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FIRST AMENDMENT TO LOAN AGREEMENT
  AND OTHER LOAN DOCUMENTS    
  

        This FIRST AMENDMENT TO LOAN AGREEMENT AND OTHER LOAN DOCUMENTS (this "First Amendment"), dated as of June 30, 2001, is by and between
PRACTICEWORKS, INC., a Delaware corporation ("Borrower"), and FINOVA CAPITAL CORPORATION, a Delaware corporation ("Lender"). All capitalized terms used but not elsewhere defined herein shall
have the respective meanings ascribed to such terms in Section 1 below. 

 
 

R E C I T A L S    
  

        A.    Borrower and Lender entered into that certain Loan Agreement dated as of March 5, 2001 (as amended prior to the date hereof, the "Existing
Loan Agreement"), pursuant to which Lender, among other things, made certain loans and other financial accommodations to Borrower, subject to the terms and conditions therein set forth. 

        B.    Borrower
has requested that Lender agree, and Lender has agreed, to amend the Existing Loan Agreement and the other Loan Documents in certain respects, subject to the
terms and conditions herein set forth. 

        NOW,
THEREFORE, in consideration of the foregoing and other mutual agreements contained herein, and for other good and valuable consideration, the receipt and sufficiency of which hereby
are acknowledged, and subject to the terms and conditions hereof, Borrower and Lender hereby agree as follows: 

        1.    Definitions. All capitalized terms used but not elsewhere defined herein shall have the respective meanings ascribed to
such terms in the Existing Loan Agreement, as amended by this First Amendment. 

        2.    Amendments to the Existing Loan Agreement. The Existing Loan Agreement is amended as set forth below: 

        2.1  Section 7.6. Section 7.6 of the Existing Loan Agreement is deleted in its entirety and the following is
substituted in lieu thereof: 

        "7.6 Capital Expenditures. Make or incur any Capital Expenditures (other than Acquisitions consented to by Lender in writing,
in its sole and absolute discretion) to the extent the aggregate amount of all Capital Expenditures of Borrower and its Subsidiaries for any period set forth below exceeds the amount set forth below
opposite such period: 

	Period
	 	Maximum Amount

	Fiscal Year 2001	 	$	3,600,000
	Fiscal Year 2002	 	$	4,100,000
	Each Fiscal Year Thereafter	 	$	4,300,000"

 

        2.2  Section 7.23. Section 7.23 of the Existing Loan Agreement is deleted in its entirety and the following is
substituted in lieu thereof: 

        "7.23
Minimum Liquidity. Permit the sum of (i) cash and Cash Equivalents of Borrower and its Subsidiaries as of the
last day of any quarter set forth below, plus (ii) $2,500,000, to be less than the amount set forth below opposite such date: 

	Date
	 	Minimum Amount

	March 31, 2001	 	$	6,375,000
	June 30, 2001	 	$	5,395,000
	September 30, 2001	 	$	4,255,000
	December 31, 2001	 	$	2,932,000
	March 31, 2002	 	$	2,835,000
	June 30, 2002	 	$	3,455,000
	September 30, 2002	 	$	4,955,000
	December 31, 2002	 	$	7,575,000
	March 31, 2003	 	$	11,125,000
	June 30, 2003	 	$	15,715,000
	    and Thereafter"	 	 	 

        2.3  Borrower
hereby agrees and acknowledges that the term "Warrants," as defined in the Existing Loan Agreement, shall be deemed to include for all purposes under the
Existing Loan Agreement, as amended, the "First Amendment Warrant," as defined in this First Amendment. 

        3.    Conditions to Effectiveness. The effectiveness of this First Amendment shall be subject to the satisfaction of all of the
following conditions in a manner, form and substance satisfactory to Lender: 

        (a)  Representations and Warranties. All of the representations and warranties of Borrower and its Subsidiaries set forth in
the Loan Documents, as amended hereby, shall be true and correct in all material respects (except to the extent such representations and warranties expressly refer to an earlier date, in which case
they shall be true and correct as of such earlier date). 

