Document:

<PAGE>
Confidential Materials omitted and filed separately with the Securities and
Exchange Commission. Asterisks denote omissions.

                                                                    Exhibit 10.9

                                MASTER AGREEMENT

                                       FOR

                           U.S. AVAILABILITY SERVICES

                                     BETWEEN

                        SUNGARD AVAILABILITY SERVICES LP
                                   ("SUNGARD")

                                       AND

                                  ATHENAHEALTH

                         A ________________ CORPORATION
                                  ("CUSTOMER")

                                      DATED
                                 MARCH 31, 2007

                            (THE "MASTER AGREEMENT")

By the signatures of their duly authorized representatives below, SunGard and
Customer, intending to be legally bound, agree to all of the provisions of this
Master Agreement.

SUNGARD AVAILABILITY SERVICES LP        CUSTOMER: ATHENAHEALTH

By: /s/ Dennis Musolino                 By: /s/ James M. MacDonald
    ---------------------------------       ------------------------------------
Print: Dennis Musolino                  Print Name: JAMES M. MACDONALD
Print Title: Regional Vice President    Print Title: CHIEF OPERATING OFFICER
Date Signed: 4/16/07                    Date Signed: MARCH 30, 2007

This Master Agreement is comprised of the general terms and conditions set forth
below and the terms and conditions set forth in the Services Exhibit(s) attached
hereto (the services described in such exhibit(s) are referred to collectively
as the "Services"). Each Schedule entered into hereunder represents a separate
contract between SunGard and Customer or one of its Affiliates (as defined
below) that incorporates and is governed by all of the terms of this Master
Agreement. If there is a conflict between a Schedule and this Master Agreement,
the Schedule shall govern. Each Schedule will designate which type of Services
it covers by reference to one of the Services Exhibits. Each Schedule may be
signed by Customer or one of its Affiliates, and such signer shall be deemed to
be "Customer" for purposes of that Schedule, provided that the Customer who
signed this Master Agreement shall be jointly and severally liable with such
Affiliate for the performance of all obligations under such Schedule.
"Affiliate" means any entity which directly or indirectly controls, is
controlled by, or is under common control with Customer for as long as such
relationship remains in effect.

                  THE TERMS OF THIS AGREEMENT ARE CONFIDENTIAL

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                                       MSA

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GENERAL TERMS AND CONDITIONS.

1. CONTRACT TERM. This Master Agreement shall continue in effect as long as
there is a Schedule in effect. The term of a Schedule, and Customer's rights to
use the Services selected on that Schedule, shall begin on the Commencement Date
stated in that Schedule and continue in effect for the Agreed Term stated in
that Schedule. Thereafter, that Schedule shall automatically renew for
successive renewal terms of ninety (90) days, unless either party gives written
notice of termination to the other at least ninety (90) days before the end of
the then current term. Each Schedule is a non-cancelable contract that may be
terminated only in accordance with its express terms and the terms of this
Master Agreement.

2. FEES AND EXPENSES. All Monthly or Annual Fees (as defined in a Schedule)
shall be invoiced by SunGard in advance at the billing address defined in the
Schedule. All other fees, and any out-of-pocket expenses reasonably incurred by
SunGard on behalf of Customer shall be invoiced by SunGard as and when incurred.
Customer's payments shall be due within thirty (30) days after receipt of
invoice. For any amount not paid when due, Customer will pay interest at the
lesser of fifteen percent (15%) per annum or the maximum amount permitted by
law. Unless Customer provides a valid tax exemption certificate, Customer shall
be responsible for any sales, use, excise or comparable taxes assessed or
imposed upon the Services provided or the amounts charged under a Schedule.
Beginning one year after the Commencement Date of a Schedule, SunGard may
increase all fees chargeable under that Schedule by up to eight percent (8%) per
contract year, by giving Customer at least ninety (90) days prior written
notice.

