Amendment No. 2

Amendment No. 2. Shall mean this Amendment No. 2 to Loan and Security Agreement by and among Borrower, Servicer, WestPoint, Agent, Co-Agent and Lenders, as the same now exists or may hereafter be amended, modified, supplemented, extended, renewed, restated or replaced.

Amendment No. 2. Amendment No. 2 dated as of July 7, 2004 to this Agreement.

Amendment No. 2. Amendment No. 2 dated as of April 29, 2008 to this Agreement.

Amendment No. 2. Means that certain amendment titled "Amendment No 2 to Licensing Agreement" between PSP and MedQuist dated as of December 10, 2002 References in Amendment No 2 to indefinite dates which references use terms such as "upon delivery of the Philips in house solution" and "[the time] the product is commercially usable," shall mean "June 25, 2004."

Amendment No. 2. Amendment No. 2 to Loan Agreement, dated as of July 22, 2010 by and among Borrowers, Guarantors, Agent and Lenders, and the Loan Agreement and the other Financing Agreements shall be deemed and are hereby amended to include, in addition and not in limitation, such definition.

Amendment No. 2. Means the Amendment No. 2 to this Agreement dated as of March 3, 2009.

Amendment No. 2. Amendment No. 2 to Credit Agreement, dated as of July 29, 2005, among Agent, Lenders and Borrowers, as the same now exists and may hereafter be amended, modified, supplemented, extended, renewed, restated or replaced.

Amendment No. 2. Amendment No. 2, dated as of February 27, 2006, to this Agreement.

Amendment No. 2. Means Amendment No. 2 to this Agreement dated as of May 7, 2010.

Amendment No. 2. Amendment No. 2 to Loan and Security Agreement and Waiver, dated as of June 30, 2011, by and among Borrowers, Guarantors, Agent and Lenders, as the same now exists or may hereafter be amended, modified, supplemented, extended, renewed, restated or replaced