        (b)  Delivery of Documents. The following shall have been delivered to Lender, each duly authorized and executed and in form
and substance satisfactory to Lender: 

        (1)  this
First Amendment; 

        (2)  a
warrant for shares of common stock of Borrower (the "First Amendment Warrant"); 

        (3)  such
evidence of the authority of Borrower to execute, deliver and perform the obligations under this First Amendment and the other agreements, documents and instruments
to be executed and delivered by Borrower pursuant to the terms of this First Amendment (including, without limitation, the First Amendment Warrant) (collectively, the "Other Amendment Documents"), as
Lender reasonably may require, including but not limited to certified copies of resolutions duly adopted by the board of directors of Borrower authorizing the execution and delivery of, and
performance of its obligations under, this First Amendment and the Other Amendment Documents; and 

        (4)  such
other instruments, documents, agreements, certificates, consents, waivers and opinions as Lender reasonably may request. 

        (c)  Approvals. The approval and/or consent shall have been obtained from all Persons whose approval or consent is necessary
or required to enable Borrower to enter into this First Amendment and the Other Amendment Documents and to perform its obligations hereunder and thereunder; 

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        (d)  Material Adverse Change. No event shall have occurred since the date on which financial statements shall have been most
recently delivered to Lender under the terms of the Existing Loan Agreement which has had or reasonably could be expected to have a Material Adverse Effect. 

        (e)  Performance; No Default. Borrower and its Subsidiaries shall have performed and complied with all agreements, covenants
and conditions contained in the Loan Documents to be performed by or complied with by Borrower and its Subsidiaries prior to the date hereof, and no Event of Default or Incipient Default shall exist. 

        (f)    Proceedings and Documents. All corporate and other proceedings in connection with the execution and delivery of this
First Amendment and the Other Amendment Documents by Borrower and its Subsidiaries shall be satisfactory to Lender. 

        (g)  Payment of Fees and Expenses. Borrower shall have paid all fees and expenses of Lender incurred in connection with this
First Amendment and the Other Amendment Documents, including, without limitation, attorneys' fees and expenses. 

The
date on which all of the conditions set forth in this Paragraph 3 shall have satisfied or waived in writing by Lender shall be deemed to be the "Effective Date" of this First Amendment. The
execution and delivery by Borrower of this First Amendment shall be a representation and warranty by Borrower that the conditions set forth in paragraphs (a), (c), (d), (e) and (f) above
have been satisfied in all respects as of the date hereof. 

        4.    References. From and after the Effective Date, all references in the Existing Loan Agreement and the other Loan Documents
to (i) the "Loan Agreement" or such Loan Document shall be deemed to refer to the Existing Loan Agreement or such Loan Document, as applicable, as amended hereby, and (ii) a term defined
in the Existing Loan Agreement shall be deemed to refer to such defined term as amended by this First Amendment. 

        5.    Representations and Warranties. Borrower hereby confirms to Lender that the representations and warranties set forth in
the Existing Loan Agreement and the other Loan Documents, as amended by this First Amendment, are true and correct in all respects as of the date hereof (except to the extent such representations and
warranties expressly refer to an earlier date, in which case they shall be true and correct as of such earlier date), and shall be deemed to be remade as of the date hereof. Borrower hereby represents
and warrants to Lender that (i) Borrower has full power and authority to execute and deliver this First Amendment and the Other Amendment Documents and to perform its obligations hereunder and
thereunder, (ii) upon the execution and delivery hereof and thereof, this First Amendment and the Other Amendment Documents shall be valid, binding and enforceable upon Borrower in accordance
with their terms, (iii) the execution and delivery of this First Amendment and the Other Amendment Documents do not and will not contravene, conflict with, violate or constitute a default under
(A) the articles or certificate or incorporation or bylaws of Borrower, (B) any subordination agreement executed in connection therewith or (C) any applicable law, rule,
regulation, judgment, decree or order or any agreement, indenture or instrument to which Borrower is a party or is bound or which is binding upon or applicable to all or any portion of Borrower's
Property, (iv) no Incipient Default or Event of Default exists, (v) such Borrower's Property is free and clear of all Liens other than Permitted Liens and (vi) Borrower does not
have Indebtedness for Borrowed Money except as otherwise permitted under the Existing Loan Agreement. 

