incumbency and resolutions, as applicable), duly executed by each Borrower. 

(c)    formation documents (certificate/articles of formation and limited liability company/operating agreement) of New
Borrower; 
 (d)    an Intellectual Property Security Agreement, duly executed by New Borrower; 

(e)    UCC financing statement (for New Borrower); 

(f)    Itemization of Amount Financed Disbursement Instructions (Revolver); 

(g)    Itemization of Amount Financed Disbursement Instructions (Equipment Advances); 

(h)    payment of a fee equal to $15,000 plus an amount equal to all Bank Expenses incurred in connection with this
Amendment; and 
 (i)    such other documents, and completion of such other matters, as Bank may reasonably deem
necessary or appropriate. 
 [signature page follows] 

  
 6 

 [SIGNATURE PAGE TO FIRST AMENDMENT] 

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

 

									
	PALADINA HEALTH, LLC	 		 	COMERICA BANK
					
	By:	 	 /s/ Tracy Stephens
	 		 	By:	 	 /s/ Walter Weston

	Name:	 	 Tracy Stephens
	 		 	Name:	 	 Walter Weston

	Title:	 	 CFO
	 		 	Title:	 	 SVP

				
	DPC MEDICAL GROUP, P.C.	 		 		 	
					
	By:	 	 /s/ Tracy Stephens
	 		 		 	
	Name:	 	 Tracy Stephens
	 		 		 	
	Title:	 	 CFO
	 		 		 	
				
	PALADINA MEDICAL GROUP OF NEW JERSEY, P.C.	 		 		 	
					
	By:	 	 /s/ Tracy Stephens
	 		 		 	
	Name:	 	 Tracy Stephens
	 		 		 	
	Title:	 	 CFO
	 		 		 	
				
	PALADINA HEALTH MEDICAL GROUP, PC	 		 		 	
					
	By:	 	 /s/ Tracy Stephens
	 		 		 	
	Name:	 	 Tracy Stephens
	 		 		 	
	Title:	 	 CFO
	 		 		 	
				
	ACTIVATE HEALTHCARE LLC	 		 		 	
					
	By:	 	 /s/ Tracy Stephens
	 		 		 	
	Name:	 	 Tracy Stephens
	 		 		 	
	Title:	 	 CFO
	 		 		 	

 EXHIBIT C 

COMPLIANCE CERTIFICATE 
  

			
	Please send all Required Reporting to:	  	 Comerica Bank
 Technology &
Life Sciences Division
 Loan Analysis Department
 1800 Bering
Drive
 San Jose, CA 95112
 Email directly to:
dhollenbeck@comerica.com and
 NWComplianceMcomerica.com

 FROM:    Paladina Health, LLC, DPC Medical Group, P.C., Paladina Medical Group of New Jersey, Paladina
Health Medical Group, PC and Activate Healthcare LLC 
 The undersigned authorized Officers of Paladina Health, LLC, DPC Medical Group, P.C., Paladina
Medical Group of New Jersey, P.C., Paladina Health Medical Group, PC and Activate Healthcare LLC (each a “Borrower”, and, collectively, “Borrowers”), each hereby certify that in accordance with the terms and conditions of the
Loan and Security Agreement between Borrowers and Bank (the “Agreement”), (i) Each Borrower is in complete compliance for the period ending
                     with all required covenants, including without limitation the ongoing registration of intellectual property rights in
accordance with Section 6.8, except as noted below and (ii) all representations and warranties of each Borrower stated in the Agreement are true and correct in all material respects as of the date hereof. Attached herewith are the required
documents supporting the above certification. Each Officer further certifies that these are prepared in accordance with Generally Accepted Accounting Principles (GAAP) and are consistently applied from one period to the next except as explained in
an accompanying letter or footnotes. 
 Please indicate compliance status by circling Yes/No under “Complies” or “Applicable” 

 

