1. Working with InterSystems Russia Symposium 2008

2. InterSystems Vision Creative Technology Partner with a Passion For Excellence and Customer Success High Performance Database, Rapid Development, and Application Connectivity High Performance Database, Rapid Development, and Application Connectivity

3. Working with InterSystems Russia Symposium 2008

4. InterSystems at a Glance Offices in 22 countries, systems in 90+ countries Offices in 22 countries, systems in 90+ countries Private, no outside investors, no debt Private, no outside investors, no debt 1300+ partners 1300+ partners Consistent growth and profitability Consistent growth and profitability Revenue 19782007

5. 2007 Revenue by Product 15% Overall growth

6. 2007 Revenue by Type Strong recurring revenue provides stability

7. 2007 Revenue by Customer Type Excluding U.S. Government Continued focus on Application Partners + Thought-Leading Enterprises

8. 2007 Revenue by Region Slightly faster growth outside the U.S.

9. Partnership Working with InterSystems

10. Customer Affinity Study “ Brand awareness and existing relationships have a relatively small impact on why customers decide to work with a particular technology vendor. Other factors including competence, quality of service and support, and a sense of true vendor commitment have a greater influence on customers' buying decisions. ” InterSystems ranked # 3, ahead of Google (27), Microsoft (34), IBM (37), … CMO Council Report, 2008

11. Creative technology partner with a passion for excellence and customer success InterSystems Vision

12. Working with InterSystems Bringing applications to new markets

13. Bringing Applications to New Markets World-class surgical instrument management software from Medical Design Systems World-class surgical instrument management software from Medical Design Systems Consulting provided by another partner, Oleen Consulting provided by another partner, Oleen

14. Working with InterSystems Fostering community

15. Fostering Community

16. Working with InterSystems Creating opportunities for multiple partners

17. Creating Opportunities for Multiple Partners 10 year contract to supply integrated health and social services record for Guernsey 10 year contract to supply integrated health and social services record for Guernsey Combines TrakCare, JAC Pharmacy, and GE PACS Combines TrakCare, JAC Pharmacy, and GE PACS

18. Working with InterSystems Making applications more valuable

19. Making Applications More Valuable Creating Next Generation Connected Applications With Ensemble Dramatically reposition company and products Dramatically reposition company and products Triple revenue Triple revenue Successfully sell large chains Successfully sell large chains

20. Making Applications More Valuable

21. In 1978 … 5¼˝ diskette becomes industry standard First spam email sent on Arpanet Dan Bricklin creates VisiCalc

22. Working with InterSystems Russia Symposium 2008

23. Connected Enterprises InterSystems, not separate systems

24. Technology Waves ??? Mainframe Minicomputer PC Internet Increasingly expensive to “rip and replace” Periodic disruptive innovations

25. Technology Waves Mainframe Minicomputer PC Internet Shifting to continuous incremental improvements

26. Economic Pressure Increases the need for rapid incremental improvement Increases the need for rapid incremental improvement Drives demand for connected systems Drives demand for connected systems Enables leading edge companies to increase their lead Enables leading edge companies to increase their lead

27. CachéCaché Software for Connected Enterprises High-Performance Object Database Rapidly create and deploy applications that run lightning-fast, scale to many thousands of users, and require minimal hardware and administration

28. Caché Releases Caché2007.1Caché2007.1 Released June 2007 Caché2008.1Caché2008.1 Released March 2008 Caché2008.2Caché2008.2 Field Test

29. Strategic Product Focus SecuritySecurity Reliability, Availability & Manageability Rapid Application Development Performance and Scalability

30. Caché 2008.2 Performance and Scalability Improved object performance and reduced contention for method dispatch and property access Improved object performance and reduced contention for method dispatch and property access Multiple routine buffer sizes for more efficient memory usage Multiple routine buffer sizes for more efficient memory usage Subroutine level profiler Subroutine level profiler Binary SOAP for optimized Caché-to-Caché Web Services Binary SOAP for optimized Caché-to-Caché Web Services Performance and Scalability

31. Caché 2008.2 Zen Enhancements Rapid Application Development Drag and drop Drag and drop Desktop Desktop Active layout Active layout New menus and other UI components New menus and other UI components

32. Rapid Application Development Caché 2008.2 Rapid Application Development Zen enhancements Zen enhancements Light C++ Binding support for inheritance and embedded objects Light C++ Binding support for inheritance and embedded objects Extended SQL support for streams Extended SQL support for streams Studio Assist enhancements Studio Assist enhancements

