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UNITED STATES SECURITIES AND
    EXCHANGE COMMISSION
 Washington, DC 20549
   Form 10-K
  (Mark One)þ

ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d)
    OF THE SECURITIES EXCHANGE ACT OF 1934For the fiscal year ended
    January 31, 2008oro

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d)
    OF THE SECURITIES EXCHANGE ACT OF 1934For the transition period
    from          to   Commission File
    Number: 0-28132
  Streamline Health Solutions,
    Inc.
 (Exact name of registrant as
    specified in its charter)
  Delaware

31-1455414(State or other jurisdiction
    of
    incorporation or organization)

(I.R.S. Employer
    Identification No.)   10200
    Alliance Road, Suite 200
    Cincinnati, OH
    45242-4716 (Address
    of principal executive offices) (Zip Code)
  (513) 794-7100 (Registrants
    telephone number, including area code)
  Securities registered pursuant to Section 12 (b) of
    the Act:
  Common Stock, $.01 par value
  ( Title of Class )
  The NASDAQ Stock Market
 (Name of exchange on which
    listed)
  Securities
    registered pursuant to Section 12 (g) of the
    Act:
  None
  o þ
  o þ
  þ o
  Regulation S-K Form 10-K, Form 10-K. þ
  Rule 12b-2
  Large accelerated
    filer o

Accelerated
    filer o

Non-accelerated
    filer o
    (Do not check if a smaller reporting company)

Smaller reporting
    company þ   Rule 12b-2 o þ
        DOCUMENTS
    INCORPORATED BY REFERENCE
  Form 10-K Form 10-K,




---





TABLE OF CONTENTS  FORWARD-LOOKING STATEMENTSPART IItem 1. BusinessItem 1A Risk FactorsItem 1B. Unresolved Staff CommentsItem 2. PropertiesItem 3. Legal ProceedingsItem 4. Submission of Matters to a Vote of Security HoldersPART IIItem 5. Market for Registrants Common Equity, Related Stockholder Matters and Issuer Purchases of Equity SecuritiesItem 6. Selected Financial DataItem 7. Managements Discussion and Analysis of Financial Condition and Results of OperationsItem 7A. Quantitative and Qualitative Disclosures About Market RiskItem 8. Financial Statements and Supplementary DataINDEX TO CONSOLIDATED FINANCIAL STATEMENTS AND SCHEDULE COVERED BY REPORT OF REGISTERED PUBLIC ACCOUNTING FIRMREPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRMREPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRMCONSOLIDATED BALANCE SHEETSCONSOLIDATED STATEMENTS OF INCOMECONSOLIDATED STATEMENTS OF CASH FLOWSNOTES TO CONSOLIDATED FINANCIAL STATEMENTSValuation and Qualifying Accounts and ReservesItem 9. Changes in and Disagreements with Accountants on Accounting and Financial DisclosuresItem 9A Controls and ProceduresItem 9B Other InformationPART IIIItem 10. Directors, Executive Officers and Corporate GoveranceItem 11. Executive CompensationItem 12. Securities Ownership of Certain Beneficial Owners and Management and Related Stockholder MattersItem 13. Certain Relationships, Related Transactions and Directors IndependenceItem 14. Principal Accounting Fees and ServicesPART IVItem 15. Exhibits, Financial Statement SchedulesSIGNATURESINDEX TO EXHIBITSEX-10.8.BEX-11.1EX-21.1EX-23.1EX-23.2EX-31.1EX-31.2EX-32.1EX-32.2    Table of Contents  
  FORWARD-LOOKING
    STATEMENTS
  Form 10-K Form 10-Q Form 8-K.
      
 PART I
 
  Item 1.
    Business  General
  ® TM
     1




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work-in-process,
  ASPeNSM
        Regulation S-K Form 10-K.
   2




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ASPeN ASPeN ASPeN
    ASPeN
    TM ASPeN
 3




---



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TM
      2002-2012.
     4




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To Err is Human: Building a
    Better Health System
  Regulatory
    Matters
    Presidents
    Information Technology Advisory Committee
  Revolutionizing Health
    Care Through Information Technology
 5




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Regulations
    Relating to Confidentiality
       6




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Rapid
    Technological Change and Evolving Market
    Changes
    and Consolidation in the Healthcare Industry
    Key
    Personnel
    Limited
    Protection of Proprietary Technology
    Warranties
    and Indemnities
   7




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Competition
          The
    Streamline Health Solution
     8




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The
    Streamline Health Strategy
    Expand
    Distribution Channels
    ASPeN ®
    Application
    Service Provider Application-hosting Services
  ASPeN ASPeN
 9




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Maintain
    Technological Leadership Through the Development of New Software
    Applications and Increased Functionality of Existing
    Applications
        Image-Enable
    Clinical Data Repositories and Other Applications
    Software
   10




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Systems
    and Services
          
    The ability to gain seamless electronic access to medical
    records, business office documents and medical images
    (unstructured data);
    Workflow-based automated chart deficiency analysis and
    completion;
    Workflow-based automated release of information and billing;
    Workflow-based remote coding and seamless integration to
    third-party encoder and abstracter software;
    Workflow-based physician order routing for scheduling;
    Workflow-based financial screening and routing of patient
    financial ability to pay information;
    Computer-aided data extraction solutions using OCR technology to
    scan, extract, verify, and input into existing information
    systems data;       11




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HEALTH
    INFORMATION MANAGEMENT Suite
    accessANYware 
    Patient Folders
    Completion
    Workflow
  he/she
  Release
    Workflow
    Coding
    Workflow
    Chart
    Tracking Workflow
    12




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PATIENT
    FINANCIAL SERVICES Suite
    accessANYware 
    Non Patient Folders
    Cash
    Management Workflow
    Referral
    Order Workflow
    Financial
    Screening Workflow
    Peri-Operative
    Workflow
    Enterprise
    Suite
    The
    Streamline Health Integration Tools
    (STRM-ITTM)
   13




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ASPeN...Application
    Service Provider eHealth Network
  start-up
  Professional
    Services
    Research
    and Development
      Existing
    Customers
    
  ASPeN
  
 14




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Signed
    Agreements  Backlog
    and/or
       15




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Royalties
    and license fees
  and/or
  Employees
    Form 10-K, Form 10-Q, Form 8-K, www.streamlinehealth.net http://www.sec.gov/cgi-bin/srch-edgar
  Form 10-K
 
  Item 1A
    Risk
    Factors      The
    variability of quarterly operating results can be
    significant.
    The
    Company needs to manage its costs while planning for
    growth.
    The
    Company could be less profitable than
    expected.
   16




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Sales
    have been concentrated in a small number of
    customers.
    Streamline
    Health faces significant competition, including from companies
    with significantly greater
    resources.
    Streamline
    Healths intellectual property rights are valuable, and any
    inability to protect
    themcould reduce the value of Streamline Healths products
    and
    services.
      Rapid
    technology changes and short product life cycles could harm
    Streamline Healths
    business.
    The
    impact of new or changes in existing federal, state, and local
    regulations governing healthcare information
   17




