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Part One: Aggregate Black Book EHR Survey Findings 2014Top InpatientElectronic Health Records VendorsPart One: Aggregate Black Book Survey FindingsPart Two: Comparative Performance Result Set of Top EHR VendorsAcademic Medical Centers, Teaching Hospitals & Faculty Physician PracticesHOSPITALS OVER 300 BEDSREPORT SUBSET Survey Period: Q3 2013 – Q1 2014

Part One: Aggregate Black Book EHR Survey Findings 2014FINDING 1: TOTAL SURVEY RESPONSE RATE 2013-2014Survey Conducted in Q3 of previous calendaryearValidated Survey Responses by EMR EHR InUse or Under ImplementationValidated Survey Responses by PhysicianPractices Not Yet Purchased EMR 820114,50621,49320107873,555FINDING 2: IMPLEMENTATIONS OF BASIC EMR AND FULLY FUNCTIONAL EHR 2006 l, Academicand InstitutionalBased PracticesSource: Black Book Rankings

Part One: Aggregate Black Book EHR Survey Findings 2014A Basic EHR System is defined* as including all of the following functional components: patient demographics, patient problem lists,electronic medication lists, clinical notes and documentation, order entry management of prescriptions, and viewing capability oflaboratory and imaging results (reports). A Fully Functional EHR System is defined as including the basic system functionalities asclinical notes and documentation of the medical history and follow-up, ordering of laboratory and radiology tests, electronic transmissionof prescriptions and orders, and electronic return of images. Fully functional also includes clinical decision support with warnings of druginteractions or contraindications, highlighting of out-of-range test levels and reminders regarding guideline-based interventions orscreening.FINDING 3: EMR EHR SURVEY RESPONSE RATES BY PRACTICE/ORGANIZATION TYPE, VALIDATED SYSTEM USERS2014 SURVEY RESPONDENT IDENTIFICATIONNUMBER OF RESPONSESVALIDATEDPERCENT OF TOTALRESPONSESPhysician/Clinician 610%4322%Clinic/Practice NamePublic ClinicHealth System ClinicAcademic Hospital and Medical Centers over 250 BedsCommunity HospitalsSmall Hospitals under 100 BedsAmbulatory Surgery CentersTOTAL22,059Source: Black Book Rankings100%

Part One: Aggregate Black Book EHR Survey Findings 2014FINDING 4: EHR ADOPTION RATE BY PRACTICE SIZEPRACTICE SIZEADOPTION/IMPLEMENTATION RATE50 PHYSICIAN GROUPS98.2%20-4991.7%10-1988.7%2-965.9%1 (SOLO PRACTICES)58.3%OVERALL79.7%Source: Black Book RankingsFINDING 5: CHANGES IN IT ORGANIZATION SPEND ANTICIPATED IN NEXT 24 MONTHSHEALTHCARE DELIVERY2014ORGANIZATIONS SPEND FOR ITPROJECTING 2015SPEND INCREASING 10 % FOR ALL IT67%92%SPEND DECREASING 10 % FOR ALL IT5%3%FINDING 6: ANTICIPATED BUDGET IT PROJECT INCREASES NEXT 24 MONTHSSELECT FOUR ANTICIPATED INCREASES FOR IT SPEND IN2014-2016CIO/CMO SELECTING IN FOUR TOP PROJECTSELECTRONIC HEALTH RECORDS98%CLINICAL DECISION SUPPORT/POPULATION HEALTH92%HEALTH INFORMATION EXCHANGE86%IT OUTSOURCING80%WEB STORAGE, CLOUD, DIGITAL IMAGING71%ACCOUNTABLE CARE70%SECURITY SYSTEMS43%HARDWARE & INFRASTRUCTURE12%