33. Reliability, Availability & Manageability Caché 2008.2 Shadow Performance Enhancements Source System Shadow System Database Pre-fetch Pre-fetch technology reduces latency and provides dramatic throughput gains

34. Reliability, Availability & Manageability Caché 2008.2 Reliability, Availability & Manageability Shadow performance enhancements Shadow performance enhancements Improved National Language Support management Improved National Language Support management Per-socket keep-alive improves robustness for disconnects Per-socket keep-alive improves robustness for disconnects New UNIX installer New UNIX installer

35. SecuritySecurity Caché 2008.2 Security Column-level security for SQL tables Column-level security for SQL tables Super server SSL support Super server SSL support Apache HTTP authentication controlled by Caché Apache HTTP authentication controlled by Caché

36. Caché in Action First-to-market residential resource management system First-to-market residential resource management system Demands “low data impedance” in real time analytical environment Demands “low data impedance” in real time analytical environment

37. Identity Management Problem How to accurately identify people and other entities across multiple applications and systems Solution Advanced indexing and matching technology for identification and de-duplication

38. Identity Management Specialized data structures used for all processing Specialized data structures used for all processing Periodic “synchronization” with database Periodic “synchronization” with database DBMS Application In-Memory Data Structures Traditional Approach

39. Identity Management Challenges of Traditional Approach Scalability limited by memory Scalability limited by memory Synchronization and integrity issues with multiple copies of data Synchronization and integrity issues with multiple copies of data Difficult to construct multi-server configurations Difficult to construct multi-server configurations DBMS Application In-Memory Data Structures

40. Identity Management Advanced indexing and matching capabilities provided as part of database engine Advanced indexing and matching capabilities provided as part of database engine Ensemble capabilities available for connectivity and workflow requirements Ensemble capabilities available for connectivity and workflow requirements Caché Identity Matching Advanced Indexing InterSystems Approach

41. Identity Management Advantages of InterSystems Approach Easy to embed in applications Easy to embed in applications High performance with no memory-bound scalability limits High performance with no memory-bound scalability limits Single format for data eliminates synchronization Single format for data eliminates synchronization Supports distributed database configurations Supports distributed database configurations Fully SQL enabled Fully SQL enabled Caché Identity Matching Advanced Indexing

42. Identity Management Status Working with early adopters Working with early adopters Product / packaging / pricing decisions not yet finalized Product / packaging / pricing decisions not yet finalized

43. EnsembleEnsemble Software for Connected Enterprises Rapid Integration Platform Dramatically cut the time and cost of linking applications, services, processes, and people to transform organizations into real-time, connected enterprises.

44. Ensemble Growth Installed systems doubled in 2007 Installed systems doubled in 2007 Systems in 39 countries on 6 continents Systems in 39 countries on 6 continents Installed systems doubled in 2007 Installed systems doubled in 2007 Systems in 39 countries on 6 continents Systems in 39 countries on 6 continents

45. KLAS #1 Rated Again Ensemble #1 In Product quality rating Product quality rating Delivery of new technology Delivery of new technology Quality of training Quality of training Money’s worth Money’s worth Overall satisfaction with vendor / product Overall satisfaction with vendor / product

46. Ensemble Customer Comments “ Our relationship with InterSystems is perfect. When I need them, they answer the phone and they answer my questions or help me out. ” “ The hands-on support is a great strength of InterSystems. When we are setting things up, they actually send people to the site to work with us and help us. ” “ Ensemble is really a unique technology. It is like Caché on steroids. ”

47. Ensemble Customer Comments “ It has been exciting working with this product. We can think of a million things to do with this product but we just have not had the time. ” “ We are maybe going on three years with this product and we have never had any downtime related to bad software or anything with InterSystems. Actually, there has been no downtime at all, other than our scheduled maintenance. It is extremely reliable. ”

48. Ensemble Customer Comments “ I am absolutely thrilled with this product. InterSystems has really created an excellent interface engine solution. We previously had another solution here but were struggling trying to get some specific things accomplished, so I took a look at the Ensemble product. It is just so user-friendly. I now have over 70 interfaces that I am processing through this engine. ”

49. Ensemble @ Tenet Enterprise-wide integration solution for 54 hospitals across the US Enterprise-wide integration solution for 54 hospitals across the US 1700+ interfaces 1700+ interfaces Selected Ensemble after unsuccessful project to migrate to alternate integration technology Selected Ensemble after unsuccessful project to migrate to alternate integration technology