											
	 REPORTING COVENANTS
	  	 REQUIRED
	  	COMPLIES	 
	 Company Prepared Monthly F/S (consolidating and consolidated)
	  	Monthly, within 30 days	  	 	YES	 	  	 	NO	 
	 Compliance Certificate
	  	Monthly, within 30 days	  	 	YES	 	  	 	NO	 
	 CPA Audited, Unqualified F/S
	  	Annually, within 150 days of FYE beginning w/FYE 2018	  	 	YES	 	  	 	NO	 
	 Borrowing Base Certificate
	  	Monthly, within 30 days	  	 	YES	 	  	 	NO	 
	 A/R Agings
	  	Monthly, within 30 days	  	 	YES	 	  	 	NO	 
	 A/P Agings
	  	Monthly, within 30 days	  	 	YES	 	  	 	NO	 
	 Annual Business Plan (incl. operating budget)
	  	Annually, within 30 days of FYE	  	 	YES	 	  	 	NO	 
	 Audit
	  	Initial and Semi-Annual	  	 	YES	 	  	 	NO	 
	 Intellectual Property Report
	  	Within 30 days of each quarter	  	 	YES	 	  	 	NO	 
				
	 If Public
	  		  				  			
	 10-Q
	  	Quarterly, within 5 days of SEC Filing (50 days)	  	 	YES	 	  	 	NO	 
	 10-K
	  	Quarterly, within 5 days of SEC Filing (95 days)	  	 	YES	 	  	 	NO	 
				
	 Total amount of Borrowers’ cash and investments
	  	Amount: $                	  	 	YES	 	  	 	NO	 
	 Total amount of Borrowers’ cash and investments maintained with Bank
	  	Amount: $                	  	 	YES	 	  	 	NO	 
			
	 	  	 DESCRIPTION
	  	APPLICABLE	 
	 Legal Action > $100,000
	  	Notify promptly upon notice                             	  	 	YES	 	  	 	NO	 
	 Inventory Disputes > $100,000
	  	Notify promptly upon notice                             	  	 	YES	 	  	 	NO	 
	 Mergers & Acquisitions
	  	Notify promptly upon notice                             	  	 	YES	 	  	 	NO	 
	 Cross default with other agreements > $100,000
	  	Notify promptly upon notice                             	  	 	YES	 	  	 	NO	 
	 Judgments > $100,000
	  	Notify promptly upon notice                             	  	 	YES	 	  	 	NO	 

  

													
	 FINANCIAL COVENANTS
	  	 REQUIRED
	  	 ACTUAL
	  	COMPLIES	 
	 Minimum Liquidity
	  	See Agreement	  	                    	  	 	YES	 	  	 	NO	 
				
	 OTHER COVENANTS
	  	 REQUIRED
	  	 ACTUAL
	  	COMPLIES	 
	 Permitted Indebtedness for equipment leases
	  	<$100,000	  	                    	  	 	YES	 	  	 	NO	 
	 Permitted Investments for stock repurchase
	  	<$100,000	  	                    	  	 	YES	 	  	 	NO	 
	 Permitted Investments for subsidiaries
	  	<$100,000	  	                    	  	 	YES	 	  	 	NO	 
	 Permitted Investments for employee loans
	  	<$100,000	  	                    	  	 	YES	 	  	 	NO	 
	 Permitted Investments for joint ventures
	  	<$100,000	  	                    	  	 	YES	 	  	 	NO	 
	 Permitted Liens for equipment leases
	  	<$100,000	  	                    	  	 	YES	 	  	 	NO	 
	 Permitted Transfers
	  	<$100,000	  	                    	  	 	YES	 	  	 	NO	 

 Please Enter Below Comments Regarding Violations: 

Each Officer further acknowledges that at any time any Borrower is not in compliance with all the terms set forth in the Agreement, including, without
limitation, the financial covenants, no credit extensions will be made. 
  

			
	Very truly yours,
	
	PALADINA HEALTH, LLC
		
	By:	 	 /s/ Tracy Stephens

	Name:	 	 Tracy Stephens

	Title:	 	 CFO

	
	DPC MEDICAL GROUP, P.C.
		
	By:	 	 /s/ Tracy Stephens

	Name:	 	 Tracy Stephens

	Title:	 	 CFO

	
	PALADINA MEDICAL GROUP OF NEW JERSEY, P.C.
		