        6.    Costs and Expenses. Borrower agrees to reimburse Lender for all fees and expenses incurred in the preparation, negotiation
and execution of this First Amendment and the Other Amendment Documents and the consummation of the transactions contemplated hereby and thereby, including, without limitation, the fees and expenses
of counsel for Lender. 

        7.    No Further Amendments; Ratification of Liability. Except as amended hereby, the Existing Loan Agreement and each of the
other Loan Documents shall remain in full force and effect in 

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accordance with their respective terms. Borrower hereby ratifies and confirms its liabilities, obligations and agreements under the Existing Loan Agreement and the other Loan Documents, all as
amended by this First Amendment, and the Liens created thereby and the guarantees made by Borrower, as applicable, and acknowledges that (i) it has no defenses, claims or set-offs
to the enforcement by Lender of such liabilities, obligations and agreements, (ii) Lender has fully performed all obligations to Borrower and its Subsidiaries which Lender may have had or has
on and as of the date hereof and (iii) other than as specifically set forth herein, Lender does not waive, diminish or limit any term, condition or covenant contained in the Existing Loan
Agreement or any of the other Loan Documents. Lender's agreement to the terms of this First Amendment shall not be deemed to establish or create a custom or course of dealing among Lender, Borrower
and/or any of its Subsidiaries. 

        8.    Counterparts. This First Amendment may be executed in one or more counterparts, each of which shall be deemed an original,
and all of which, when taken together, shall constitute one and the same instrument. 

        9.    Further Assurances. Borrower covenants and agrees that it will, and will cause each of its Subsidiaries to, at any time
and from time to time do, execute, acknowledge and deliver, or will cause to be done, executed, acknowledged and delivered, all such further acts, documents and instruments as reasonably may be
required by Lender in order to effectuate fully the intent of this First Amendment. 

        10.    Severability. If any term or provision of this First Amendment or the application thereof to any party or circumstance
shall be held to be invalid, illegal or unenforceable in any respect by a court of competent jurisdiction, the validity, legality and enforceability of the remaining terms and provisions of this First
Amendment shall not in any way be affected or impaired thereby, and the affected term or provision shall be modified to the minimum extent permitted by law so as most fully to achieve the intention of
this First Amendment. 

        11.    Captions. The captions in this First Amendment are inserted for convenience of reference only and in no way define,
describe or limit the scope or intent of this First Amendment or any of the provisions hereof. 

[remainder
of this page intentionally left blank] 

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        IN
WITNESS WHEREOF, this First Amendment has been executed and delivered by each of the parties hereto by a duly authorized officer of each such party on the date first set forth above. 

	 	 	PRACTICEWORKS, INC.
	

 	
 	

By:	
 	

/s/  JAMES A. COCHRAN      

	 	 	Its:	 	Chief Financial Officer

	 	 	FINOVA CAPITAL CORPORATION, a Delaware

corporation
	

 	
 	

By:	
 	

/s/  MICHAEL P. KELLER      

	 	 	 	 	Vice President

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FIRST AMENDMENT TO LOAN AGREEMENT AND OTHER LOAN DOCUMENTS

R E C I T A L SExhibit 10.23  

        PRACTICEWORKS, INC.  

 2000 Stock Option Plan

Stock Grant Certificate (Deferred Compensation)  

PracticeWorks, Inc., a Delaware corporation (the "Company"), hereby grants to the recipient named below ("Recipient" or "you") the right to receive (this "Deferred Stock
Grant") the total number of shares shown below of Common Stock of the Company ("Shares"), subject to all of the terms and conditions on the reverse side of this Stock Grant Certificate and the
PracticeWorks, Inc. 2000 Stock Option Plan (the "Plan"). Unless otherwise defined herein, capitalized terms used herein shall have the meanings ascribed to them in the Plan. The terms and
conditions set forth on the reverse side hereof and the terms and conditions of the Plan are incorporated herein by reference. This certificate is a Stock Grant Certificate as contemplated in the
Plan. 

