The Physician’s Ambulatory Software Suite …

• Practice Management

• Electronic Health Record

• Interoperability

Greenway Provider of the leading integrated Ambulatory Software

Suite (fully integrated practice management and EHR system).

Built completely using Microsoft technologies – Microsoft .NET Platform.

860 + Practices including 3,600 physicians / 18,000 users. Recognized Growth:

Inc. 500, Red Herring100 & Deloitte Technology Fast 500.

Best in KLAS 3 consecutive years!

860+ Customers3,600 Physicians and 19,000 Users in 43 States and DC

Data as of 8-1-07

Alabama Orthopaedic Clinic, PC /AL Jenson Beach, OB-GYN Roy Richards Cancer Center The Woman's Clinic of Monroe/ LA Yadkin Valley Adult Medicine Knoxville Internal MedicineAuburn Neurosurgery / AL Madarin Pediatric Associates / FL Southeastern Cardiology Associates PC / GA Women's Health Clinic / LA Women's Clinic of Lincoln, PC / NE Matthew Gasper, MD / TNBirmingham Internal Medicine Associates, P.C./AL Melbourne Dermatology Center / FL Southern Crescent Breast Specialists Acadia Women's Health / LA Atlantic Physicians and Surgeons / NJ McDonald, Murrmann Womens ClinicCleveland and Gilchrist PC / AL Naples OB?GYN Southern Cresent Women's Center Brookline ENT/MA Catherine Gleason MD / NJ Medical Arts Center, LLC / TNComprehensive Women's Medical Center / AL OB & GYN Specialists, PA Suburban Women's Specialists, LLC / GA Hampshire OB-GYN Charles Tomaszewski, M.D. / NJ Nashville Orthopaedic Specialists, PCDecatur ENT Associates OBGYN Associates of Collier County, PA / FL Surgery South Healthcare for Women, Inc. / MA Epstein Internal Medicine / NJ North Park OB.GYN Associated, PCDecatur General Hospital, AL Palm Beach Obstetrics and Gynecology, PA / FL Talley & Stroud Ob Gyn, PA Neurosurgeons of Cape Cod, PC Marymina Respiratory Medicine, LLC / NJ North Willow Family Medicine / TNDon E Beach, MD / AL Romagosa Dermatology Group LLC / FL The Woman's Care Center / GA New England Neurology MidAtlantic Multi Specialty LLC / NJ My MD Oakland /TNDothan ENT Sekine and Rasner, PA Tift Area Urology, PC / GA Obstetrical Associates, Inc. / MA Mid-Atlantic Surgical Associates, PC OB-Gyn Consultants of KnoxvilleDothan Medical Associates Silver Lakes urgent Treatment / FL Total Medical Care Renaissance Health LLC North Jersey Thoracic Surgical Associates / NJ Parkwest Women's Specialist LLC / TNEast Alabama Urology Associates, AL Sirven & Arronte, LLC / FL Trinity Medical Associates, PC Women's Healthcare of Haverhill Pelosi Women's Medical Center / NJ Tennessee Women's Care/TNEastern Shore Ob-Gyn, PC South Tampa Medical Group, PA / FL Urban Family Practice Associates, PC / GA Annapolis Ear, Nose & Throat / MD Sandeepa Utpat, MD / NJ The Family Practice Center, P.C.ENT Associates of Alabama, P.C. Southern Orthopaedics & Sports Medicine, PA Urological Associates of Savannah Chesapeake Neurological Surgery LLC / MD Shore Pulmonary PA / NJ The Hodges Group, LLC / TNFamily Medicine Associates of East AL / AL Stephen W. Welden / FL Urology Enterprises, PC Drs. Esposito, Mayer, Hogan & Associates / MD Associates in Rehabilitation Medicine / NJ The Livingston Clinic / TNFreeman Surgical Center Surgical Associates FL West GA Gastro Assoc./GA Peninsula Neurosurgical Associates / MD Women's Medical Center LLP / NM Wood, Engel & Cain-SwopeHeart & Vascular Care of Alabama, PC The Women's Group OB/GYN / FL