3. CONFIDENTIALITY.

(a) All information disclosed by one party to the other in connection with this
Master Agreement shall be treated as confidential ("Confidential Information").
With respect to Confidential Information disclosed by one party ("disclosing
party") to the other party ("receiving party"), (i) the receiving party shall
hold such Confidential Information in strict confidence using the same standard
of care as it uses to protect its own confidential information but not less than
a reasonable standard of care, (ii) the receiving party shall not use or
disclose such Confidential Information for any purpose except as necessary to
fulfill its obligations under a Schedule or this Master Agreement, or except as
required by law provided that the disclosing party is given a reasonable
opportunity to obtain, at its expense, a protective order (the receiving party
shall reasonably cooperate with the disclosing party in connection therewith),
(iii) the receiving party shall limit access to such Confidential Information to
such of its employees, agents and contractors who need such access to fulfill
the receiving party's obligations under a Schedule, and (iv) the receiving party
shall require its employees, agents and contractors who have access to such
Confidential Information to abide by the confidentiality provisions of this
Master Agreement.

(b) Without limiting the generality of the foregoing, such Confidential
Information includes (i) with respect to Customer, Customer's data and software
and the details of Customer's computer operations and recovery procedures, which
include trade secrets of Customer, (ii) with respect to SunGard, SunGard's
physical security systems, access control systems, specialized recovery
equipment and techniques, pricing information, User's Guides, and E-Testing
Program, which include trade secrets of SunGard, and (iii) with respect to both
parties, the terms of this Master Agreement and all Schedules and any detailed
information regarding the performance of this Master Agreement or any Schedule.

(c) Confidential Information shall not include information that (i) is or
becomes publicly available through no wrongful act of the receiving party, (ii)
was known by the receiving party without any obligation of confidentiality at
the time of disclosure by the disclosing party, (iii) was obtained by the
receiving party from a third party without restriction on disclosure, or (iv)
was developed independently by the receiving party. Confidential Information
shall not include "Protected Health Information," which shall be governed by the
provisions of Section 3(d) below.

(d) PROTECTED HEALTH INFORMATION. Customer is subject to, and is considered a
"Covered Entity" under, the provisions of the privacy regulations, 45 CFR Part
160 and Part 164, Subparts A and E (the "Privacy Regulations") and the security
regulations, 45 CFR Part 160, Part 162 and Part 164, (the "Security
Regulations") under the Health Insurance Portability and Accountability Act of
1996, 42 U.S.C. Section 1171, et seq. ("HIPAA"). From time to time, in the
course of providing services to Customer under the Master Agreement, SunGard may
receive from Customer certain information relating to an individual's physical
or mental health that may constitute "protected health information" as defined
in the Privacy Regulations. Such protected health information received by
SunGard from Customer or on Customer's behalf ("PHI") shall be subject to the
following:

RESTRICTION ON USE AND DISCLOSURE OF PHI; ACCESS TO PHI.

     a.   SunGard agrees to not use or disclose PHI other than as permitted or
          required by this Master Agreement or as "Required By Law" (as defined
          in the Privacy Regulations).

     b.   SunGard agrees to use appropriate safeguards to prevent use or
          disclosure of PHI other than as provided for by this Master Agreement.

     c.   SunGard agrees to mitigate, to the extent practicable, any harmful
          effect that is known to SunGard of a use or disclosure of PHI by
          SunGard in violation of the requirements of this Master Agreement.

     d.   SunGard agrees to report to Customer any use or disclosure of PHI not
          provided for by this Master Agreement of which SunGard becomes aware.

     e.   SunGard agrees to ensure that any agent, including a subcontractor, to
          whom it provides PHI agrees to the same restrictions and conditions
          that apply through this Section 3(d) to SunGard with respect to such
          information.

     f.   SunGard agrees to provide access, within 30 days after written notice
          is received from Customer, to PHI in a "Designated Record Set" (as
          defined in the Privacy Regulations), to Customer or, as directed by
          Customer, to an "Individual" (as defined in the Privacy Regulations)
          in order to meet the requirements under 45 CFR Section 164.524.

     g.   SunGard agrees to make any amendment(s) to PHI in a Designated Record
          Set that the Customer directs or

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                                       MSA

<PAGE>

          agrees to pursuant to 45 CFR Section 164.526 within 30 days after
          written notice is received from Customer.