Shares
Subject to Deferred Stock Grant:        52,306 

Vesting: 

Shares
subject to issuance under this Deferred Stock Grant shall be issued according to the vesting and rights deferral schedule described in Section 2 on the reverse of this Stock Grant
Certificate. 

IN WITNESS WHEREOF, this Stock Grant Certificate has been executed by the Company by a duly authorized officer as of the date specified hereon. 

PracticeWorks, Inc.

By:

/s/
Lesley Dresch 

Grant
Date:        October 4, 2001 

By
acceptance of this Stock Grant Certificate, Recipient acknowledges receipt of a copy of the Plan, represents that Recipient has read and understands the terms and provisions of the Plan, and
accepts this Deferred Stock Grant subject to all the terms and conditions of the Plan and this Stock Grant Certificate. Recipient acknowledges that there may be adverse tax consequences upon issuance
of the Shares under this Deferred Stock Grant or disposition of the Shares after issuance, and that Recipient should consult a tax adviser prior to receipt or disposition. 

Richard
E. Perlman               

1. Vesting and Issuance of Shares. Subject to the terms of the Plan and this Stock Grant Certificate, at
the Issuance Date (defined below) you shall be entitled to receive the total number of Shares (whole Shares only) for which a Deferred Stock Grant was made to you, provided, however, that you will not
be entitled to receive any Shares on the Issuance Date unless a Vesting Event has occurred with respect to such Shares. 

Events,
on the date of which irrevocable deferred entitlement to be issued some or all of the Shares occurs, ("Vesting Events") and the number of shares which vest on such date, are as follows: 

Ten
percent (10%) of the Shares vest on October 4 in each of the consecutive ten years beginning with the year 2002 (unless all Shares are earlier vested). 

All
Shares not yet vested shall vest immediately prior to (i) a change of control of the Company, as defined in the Plan; (ii) termination of the Recipient's employment with the Company
by the Company without cause ("cause" shall be as defined in Recipient's then-current or, if, no current, then last written employment agreement with the Company), (iii) termination
of the Recipient's employment with the Company because of disability (as determined by the Company's Board of Directors in its sole, but reasonable discretion), and (iv) Recipient's death. 

All
Shares not yet vested shall vest immediately prior to termination of the Recipient's employment with the Company for any reason, whether termination is initiated by the Recipient or by the
Company, if such termination occurs at a time that does not fall within the term of employment under a valid written employment agreement between the Recipient and the Company (including any renewal
term provided for therein). 

Except
as provided above, the right to receive Shares that have not vested as of the date Recipient's employment with the Company terminates, including, for example, termination for cause or voluntary
termination by Recipient during the term of a valid written employment agreement, shall expire as of the time of such termination. 

The
"Issuance Date" shall mean the first day following the day Recipient's employment with the Company terminates. 

The
"Company", as used herein, shall include any parent or subsidiary, and "employment with the Company", as used herein, shall not be considered terminated because of a change of employer within the
definition of the "Company" or because of any momentary period of non-employment by the Company occurring in connection with a transfer of employment within the Company. 

2. Issuance of Shares; Delay. Except as provided hereunder, on or as of the Issuance Date, the Company
shall cause the Shares issuable to you to be issued in your name or in the name of your legal representative without the receipt of any additional consideration from you. You shall not be considered a
stockholder with respect to the Shares to be issued for purposes of voting or any other purpose, until such time as the Shares have been issued as noted on the books of the Company, except that on and
after the Issuance Date you shall be considered to own the Shares issuable on the Issuance Date for all purposes related to mergers, liquidations and sales of the Company and any distribution,
recapitalization or reorganization. The Company may delay issuing the Shares until some time after the Issuance Date if necessary for the Company to be in compliance, in connection with such issuance,
with the Securities Act of 1933 and all applicable state securities laws, as they are in effect on the Issuance Date, and the requirements of any stock exchange or national market system on which the
Company's Common Stock may be listed. You understand that the Company is under no obligation to you to register, qualify or list the Shares with the Securities and Exchange Commission, any state
securities commission or any stock exchange to effect such compliance. The Company will not delay issuance longer than reasonably necessary, and it will use its best efforts on or after the Issuance
Date promptly to issue one or more certificates representing the Shares. 

