Document:

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                                                                   Exhibit 10.40

                   FIFTH AMENDMENT TO OFFICE BUILDING LEASE

THIS FOURTH AMENDMENT TO OFFICE BUILDING LEASE ("Amendment") is made and entered
into by and between LIBERTY REAL ESTATE COMPANY ("Lessor") and DATA CRITICAL
("Lessee") for and in consideration of One Dollar ($1.00) and other good and
valuable consideration, the receipt and sufficiency of which are hereby
acknowledged.

                                  WITNESSETH

     WHEREAS, Liberty Bank and Trust Co. of OKC, N.A. ("Original Lessor"), as
predecessor in interest to Lessor, and Lessee entered into that certain Office
Building Lease ("Lease"), dated January 1, 1995, providing for the rental by
Lessee of certain premises ("Premises") containing approximately 1,706 rentable
square feet, located on the twenty-second (22nd) floor, of the building
generally known as Bank One Center, located at 100 North Broadway, Oklahoma
City, Oklahoma, Suite 2200 ("Original Space"); and

     WHEREAS, Original Lessor and Lessee entered into a certain First Lease
Amendment ("First Amendment"), dated January 9, 1995, providing, inter alia, for
the expansion of the Premises by 1,202 rentable square feet (the "First
Expansion Space"); and

     WHEREAS, Original Lessor and Lessee entered into a certain Second Lease
Amendment ("Second Amendment"), dated October 31, 1996, providing inter alia,
for the expansion of the Premises by 1,505 rentable square feet (the "Second
Expansion Space") (the Original Lease, as heretofore amended by the First
Amendment and the Second Amendment, shall hereinafter collectively be referred
to as the "Lease"); and

     WHEREAS, Original Lessor and Lessee entered into a certain Third Lease
Amendment ("Third Amendment"), dated May 1, 1998, providing, inter alia, for the
expansion of the Premises by 273 rentable square feet (the "Third Expansion
Space") (the Original Lease, as heretofore amended by the First Amendment, the
Second Amendment and the Third Amendment, shall hereinafter collectively be
referred to as the "Lease"); and

     WHEREAS, Original Lessor and Lessee entered into a certain Third Lease
Amendment ("Fourth Amendment"), dated January 24, 2000 providing inter alia, for
the expansion of the Premises by 984 rentable square feet (the "Fourth Expansion
Space"), (the Original Lease, as heretofore amended by the First Amendment, the
Second Amendment and the Third Amendment, and the Fourth Amendment shall
hereinafter collectively be referred to as the "Lease") and;

     WHEREAS, Lessor and Lessee now desire to enter into a certain Fifth Lease
Amendment ("Fifth Amendment") to provide for the expansion of the Premises by an
additional 2,736 rentable square feet (the "Fifth Expansion Space"), so that the
Premises shall now be configured as shown on Exhibit A attached hereto and
incorporated herein by reference.

     NOW, THEREFORE, in consideration of the mutual covenants contained herein,
the parties hereby agree to modify the Lease as follows, effective as of May 5,
2000:

     1. Premises.  Effective as of the date Lessee occupies the Expansion Space
        ("Occupancy Date").  The Premises shall include the Expansion Space, and
        shall now contain approximately 8,406 rentable square feet. The
        location and
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        configuration of the Premises shall be as shown on the attached
        Exhibit A.

     2. Relocation.  Lessee shall move on May 12th - 14th to Suite 2500 ("New
        Premises") as described in the attached Exhibit A.

     3. Base Rent.  The Base Rent shall be as follows:

--------------------------------------------------------------------------------
Date                                   Rent/RSF                Monthly Rent
----                                   --------                ------------

06/01/00 - 06/30/00                     $ 0.00                  $     0.00

07/01/00 - 12/31/00                     $11.00                  $ 7,705.50
--------------------------------------------------------------------------------
         YEAR 2000 REMAINING RENT                               $46,233.00
--------------------------------------------------------------------------------

     4. Base Year.  The Base Year under the Lease shall remain unchanged.

     5. As-Is.  Lessee accepts the Expansion Space in its "as-is" condition.

     6. Operating Expenses.  Lessee's pro-rata share of operating expenses shall
        be increased from 1.11% to 1.64%.

     7. It is understood that Tenant and Landlord are working towards the
        renewal of the Tenant's lease at Bank One Center. Tenant agrees to the
        following terms for said lease renewal:

        Term:                            60 months

        Commencement Date:               January 1, 2001

        Rent Structure:                  Months 1-36        $11.00/rsf
                                         Months 37-60       $11.50/rsf

        Leasehold Improvement:           Landlord shall Provide
                                         . New carpet throughout the premises.
                                         . Paint touch-up where necessary.
                                         . Demolition of four walls to create
                                           lab area.
                                         . Construction of demising walls to
                                           define premises.
                                         . Tenant's signage for building common
                                           area and lobby.
                                         . Allowance for moving costs associated
                                           with relocation.

        Leasable area:                   See "Expansion Area" noted in Fifth
                                         Amendment.