	By:	 	 /s/ Tracy Stephens

	Name:	 	 Tracy Stephens

	Title:	 	 CFO

	
	PALADINA HEALTH MEDICAL GROUP, PC
		
	By:	 	 /s/ Tracy Stephens

	Name:	 	 Tracy Stephens

	Title:	 	 CFO

	
	ACTIVATE HEALTHCARE LLC
		
	By:	 	 /s/ Tracy Stephens

	Name:	 	 Tracy Stephens

	Title:	 	 CFO

 EXHIBIT C (to Existing Borrower IPSA) 

Trademarks 
  

									
	 Owner
	  	Description	 	  	Registration/
Application Number	  	Registration/
Application Date
	 Paladina
	  	 	PALADINA HEALTH	 	  	4,255,049	  	12/04/12

 COMERICA BANK 

Member FDIC 

ITEMIZATION OF AMOUNT FINANCED 

DISBURSEMENT INSTRUCTIONS 

(Revolver) 
 Name(s): Paladina Health, LLC,
DPC Medical Group, P.C., Paladina Medical Group of New Jersey, P.C, Paladina Health Medical Group, PC and Activate Healthcare LLC 
  

			
	 Date: May 31, 2019

		
	      $	  	credited to deposit account No.              when Advances are requested or disbursed to Borrowers by
cashier’s check or wire transfer
	
	 Amounts paid to others on your behalf:

		
	       $
	  	 to Comerica Bank for Loan Fee

		
	       $
	  	 to Comerica Bank for Document Fee

		
	       $
	  	 to Comerica Bank for accounts receivable audit (estimate)

		
	       $
	  	 to Bank counsel fees and expenses

		
	       $
	  	 to
                    

		
	       $
	  	 to
                    

		
	       $
	  	 TOTAL (AMOUNT FINANCED)

 Upon consummation of this transaction, this document will also serve as the authorization for Comerica Bank to disburse the
loan proceeds as stated above. 
 [signature page follows] 

 [SIGNATURE PAGE TO DISBURSEMENT INSTRUCTIONS (REVOLVER)] 

 

			
	PALADINA HEALTH, LLC
		
	By:	 	 /s/ Tracy Stephens

	Name:	 	 Tracy Stephens

	Title:	 	 CFO

	
	DPC MEDICAL GROUP, P.C.
		
	By:	 	 /s/ Tracy Stephens

	Name:	 	 Tracy Stephens

	Title:	 	 CFO

	
	PALADINA MEDICAL GROUP OF NEW JERSEY, P.C.
		
	By:	 	 /s/ Tracy Stephens

	Name:	 	 Tracy Stephens

	Title:	 	 CFO

	
	PALADINA HEALTH MEDICAL GROUP, PC
		
	By:	 	 /s/ Tracy Stephens

	Name:	 	 Tracy Stephens

	Title:	 	 CFO

	
	ACTIVATE HEALTHCARE LLC
		
	By:	 	 /s/ Tracy Stephens

	Name:	 	 Tracy Stephens

	Title:	 	 CFO

 COMERICA BANK 

Member FDIC 

ITEMIZATION OF AMOUNT FINANCED 

DISBURSEMENT INSTRUCTIONS 

(Equipment Advances) 

Name(s):    Paladina Health, LLC, DPC Medical Group, P.C., Paladina Medical Group of New Jersey, P.C, Paladina Health Medical Group, PC
and Activate Healthcare LLC 
  

			
	Date: May 31, 2019
		
	      $	  	credited to deposit account No.                      when Equipment Advances are requested or disbursed to Borrowers by
cashier’s check or wire transfer
	
	Amounts paid to others on your behalf:
		
	      $	  	to Comerica Bank for Loan Fee
		
	      $	  	to Comerica Bank for Document Fee
		
	      $	  	to Comerica Bank for accounts receivable audit (estimate)
		
	      $	  	to Bank counsel fees and expenses
		
	      $	  	to                     
		
	      $	  	to                     
		
	      $	  	TOTAL (AMOUNT FINANCED)

 Upon consummation of this transaction, this document will also serve as the authorization for Comerica Bank to disburse the
loan proceeds as stated above. 
 [signature page follows] 

 [SIGNATURE PAGE TO DISBURSEMENT INSTRUCTIONS (EQUIPMENT ADVANCES)] 

 

			
	PALADINA HEALTH, LLC
		
	By:	 	 /s/ Tracy Stephens

	Name:	 	 Tracy Stephens

	Title:	 	 CFO

	
	DPC MEDICAL GROUP, P.C.
		