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The
    loss of key personnel could adversely affect Streamline
    Healths
    business.
    Streamline
    Health software may not be error free and could result in claims
    of breach of contract and
    liabilities.
    The
    application-hosting services and support services could
    experience
    interruptions.
    Third
    party products are essential to Streamline Healths
    software.
    The
    Company could be liable to customers or third
    parties.
   18




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The
    Company needs to continuously anticipate future events, such as
    changes in regulations that could affect its products, and the
    probability of natural disasters, catastrophes, war, or
    terrorism
    etc.
    Access
    to Capital
    and/or
 
  Item 1B.
    Unresolved
    Staff Comments   
  Item 2.
    Properties  OH 45242-4716. ASPeN
   
  Item 3.
    Legal
    Proceedings   
  Item 4.
    Submission
    of Matters to a Vote of Security Holders   19




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EXECUTIVE
    OFFICERS OF THE REGISTRANT
    Elected toName

Age

Position(1)

Present Position(2)J. Brian Patsy


57


Chairman of the Board, President, Chief Executive Officer, and
    Director


1989Gary M. Winzenread


43


Vice President Product Development and Strategy


2007Joseph O. Brown, II


47


Vice President Client Services and Chief Information Officer


2007Paul W. Bridge, Jr.


64


Chief Financial Officer, Treasurer and Corporate Secretary


2001Donald E. Vick, Jr.


44


Controller, Assistant Treasurer and Assistant Secretary


2002     (1)
    
    All current officers of Streamline Health hold office until
    their successors are elected and qualified or until any removal
    or resignation. Officers of Streamline Health are elected by the
    Board of Directors and serve at the discretion of the Board. For
    purposes of the descriptions of the background of Streamline
    Healths Executive Officers, the term Company
    refers to both Streamline Health Solutions, Inc. and its
    predecessors LanVision Systems, Inc. and LanVision, Inc.(2)
    
    Represents date of election to Registrant or its predecessor.             20




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PART II
 
  Item 5.
    Market
    for Registrants Common Equity, Related Stockholder Matters
    and Issuer Purchases of Equity Securities    Fiscal Year 2007

High


Low4th Quarter (November 1, 2007 through January 31,
    2008)

$
4.00


$
1.753rd Quarter (August 1, 2007 through October 31, 2007)


3.88



2.572nd Quarter (May 1, 2007 through July 31, 2007)


5.00



3.301st Quarter (February 1, 2007 through April 30, 2007)


5.80



3.54   Fiscal Year 2006

High


Low4th Quarter (November 1, 2006 through January 31,
    2007)

$
6.00


$
4.913rd Quarter (August 1, 2006 through October 31, 2006)


5.81



4.782nd Quarter (May 1, 2006 through July 31, 2006)


7.49



4.511st Quarter (February 1, 2006 through April 30, 2006)


8.70



6.55        21




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MARKET
    PRICE OF AND DIVIDENDS ON THE REGISTRANTS COMMON EQUITY
    AND RELATED STOCK MATERS
      
  1/31/031


1/31/041


1/31/051


1/31/061


1/31/071


1/31/081Streamline Health Solutions, Inc. Common Stock

$
100.00


$
105.48


$
105.14


$
239.73


$
193.15


$
90.75NASDAQ US Total Return Index

$
100.00


$
155.64


$
155.94


$
175.41


$
188.17


$
180.70NASDAQ Computer and Data Processing Services Stock Index

$
100.00


$
138.42


$
142.90


$
160.19


$
177.83


$
186.30     1
    
    Assumes that $100.00 was invested on January 31, 2003 in
    Common Stock at the closing price of $2.92 per share and at the
    closing sales price of each index on that date and that all
    dividends were reinvested. No dividends have been declared on
    Common Stock. Stockholder returns over the indicated period
    should not be considered indicative of future stockholder
    returns.  Regulation S-K
 22




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Item 6.
    Selected
    Financial Data  Form 10-K.
  Fiscal Year(1)2007


2006


2005


2004


2003(In thousands, except per share data)INCOME STATEMENT DATA:Total revenues

$
16,563


$
15,867


$
16,127


$
12,751


$
12,804Total operating expenses


17,267



15,685



14,389



11,815



10,450Operating profit (loss)(2)


(704
)


182



1,738



936



2,354Net earnings (loss)(2) & (3)


(736
)


96



2,551



558



1,019Basic net earnings (loss) per share of Common stock


(.08
)


.01



.28



.06



.11Diluted net earnings (loss) per share of Common stock


(.08
)


.01



.27



.06



.11Shares used in computing basic per share data


9,234



9,195



9,121



9,068



8,997Shares used in computing diluted per share data


9,234



9,722



9,425



9,233



9,207BALANCE SHEET DATA:Cash

$
2,189


$
3,317


$
4,634


$
4,181


$
6,227Working capital


267



2,748



3,347



3,892



1,901Total assets


16,099



15,301



16,433



11,993



15,290Long-term debt, including current portion






1,000



2,000



2,000



1,000Total stockholders equity


8,193



8,644



8,351



5,712



5,079Cash dividends declared


















     (1)
    
    All references to a fiscal year refer to the fiscal year of
    Streamline Health commencing February 1 of that calendar year
    and ending on January 31 of the following year.(2)
    
    Operating profit and net earnings in 2003 include reimbursement
    of $230,000 in legal expenses upon settlement of Streamline
    Health proprietary technology claims and a $290,000 favorable
    change in the estimate for certain franchise tax liabilities as
    a result of the tax authority audit of certain prior years
    tax returns. Operating profit and net earnings in 2004 include a
    $300,000 reduction in reserves due to changes in estimates, in
    2006, $100,000 reduction in reserves due to changes in estimates
    and in 2007, $100,000 reduction in reserves due to changes in
    estimates.(3)
    
    Net earnings in 2005, 2004 and 2003 include a tax benefit of
    $897,000, $420,000 and $558,000, respectively, relating to the
    reduction in the valuation allowances for the deferred tax
    assets relating to the net operating loss carry forward based
    upon reasonable future earnings before income tax projections. 23




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Item 7.
    Managements
    Discussion and Analysis of Financial Condition and Results of
    Operations      Application
    of Critical Accounting Policies (See also Notes to Consolidated
    Financial Statements)
      Revenue
    Recognition
  97-2, Software Revenue Recognition 98-9, Revenue Recognition No. 00-21, Revenue Arrangements with Multiple Deliverables
     24




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Bad
    Debts
    Capitalized
    Software Development Costs
  Accounting for the Costs of Software to be Sold, Leased or
    Otherwise Marketed
    product-by-product
    Equity
    Awards  Stock-Based Compensation
  Accounting for Stock-Based Compensation,
 25