3. Withholding. Prior to the issuance of Shares, you must pay, or make adequate provision for payment
of, any applicable federal or state withholding obligations of the Company. You may seek to provide for payment of any required tax withholding upon issuance by requesting that the Company retain
Shares with a Fair Market Value equal to the minimum amount required to be withheld. If the Company agrees to do this, then the Company shall issue the net number of Shares to you by deducting the
Shares retained from the Shares issuable hereunder. 

4. Unfunded Nature of Benefit; Dividends. The Company's obligation to issue Shares under this Deferred Stock Grant is an
unfunded promise. The Company does not guarantee the value of the Shares at issuance. If the Company declares a dividend on its Common Stock payable in cash or in anything of value other than cash and
other than another security of the Company that is included as an adjustment to the Shares under paragraph 5, then the amount of cash that would have been paid as a dividend on the Shares, or
the amount of fair value of any non-cash dividend, shall become an unfunded obligation to pay deferred cash compensation in that amount to the Recipient on the Issuance Date with respect
to the vested Shares on such date. 

5. Adjustments to Shares. In the event the Company issues a stock dividend, or effects a stock split or combination of
outstanding shares of Common Stock, or reclassifies the Common Stock, or carries out any other change in capital structure that affects the Common Stock, then the number and class of the securities
subject to this Stock Grant Certificate shall be appropriately adjusted to fairly reflect such change. 

6. Non-transferability of Rights. You may not transfer this Deferred Stock Grant or any
interest in it in any manner, other than by your will or by the laws of descent and distribution. The terms of this Deferred Stock Grant shall be binding upon your executor, administrators, successors
and assigns. 

7. Tax Consequences. You understand that this Deferred Stock Grant, and the sale of Shares obtained
hereunder, may have tax implications that could result in adverse tax consequences to you. You represent that you have consulted with, or will consult with, your tax advisor; you further acknowledge
that you are not relying on the Company for any tax, financial or legal advice; and you specifically understand that no representations are made as to any particular tax treatment with respect to the
Deferred Stock Grant or the Shares issuable thereunder. 

8. Interpretation. Any dispute regarding the interpretation of this Stock Grant Certificate shall be
submitted to the Board or the Plan administrator, which shall review such dispute in accordance with the Plan. The resolution of such a dispute by the Board or the Plan administrator shall be final
and binding on the Company and you. 

9. Entire Agreement and Other Matters. The Plan is incorporated herein by this reference. You
acknowledge and agree that the granting of this Deferred Stock Grant constitutes a full accord, satisfaction and release of all obligations or commitments made to you by the Company or any of its
officers, directors, shareholders or affiliates with respect to the issuance of these securities, or rights to receive the securities covered by this Stock Grant Certificate, of the Company or any of
its affiliates. This Stock Grant Certificate and the Plan constitute the entire agreement of the Company and you with respect to the shares of Common Stock covered, and supersede all prior
undertakings and agreements with respect to the subject matter hereof. This Stock Grant Certificate shall be construed,
administered and enforced according to the laws of the State of Georgia. YOUR ACCEPTANCE OF THIS STOCK GRANT CERTIFICATE SHALL CONSTITUTE YOUR AGREEMENT HERETO WITHOUT YOUR DELIVERY OF A SIGNED COPY
TO THE COMPANY. 

Schedule of Recipients  

The following recipients received stock grants: 

	RECIPIENT
 
	 	DATE OF GRANT
	 	NUMBER OF SHARES

	Richard E. Perlman	 	October 4, 2001	 	52,306
	James K. Price	 	October 4, 2001	 	52,331
	James A. Cochran	 	October 4, 2001	 	35,646

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