     h.   SunGard agrees to make internal practices, books, and records,
          including policies and procedures and PHI, relating to the use and
          disclosure of PHI available to the Secretary of the Department of
          Health and Human Services or his designee, within 30 days after
          written notice is received from Customer or at a time reasonably
          designated by the Secretary, for purposes of the Secretary determining
          Customer's compliance with the Privacy Regulations; provided that such
          access shall only be provided to the extent it would not interfere
          with another Customer's use of the Recovery Services during a test or
          disaster of such other Customer.

     i.   SunGard agrees to document such disclosures of PHI and information
          related to such disclosures as would be required for Customer to
          respond to a request by an Individual for an accounting of disclosures
          of PHI in accordance with 45 CFR Section 164.528.

     j.   SunGard agrees to provide to Customer or an Individual, within 30 days
          after written notice is received from Customer or an Individual,
          information collected in accordance with Section 3(d)(i)(i) above, to
          permit Customer to respond to a request by an Individual for an
          accounting of disclosures of PHI in accordance with 45 CFR Section
          164.528.

(ii) PERMITTED USE AND DISCLOSURE OF PHI.

     a.   Except as otherwise limited in this Master Agreement, SunGard may use
          PHI for the proper management and administration of SunGard or to
          carry out the legal responsibilities of SunGard.

     b.   Except as otherwise limited in this Master Agreement, SunGard may
          disclose PHI for the proper management and administration of SunGard,
          provided that disclosures are Required By Law, or SunGard obtains
          reasonable assurances from the person to whom the information is
          disclosed that it will remain confidential and used or further
          disclosed only as Required By Law or for the purpose for which it was
          disclosed to the person, and the person notifies SunGard of any
          instances of which it is aware in which the confidentiality of the
          information has been breached.

(iii) OBLIGATIONS OF CUSTOMER.

     a.   Customer shall notify SunGard of any limitation(s) in its notice of
          privacy practices of Customer in accordance with 45 CFR Section
          164.520, to the extent that such limitation may affect SunGard's use
          or disclosure of PHI.

     b.   Customer shall notify SunGard of any changes in, or revocation of,
          permission by an Individual to use or disclose PHI, to the extent that
          such changes may affect SunGard's use or disclosure of PHI.

     c.   Customer shall notify SunGard of any restriction to the use or
          disclosure of PHI that Customer has agreed to in accordance with 45
          CFR Section 164.522, to the extent that such restriction may affect
          SunGard's use or disclosure of PHI.

     d.   Customer shall not request SunGard to use or disclose PHI in any
          manner that would not be permissible under the Privacy Regulations if
          done by Customer.

     e.   At the conclusion of any Disaster, extended use, Test, or other use of
          the Recovery Services, Customer shall remove, erase or destroy all PHI
          it maintained in any form, recorded on any medium, or stored in any
          storage system as part of its use of the Recovery Services.

     f.   Customer shall be responsible to pay, or reimburse SunGard for,
          SunGard's costs and expenses (including, without limitation,
          reasonable attorneys' fees and costs) to comply with the obligations
          under this Section 3(d).

(iv) The terms of this Section 3(d) shall survive termination of the Master
Agreement and shall terminate when all PHI is destroyed or returned to Customer,
or, if it is infeasible to return or destroy PHI, protections are extended to
such information, in accordance with the termination provisions in Section
3(d)(vi) below.

(v) Except as provided in Section 3(d)(vi) below, upon termination of this
Master Agreement, for any reason, SunGard shall return or destroy all PHI still
in its possession. This provision shall apply to PHI that is in the possession
of subcontractors or agents of SunGard. SunGard shall retain no copies of PHI.

(vi) In the event that SunGard determines that returning or destroying PHI is
infeasible, SunGard shall provide to Customer notification of the conditions
that make return or destruction infeasible. SunGard shall extend the protections
of this Master Agreement to such PHI and limit further uses and disclosures of
such PHI to those purposes that make the return or destruction infeasible, for
so long as SunGard maintains such PHI.

(vii) On and after the effective date of March 19, 2005, and to the extent
required by, 45 CFR 164.314(a)(2), SunGard agrees to:

     a. implement administrative, physical and technical safeguards that
     reasonably and appropriately protect the confidentiality, integrity, and
     availability of the electronic PHI that it creates, receives, maintains, or
     transmits on behalf of Customer;

     b. ensure that any agent, including a subcontractor, to whom it provides
     such PHI agrees to implement reasonable and appropriate safeguards to
     protect it; and

     c. report to Customer any security incident of which it becomes aware.