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Income
    Taxes
  Accounting for Uncertainties in Income
    Taxes Accounting
    for Income Taxes
              Contractual
    Obligations
  Payments by Fiscal YearTotal


2008


2009


2010


2011


2012Operating leases

$
984,445


$
426,769


$
380,738


$
176,938


$



$
  26




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Working
    Capital Facility
      Operating
    Leases
    Warranties
    and Indemnities
  ASPeN ASPeN
  Off
    Balance Sheet Arrangements
   27




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Results
    of Operations
    Consolidated
    Statements of Income(1)
  Fiscal Year(2)2007


2006


2005Systems sales


18.2
%


27.0
%


37.9
%Services, maintenance and support


60.4



52.4



43.1Application-hosting services


21.4



20.6



19.0Total revenues


100.0



100.0



100.0Cost of sales


48.8



45.2



39.9Selling, general and administrative


36.5



36.6



32.4Product research and development


18.9



17.1



16.9Total operating expenses


104.2



98.9



89.2Operating profit (loss)(3)


(4.2
)


1.1



10.8Other income (expense), net


(.2
)


(.5
)


(0.3
)Income tax net benefit(4)










5.3Net earnings(loss)(3 & 4)


(4.4
)%


0.6
%


15.8
%Cost of systems sales


96.3
%


56.7
%


36.9
%Cost of services, maintenance and support


41.0
%


43.4
%


45.0
%Cost of application-hosting services


30.6
%


34.5
%


34.3
%     (1)
    
    Because a significant percentage of the operating costs are
    expensed as incurred, a variation in the timing of systems sales
    and installations and the resulting revenue recognition can
    cause significant variations in operating results. As a result,
    period-to-period comparisons may not be meaningful with respect
    to the past operations nor are they necessarily indicative of
    the future operations of Streamline Health in the near or
    long-term. The data in the table is presented solely for the
    purpose of reflecting the relationship of various operating
    elements to revenues for the periods indicated.(2)
    
    All references to a fiscal year refer to the fiscal year
    commencing on February 1 of that calendar year and ending on
    January 31 of the following year.(3)
    
    Operating profit and net earnings in 2007 and 2006, include a
    $100,000 reduction in reserves due to changes in estimates.(4)
    
    Net earnings in 2005 includes a tax benefit of $897,000 relating
    to the reduction in the valuation allowances for the deferred
    tax assets relating to the net operating loss carry forward
    based upon reasonable future earnings before income tax
    projections.  Comparison
    of fiscal year 2007 with 2006
       28




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Revenues.
                Cost of Sales.
 29




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Selling, General and Administrative.
  Product Research and Development.
  Operating Profit (loss).
  Other Income (Expense).
  Provision for Income Taxes.
  Net Earnings (loss).
  Comparison
    of fiscal year 2006 with 2005
  Revenues.
     30




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Cost of Sales.
  Selling, General and Administrative.
  Product Research and Development.
  Operating Profit.
  Other Income (Expense).
 31




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Provision for Income Taxes.
  Net Earnings.
  Backlog
          ASPeN
 32




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Liquidity
    and Capital Resources
           33




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Item 7A.
    Quantitative
    and Qualitative Disclosures About Market Risk   34




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Item 8.
    Financial
    Statements and Supplementary Data 
  INDEX TO
    CONSOLIDATED FINANCIAL STATEMENTS AND SCHEDULE COVERED BY
    REPORT OF REGISTERED PUBLIC ACCOUNTING FIRM
  PageManagements Report in Internal Control over Financial
    Reporting


36Reports of Independent Registered Public Accounting Firms


37Consolidated Balance Sheets at January 31, 2008 and 2007


39Consolidated Statements of Income for the three years ended
    January 31, 2008


40Consolidated Statements of Changes in Stockholders Equity
    for the three years ended January 31, 2008


41Consolidated Statements of Cash Flows for the three years ended
    January 31, 2008


42Notes to Consolidated Financial Statements


43Schedule II  Valuation and Qualifying Accounts


56    35




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MANAGEMENTS
    REPORT ON INTERNAL CONTROL OVER FINANCIAL REPORTING
  Rule 13a-15(f)
  ,
  Internal Control Integrated Framework
  Regulation S-K)
   36




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REPORT OF
    INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
              BDO
    Seidman, LLP
 37




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REPORT OF
    INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
           Ernst
    & Young LLP
 38




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##### Table of Contents



CONSOLIDATED
    BALANCE SHEETS
  January 31,2008


2007ASSETSCurrent assets:Cash

$
2,189,010


$
3,316,614Accounts receivable, net of allowance for doubtful accounts of
    $100,000 and $200,000, respectively


2,832,852



2,281,313Contract receivables


1,833,842



1,357,433Prepaid hardware and third party software for future delivery


484,247



182,716Prepaid other, including prepaid customer maintenance contracts


501,803



362,714Deferred taxes


185,000



625,000Total current assets


8,026,754



8,125,790Property and equipment:Computer equipment


2,235,104



2,132,853Computer software


1,086,691



847,328Office furniture, fixtures and equipment


731,346



733,320Leasehold improvements


574,257



568,0984,627,398



4,281,599Accumulated depreciation and amortization


(3,153,675
)


(2,704,329
)1,473,723



1,577,270Contract receivables






554,888Capitalized software development costs, net of accumulatedamortization of $6,643,235 and $5,116,568, respectively


4,878,694



3,753,361Other, including deferred taxes of $1,690,000 and $1,250,000,
    respectively


1,720,114



1,289,536$
16,099,285


$
15,300,845LIABILITIES AND STOCKHOLDERS EQUITYCurrent liabilities:Accounts payable

$
1,518,682


$
619,362Accrued compensation


536,599



432,142Accrued other expenses


521,210



541,904Deferred revenues


5,183,333



3,693,668Current portion of capitalized leases






91,002Total current liabilities


7,759,824



5,378,078Capitalized leases, less current portion






56,049Long-term debt






1,000,000Other


146,525



222,484Stockholders equity:Convertible redeemable preferred stock, $.01 par value per
    share,
    5,000,000 shares authorized, no shares issued






Common stock, $.01 par value per share,
    25,000,000 shares authorized,
    9,260,320 and 9,211,399 shares issued, respectively


92,603



92,114Capital in excess of par value


35,542,222



35,286,238Accumulated (deficit)


(27,441,889
)


(26,734,118
)Total stockholders equity


8,192,936



8,644,234$
16,099,285


$
15,300,845    39




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##### Table of Contents



CONSOLIDATED
    STATEMENTS OF INCOME
  Fiscal Year2007


2006


2005Revenues:Systems sales

$
3,016,095


$
4,278,792


$
6,112,727Services, maintenance and support


10,004,138



8,314,979



6,950,182Application-hosting services


3,543,067



3,273,202



3,063,899Total revenues


16,563,300



15,866,973



16,126,808Operating expenses:Cost of systems sales


2,904,077



2,426,595



2,256,046Cost of services, maintenance and support


4,098,746



3,609,386



3,130,374Cost of application-hosting services


1,083,141



1,130,583



1,050,470Selling, general and administrative


6,048,214



5,802,656



5,218,303Product research and development


3,132,809



2,716,163



2,733,293Total operating expenses


17,266,987



15,685,383



14,388,486Operating profit (loss)