West GA Gynecology, PC Allegheny Surgical Associates Advanced Urgent Care / Jorgenson & Koka LLP / NV Cumberland Neurological and Spinal Surgery PLLC / TNHenderson and Walton / AL Treasure Coast Derm/Tim Loannide, MD, LLC West Georgia Heart and Vascular Center / GA Femme Vitale, PLC / MI Corvetti Bone and Joint Institute of Aouthern Nevada, LTD / NV Pamela R. Evans, MD / TNJohn Paul Cimino, MD, PC-Advanced OBGYN Women's Healthcare Associates PA / FL West Georgia OB GLHS - Allegan Ortho/MI Deseret Women's Health Care / NV T. Paul Evans, MD/TNLakeshore Clinic, PC / AL Women's Physicians of Jacksonville, PA WomenCare PC / GA GLHS - Cheboygan Surgical/MI ENT Consultants of Nevada / NV OB/GYN Physicians of Memphis / TNLee Obsterics and Gynecology, PA Bay Dermatology and Cosmetic Surgery Center, PA / FL Women's Group of Gwinnett, PC / GA GLHS - MACM - MI Adult & Child Medicine /MI Erickson OBGYN Associates . NV Bruce L. Russell, MD / TXMedical Associates of Shoals PC Dr. Christopher Devine, / FL Women's Group of SE GA, PC / GA GLHS - Otsego Medical/MI Western Surgical Associates / NV Christopher W. Serrano, MD / TXMedManagers, LLC -W. Alabama Nephrology Advanced Surgical Goup of NW GA, PC Calhoun Ob/Gyn Associates, PC / GA GLHS - Richardo Garza/MI Women's Wellness OBGYN / NV Destination Health / TXMobile OBGYN / AL Albany Ent Southern Cresecent ENT, PC / GA Great Lakes Health Solutions / CBG Gex Women's Care, PC / NV Dr. Jennifer ArnecillaMontclair OBGYN/ Albany Gastroenterology, PC / GA Bulloch Pediatrics, PC / GA Marc Lame, MD / MI Austin Medical Association /NY Dudley D. Baker and Marlon White, PA / dba Northwest Women's Center / TXOB-Gyn Sourth, PC Allergy and Asthma Clinics of Ga. Athens Area Surgical, PC / GA Premier Surgical Specialists, PC / MI Eastchester OB/GYN, PC / NY Edinburg OBGYN/TXRetina Associates of Alalbama, Inc. / AL Alliance OB/GYN Todd Thompson, MD, LLC /HI Rhonda L. Kobold, DO and Becky J. Smith, DO, PC/ MI Erie Niagara Neurosurgery, PLLC / NY EMMAR Physicians, PA/TXRobert C. Brown MD Alpha Internal Medicine Associates / GA ENT Professional Services / IA Saginaw Colon and Rectal Surgery Long Island Otolaryngology & Pediatric Airway, PC (LOPAC) / NY ENT for Children, PA / TXShelby County OBGYN AlphaCare / Immoventure, LLC / GA Fort Madison Physicians and Surgeons / IA Shoreline Orthopaedic and Sports Medicine / MI Mid-Westchester Medical Associates, LLP / NY Family Practice Center/TXSouth Shelby Family Medicine, PC / AL Athens Neurological Associates, PC / GA Infinity Medical Clinic / IA South Shore Women's Health Care, PC North Suffolk Family Medical Practice / NY Italy Family Medicine(Arkusinski) / TXSouthern Head and Neck Surgery Atlanta Colposcopy Center, PC / GA Orthopaedic Specialist, PC / IA Western Michigan Urological Associates, PC / MI Ordway Research Institute, Inc. / NY Kidlungs Pediatric Pulmonology, PASparks & Favor, PC Atlanta MetroUrology Clinic Orthopeadic Specialists PC / IA Northland Ob/Gyn Associates, P.A. / MN Oswego County ObGyn, PC LaRue, McKown, Patton / TXTalladega OB/GYN Associates, PC / AL Atlanta Obstetrics and Gynecology, P.C. / GA Wellendorf ENT / IA Obstetrics, Gynecology and Infertility , PA / MN Partners in Family Medicine Lisa King, MD, PA / TXTennessee Valley Lung Care / AL Augusta Urolgy Rosemark Women Care Specialists/ID Bill Strafford, MD Sound Family Practice / NY McKinney OBGYN / TX