(viii) Upon Customer's knowledge of a material breach by SunGard of this Section
3(d), Customer shall either:

     a. provide a 30 day opportunity for SunGard to cure the breach or end the
     violation and terminate this Agreement if SunGard does not cure the breach
     or end the violation within the 30 day cure period;

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                                       MSA

<PAGE>

     b. immediately terminate this Agreement if SunGard has breached a material
     term of this Section 3(d) and cure is not possible; or

     c. if neither termination nor cure are feasible, Customer shall report the
     violation to the Secretary of the Department of Health and Human Services.

(e) If this Master Agreement includes a Professional Services Exhibit, the
following additional terms shall apply. Customer acknowledges that SunGard's
property includes trade secrets, confidential information and proprietary
property of SunGard, having great commercial value to SunGard, and that the
development and design of SunGard's property has involved and will involve the
expenditure by SunGard of substantial amounts of time and money. All items of
SunGard's property are being provided by SunGard to Customer on a strictly
confidential basis and only for in-house use for the purpose of allowing
Customer to establish, maintain and implement business recovery and other plans
and procedures. Except with the prior written consent of SunGard, Customer will
not, nor will it permit any other entity or individual to (a) use any SunGard
property for any purpose not authorized by this Agreement, (b) refer to or
otherwise use any SunGard property as part of any effort to provide similar
Services to any entity or individual, or (c) remove, erase or tamper with any
copyright or other proprietary notice of SunGard printed or stamped on, affixed
to, or encoded or recorded in any SunGard property.

4.   TERMINATION.

     (a) If either party breaches any of its obligations under a Schedule in any
     material respect and the breach is not substantially cured within the cure
     period specified below, then the other party may terminate that Schedule,
     without penalty, by giving written notice to the breaching party at any
     time before the breach is substantially cured. If this Master Agreement
     includes a Recovery Services Exhibit, then (i) with respect to a breach of
     SunGard's obligations to provide the Recovery Services to Customer during a
     Disaster (as such terms are defined in the Recovery Services Exhibit), the
     cure period shall be twenty-four (24) hours, and (ii) with respect to
     Customer's obligations under the access and use provisions set forth in
     Section A.2, A.3, and C of the Recovery Services Exhibit, there shall be no
     cure period (and SunGard shall have the right to terminate the applicable
     Schedule immediately). With respect to Customer's obligations to comply
     with SunGard's Network Policies (as defined in the applicable Services
     Exhibit), the cure period shall be five (5) days. With respect to all other
     obligations, unless otherwise specified, the cure period shall be 30 days
     after receipt of written notice describing the breach, provided that, if a
     longer period is reasonably required to cure the breach and the cure is
     promptly begun, such cure period shall be extended for as long as the cure
     is being diligently prosecuted to completion.

     (b) If a Schedule is terminated due to an uncured material breach by
     Customer, or if Customer properly exercises a right to cancel a Schedule
     before the end of the Agreed Term, then Customer shall (i) pay to SunGard
     the unamortized balance attributable to any equipment and software
     purchased by SunGard on behalf of Customer (as designated in the applicable
     Schedule) and (ii) reimburse SunGard for any cancellation charges for third
     party services purchased by SunGard on behalf of Customer (as designated in
     the applicable Schedule).

5. LIABILITY AND INDEMNIFICATION.

(a) Each party ("liable party") shall be liable to the other party for any
direct damages caused by any breach of contract, negligence or willful
misconduct of the liable party (or any of its employees or agents).

(b) The liable party shall indemnify and hold harmless the other party (and its
Affiliates and their respective employees and agents) against any claims,
actions, damages, losses or liabilities to the extent arising from any breach of
contract, negligence or willful misconduct of the liable party (or any of its
employees or agents).