(703,687
)


181,590



1,738,322Other income (expense):Interest income


22,256



77,337



93,322Interest expense


(26,221
)


(131,286
)


(147,933
)Other income (expenses)


(16,510
)






Earnings (loss) before income taxes


(724,162
)


127,641



1,683,711Income tax benefit (expense)


(11,400
)


(31,180
)


867,361Net earnings (loss)

$
(735,562
)

$
96,461


$
2,551,072Basic net earnings (loss) per common share

$
(.08
)

$
.01


$
.28Number of shares used in basic per common share computation


9,234,313



9,195,415



9,121,369Diluted net earnings (loss) per common share

$
(.08
)

$
.01


$
.27Number of shares used in diluted per common share computation


9,234,313



9,722,346



9,425,050    40




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##### Table of Contents



CONSOLIDATED
    STATEMENTS OF CHANGES IN
    STOCKHOLDERS EQUITY
  Convertible





Capital in





Totalredeemable


Common


excess of


Accumulated


stockholderspreferred stock


stock


par value


(deficit)


equityBalances at January 31, 2005

$



$
90,845


$
35,002,961


$
(29,381,651
)

$
5,712,155Stock issued to Employee Stock Purchase Plan and exercise of
    stock options






750



87,341







88,091Net earnings














2,551,072



2,551,072Balances at January 31, 2006






91,595



35,090,302



(26,830,579
)


8,351,318Stock issued to Employee Stock Purchase Plan and exercise of
    stock options






519



84,799







85,318Share-based compensation expense










111,137







111,137Net earnings














96,461



96,461Balances at January 31, 2007






92,114



35,286,238



(26,734,118
)


8,644,234Stock issued to Employee Stock Purchase Plan and exercise of
    stock options






489



113,342







113,831Share-based compensation expense










142,642







142,642FIN 48 tax adjustment














27,791



27,791Net (loss)














(735,562
)


(735,562
)Balances at January 31, 2008

$



$
92,603


$
35,542,222


$
(27,441,889
)

$
8,192,936    41




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##### Table of Contents



CONSOLIDATED
    STATEMENTS OF CASH FLOWS
  Fiscal Year2007


2006


2005Operating activities:Net earnings (loss)

$
(735,562
)

$
96,461


$
2,551,072Adjustments to reconcile net earnings to net cash provided by
    operating activities:Depreciation and amortization


2,189,981



1,819,233



1,470,659Loss on sale of fixed assets


16,510







Share-based compensation expense


142,642



111,137



Net deferred income taxes










(897,000
)Change in allowance for doubtful accounts


(100,000
)






Cash provided by (used for) assets and liabilities:Accounts, contract and installment receivables


(373,060
)


921,315



(1,808,739
)Other assets


(440,620
)


(178,699
)


10,385Accounts payable


899,320



(436,177
)


169,449Accrued expenses


111,555



(909,653
)


888,272Deferred revenues


1,489,665



1,076,484



385,742Net cash provided by operating activities


3,200,431



2,500,101



2,769,840Investing activities:Purchases of property and equipment


(715,053
)


(610,353
)


(867,620
)Proceeds from disposal of property and equipment


138,775







Capitalization of software development costs


(2,652,000
)


(2,130,000
)


(1,450,000
)Other


(66,537
)


(77,720
)


116,191Net cash (used for) investing activities


(3,294,815
)


(2,818,073
)


(2,201,429
)Financing activities:Proceeds from revolving credit facility






1,000,000



Repayment of long-term debt and revolving credit facility


(1,000,000
)


(2,000,000
)


Payment of capitalized leases


(147,051
)


(84,951
)


(203,356
)Exercise of stock options and stock purchase plan


113,831



85,318



88,091Net cash (used for) financing activities


(1,033,220
)


(999,633
)


(115,265
)Increase (Decrease) in cash and cash equivalents


(1,127,604
)


(1,317,605
)


453,146Cash and cash equivalents at beginning of year


3,316,614



4,634,219



4,181,073Cash and cash equivalents at end of year

$
2,189,010


$
3,316,614


$
4,634,219Supplemental cash flow disclosures:Interest paid

$
27,832


$
129,674


$
148,338Income taxes paid (refund)

$
9,202


$
66,537


$
(27,972
)Leasehold improvements (included in property and equipment) paid
    for by the landlord as a lease inducement

$



$



$
326,000Capital lease

$



$



$
267,237    42




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##### Table of Contents



NOTES TO
    CONSOLIDATED FINANCIAL STATEMENTS
  1.
    Organization
    and Summary of Significant Accounting Policies    Fiscal
    Year
    Consolidation
    Use of
    Estimates
    Revenue
    Recognition
  97-2, Software Revenue Recognition 98-9, Revenue Recognition No. 00-21, Revenue Arrangements with Multiple Deliverables
  Cash
   43




---



##### Table of Contents



NOTES TO
    CONSOLIDATED FINANCIAL
    STATEMENTS  (Continued)
  Receivables
    Concentrations
  Disclosure of
    Information about Financial Instruments with Off-Balance-Sheet
    Risk and Financial Instruments with Concentrations of Credit
    Risk
      Other
    Current Assets
    Property
    and Equipment
    Computer equipment and software


3-4 yearsOffice equipment


5 yearsOffice furniture and fixtures


7 yearsLeasehold improvements


Life of lease  44




---



##### Table of Contents



NOTES TO
    CONSOLIDATED FINANCIAL
    STATEMENTS  (Continued)
          Capitalized
    Software Development Costs
  Accounting for the Costs of Software to be Sold, Leased or
    Otherwise Marketed
    product-by-product
  Other
    non-current assets
    Accrued
    Other Expenses
    Income
    Taxes
  Accounting for Income Taxes
 45




---



##### Table of Contents



NOTES TO
    CONSOLIDATED FINANCIAL
    STATEMENTS  (Continued)
    Accounting for Uncertainties in Income
    Taxes Accounting
    for Income Taxes
  Stock
    Options and Stock Appreciation Rights
  Accounting for Stock-Based Compensation Accounting for Stock Issued to Employees
  Accounting
    for Stock-Based Compensation,
     46




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##### Table of Contents



NOTES TO
    CONSOLIDATED FINANCIAL
    STATEMENTS  (Continued)
    2005  Net earnings, as reported

$
2,551,072Deduct: Total stock based compensation expense determined under
    the fair value based method for all awards, net of related tax
    effects