	By:	 	 /s/ Tracy Stephens

	Name:	 	 Tracy Stephens

	Title:	 	 CFO

	
	PALADINA MEDICAL GROUP OF NEW JERSEY, P.C.
		
	By:	 	 /s/ Tracy Stephens

	Name:	 	 Tracy Stephens

	Title:	 	 CFO

	
	PALADINA HEALTH MEDICAL GROUP, PC
		
	By:	 	 /s/ Tracy Stephens

	Name:	 	 Tracy Stephens

	Title:	 	 CFO

	
	ACTIVATE HEALTHCARE LLC
		
	By:	 	 /s/ Tracy Stephens

	Name:	 	 Tracy Stephens

	Title:	 	 CFOEX-10.14

 Exhibit 10.14 

SECOND AMENDMENT AND WAIVER TO LOAN AND SECURITY AGREEMENT 

This Second Amendment and Waiver to Loan and Security Agreement (the “Amendment”) is entered into as of April 20, 2020, by and
between COMERICA BANK, a Texas banking association (“Bank”) and PALADINA HEALTH, LLC, a Delaware limited liability company formerly known as Davita DPC Management Company, LLC (“Paladina”), DPC MEDICAL GROUP, P.C., a Washington
corporation (“DPC”), PALADINA MEDICAL GROUP OF NEW JERSEY, P.C., a New Jersey corporation (“Paladina New Jersey”), PALADINA HEALTH MEDICAL GROUP, PC, a Colorado corporation (“Paladina PC”) and ACTIVATE HEALTHCARE
LLC, an Indiana limited liability company (“Activate”, and with Paladina, DPC, Paladina New Jersey, Paladina P.C. each a “Borrower” and collectively, the “Borrowers”). 

RECITALS 
 Borrowers and
Bank are parties to that certain Loan and Security Agreement, dated as of June 27, 2018 (as amended, restated, supplemented, replaced, or otherwise modified from time to time, including, without limitation, by that certain First Amendment to
Loan and Security Agreement dated as of May 31, 2019, collectively, the “Agreement”), The parties desire to amend the Agreement in accordance with the terms of this Amendment. 

Borrower has requested that Bank provide certain waivers, and Bank is willing to do so on the terms and subject to the conditions set forth in
this Amendment.] 
 NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the
parties agree as follows: 
 AGREEMENT 
  

	I.	 Incorporation by Reference. The Recitals and the documents referred to therein are incorporated
herein by this reference. Except as otherwise noted, the terms used but not defined herein shall have the meaning set forth in the Agreement. 

  

	II.	 Amendment to the Agreement. Subject to the satisfaction of the conditions precedent as set forth
in Article IV hereof, the Agreement is hereby amended as set forth below. 

  

	 	A.	 Section 6.6 of the Agreement is hereby amended and restated in its entirety to read as follows:

 “Accounts. Each Borrower shall maintain at all times, and shall cause each of its Subsidiaries to maintain
at all times, all of its depository, operating and investment accounts, with Bank. Notwithstanding the foregoing, Borrowers may maintain an aggregate balance in an amount not to exceed Three Hundred Thousand Dollars ($300,000) outside of
Bank.” 
  