(c) In addition, SunGard shall indemnify and hold harmless Customer against any
claims, actions, damages, losses or liabilities to the extent arising from
infringement of any U.S. patent, copyright or other proprietary right resulting
from Customer's use of intellectual property developed or owned by SunGard and
used to provide the Services. SunGard's liability with respect to this
infringement indemnification is limited to making the Services non-infringing or
arranging for Customer's continued use of the Services, provided that, if both
of the foregoing options are commercially impracticable for SunGard, then upon
written notice to Customer, SunGard may cancel the affected portion of the
Services and refund to Customer any prepaid fees for such Services. With respect
to intellectual property of third parties that is used by SunGard to provide the
Services, SunGard will, to the extent possible, provide to Customer the full
benefit of all applicable warranties and indemnities granted to SunGard by such
third parties.

(d) In addition, Customer shall indemnify and hold harmless SunGard against any
claims, actions, damages, losses or liabilities to the extent arising from (i)
infringement of any U.S. patent, copyright or other proprietary right
attributable to Customer's data, content, software or other materials, (ii)
Customer's use of any Services in violation of any law, rule or regulation,
(iii) Customer's violation of any of SunGard's Network Policies (as defined in
the applicable Services Exhibit), or (iv) Customer's use, control or possession
of any Mobile Resources at non-SunGard facilities.

(e) An indemnifying party shall have no obligation for indemnification unless
the other party promptly gives written notice to the indemnifying party after
any applicable matter arises and allows the indemnifying party to have sole
control of the defense or settlement of any underlying claim; provided that the
indemnifying party may not settle a claim without the other party's prior
written consent. Notice will be considered prompt as long as there is no
material prejudice to the indemnifying party.

6. LIMITATION OF LIABILITY

(a) UNDER NO CIRCUMSTANCES SHALL EITHER PARTY BE LIABLE FOR LOST REVENUES, LOST
PROFITS, LOSS OF BUSINESS, OR CONSEQUENTIAL, INDIRECT, EXEMPLARY, SPECIAL OR
PUNITIVE DAMAGES OF ANY NATURE, WHETHER SUCH LIABILITY IS ASSERTED ON THE BASIS
OF CONTRACT, TORT (INCLUDING NEGLIGENCE OR STRICT LIABILITY) OR OTHERWISE, AND
WHETHER OR NOT THE POSSIBILITY OF SUCH DAMAGES IS FORESEEABLE; PROVIDED THAT

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THIS EXCLUSION SHALL NOT APPLY TO (I) THE PARTY'S RESPECTIVE CONFIDENTIALITY
OBLIGATIONS UNDER SECTION 3, (II) SUNGARD'S INDEMNIFICATION OBLIGATIONS UNDER
SECTION 5(B) WITH RESPECT TO WILLFUL MISCONDUCT AND UNDER SECTION 5(C), (III)
CUSTOMER'S INDEMNIFICATION OBLIGATIONS UNDER SECTION 5(B) WITH RESPECT TO
WILLFUL MISCONDUCT AND UNDER SECTION 5(D), AND (IV) CUSTOMER'S PAYMENT
OBLIGATIONS.

(b) Except for SunGard's indemnification obligations under Section 5(b) with
respect to willful misconduct and under Section 5(c), SunGard's total liability
under a Schedule, whether in contract, tort (including negligence or strict
liability), or otherwise, shall not exceed (i) the actual Monthly Fees paid by
Customer to SunGard under that Schedule for the most recent twelve (12) month
period, or (ii) in the case of Professional Services, the actual service fees
paid by Customer for the Professional Services under that Schedule.

(c) Except for any direct damages caused by SunGard's negligence or willful
misconduct, SunGard shall have no liability for any damage to, or loss or theft
of, any of (i) Customer's tangible property located at a SunGard facility or in
a SunGard vehicle, or (ii) Customer's data, content, software or other materials
located, used or restored at a SunGard facility or in a SunGard vehicle, or
transmitted using SunGard's Network Services. If Customer's data is damaged,
lost or stolen as a result of SunGard's negligence, then SunGard shall be liable
to Customer only for Customer's documented out-of-pocket expenses incurred to
recreate such data. Under no circumstances will SunGard be considered the
official custodian or record keeper of Customer's data for regulatory or other
purposes.