(74,227
)Pro forma net earnings

$
2,476,845Earnings per share:Basic  as reported

$
.28Basic  pro forma

$
.27Diluted  as reported

$
.27Diluted  pro forma

$
.26   Net
    Earnings (loss) Per Common Share
  Earnings per Share
    Fiscal Year2007


2006


2005Net earnings (loss)

$
(735,562
)

$
96,461


$
2,551,072Average shares outstanding used in basic per common share
    computations


9,234,313



9,195,415



9,121,369Stock options






428,976



631,271Warrants assumed converted






750,000



750,000Assumed treasury stock buyback






(652,045
)


(1,077,590
)Convertible redeemable preferred stock assumed converted










Number of average shares used in diluted per common share
    computation


9,234,313



9,722,346



9,425,050Basic net earnings (loss) per share of common stock

$
(.08
)

$
.01


$
.28Diluted net earnings (loss) per share of common stock

$
(.08
)

$
.01


$
.27      47




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##### Table of Contents



NOTES TO
    CONSOLIDATED FINANCIAL
    STATEMENTS  (Continued)
    Recent
    Accounting Pronouncements
        157-2
   48




---



##### Table of Contents



NOTES TO
    CONSOLIDATED FINANCIAL
    STATEMENTS  (Continued)
    2.
    Operating
    Leases    3.
    Long-term
    Debt and Capitalized Leases            4.
    Income
    Taxes     49




---



##### Table of Contents



NOTES TO
    CONSOLIDATED FINANCIAL
    STATEMENTS  (Continued)
    Fiscal Year2007


2006


2005Federal tax (expense) benefit at Statutory rate

$
246,215


$
(43,398
)

$
(572,461
)Current state and local taxes, net of federal benefit


7,527



(28,224
)


(2,673
)Change in valuation allowance


(256,800
)


37,943



1,384,351Other


(8,342
)


2,499



58,144$
(11,400
)

$
(31,180
)

$
867,361     Fiscal Year2007


2006


2005Federal tax expense:Current

$



$



$
(25,589
)Deferred










881,882







856,293State tax expense:Current


(11,400
)


(31,180
)


(4,050
)Deferred










15,118(11,400
)


(31,180
)


11,068Federal and state income tax (expense) benefit

$
(11,400
)

$
(31,180
)

$
867,361     Fiscal Year2007


2006Deferred tax assets:Net operating loss carry forwards

$
10,092,028


$
9,826,988Accounts payable and accrued liabilities


202,622



243,571Property and equipment


72,536



39,811Other


73,565



73,58110,440,751



10,183,951Less valuation allowance


(8,565,751
)


(8,308,951
)Net deferred tax assets


1,875,000



1,875,000Deferred tax liabilities:






Net deferred tax asset

$
1,875,000


$
1,875,000    50




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##### Table of Contents



NOTES TO
    CONSOLIDATED FINANCIAL
    STATEMENTS  (Continued)
    5.
    Retirement
    Plan    6.
    Major
    Customers        7.
    Stock-based
    Compensation Plans  Accounting for
    Stock-Based Compensation
             51




---



##### Table of Contents



NOTES TO
    CONSOLIDATED FINANCIAL
    STATEMENTS  (Continued)
    Fiscal Year2007


2006


2005Weighted





Weighted





Weightedaverage





average





averageexercise





exercise





exerciseOptions


price


Options


price


Options


priceOutstanding  beginning of year


461,500


$
2.50



476,167


$
2.76



536,942


$
3.01Granted


40,000



3.79



45,000



5.74



50,000



2.91Exercised


(31,500
)


1.64



(24,667
)


.97



(63,000
)


.97Expired


(61,000
)


4.04



(35,000
)


11.61







Forfeited


















(47,775
)


8.08Outstanding  end of year


409,000



2.46



461,500



2.50



476,167



2.76Exercisable  end of year


322,334


$
1.97



373,169


$
2.04



430,833


$
2.78Aggregate intrinsic value of outstanding options at year end

$
1,083,850Aggregate intrinsic value of exercisable options at year end

$
854,212Weighted average fair value of options granted during year

$
2.51






$
3.31






$
2.91Total intrinsic value of Options exercised during the year

$
83,475






$
139,122






$
441,077     Options


Weighted average


ApproximateOutstanding


Exercisable


exercise price


remaining life in years409,000



322,334


$
1.97
(1)


2     (1)
    
    The exercise prices range from $0.53 to $6.03, of which
    201,500 shares are between $0.53 and $1.95 per share,
    162,500 shares are between $2.09 and $4.42 per share, and
    45,000 shares are between $5.17 and $6.03 per share.  WeightedaverageGrant-dateNonvested Shares

Shares


Fair ValueBalance Beginning of year


88,331



3.00Granted


40,000



2.51Vested


(41,665
)


2.80Forfeited






Balance End of year


86,666



2.82    52




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##### Table of Contents



NOTES TO
    CONSOLIDATED FINANCIAL
    STATEMENTS  (Continued)
    2007


2006Outstanding  beginning of year






25,000Granted






Exercised






Expired






(25,000
)Outstanding  end of year






Weighted average grant price






         8.
    Employee
    Stock Purchase Plan        9.
    Commitments
    and Contingencies  Maintenance
    Agreements, Warranties, and Indemnities
   53




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##### Table of Contents



NOTES TO
    CONSOLIDATED FINANCIAL
    STATEMENTS  (Continued)
    Application-hosting
    Services
    Employment
    Agreements
    Reserved
    Common Stock
    Litigation
    10.
    Quarterly
    Results of Operations (Unaudited)    First


Second


Third


FourthQuarter


Quarter


Quarter


Quarter


2007(In thousands, except per share data)Revenues

$
3,779


$
3,203


$
3,944


$
5,637


$
16,563Gross profit


1,777



1,299



2,137



3,264



8,477Operating profit (loss) (f) (g)


(447
)


(1,054
)


16



781



(704
)Net earnings (loss) (f) (g)


(443
)


(1,071
)


3



776



(736
)Basic net (loss) earnings per share (a)


(.05
)


(.12
)


.00



.08



(.08
)Diluted net (loss) earnings per share (a)


(.05
)


(.12
)


.00



.08



(.08
)Weighted average shares outstanding outstanding


9,211



9,225



9,245



9,254



9,234Stock Price (b)High

$
5.80


$
5.00


$
3.88


$
4.00


$
5.80Low

$
3.54


$
3.30


$
2.57


$
1.75


$
1.75Quarter and year-end close

$
4.72


$
3.80


$
2.94


$
2.65


$
2.65Cash dividends declared (c)

$



$



$



$



$
   54




---



##### Table of Contents



NOTES TO
    CONSOLIDATED FINANCIAL
    STATEMENTS  (Continued)
  First


Second


Third


FourthQuarter


Quarter


Quarter


Quarter


2006Revenues

$
3,848


$
4,583


$
3,592


$
3,844


$
15,867Gross profit


2,104



2,502



1,864



2,230



8,700Operating profit (loss) (e) (f)