	III.	 Waiver. Events of Default have occurred and continue to exist under the Agreement due to
Borrower’s failure to maintain all of its depository, operating and investment accounts with Bank for the period from May 31, 2019 through the date of this Amendment, in violation of Section 6.6 of the Agreement (the “Existing
Default”), Each Borrower requests that Bank waive the Existing Default. Subject to each Borrower’s compliance with the terms and conditions of the Amendment and the Agreement, Bank
hereby waives the Existing Default. Bank does not waive any other failure by each Borrower to perform its obligations under the Agreement or the other Loan Documents. This waiver is not a continuing waiver with respect to any failure by each
Borrower to perform any obligation under the Agreement (as amended by this Amendment) or the other Loan Documents, is specific as to content and time and shall not constitute a waiver of any other current or future default or breach under the
Agreement or any other Loan Document, including, without limitation, each Borrower’s obligations under Section 6.6 of the Agreement. 

  
 1 

	IV.	 Legal Effect. 

 

	 	A.	 The Agreement is hereby amended wherever necessary to reflect the changes described above. Each Borrower agrees
that it has no defenses against the obligations to pay any amounts under the Agreement. 

  

	 	B.	 Each Borrower understands and agrees that in modifying the existing Obligations, Bank is relying upon each
Borrower’s representations, warranties, and agreements, as set forth in the Agreement and the other Loan Documents. Except as expressly modified pursuant to this Amendment, the terms of the Agreement and the other Loan Documents remain
unchanged, and in full force and effect. Bank’s agreement to modify the existing Agreement pursuant to this Amendment in no way shall obligate Bank to make any future modifications to the Agreement. Nothing in this Amendment shall constitute a
satisfaction of the Obligations. It is the intention of Bank and each Borrower to retain as liable parties, all makers and endorsers of the Agreement and the other Loan Documents, unless the party is expressly released by Bank in writing. No maker,
endorser, or guarantor will be released by virtue of this Amendment. The terms of this paragraph apply not only to this Amendment, but also to all subsequent loan modification requests. 

 

	 	C.	 This Amendment may be executed in two or more counterparts, each of which shall be deemed an original, but all
of which together shall constitute one instrument. This is an integrated Amendment and supersedes all prior negotiations and agreements regarding the subject matter hereof. All modifications hereto must be in writing and signed by the parties.

  

	IV.	 Conditions Precedent. Except as specifically set forth in this Amendment, all of the terms and
conditions of the Agreement and the other Loan Documents remain in full force and effect. The effectiveness of this Amendment is conditioned upon receipt by Bank of: 

 

	 	A.	 This Amendment, duly executed by each Borrower; 

 

	 	B.	 A legal fee from Borrower in the amount of $350.00, which may be debited from any Borrower’s accounts
maintained with Bank; and 

  

	 	C.	 Such other documents, and completion of such other matters, as Bank may reasonably deem necessary or
appropriate. 

 {Remainder of page left intentionally blank; Signature page follows.] 

  
 2 

 IN WITNESS WHEREOF, the undersigned have executed this Amendment as of the first date above written. 

 

			
	BORROWER
	
	PALADINA HEALTH, LLC, a Delaware limited liability company formerly known as Davita DPC Management Company, LLC
		
	By:	 	 /s/ Tracy Stephens

	Name:	 	Tracy Stephens
	Title:	 	CFO
	
	DPC MEDICAL GROUP, P.C. a Washington corporation
		
	By:	 	 /s/ Tracy Stephens

	Name:	 	Tracy Stephens
	Title:	 	CFO
	
	PALADINA MEDICAL GROUP OF NEW JERSEY, P.C.,
	a New Jersey corporation
		
	By:	 	 /s/ Tracy Stephens

	Name:	 	Tracy Stephens
	Title:	 	CFO
	
	PALADINA HEALTH MEDICAL GROUP, PC,
	a Colorado corporation
		
	By:	 	 /s/ Tracy Stephens

	Name:	 	Tracy Stephens
	Title:	 	CFO
	
	ACTIVATE HEALTHCARE LLC,
	an Indiana limited liability company
		
	By:	 	 /s/ Tracy Stephens

	Name:	 	Tracy Stephens
	Title:	 	CFO
	
	BANK
	
	COMERICA BANK, a Texas banking association
		
	By:	 	 /s/ Shane Merkord

	Name:	 	Shane Merkord
	Title:	 	Vice President

  
 3

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