1. CHARTNET 4.0 Integrated with M*Modal

2. ChartNet 4.0 Time-tested for over 10 years, ChartNet 4.0 meets the unique challenges of medical transcription companies and hospitals. From dictation to distribution, ChartNet improves productivity, efficiencies and allows for seamless integration. Dictation Solution Web-based Platform HL-7 Interfacing Document Archiving Statistics Reporting e-Signature Automated Distribution M*Modal Speech Understanding Company Confidential

3. Workflow Process HOSPITAL/CLINIC CHARTNET ADT/AUDIO M*MODAL TRAINING & RECOGNITION DRAFTS CONTINUOUS LEARNING Company Confidential

4. Upload Audio to ChartNet Job Dictation Company Confidential

5. Dictation Solutions  ChartVox  VoIP & Phone-In  Latest VoIP protocols  Mix & Match  VoiceReader  Handheld Recorders  Office Deployment Company Confidential

6. Voice Import  Import Voice from Existing System Olympus DSS and DS2 Dictaphone DigiScribe DVI Fusion FutureNet PC Dart Company Confidential

7. Send and receive data directly from the customer’s facility. ChartNet Remote Server Company Confidential

8. Service Controller Company Confidential

9. Remote Server Function  Distribute Reports to Customer Server  Print Reports to Customer Printers  Print to Patient Location  Upload Audio from Existing System  Send Faxes  HL7 Interfacing  SSL encrypted Company Confidential

10. Web-Based Platform for Management, Transcription, and Maintenance ChartNet Client Console Company Confidential

11. ChartNet Screenshot Company Confidential

12. Office Managers  Voice Manager  Report Search  Reporting  Distribution Manager  Fax Manager  Batch Print  User Manager Company Confidential

13. Transcriptionists & Editors  Transcription  Review  QA Feedback Company Confidential

14. System Managers  Log Viewer  System Setup  Account Setup  Maintenance  HL7 Integration  Site Manager Company Confidential

15. Multiple distributions and options by form type. Job Distribution Company Confidential

16. Solution Interfacing FAXING PRINTING  Auto via Remote Server  Batch for Scheduled  Customize by Form  Multiple Options & Copies  Envelopes  Letterhead  Carbon Copies  FIFO  Will attempt 25 times before timing out  Manage via Fax Mgr Company Confidential

17. Solution Interfacing INTEGRATIONS EXPORT TYPES  HL7 ORU & MDM  HL7 w/ Embedded RTF  RTF  DOC  PDF  HTML  ASCII  Dictaphone “Tag”  HPF Cold Feed  McKesson  GE  Meditech  Fusion  “Homegrown” Company Confidential

18. Solution Interfacing Company Confidential

19. e-Signature  Web Portal Access for Signature  Pre & Post Distribution Rules  Configure by Worktype & Provider  Dual Signatures  Create e-Sign Groups  Track Unsigned Reports Company Confidential

20. Hospital Example H&PCONDSLTRLABNOTE HL7Logician PrintOffice 1Office 2 Patient Location Office 3Office 1Office 4 FaxAll CC’s E-Sign Add’tl Print Missing Fax #s Envelopes & Print Missing Fax #s Company Confidential

21. Integration with M*Modal Speech Understanding Company Confidential

22. M*Modal Integration  AnyModal Edit: Transcription and Editing  Transparent to Speaker  Configure by Site, Form, Provider  Delivers a CDA XML Document  Legacy Training Available Company Confidential

23. AnyModal Edit Company Confidential

24. M*Modal QScore  Historical QScore Tracking  Configure QScore by Provider, Site, & Org Company Confidential

25. Delivering a Value-Added Product Adding Value Company Confidential

26. Delivering Value  Cost-Savings with SR  Automation, Flexibility, Customization  Simple Deployment & Modest Hardware Requirements  CDA Document Company Confidential

