0001193125-10-112780 Sample Contracts

Attn: Mr. Lance Cornell, Chief Financial Officer Re: $70,000,000 Senior Secured Credit Facility
Transcend Services Inc • May 7th, 2010 • Services-business services, nec • Georgia

Transcend Services, Inc., a Delaware corporation (“Transcend”), and Medical Dictation Services, Inc., Maryland corporation (“MDSI”; Transcend and MDSI, jointly and severally, the “Borrowers” and, each, a “Borrower”) have advised Regions Business Capital, a division of Regions Bank (“RBC”), Regions Bank, an Alabama bank (“Regions Bank”), and Regions Capital Markets, a division of Regions Bank (“RCM”; RBC, Regions Bank, and RCM, collectively, the “Regions Entities” and, each, a “Regions Entity”), that the Borrowers desire to enter into a senior secured credit facility in an aggregate principal amount of up to $70,000,000 (the “Senior Credit Facility”), as more fully described in the Summary of Principal Terms and Conditions attached hereto as Annex I (the “Term Sheet” and together with this letter, the “Commitment Letter”). Regions understands that the proceeds of the Senior Credit Facility will be used for the purposes set forth in the Term Sheet. The date on which the credit agreement

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