(71
)


240



(297
)


310



182Net earnings (loss) (e) (f)


(80
)


214



(334
)


296



96Basic net (loss) earnings per share (a)


(.01
)


.02



(.04
)


.03



.01Diluted net (loss) earnings per share (a)


(.01
)


.02



(.04
)


.03



.01Weighted average shares outstanding outstanding


9,168



9,190



9,211



9,211



9,195Stock Price (b)High

$
8.70


$
7.49


$
5.81


$
6.00


$
8.70Low

$
6.55


$
4.51


$
4.78


$
4.91


$
4.51Quarter and year-end close

$
6.95


$
5.71


$
5.13


$
5.64


$
5.64Cash dividends declared (c)

$



$



$



$



$
   First


Second


Third


FourthQuarter


Quarter


Quarter


Quarter


2005Revenues

$
2,697


$
4,066


$
3,164


$
6,200


$
16,127Gross profit


1,404



2,419



1,664



4,203



9,690Operating profit (loss)


(254
)


547



(463
)


1,908



1,738Net earnings (loss) (d)


(277
)


519



(454
)


2,763



2,551Basic net (loss) earnings per share (a)


(.03
)


.06



(.05
)


.30



.28Diluted net (loss) earnings per share (a)


(.03
)


.06



(.05
)


.29



.27Weighted average shares outstanding outstanding


9,087



9,108



9,131



9,153



9,121Stock Price (b)High

$
5.18


$
3.25


$
6.38


$
7.00


$
7.00Low

$
2.62


$
2.65


$
2.53


$
3.51


$
2.53Quarter and year-end close

$
3.29


$
2.90


$
4.26


$
7.00


$
7.00Cash dividends declared (c)

$



$



$



$



$
     (a)
    
    Quarterly amounts may not be additive.(b)
    
    Obtained from The NASDAQ Stock Market, Inc.(c)
    
    Streamline Health has not paid a dividend on its Common Stock
    since its inception and does not intend to pay any cash
    dividends in the foreseeable future.(d)
    
    Includes, in the fourth quarter of fiscal year 2005, an $897,000
    favorable change in a reduction of the valuation allowance for
    deferred taxes.(e)
    
    Includes in the fourth quarter of fiscal year 2006, a $100,000
    favorable change in the estimate for miscellaneous reserves.(f)
    
    As a result of adopting Statement 123(R) on February 1,
    2006, the Company incurred total additional annual compensation
    expense of $142,642 in 2007 and $111,137 in 2006, respectively.(g)
    
    Includes in the third quarter of fiscal year 2007, a $100,000
    favorable change in the allowance for doubtful accounts. 55




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##### Table of Contents



Schedule II
  Valuation and Qualifying Accounts and Reserves
  Streamline
    Health Solutions, Inc.
    For the three years ended January 31, 2008
  AdditionsBalance at


Charged to


Charged toBeginning


costs and


Other





Balance atDescription

of Period


Expenses


Accounts


Deductions


End of Period(In thousands)Year ended January 31, 2008:Allowance for doubtful accounts

$
200


$



$



$
(100
)

$
100Warranty reserve


250











(54
)


196Year ended January 31, 2007:Allowance for doubtful accounts


200















200Warranty reserve


250















250Year ended January 31, 2006:Allowance for doubtful accounts


200















200Warranty reserve


250















250  
  Item 9.
    Changes
    in and Disagreements with Accountants on Accounting and
    Financial Disclosures        Regulation S-K.
    Form 10-K
     56




---



##### Table of Contents



Regulation S-K regulation S-K, Regulation S-K.
 
  Item 9A
    Controls
    and Procedures  Rules 13a-15(e) 15d-15(e).
    
 Item 9B
    Other
    Information    
 PART III
  
 Item 10.
    Directors,
    Executive Officers and Corporate Goverance  Regulation S-K Form 10-K
  Regulation S-K Form 10-K.
 
  Item 11.
    Executive
    Compensation  Regulation S-K Regulation S-K Form 10-K
 57




---



##### Table of Contents



Item 12.
    Securities
    Ownership of Certain Beneficial Owners and Management and
    Related Stockholder Matters  Regulation S-K
  Regulation S-K
  Number of





Number of securitiessecurities to be





remaining availableissued upon


Weighted-average


for future issuanceexercise of


exercise price of


under equityoutstanding


outstanding


compensation plansoptions, warrants


options, warrants


(excluding securitiesPlan category

and rights


and rights


reflected in column (a))(a)


(b)


(c)Equity compensation plans approved by security holders


409,000(1, 2 & 3
)

$
2.46



875,000(3 & 4
)Total


409,000(1, 2 & 3
)

$
2.46



875,000(3 & 4
)     (1)
    
    Includes 15,000 options that can be exercised under the 1996
    non-employee Directors Stock Option Plan and 269,000
    options that can be exercised under the 1996 Employee Stock
    Option Plan.(2)
    
    Includes 125,000 options that can be exercised by directors
    under the 2005 Incentive Compensation Plan.(3)
    
    Excludes 321,909 shares that can be issued under the 1996
    Employee Stock Purchase Plan, which is more fully described in
    footnote 8 of the enclosed Notes to Consolidated Financial
    Statements.(4)
    
    Excludes Warrants issued in connection with the 1998 Long-term
    debt to acquire 750,000 shares at $3.87, which is more
    fully described in footnote 3 of the enclosed Notes to
    Consolidated Financial Statements. See ITEM 7,
    MANAGEMENTS DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION
    AND RESULTS OF OPERATIONS  Long-term Debt for
    additional information.(5)
    
    The Company does not have any equity compensation plans that
    have not been approved by the Companys Stockholders. 
  Item 13.
    Certain
    Relationships, Related Transactions and Directors
    Independence  Regulation S-K
 
  Item 14.
    Principal
    Accounting Fees and Services    2007


2006Audit Fees

$
112,000


$
116,000Audit-Related Fees






Tax Fees


35,000



36,400All Other Fees






45,000Total Fees

$
147,000


$
197,400    58




---



##### Table of Contents



PART IV
 
  Item 15.
    Exhibits,
    Financial Statement Schedules  Financial
    Statements
           59




---



##### Table of Contents



SIGNATURES
    Streamline Health
    Solutions, Inc.
  By:
    /s/  J.
    Brian Patsy   Chief Executive Officer
      /s/  J.
    Brian PatsyJ.
    Brian Patsy

Chief Executive Officer And Director
    (Principal Executive Officer)

April 2, 2008/s/  Jonathan
    R. PhillipsJonathan
    R. Phillips

Director

April 2, 2008/s/  Edward
    J. VonderBrinkEdward
    J. VonderBrink

Director

April 2, 2008/s/  Richard
    C. LevyRichard
    C. Levy, M.D.