The Heart Center Cardiology, PC / AL Blackshear Family Practice / GAWilliam F. Ganz, MD, PLLC dba Neurosurgery and Spine Northwest / ID Center of Orthopedic Excellence, Inc. / MO Manhattan Otolaryngology and Head and Neck Surgery Associates / NY Neurosurgery Associates / TX

Valley Cardiology / AL Breast Care Specialists, LLC Associated Pediatrics of Fox Valley, S.C. / IL Ehab Ibrahim, MD / MO / TN Advanced Laparoscopic Bariatric Surgery Associates, Inc. / OH Oak Hills Women's Center PA / TXWest AL Family Practice and Sports Medicine / AL Cadiology Associates of Atlanta Blue Ridge Women's Center ENT Associates of Greater KC / MO Central Orthopedics / OH Omega Ob Gyn Associates of S. ArlingtonWilliam Childs MD Camp Creek Women's Center, PC / GA Boyd Obstetrics and Gynecology SC / IL Kansas City Clinical Neurology Associates LTD/MO Commonwealth ENT Ourania Rossetos, MD dba OB Gynerations / TXWomen's Health Clinic / AL Cardiology Center of Dalton, PC / GA Fox Valley Women's Health Partner's / IL Ladies First OB/GYN Services, PC / MO Devore ENT / OH Rajender K. Syal, MD / TXWomen's Healthcare Associates, PC / AL Cardiovascular Physicians of N. Atlanta, P.C. Lawn Medical Center, S.C. Michael Hanks, M.D., PA Dr. Daniel C. Bowen Renaissance Women's Group, PA / TXWomen's Healthcare of Dothan, PC Carrollton Obgyn Midwest Center for Women's Healthcare, LTD / IL Womens Clinic of Jefferson City Dr. James Gottfired, P.C. / OH Rex C. Manayan, MD / TXBrewton Medical Center, LLC / AL Carrollton Surgical Group PC Midwest Digestive Disease Specialist Brian Anthony, MD / MS Maple Creek Medical, Inc. / OH Robert Sewell, MDPain South Inc. / AL Center for Preventive Cardiovascular Care, PC / GA Pulmonary Physicians of the North Shore, IL C. Michael Osborne MD/Jackson ENT Mound Family Practice Associates / OH SCCA Management Co., LTD (Sherman Cardiology) / TXSurgical Associates of South AL, PC / AL Center for Videoscopic & Laser Surgery, Inc. RJCG, LLC Cardiovascular Associates, PA Mt. Auburn OB/GYN Associates / OH Southwest Obstetrics/Gynecology Associates, LLP / TXMedical Park Orthopaedics / AR Chattahoochee Healthcare / GA Southern OBGYN Cardiovascular Surgery Neonatology Physicians of Marion General Hospital / OH Specialist for Women (The Woodlands) / TXTwin Lakes Medical Specialists PA / AR Chattahoochee Valley Cardiology Southwest Women's Healthcare Associates / IL Central Surgical Associates, PA New Washington Medical Practice, Inc. / OH Stephanie Cunningham, DO / TXWren & Barrow Obstetrics & Gynecology, PLLC / AR Coastal Orthopedics and Sports Medicine / GA Tinely Primary Care / IL Children's Clinic of Oxford, PC / MS Piqua Family Practice / OH Women's Healthcare Center of Houston/TXNorth Central Arkansas Medical Associates PA / AR Cobb Surgical Associates Women's Health Specialists / IL Coastal Cardiology, PC / MS Seven Hills Women's Health Centers / OH Women's Partners in OB/GYN, LLP / TXNorth Valley Surgical Associates, P.C./AZ Complete Care and Pain Institute, LLC / GA Angelique Cohen, MD, SC / IL Creekmore Clinic, PLLC Shelby County Surgical Associates Luis Mackrizz, MD, FACP / TXNorthern AZ Cardio Specialists Cornerstone Ear, Nose and Throat Willow Oak Pediatrics, PC / IL Desoto Family Medical Practice / MS Thomas V. Sargero, MD, LLC / OH Crossroads Health Center, LLC / TXPinetop Medical Associates / az Cornerstone Medical Group / GA Mario Massullo DO / IL Digestive Center of Hattiesburg H J