     8. Force and Binding Effect: Governing Law: Ratification.  The Lease, as
        amended by this Amendment, will continue in full force and effect and is
        hereby ratified by Lessor and Lessee . All defined and capitalized terms
        as set forth in the Lease shall have the same meanings when used in this
        Amendment unless otherwise provided herein. There are no modifications
        of any of the provisions of the Lease, except as expressly provided for
        herein. This Amendment embodies the

                                       2
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        entire agreement and understanding between Lessor and Lessee as may be
        applicable with respect to the specific matters set forth herein, and
        supersedes all prior agreements and understandings, written or oral,
        between Lessor and Lessee related to such matters.

     AGREED AND ACCEPTED effective as of May 5, 2000.

LESSOR:                                         LESSEE:
------                                          ------

BANC ONE CORPORATION                            DATA CRITICAL

By:  /s/ Daniel L. Wilbur                       By:  /s/ Robert A. May
   ------------------------------                  -----------------------------
   Name:   Daniel L. Wilbur                        Name:   Robert A. May
         ------------------------                        -----------------------
   Title:  Authorized Signature                    Title:  VP Operations
         ------------------------                        -----------------------

Date:  6/6/00                                   Date:  5/10/2000
     ----------------------------                    ---------------------------

Attachments:
Exhibit A - Premises

                                       3<PAGE>

                                                                     Exhibit 4.1

                                                                    COMMON STOCK
                                                                       SHARES
                                                                    ------------

                                                                    ------------
                            Columbia Banking System
                                                               CUSIP 197236 10 2
                          incorporated under the laws
                          of the State of Washington
                                                            SEE REVERSE SIDE FOR
                                                            DEFINITIONS AND A
                                                            STATEMENT AS TO THE
                                                            RIGHTS, PREFERENCES
                                                            AND PRIVILEGES OF,
                                                            AND RESTRICTIONS ON,
                                                            SHARES

THIS CERTIFIES THAT

is the owner of

  Fully Paid and Non-Assessable Shares of Common Stock, With No Par Value, of

                         COLUMBIA BANKING SYSTEM, INC.

transferable on the books of the Corporation by the holder hereof in person or
by duly authorized attorney upon surrender of this certificate, properly
endorsed. This certificate is not valid unless countersigned by the Transfer
Agent and registered by the Registrar.
WITNESS the facsimile signatures of its duly authorized officers.

Dated:
                                  COUNTERSIGNED AND REGISTERED:
                                      AMERICAN STOCK TRANSFER & TRUST COMPANY
                                                    TRANSFER AGENT AND REGISTRAR

                                    BY

                Secretary                           AUTHORIZED SIGNATURE
<PAGE>

                         COLUMBIA BANKING SYSTEM, INC.

          This certificate evidences shares of Common Stock of the Corporation.
Other classes of shares of the Corporation are, and may in the future be,
authorized and outstanding, and those classes may consist of one or more series
of shares, each with different rights, preferences and limitations. The
Corporation will furnish to any shareholder upon written request and without
charge a full statement of the designations, preferences, limitations and
relative rights of the shares of each class authorized to be issued and the
variations in the relative rights and preferences between the shares of each
series of a class of shares so far as the same have been fixed and determined,
and the authority of the Board of Directors to fix and determine the relative
rights and preferences of the subsequent series.

          The following abbreviations, when used in the inscription on the face
of this certificate, shall be construed ass though they were written out in full
according to applicable laws or regulations:

<TABLE>
<S>                                                                    <C>
          TEN COM - as tenants in common                               UNIF GIFT MIN ACT --.........Custodian...........
          TEN ENT - as tenants by the entireties                                               (Cust)           (Minor)
          JT TEN - as joint tenants with right                                               under Uniform Gifts to
                   of survivorship and not                                                   Minors Act................
                   as tenants in common                                                                     (State)

                                                                       UNIF TRF MIN ACT --......Custodian(until age   )
                                                                                          (Cust)
                                                                                          ...........under Uniform Transfers
                                                                                          (Minor)
                                                                                          to Minors Act.....................
                                                                                                            (State)
</TABLE>

    Additional abbreviations may also be used though not in the above list.

     FOR VALUE RECEIVED, __________________________________ hereby sell, assign
and transfer unto

PLEASE INSERT SOCIAL SECURITY OR OTHER
    IDENTIFYING NUMBER OF ASSIGNEE
--------------------------------------

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

________________________________________________________________________________
  (PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE, OF ASSIGNEE)

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

_________________________________________________________________________ Shares
of the common stock represented by the within Certificate, and do hereby
irrevocably constitute and appoint _____________________________________________
__________________ Attorney to transfer the said stock on the books of the
within named Corporation with full power of substitution in the premises.

Dated: ______________________________

                                       _________________________________________
                              NOTICE:  THE SIGNATURE TO THIS ASSIGNMENT MUST
                                       CORRESPOND WITH THE NAME AS WRITTEN UPON
                                       THE FACE OF THE CERTIFICATE IN EVERY
                                       PARTICULAR, WITHOUT ALTERATION OR
                                       ENLARGEMENT OR ANY CHANGE WHATEVER.
Signature(s) Guaranteed

By __________________________________
THE SIGNATURE(S) SHOULD BE GUARANTEED
BY AN ELIGIBLE GUARANTOR INSTITUTION
(BANKS, STOCKBROKERS, SAVINGS AND
LOAN ASSOCIATIONS AND CREDIT UNIONS
WITH MEMBERSHIP IN AN APPROVED
SIGNATURE GUARANTEE MEDALLION
PROGRAM), PURSUANT TO S.E.C. RULE
17Ad-15.

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