Director

April 2, 2008/s/  Andrew
    L. TurnerAndrew
    L. Turner

Director

April 2, 2008/s/  Paul
    W. Bridge, Jr.Paul
    W. Bridge, Jr.

Chief Financial Officer
    (Principal Financial and Accounting Officer)

April 2, 2008  60




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##### Table of Contents



INDEX TO
    EXHIBITS
  EXHIBITS
  Exhibit No.

Description of Exhibit3.1(a)

Certificate of Incorporation of Streamline Health Solutions,
    Inc. f/k/a/ LanVision Systems, Inc. (Previously filed with the
    Commission and incorporated herein by reference from, the
    Registrants (LanVision System, Inc.) Registration
    Statement on Form S-1, File Number 333-01494, as filed with the
    Commission on April 15, 1996.)3.1(b)

Certificate of Incorporation of Streamline Health Solutions,
    Inc. f/k/a LanVision Systems, Inc., amendment No. 1. (Previously
    filed with the Commission and incorporated herein by reference
    from the Registrants Form 10-Q, as filed with the
    Commission on September 8, 2006.)3.2

Bylaws of Streamline Health Solutions, Inc. (Previously filed
    with the Commission and incorporated herein by reference from,
    the Registrants Form 10-Q, as filed with the Commission on
    June 5, 2007.)3.3

Certificate of the Designations, Powers, Preferences and Rights
    of the Convertible Preferred Stock (Par Value $.01 Per Share) of
    Streamline Health Solutions, Inc. f/k/a/ LanVision Systems, Inc.
    (Previously filed with the Commission, and incorporated herein
    by reference from, the Registrants (LanVision Systems,
    Inc.) Registration Statement on Form S-1, File Number
    333-01494,
    as filed with the Commission on April 15, 1996.)4.1

Specimen Common Stock Certificate of Streamline Health
    Solutions, Inc. f/k/a LanVision Systems, Inc. (Previously filed
    with the Commission, and incorporated herein by reference from,
    the Registrants (LanVision Systems, Inc.) Registration
    Statement on Form S-1, File Number 333-01494, as filed with the
    Commission on April 15, 1996.)4.2

Specimen Preferred Stock Certificate of Streamline Health
    Solutions, Inc. f/k/a LanVision Systems, Inc. (Previously filed
    with the Commission, and incorporated herein by reference from,
    the Registrants (LanVision Systems, Inc.) Registration
    Statement on Form S-1, File Number 333-01494, as filed with the
    Commission on April 15, 1996.)4.3

Revolving Note, and associated documents, dated January 7, 2008,
    between Streamline Health, Inc. (a wholly owned subsidiary of
    the Registrant) and the Fifth Third Bank. (Previously filed with
    the Commission, and incorporated herein by reference from,
    Exhibit 10.1 and 10.2 of the Registrants Form 8-K, as
    filed with the Commission on January 8, 2008.)10.1#

Streamline Health Solutions, Inc. f/k/a LanVision Systems, Inc.
    1996 Employee Stock Option Plan. (Previously filed with the
    Commission, and incorporated herein by reference from, the
    Registrants (LanVision Systems, Inc.) Registration
    Statement on Form S-1, File Number
    333-01494,
    as filed with the Commission on April 15, 1996.)10.2(a)#

Streamline Health Solutions, Inc. f/k/a LanVision Systems, Inc.
    1996 Non-Employee Directors Stock Option Plan.  (Previously
    filed with the Commission, and incorporated herein by reference
    from, the Registrants (LanVision Systems, Inc.)
    Registration Statement on Form S-1, File Number 333-01494, as
    filed with the Commission on April 15, 1996.)10.2(b)#

First Amendment to Streamline Health Solutions, Inc.
    f/k/a/LanVision Systems, Inc. 1996 Non-Employee Directors Stock
    Option Plan.  (Previously filed with the Commission, and
    incorporated herein by reference from, Exhibit 4.1(b) of, the
    Registrants (LanVision Systems, Inc.) Registration
    Statement on Form S-8, file number 333-20765, as filed with the
    Commission on January 31, 1997.)10.2(c)#

Second Amendment to Streamline Health Solutions, Inc. f/k/a
    LanVision Systems, Inc. 1996 Non-Employee Directors Stock Option
    Plan.  (Previously filed with the Commission, and incorporated
    herein by reference from, Amendment No. 1 to the
    Registrants (LanVision Systems, Inc.) Statement on Form
    S-8, file number 333-20765, as filed with the Commission on
    March 1, 2001.)10.3#

Streamline Health Solutions, Inc. f/k/a LanVision Systems, Inc.
    1996 Employee Stock Purchase Plan. (Previously filed with the
    Commission, and incorporated herein by reference from, the
    Registrants (LanVision Systems, Inc. ) Registration
    Statement on Form S-1, File Number
    333-01494,
    as filed with the Commission on April 15, 1996.)10.4#

2005 Incentive Compensation Plan of Streamline Health Solutions,
    Inc. f/k/a LanVision Systems, Inc. (Previously filed with the
    Commission, and incorporated herein by reference from, Exhibit
    10.1 of the Registrants (LanVision Systems, Inc.) Form
    8-K, as filed with the Commission on May 26, 2005.) 61




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##### Table of Contents



Exhibit No.

Description of Exhibit10.5#

Employment Agreement between Streamline Health, Inc. f/k/a
    LanVision, Inc. and Donald E. Vick effective December 3, 1996.
    (Previously filed with the Commission, and incorporated herein
    by reference from, Exhibit 10.5 of the Registrants
    (LanVision Systems, Inc.) Form 10-K for the fiscal year ended
    January 31, 2002, as filed with the Commission on April 29,
    2002.)10.5(a)#

Amendment No. 1 to the Employment Agreement between Streamline
    Health, Inc. f/k/a LanVision, Inc. and Donald E. Vick effective
    January 27, 2006 (Previously filed with the Commission, and
    incorporated herein by reference from, Exhibit 10.4 of the
    Registrants (LanVision Systems, Inc.) Form 8-K, as filed
    with the Commission on January 31, 2006.)10.6#

Employment Agreement among Streamline Health Solutions, Inc.
    f/k/a LanVision Systems, Inc., Streamline Health, Inc. f/k/a
    LanVision, Inc. and Paul W. Bridge, Jr., effective February 1,
    2004 (Previously filed with the Commission, and incorporated
    herein by reference from, Exhibit 10.1 of the Registrants
    (LanVision Systems, Inc.) Form 10-Q for the fiscal quarter ended
    July 31, 2004, as filed with the Commission on September 10,
    2004.)10.6(a)#

Amendment No. 1 to the Employment Agreement between Streamline
    Health, Inc. f/k/a LanVision, Inc. and Paul W. Bridge, Jr.
    effective January 27, 2006 (Previously filed with the
    Commission, and incorporated herein by reference from, Exhibit
    10.3 of the Registrants (LanVision Systems, Inc.) Form
    8-K, as filed with the Commission on January 31, 2006.)10.7#