Bingham, MD, Inc / OH Gateway Aesthetic Institute & Laser Center / UTThe CORE Institute /AZ Costrini, Meadows & Smith, PC / GA Aegis Women's Healthcare / IN Hattiesburg GI Associates, PLLC Premier Care Pediatrics, Inc / OH Tri-City Medical ClinicWomen's Health Specialists of Yuma Dermatology & Skin Surgery Center, P.C. Carl E. Kuenzli, MD PC & Associates / IN Internal Medicine Associates, PA / MS Linda Evans, MD / OH ENT Ltd., Norfolk VirginiaAdvanced Orthopedics Eagle's Landing OBGYN Jeffery P Myers, MD Internal Medicine Clinic,, PLLC Romero Health Services, PC / OK Francis Family Practice, LLC / VAArroyo Medical Group, Inc. East Side Med Spa Family Practice. Inc. / GA Logansport Women's Healthcare / IN Jackson Pulmonary Associates, PA / MS Southwest Oklahoma Ear, Nose and Throat Specialists / OK Hampton Roads Orthopaedics and Sports Medicine / VACare for Women's Medical Group / CA Ejese Health Care, PC / GA Midwest ENT PC / IN Lakeland Surgical Clinic / MS Stillwater Women's Clinic, Inc. / OK Harrisonburg ENT Associates(DBHCRN, LLC) / VACarl Greek MD and James Kalkanis MD / CA ENT and Voice Care of Atlanta / GA Steven Thomas, MD (Charleston Surgical) Maverick Holdings, LLC / MS Family Medicine Specialists pc /OK Harrisonburg OB/Gyn Associates / VALong Beach Internal Medicine Group Family Healthcare of Southwest Georgia / GA Wendy Corning, MD / IN Medical Arts Surgical Group Women's Healthcare of Southern Oregon James River OB/GYN / VALos Banos Medical Group Inc. / CA Ford Clinic d/b/a NE GA Medical Associates, GA Kenneth R. Buczynki, MD/KS Mississippi Asthma & Allergy Clinic, PC Mid Rogue IPA /OR Lynchburg Gynecology PC/ VANeurosurgical Asso. Medical Group Geneva Family Practice Surgical Specialists Pediatric Orthopaedic Specialist of MS Associates for Women's Medicine / PA Neurosurgical Specialists Inc, / VAWomens Medical Group of Upland Georgia Hand & Microsurgery, PC Bennie Martin Fulbright, MD / KY Physicians and Surgeons Clinic / MS Bonnie E.B. Osterwald, MD / PA Peninsula Kidney Associates / VACenter for Breast Care, Inc. / CA Georgia Skin Specialists Center for Bladder ControlLLC (dba Hubbard Clinic / KY Southern Women's Health PLLC / MS Cardiology Associates of Altoona/PA Rockingham Memorial Hospital/VAPediatric Medical Associates of Tri-City, Inc. / CA Georgia Urogynecology, PC / GA Family Medical Specialty Clinic, PLLC / KY Surgery Associates, PA / MS Chester County OB/GYN Associates / PA Rockwell Physicians / VAEsprit Women's Clinic / CO Gwinnett Gynecology Associates George, Conway and Juhl, PSC / KY The Surgical Clinic Associates, PA Meadville OB/GYN Associates / PA Virginia Orthopaedic CenterIntegrated Ear, Nose & Throat P.C. / CO Hartwell Family Practice / GA Jonathan E. Hodges, MD, PLLC / KY The Woman's Clinic, PLLC State College Family Medicine LLC / PA Virginia Physicians for Women / VAIntegrated OBGYN / Susanna S Choi, MD, PC / CO Heart and Vascular Center of Atlanta, LLC / GA Lexington OB/GYN Associates, P.S.C. / KY Total Pain Care, LLC / MS Otolaryngology Physicians of Lancaster / PA Children's Choice, PC / VAInternal Medicine Associates/CT Immanuel Women's Center, LLC / GA Meade Physicians, Inc. d/b/a Brandenburg Family Practice / KY Tupelo Medical Group, L.L.C. Canady Surgical Associates PC / PA Drs. John Paul IsbellPLLC, Mary Beth Wittman & Jean Dydell, PLLC / WAOB-GYN of Manchester Kendrick Family Practice Midwest ENT of Owensboro PC / KY University Sport Medicine / MS Beaufort OB-GYN / SC Hudson's Bay Medical Group / WAEastern Connecticut Ear, Nose, and Throat, PC / CT Kennestone Cardiovascular Consultants Murray Woman's Clinic PLLC / KY Women's Clinic of Hattiesburg, PA Carolina OB GYN of York County / SC Overlake Obstetricians and Gynecologists, PC / WAParker Dunn Klein and Horowitz Kids First Pediatric Clinic, LLC Nagy H. Morsi, MD, PSC and James R. Curtiss, MD, LLC/KY Women's Group of Meridian Greer Ob/Gyn Pulmonary Consultants, PLLC / WAAdvanced Ears, Nose & Throat, DE Kwame V. Connell, MD / GA NE KY Surgeons/KY Women's Speciality Center, LLC Keowee Surgical Group Alan Demby, MD / WVOb-Gyn Associates of Dover Macon Surgical Associates, LLC Partners in Family Practice Women's Health Center PLLC / MS Low Country OBGYN Beckley Area Surgical Associates / WVAdvanced Women's Health Specialists / FL Maternal Gynerations Potter Medical Clinic /KY North Bay Family Medical Clinic, PA / MS Low Country Urology Clinics, PA / SC Charleston Internal Medicine / WVAzalea Women's Healthcare, PA / FL McDaniel & Durett, PC / GA Richard F. Ford, MD Boone Urology Center, PA The Charleston Breast Center / SC Crigger & Associates / WVBaptist Health Systems (dba) Andrews Institute / FL Meridian OB/GYN /GA Sims & Boggess ENT / KY Capital Area OB/GYN The Hand Surgery Center Dr. Dino Beckett / WVBrevard Ear, Nose & Throat Center, PA Michelle Patterson, MD Women's Health Alliance / KY Carolina Heart Care, PA / NC Upstate Surgery, PA /SC Dr. Leah Hopkins / WVComprehensive OB/GYN / FL New Millenium Women's Healthcare of Louisville Carolina Women's Center, PA Woman's Clinic Real Estate, LLC/SC Dr. Michael Kilkenny / WVDr. Matthew Reidy & Dr. Sam Hill / FL Northeast Georgia Otolaryngology / GA June Abadilla, MD d/b/a St/ Marks Clinic / KY Coastal Surgery Specialist/NC Associates: Obstetrics and Gynecology P.C. / TN Dr. Richard Byrne / WVDr. Michael Ross, MD, PA / FL OB/GYN of Atlanta, P.C. - GA Sage Otolaryngology / KY Crystal Coast Care for Women Brain and Spine Institute PC / TN Fairview Health Associates / WVDr. William G. Rincon / FL OB-GYN Associates of Albany Kentucky Cardiology, PLLC / KY Family Medical Associates of Raleigh / NC Chattanooga Center for Women, PLLC / TN Great Teays Medical Associates / WVEmerald Coast Obstetrics & Gynecology Pain Consultants of Atlanta, PC / GA Acadian ENT/LA Mintview OBGYN /NC Christian S. Vissers, MD / TN Health Study SystemsEmerrald Coast Center for Neurological Disorders, PA / FL Peachtree Neurosurgery, PC / GA Bradley J. Bartholomew, M.D. / LA Montclair Surgical Associates East Tennessee Ob/Gyn PC Leo Pajarillo, MD / WVFamily Practice of West Volusia, PA / FL Premier Care for Women, PC Internal Medicine of Morgan City Rutherford OBGYN/NC East Tennessee Women's Specialists, PLLC Mark Duff, DO / WVAFirstPhysicians Group, PA Professional Park Medical Services, Inc. / GA Jeff Davis Family Medicine, APMC Southeast Women's Center G. Edward Newman, MD, PLLC / TN Mountain State Medicine & Rheumatology / WVFlorida Orthopaedic Specialists Richard M. Robinson, MD, PA / GA OB/GYN Associates of Shreveport Southern Pines Women's Health / NC Jackson Regional Women's Center / TN Kanawha Valley Heart Specialists / WVJeffery A. Heitmann, MD, PA / d/b/a A Woman's Place / FL Rockbridge Medicine Richard D. Celentano and M. Celest Lagarde / dba Surgical Enhancement Ctr. / LA Wilson OBGYN / NC Jackson Urology - TN Pars Neurosurgical Associates / WV