50. Ensemble Replacements Sun eGate Orion Rhapsody Quovadx Cloverleaf

51. Ensemble Releases Ensemble2007.1Ensemble2007.1 Released October 2007 Ensemble2008.1Ensemble2008.1 Field test 2 nd Quarter 2008 Ensemble2008.2Ensemble2008.2 Release with Caché

52. Ensemble 2008.1 Reusable Sub-Transformations Sub-transformations (e.g. for particular HL7 message segments) can be defined once and reused Sub-transformations (e.g. for particular HL7 message segments) can be defined once and reused Enhances productivity and consistency Enhances productivity and consistency Transformation 1 Transformation 2

53. Ensemble 2008.1 System Monitoring New monitor page provides concise view of system status New monitor page provides concise view of system status Windows Management Instrumentation (WMI) support Windows Management Instrumentation (WMI) support

54. Ensemble 2008.1 Sequence Manager Specialized configurable business process to ensure HL7 messages are processed in order Specialized configurable business process to ensure HL7 messages are processed in order Simplifies usage of complex “multi route” topologies Simplifies usage of complex “multi route” topologies Source Ensemble Seq. Mgr.

55. Evolution of Ensemble Usage AppAppEnsemble Integration Engine Integration Platform Ensemble Application Increasingly, Ensemble is used as platform for next generation connected / composite applications.

56. ForHealth Technologies Implements flexible, best-practices I.V. room workflow to eliminate “wrong drug” medication errors Implements flexible, best-practices I.V. room workflow to eliminate “wrong drug” medication errors Based on Ensemble workflow and dashboard technologies Based on Ensemble workflow and dashboard technologies

57. HealthShareHealthShare Software for Connected Enterprises Health Information Network Platform First comprehensive solution for building electronic health records to share clinical data across multiple organizations on a regional or national basis

58. HealthShare EMPIHub #1 Platform For Regional / National EHR Gateway Users Clinical Systems Edge Cache Identification Terminology ConsentSecurity Access Exchange Caché + Ensemble

59. Regional Health Information Organizations

60. New York eHealth Collaborative Federally funded project to demonstrate interoperability across RHIOs

61. HealthShare in Sweden New five-year project to share clinical information across public and private sector providers New five-year project to share clinical information across public and private sector providers First nationwide HealthShare project First nationwide HealthShare project Partnered with TietoEnator, one of the largest IT services companies in Europe Partnered with TietoEnator, one of the largest IT services companies in Europe

62. TrakCareTrakCare Software for Connected Enterprises Patient-Centric Healthcare Information System Advanced Web-based, patient- centric healthcare information system that rapidly delivers Electronic Patient Record benefits

63. TrakCare TrakCare Clinicals TrakCare PAS Integration Platform Patient Index Electronic Patient Record Comprehensive solution with EPR at the core Comprehensive solution with EPR at the core Built from inception for the international marketplace Built from inception for the international marketplace Focused on key Latin America + Asia markets Focused on key Latin America + Asia markets

64. TrakCare in Australia Statewide community care solution for 5 million people in Victoria

65. TrakCare in Chile New project for largest health service in Chile New project for largest health service in Chile Delivered on subscription basis from central data center Delivered on subscription basis from central data center

66. DeepSeeDeepSee Software for Connected Enterprises Embedded Real-Time Business Intelligence Empowering decision-makers at all levels of an organization by providing insight at the point of action

67. Shifting Application Value Automate, Monitor, Manage, Improve Business Process Automate Business Process

68. Shifting Application Value Transaction processing increasingly commoditized Transaction processing increasingly commoditized Most important processes already automated Most important processes already automated Multiple adequate choices Multiple adequate choices Performance management increasingly desired Performance management increasingly desired Need to drive “step change” business improvements Need to drive “step change” business improvements

69. Real-Time Embedded BI BI delivered as part of the application BI delivered as part of the application Focused on useful information at the point of decision-making Focused on useful information at the point of decision-making BI delivered as part of the application BI delivered as part of the application Focused on useful information at the point of decision-making Focused on useful information at the point of decision-making Embedding Real Time Business Intelligence With DeepSee

70. DeepSeeDeepSee TrakCareTrakCare Celebrating 30 Years Together EnsembleEnsemble HealthShareHealthShare CachéCaché Creative technology partner with a passion for excellence and customer success

71. Working with InterSystems Russia Symposium 2008