Overall KPI Leaders: Inpatient Hospital EHRLarge Hospitals over 300 Beds, AcademicMedical Centers, Teaching FacilitiesSUMMARYSURVEY OVERVIEWFrom Q2 2013 through Q12014, the Black Book Rankings’ electronic medical record, electronic health record, ePrescribing, Practice Management and e-Health client/user survey investigated over 611 EMR vendors utilized by 22,059validated EMR users nationwide for rankings and an additional 10,727 respondents in pre-use, implementation, systemdecision-making or purchased but not yet installed status.KEY SATISFACTION FINDINGSKey finding: most important customer satisfaction KPIsCustomization, interfaces, connectivity, reliability, MU achievement, and deployment are the most important attributesinfluencing EHR client companies’ satisfaction with their EHR vendors.Key finding: EHR/EMR vendor satisfaction is highest among hospitals with faculty practicesHospital clients with more than 25 employed/staff physicians are significantly more satisfied with their EMR than hospitalswith networks of single and small group practices (2-5, 6-25 physician group) clients. Strong satisfaction in the teachinghospital/faculty practice segment surged to 91.0% in 2013, while large hospitals without academic-based practicemaintained a far lesser overall EHR satisfaction, as noted in 32.1% of users favoring their collectively selected EHR.Top Electronic Medical Records/Electronic Health Records Vendors Black Book Rankings. This report is a licensed product.Published March 2014Page 5

Overall KPI Leaders: Inpatient Hospital EHRLarge Hospitals over 300 Beds, AcademicMedical Centers, Teaching FacilitiesBLACK BOOK METHODOLOGYHOW THE DATA SETS ARE COLLECTEDBlack Book collects ballot results on 18 performance areas of operational excellence to rank vendors by electronic medicaland health record product lines. The gathered data are subjected immediately to an internal and external audit to verifycompleteness and accuracy and to make sure the respondent is valid while ensuring that the anonymity of the clientcompany is maintained. During the audit, each data set is reviewed by a Brown-Wilson executive and at least two otherpeople. In this way, Black Book's clients are able to clearly see how a vendor is truly performing. The 18 criteria onoperational excellence are subdivided by the client's industry, market size, geography and function outsourced andreported accordingly.Situational and market studies are conducted on areas of high interest such as e-Prescribing, Health InformationExchange, Accountable Care organization, outsourcing, revenue cycle services, hospital software, managed servicesproviders, educational providers in e-health, benchmarkers and advisors. These specific survey areas range from four totwenty questions or criteria each.WHO PARTICIPATES IN THE BLACK BOOK RANKING PROCESSOver 380,000 practice management and physician leaders and other users ranking from hospital executives, clinicians, ITspecialists and front-line implementation veterans are invited to participate in the 2014 annual Black Book EMR EHR eHealth initiative satisfaction survey. Non-invitation receiving participants must complete a verifiable profile, utilize validcorporate email address and are then included as well.The Black Book survey web instrument is open to respondents and new participants each year from September 15 toDecember 31at http://blackbookrankings.com and http://blackbookpolls.com Only one ballot per corporate email address ispermitted and changes of ballots during the open polling period require a formal email request process to ensure integrity.EMR/EHR VENDOR RANKINGS AND RESULTS – 201422,059 qualified users of systems with validated corporate/valid email addresses ranked 611 EMR-EHR suppliers offeringindividual or bundled arrangements as part of the Black Book annual survey, conducted via web survey instruments.Additionally 11,000 about-to-be users answered questions about budgeting, vendor familiarity and vendor selectionprocesses but current non-user ballots are not counted in the vendor ranking process of client satisfaction.The four most highly utilized systems of EHR systems are included as subsets.Top Electronic Medical Records/Electronic Health Records Vendors Black Book Rankings. This report is a licensed product.Published March 2014Page 6

Overall KPI Leaders: Inpatient Hospital EHRLarge Hospitals over 300 Beds, AcademicMedical Centers, Teaching FacilitiesPART TWO: 2014 RESULTSELECTRONIC HEALTH RECORDSINPATIENT HOSPITAL & AFFILIATED PRACTICEPHYSICIANS, GROUPS & FACILITIESACADEMIC MEDICAL CENTERSTEACHING FACILITIES & FACULTY PRACTICESLARGE HOSPITALS OVER 300 BEDSTop Electronic Medical Records/Electronic Health Records Vendors Black Book Rankings. This report is a licensed product.Published March 2014Page 7