Employment Agreement among Streamline Health, Inc. f/k/a/
    LanVision Systems, Inc., Streamline Health, Inc. f/k/a
    LanVision, Inc. and J. Brian Patsy effective February 1, 2003
    (Previously filed with the Commission, and incorporated herein
    by reference from, Exhibit 10.7 of the Registrants
    (LanVision Systems, Inc.) Form 10-K for the fiscal year ended
    January 31, 2004, as filed with the Commission on April 8, 2004.)10.7(a)#

Amendment No. 1 dated January 27, 2005 to the Employment
    Agreement among J. Brian Patsy, Streamline Health Solutions,
    Inc. f/k/a LanVision Systems, Inc. and Streamline Health Inc.
    f/k/a LanVision, Inc. (Previously filed with the Commission, and
    incorporated herein by reference from, Exhibit 10.1 of the
    Registrants (LanVision Systems, Inc.) Form 8-K, as filed
    with the Commission on February 1, 2005.)10.7(b)#

Amendment No. 2 dated January 27, 2006 to the Employment
    Agreement among J. Brian Patsy, Streamline Health Solutions,
    Inc. f/k/a LanVision Systems, Inc. and Streamline Health, Inc.
    f/k/a LanVision, Inc. (Previously filed with the Commission, and
    incorporated herein by reference from, Exhibit 10.1 of the
    Registrants (LanVision Systems, Inc.) Form 8-K, as filed
    with the Commission on January 31, 2006.)10.8(a)#

Employment Agreement among Streamline Health Solutions, Inc.
    f/k/a/ LanVision Systems, Inc., Streamline Health, Inc. f/k/a
    LanVision, Inc. and Joseph O. Brown, II, effective February
    1, 2004. (Previously filed with the Commission, and incorporated
    herein by reference from, Exhibit 10.1 of the Registrants
    Form 10-Q, as filed with the Commission on December 7, 2007.)10.8(b)#

Amendment No. 1 dated November 27, 2007 to the Employment
    Agreement among Joseph O Brown, II, Streamline Health
    Solutions, Inc. f/k/a LanVision Systems, Inc. and Streamline
    Health, Inc. f/k/a LanVision, Inc.***10.9#

Employment agreement between Streamline Health, Inc. and Gary M.
    Winzenread effective June 18, 2007. (Previously filed with the
    Commission, and incorporated herein by reference from, Exhibit
    10.1 of the Registrants Form 10-Q, as filed with the
    Commission on December 7, 2007.)10.10(a)

Lease for office space between Streamline Health, Inc. f/k/a
    LanVision, Inc. (a wholly owned subsidiary) and The Western and
    Southern Life Insurance Company dated July 30, 2004 (Previously
    filed with the Commission, and incorporated herein by reference
    from, Exhibit 10.1 of the Registrants (LanVision Systems,
    Inc.) Form 10-Q for the fiscal quarter ended July 31, 2004, as
    filed with the Commission on September 10, 2004.)10.10(b)

Registrants Guarantee of Lease Agreement between
    Streamline Health, Inc. f/k/a LanVision, Inc. and The Western
    and Southern Life Insurance Company (Previously filed with the
    Commission, and incorporated herein by reference from, Exhibit
    10.1 of the Registrants (LanVision Systems, Inc.) Form
    10-Q for the fiscal quarter ended July 31, 2004, as filed with
    the Commission on September 10, 2004.) 62




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##### Table of Contents



Exhibit No.

Description of Exhibit10.10(c)

First Amendment to Lease and Acceptance of Delivery to the Lease
    for office space between Streamline Health, Inc. f/k/a
    LanVision, Inc. (a wholly owned subsidiary) and The Western and
    Southern Life Insurance Company, effective January 31, 2005.
    (Previously filed with the Commission, and incorporated herein
    by reference from, Exhibit 11.11(c) of the Registrants
    (LanVision Systems, Inc.) Form 10-K for the fiscal year ended
    January 31, 2005, as filed with the Commission on April 8, 2005.)10.11(a)**

Reseller Agreement between IDX Information Systems Corporation
    and Streamline Health, Inc. f/k/a LanVision, Inc. entered into
    on January 30, 2002. (Previously filed with the Commission, and
    incorporated herein by reference from, Exhibit 10.11 of the
    Registrants (LanVision Systems, Inc.) Form 10-K for the
    fiscal year ended January 31, 2002, as filed with the Commission
    on April 29, 2002.)10.11(b)

First Amendment to the Reseller Agreement between IDX
    Information Systems Corporation and Streamline Health, Inc.
    f/k/a LanVision, Inc. entered into on January 30, 2002
    (Previously filed with the Commission, and incorporated herein
    by reference from, Exhibit 10 of the Registrants
    (LanVision Systems, Inc.) Form 10-Q for the quarter ended April
    30, 2002, as filed with the Commission on June 4, 2002.).10.12

Form of Indemnification Agreement for all directors and
    officers.  (Previously filed with the Commission, and
    incorporated herein by reference from, Exhibit 10.1 of the
    Registrants (LanVision Systems, Inc.) Form 8-K, as filed
    with the Commission on June 7, 2006.10.13#

Schedule of Directors Compensation (Previously filed with the
    Commission, and incorporated herein by reference from, Exhibit
    10.14 of the Registrants (LanVision Systems, Inc.)
    Form 10-K
    for the fiscal year ended January 31, 2005, as filed with the
    Commission on April 8, 2005.)11.1

Statement Regarding Computation of Per Share Earnings***14.1

Code of Ethics (Previously filed with the Commission, and
    incorporated herein by reference from, Exhibit 14.1 of the
    Registrants (LanVision Systems, Inc.) Form 10-K for the
    fiscal year ended January 31, 2004, as filed with the Commission
    on April 8, 2004.)21.1

Subsidiaries of the Registrant***23.1

Consent of Independent Registered Public Accounting
    Firm  BDO Seidman, LLP***23.2

Consent of Independent Registered Public Accounting
    Firm  Ernst & Young, LLP***31.1

Certification by Chief Executive Officer pursuant to Section 302
    of the Sarbanes-Oxley Act of 2002.***31.2

Certification by Chief Financial Officer pursuant to Section 302
    of the Sarbanes-Oxley Act of 2002.***32.1

Certification by Chief Executive Officer pursuant to U.S.C.
    Section 1350, as adopted pursuant to Section 906 of the
    Sarbanes-Oxley Act of 2002.***32.2

Certification by Chief Financial Officer pursuant to U.S.C.
    Section 1350, as adopted pursuant to Section 906 of the
    Sarbanes-Oxley Act of 2002.***     **
    
    The Company has applied for Confidential Treatment of portions
    of this agreement with the Securities and Exchange Commission***
    
    Included herein#
    
    Management Contracts and Compensatory Arrangements. 63