27. CDA XML Document Company Confidential

28. Implementing Speech Recognition improves efficiency and reduces costs. Cost-Savings Company Confidential

29. Saving with Speech Understanding “…savings [at UPMC], moreover, totaled 40%. Paul Chang, director of Radiology Informatics, says the hospital also can manipulate the digital documents to reproduce their reports in different formats for patients, insurers and administrators. Moreover, he adds, Multimodal's technology is making strides in "understanding" the language. That means a doctor searching the digital reports for mentions of kidney cancer will also find documents using other terminology, such as renal cell carcinoma. These more subtle advantages can produce much greater savings…, says Dr. Chang.” --The Wall Street Journal, 2/13/2006 “…savings [at UPMC], moreover, totaled 40%. Paul Chang, director of Radiology Informatics, says the hospital also can manipulate the digital documents to reproduce their reports in different formats for patients, insurers and administrators. Moreover, he adds, Multimodal's technology is making strides in "understanding" the language. That means a doctor searching the digital reports for mentions of kidney cancer will also find documents using other terminology, such as renal cell carcinoma. These more subtle advantages can produce much greater savings…, says Dr. Chang.” --The Wall Street Journal, 2/13/2006 Company Confidential

30. Saving with Speech Understanding Reduce Turn-around-Time Improve Productivity & Increase Efficiency 80% Physician Coverage 40-60% Cost Reduction  Legacy Enrollment vs. Roll-Out  True Cost per Line  FTE Reduction Reduce Turn-around-Time Improve Productivity & Increase Efficiency 80% Physician Coverage 40-60% Cost Reduction  Legacy Enrollment vs. Roll-Out  True Cost per Line  FTE Reduction Company Confidential

31. Cost-Savings: Type vs. Edit JulyAugustSeptemberOctoberNovember Line Volume300,000450,000625,000850,0001,000,000 Transcription FTEs1116233136 Transcription Costs $27,060$40,000$56,250$76,500$90,000 Editing Technology Cost ($.034)$10,200$15,300$21,250$30,600$34,000 Editing MT Line Rate ($.045/line) $13,500$20,250$28,125$38,250$45,000 Number of Full-Time Editor Staff 58111518 Editing Costs$23,700$35,550$49,375$68,850$79,000 PROJECTED SAVINGS$3,300$4,480$6,875$7,650$11,000 Reduction in FTE68121618 Company Confidential

32. Cost-Savings: Roll-Out Enrollment JulyAugustSeptemberOctoberNovember Typing Volume1,000,000 800,000700,000 Editing Volume000200,000300,000 Competitor Editing Rate of $0.031 $0 $6,200$9,300 Editing MT Line Rate ($0.045/line) $0 $9,000$13,500 Competitor Typing Rate of $.01 $10,000 $8,000$7,000 Typing MT Line Rate ($0.09/line) $90,000 $72,000$63,000 FTEs (editors)00045 Total expenses$100,000 $95,200$92,800 Company Confidential

33. Cost-Savings: Legacy Enrollment JulyAugustSeptemberOctoberNovember Typing Volume700,000600,000500,000400,000200,000 Editing Volume300,000400,000500,000600,000800,000 Editing Fee $0.034$10,200$13,600$17,000$20,400$27,200 Editing MT Line Rate ($.045/line) $13,500$18,000$22,500$27,000$36,000 Typing Fee of $.013$9,100$7,800$6,500$5,200$2,600 Typing MT Line Rate ($0.09/line) $63,000$54,000$45,000$36,000$18,000 FTEs (editors)04579 Total expenses$95,800$93,400$91,000$88,600$83,600 Company Confidential

34. Legacy Enrollment Company Confidential

35. Legacy Enrollment Company Confidential

36. Division of Labor Company Confidential

37. Intangible Costs Licensing$20,000 Support$12,000 Software Upgrade$10,000 On-Site Training/Support$5,000 Integration/Interface$60,000 $107,000 Real Price Total Monthly Volume1,000,000 Added Cost =$0.0089 Company Confidential

38. Intangible Costs Company Confidential