Greenway Customer BaseGreenway Customer Base

Physician’s InfrastructurePhysician’s Infrastructure

What is your long term plan for managing all patient information?

Scheduling

CPT Codes

Lab Orders

Demographics

PRACTICE MANAGEMENT

DATABASE

EHR DATABASE

ICD-9 Codes

Interfaced Interfaced PrimeSuite PrimeSuite

Patient Reminders

Alerts & Recall Notices

Lab OrdersLab Orders

SchedulingSchedulingICD-9 CodesICD-9 CodesCPT CodesCPT Codes

DemographicsDemographics

Patient RemindersPatient Reminders Alerts & Recall Notices Alerts & Recall Notices

Connecting Healthcare Communities!

Five hospital network in Southwestern Ohio (Cincinnati)

Part of Catholic Healthcare Partners.

A mission-driven, not-for-profit health system.

Mercy’s Ambulatory EHR Initiative Objectives

Enhance Physician Relationships

Community Leadership amongst patients & physicians.

Enhanced Patient Care Tools:

Participation in the community’s Disease Registry System Population Clinical Management Reporting & Alerts Automated Orders Mgmt.

Community Patient Health Record

Streamlined workflow amongst admitting physicians.

Why Greenway?

PrimeSuite Clinical Workflow / Usability / Adoption

Microsoft .NET Platform

Interoperability with local RHIO (Healthbridge)

Recognized Industry Leading Support Services

Company Management - Shared Vision and Direction

ASP – Hosted Infrastructure.

Load balanced, redundant servers w/ failover capability.

Integrated w/ local RHIO (Healthbridge).

Integration, training & support services provided by Mercy.

Shared financial model.

Mercy’s EHR Initiative

Initially skeptical due to previous EHR initiatives.

Through Greenway demonstrations and ASP platform, skepticism has turned to supportive optimism!

Trust in Mercy Health Partners mission & team.

Deployed:

In production = 30 physicians / 150 total users Initiating MSO deployment in August = 64 physicians / 220 users

Large backlog of practices awaiting deployment!

Physicians’ Response

The Physician’s Ambulatory Software Suite …

• Practice Management

• Electronic Health Record

• Interoperability