SEC Contract Filing

Filing Date: 2018-09-20

Document Content:
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<TYPE>EX-10.1
<SEQUENCE>2
<FILENAME>ex10-1.htm
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<P STYLE="margin-top: 0; text-align: right; margin-bottom: 0; font: 10pt Times New Roman, Times, Serif"><FONT STYLE="font-family: Times New Roman, Times, Serif; font-size: 10pt">EXHIBIT
10.1</FONT></P>

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<P STYLE="font: bold 10pt Times New Roman, Times, Serif; margin-top: 0; margin-bottom: 0; text-transform: uppercase; text-align: center"><FONT STYLE="font-family: Times New Roman, Times, Serif; font-size: 10pt">JOINDER
AND FIRST LOAN MODIFICATION AGREEMENT</FONT></P>

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<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0; text-align: justify; text-indent: 0.5in"><FONT STYLE="font-family: Times New Roman, Times, Serif; font-size: 10pt">This
Joinder and First Loan Modification Agreement (this &ldquo;Agreement&rdquo;) is entered into as of September 20, 2018, by and
among (a) <B>SILICON VALLEY BANK</B>, a California corporation, with its principal place of business at 3003 Tasman Drive, Santa
Clara, California 95054 and with a loan production office located at 275 Grove Street, Suite 2-200, Newton, Massachusetts 02466
(&ldquo;<B>Bank</B>&rdquo;), (b) <B>MEDICAL TRANSCRIPTION BILLING, CORP.</B>, a Delaware corporation with its principal place
of business at 7 Clyde Road, Somerset, New Jersey 08873 (&ldquo;<B>Parent Borrower</B>&rdquo;), and <B>MTBC ACQUISITION, CORP.</B>,
a Delaware corporation with its principal place of business at 7 Clyde Road, Somerset, New Jersey 08873 (&ldquo;<B>Acquisition</B>&rdquo;
and, together with Parent Borrower, jointly and severally, individually and collectively, &ldquo;<B>Existing Borrower</B>), and
(c) <B>MTBC HEALTH, INC.</B>, a Delaware corporation with its principal place of business at 7 Clyde Road, Somerset, New Jersey
08873 (&ldquo;<B>Health</B>&rdquo;), and <B>MTBC PRACTICE MANAGEMENT, INC.</B>, a Delaware corporation with its principal place
of business at 7 Clyde Road, Somerset, New Jersey 08873 (&ldquo;<B>Management</B>&rdquo; and, together with Health, jointly and
severally, individually and collectively, &ldquo;<B>New Borrower</B>&rdquo;, and New Borrower, together with Existing Borrower,
jointly, severally, individually and collectively, the &ldquo;<B>Borrower</B>&rdquo;).</FONT></P>

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<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0; text-align: justify; text-indent: 0in"><FONT STYLE="font-family: Times New Roman, Times, Serif; font-size: 10pt">1.
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <U>DESCRIPTION OF EXISTING INDEBTEDNESS AND OBLIGATIONS</U>. Among other indebtedness and
obligations which may be owing by Existing Borrower to Bank, Existing Borrower is indebted to Bank pursuant to a loan arrangement
dated as of October 13, 2017, evidenced by, among other documents, a certain Loan and Security Agreement dated as of October 13,
2017, between Existing Borrower and Bank (as amended, the &ldquo;Loan Agreement&rdquo;). Capitalized terms used but not otherwise
defined herein shall have the same meaning as in the Loan Agreement.</FONT></P>

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<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0; text-align: justify; text-indent: 0in"><FONT STYLE="font-family: Times New Roman, Times, Serif; font-size: 10pt">2.
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <U>JOINDER TO LOAN AGREEMENT</U>. New Borrower hereby joins the Loan Agreement and each of
the Loan Documents, and agrees to comply with and be bound by all of the terms, conditions and covenants of the Loan Agreement
and Loan Documents, as if it were originally named a &ldquo;Borrower&rdquo; therein. Without limiting the generality of the preceding
sentence, New Borrower agrees that it will be jointly and severally liable, together with Existing Borrower, for the payment and
performance of all obligations and liabilities of Borrower under the Loan Agreement, including, without limitation, the Obligations.
Each Borrower hereby appoints each other Borrower as its agent for all purposes hereunder. Each Borrower hereunder shall be obligated
to repay all Credit Extensions made pursuant to the Loan Agreement, regardless of which Borrower actually receives said Credit
Extension, as if each Borrower hereunder directly received all Credit Extensions.</FONT></P>

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<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0; text-align: justify; text-indent: 0in"><FONT STYLE="font-family: Times New Roman, Times, Serif; font-size: 10pt">3.
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <U>SUBROGATION AND SIMILAR RIGHTS</U>. Each Borrower waives any suretyship defenses available
to it under the Code or any other applicable law until all Obligations are indefeasibly paid in full (except for inchoate indemnification
obligations). Each Borrower waives any right to require Bank to: (i) proceed against any other Borrower or a