Exhibit 10.11(c)

LANVISION SYSTEMS, INC.

First Amendment to Lease and Acceptance of Delivery to the Lease for office
space between LanVision, Inc. (a wholly owned subsidiary) and The Western and
Southern Life Insurance Company, effective January 31, 2005.

FIRST AMENDMENT TO LEASE AND
ACCEPTANCE OF DELIVERY

This FIRST AMENDMENT TO LEASE AND ACCEPTANCE OF DELIVERY (the “First Amendment”)
is made effective as of January 31, 2005 and is by and between The Western and
Southern Life Insurance Company (“Landlord”), whose address is 400 Broadway,
Cincinnati, Ohio, 45202 and LanVision, Inc., (“Tenant”), whose address is 10200
Alliance Road, Cincinnati, Ohio, 45242.

WITNESSETH:

      WHEREAS, Landlord and Tenant executed a certain lease agreement (the
“Lease”) dated July 30, 2004; and

      WHEREAS, the Lease provides that the Lease shall commence on the date that
Landlord delivers possession of the Premises (as defined in the Lease) to
Tenant; and

      WHEREAS, Landlord and Tenant now desire to (i) amend the Lease as
described below and (ii) state Tenant’s acceptance of delivery of the Premises
pursuant to Section 6C of the Lease.

      NOW, THEREFORE, in consideration of the mutual covenants and promises
contained herein and other valuable consideration, Landlord and Tenant agree as
follows:

1. The Lease Commencement Date shall be February 1, 2005 and the Lease
termination date shall be July 31, 2010.

2. Tenant hereby acknowledges and accepts delivery of the Premises pursuant to
Section 6C of the Lease and reaffirms the provisions of same Section 6C as if
fully rewritten herein.

3. The first paragraph of Article 3A of the Lease shall be deleted in its
entirety and replaced with the following:

      “A. Base Rent. Tenant agrees to pay Landlord Base Rent (“Base Rent”) for
the Premises, without demand, deduction or set off, for the entire Term in
monthly installments as follows:

 

--------------------------------------------------------------------------------

 

          Time Period   Monthly Installment  
February 1, 2005 through March 31, 2005
  $ 13,486.36  
April 30, 2005 through September 30, 2005
  $ 0.00  
October 1, 2005 through January 31, 2007
  $ 13,486.36  
February 1, 2007 through January 31, 2009
  $ 15,296.61  
February 1, 2009 through July 31, 2010
  $ 17,106.86.”  

4. The first sentence of Article 4B shall be deleted in its entirety and
replaced with the following: “For the purposes of calculating Tenant’s
Proportionate Share for the first year of the Lease Term, Landlord has
established that the Additional Rent to be paid by Tenant shall be $5.75 per
square foot; provided, however, notwithstanding the foregoing, no Additional
Rent shall be paid by Tenant for the period beginning April 1, 2005 and ending
on September 30, 2005.”

      IN WITNESS WHEREOF, Landlord and Tenant have caused this First Amendment
to Lease and Acceptance of Delivery to be executed as of the 31st day of
January, 2005 and to be effective as of the date first written above.

             
LANDLORD: The Western and Southern Life Insurance Company
  TENANT: LanVision, Inc.              
By
  /s/ MARIO SAN MARCO   By   /s/ PAUL W. BRIDGE, JR

           

  Mario San Marco       Paul W. Bridge, Jr.

  Its Vice President       Its Chief Financial Officer
 
           
By
  /s/ JONATHAN D. NIEMEYER        

           

  Jonathan D. Niemeyer        

  Its Vice President        

 

--------------------------------------------------------------------------------

 

         
STATE OF OHIO
  )    

  ) ss:      
COUNTY OF HAMILTON
  )    

      On this, the 3 RD day of March, 2005, before me, a Notary Public, the
undersigned officers, personally appeared Mario San Marco and Jonathan D.
Niemeyer, who acknowledged themselves to be vice presidents of The Western and
Southern Life Insurance Company, an Ohio corporation, and that they, as such
officers, being authorized to do so, executed the foregoing instrument for the
purposes therein contained by signing on behalf of said corporation as such
officers.

      IN WITNESS WHEREOF, I hereunto set my hand and official seal.

     

  /s/ DAVID C. MCCHESNEY

  Notary Public
My commission expires: November 3, 2005
   

  DAVID C. MCCHESNEY

  Print Name
SEAL
   
 
   

   

  County of Residence

         
STATE OF Ohio
  )    

  ) ss:    
COUNTY OF Hamilton
  )    

      On this, the 8 th day of February, 2005, before me, a Notary Public, the
undersigned officer, personally appeared Paul W. Bridge, Jr., who acknowledged
himself to be the Chief Financial Officer of LanVision, Inc., an Ohio
corporation, and that he, as such officer, being authorized to do so, executed
the foregoing instrument for the purposes therein contained by signing on behalf
of said corporation as such officer.

      IN WITNESS WHEREOF, I hereunto set my hand and official seal.

     

  /S/ MELISA VINCENT

  Notary Public
My commission expires: June 8, 2009
   

  MELISSA VINCENT

  Print Name
SEAL
   

  BUTLER

  County of Residence