Overall KPI Leaders: Inpatient Hospital EHRLarge Hospitals over 300 Beds, AcademicMedical Centers, Teaching FacilitiesHOSPITAL PRACTICE PHYSICIANS & INPATIENT FACILITIES2014 TOP OVERALL INPATIENT EHR EMR VENDOR HONORS:Large Hospitals Over 300 Beds & Academic Medical CentersALLSCRIPTSFUNCTIONAL SUBSET HONORS: TOP VENDORS FOR INPATIENT HOSPITAL & AFFILIATED/NETWORKED PRACTICE PHYSICIANSLARGE HOSPITALS OVER 300 BEDSTOP VENDOR:PATIENT HEALTH DATA MANAGEMENT & ADMINISTRATIVE PROCESSINGALLSCRIPTSTOP VENDOR: COMMUNICATIONS AND CONNECTIVITYALLSCRIPTSTOP VENDOR: ORDER ENTRY AND MANAGEMENTEPIC SYSTEMSTOP VENDOR: RESULTS REVIEW/MANAGEMENT AND DECISION SUPPORTMCKESSONKEY PERFORMANCE INDICATOR LEADERSLarge Hospitals, Over 300 BedsTop Electronic Medical Records/Electronic Health Records Vendors Black Book Rankings. This report is a licensed product.Published March 2014Page 8

Overall KPI Leaders: Inpatient Hospital EHRLarge Hospitals over 300 Beds, AcademicMedical Centers, Teaching FacilitiesSUMMARY OF CRITERIA OUTCOMESTable 1:Summary of criteria outcomesTotal number one criteria ranksVendorOverall rankALLSCRIPTS17EPIC SYSTEMS24CERNER33MCKESSON42QUADRAMED25Source: Black Book RankingsTop Electronic Medical Records/Electronic Health Records Vendors Black Book Rankings. This report is a licensed product.Published March 2014Page 9

Overall KPI Leaders: Inpatient Hospital EHRLarge Hospitals over 300 Beds, AcademicMedical Centers, Teaching FacilitiesTOP SCORE PER INDIVIDUAL CRITERIATable 2:Top score per individual criteriaCriteriaEHR VendorOverallrank1Vendor overall preference/vertical industry recommendations MU1 & MU2ALLSCRIPTS12InnovationEPIC SYSTEMS23TrainingEPIC SYSTEMS24Client relationships and cultural fitMCKESSON45Trust, Accountability and TransparencyALLSCRIPTS16Breadth of offerings, client types, delivery excellenceCERNER37Deployment and outsourcing implementationALLSCRIPTS18CustomizationEPIC SYSTEMS29Integration and interfacesMCKESSON410Scalability, client adaptability, flexible pricingALLSCRIPTS111Compensation and employee performanceQUADRAMED512ReliabilityCERNER313Brand image and marketing communicationsALLSCRIPTS114Marginal value addsALLSCRIPTS115Viability and Managerial StabilityEPIC SYSTEMS216Data security and backup servicesCERNER317Support and customer careQUADRAMED518Best of breed technology and process improvement, includes MU3ALLSCRIPTS1QuestionTop Electronic Medical Records/Electronic Health Records Vendors Black Book Rankings. This report is a licensed product.Published March 2014Page 10

Individual EHR Vendor Key Performance,Inpatient Hospital Over 300 Beds2014 INDIVIDUAL KEY PERFORMANCE: INPATIENT FACILITY & PRACTICE PHYSICIANS/ GROUPSACADEMIC MEDICAL CENTERSTEACHING FACILITIES & FACULTY PRACTICESLARGE HOSPITALS OVER 300 BEDS2014 Top Inpatient Electronic Medical/Health Records Vendors Black Book Rankings. This report is a licensed product and requires permission to distributePublished March 2014Page 11

Individual EHR Vendor Key Performance,Inpatient Hospital Over 300 Beds1.Vendor overall preference by similar users of all systems and vendors/peer group vertical industry recommendations for vendor expertiseTable 5: Organizational structure meets the needs of stakeholders or customers and stakeholder satisfaction is the most important priority. EHR client is likely to recommend the vendorto similar sized physician groups, physicians within the same specialty or delivery setting.OVERALL RANKCOMPANYQ1 Criteriarank13264597111012345678910PATIENT HEALTHDATA MANAGEMENT&ADMINISTRATIVEPROCESSINGCOMMUNICATIONS &CONNECTIVITYORDER ENTRY &MANAGEMENTDECISION SUPPORT 09.289.70CERNER9.589.459.569.899.62EPIC 9.038.778.44PROGNOSIS9.148.657.458.538.44GE HEALTHCARE9.167.408.278.838.42Source: Black Book Rankings2014 Top Inpatient Electronic Medical/Health Records Vendors Black Book Rankings. This report is a licensed product and requires permission to distributePublished March 2014Page 12