WITH RESPECT TO EACH SCHEDULE, EXCEPT AS SPECIFICALLY STATED IN THIS MASTER
AGREEMENT OR SUCH SCHEDULE, SUNGARD MAKES NO REPRESENTATIONS OR WARRANTIES, ORAL
OR WRITTEN, EXPRESS OR IMPLIED, ARISING FROM COURSE OF DEALING, COURSE OF
PERFORMANCE OR OTHERWISE, INCLUDING WITHOUT LIMITATION ANY IMPLIED WARRANTY OF
MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, CONFORMITY TO ANY
REPRESENTATION OR DESCRIPTION, NON-INTERFERENCE OR NON-INFRINGEMENT.

7. FORCE MAJEURE. Neither party shall be liable for, nor shall either party be
considered in breach of this Master Agreement or any Schedule due to, any
failure to perform its obligations as a result of a cause beyond its control,
including any natural calamity, act of God or a public enemy, act of any
military, civil or regulatory authority, change in any law or regulation,
disruption or outage of communications, power or other utility, failure to
perform by any supplier or other third party, or other cause which could not
have been prevented with reasonable care. If any force majeure event affects
SunGard's ability to deliver Services, then SunGard shall use all reasonable
efforts to implement its applicable redundant resources or other back-up
solutions.

8. NOTICE. All notices, consents and other communications under this Master
Agreement shall be in writing and shall be deemed to have been received on the
earlier of (a) the date of actual receipt at the designated street address, (b)
the first business day after being sent to the designated street address by a
reputable overnight delivery service, or (c) the third business day after being
mailed to the designated street address by first class mail. Any notice may be
given by e-mail to the designated e-mail address or by fax to the designated fax
number, provided that a signed written confirmation is received at the
designated street address within seventy-two (72) hours thereafter. Disaster
declaration notice (as described in the Recovery Services Exhibit) may be given
orally, provided that a signed written confirmation is received at the
applicable recovery facility within twenty-four (24) hours thereafter.
Communications sent to any street address, e-mail address or fax number other
than those designated in this Master Agreement or the applicable Schedule shall
not be valid. Customer's street address, e-mail address and fax number for
notice are stated in the applicable Schedule. SunGard's street address for
notice is 680 East Swedesford Road, Wayne, Pennsylvania 19087, Attention:
Contract Administration. SunGard's e-mail address for notice is
contract.admin@sungard.com. SunGard's fax number for notice is 1-610-225-1125.

9. PUBLICITY. Neither party will, without the other party's prior written
consent, (a) use the name, trademark, logo or other identifying marks of the
other party in any sales, marketing or publicity activities or materials, or (b)
issue any press release, interviews or other public statement regarding this
Master Agreement or any Schedule; provided that either party may publicly refer
to the other by name as a vendor or customer and may disclose the existence and
general nature of this Master Agreement (but not any of the specific terms of
this Master Agreement or any Schedule or any detailed information regarding the
performance of this Master Agreement or any Schedule).

10. ENTIRE UNDERSTANDING. This Master Agreement states the entire understanding
between the parties with respect to its subject matter, and supersedes all prior
proposals, negotiations and other written or oral communications between the
parties with respect to its subject matter. Each Schedule states the entire
understanding between the parties with respect to its subject matter, and
supersedes all prior proposals, negotiations and other written or oral
communications between the parties with respect to its subject matter. No
modification of this Master Agreement or any Schedule, and no waiver of any
breach of this Master Agreement or any Schedule, shall be effective unless in
writing and signed by an authorized representative of the party against whom
enforcement is sought. No waiver of any breach of this Master Agreement or any
Schedule, and no course of dealing between the parties, shall be construed as a
waiver of any subsequent breach thereof. Any purchase order submitted by
Customer to SunGard shall be used only for invoice processing purposes and shall
have no legal effect.

11. PARTIES IN INTEREST. Neither party may assign this Master Agreement or any
Schedule, or any rights or obligations thereunder, without the prior written
consent of the other party, which will not be unreasonably withheld; provided
that either party may assign any Schedule to an Affiliate by giving prior
written notice to the other party. This Master Agreement and each Schedule shall
bind, benefit and be enforceable by and against both parties and their
respective successors and permissible assigns. No third party shall be
considered a beneficiary of, or entitled to any rights under, this Master
Agreement or any Schedule.

12. CONSTRUCTION. THIS AGREEMENT AND EACH SCHEDULE SHALL BE GOVERNED BY
SUBSTANTIVE

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PENNSYLVANIA LAW. This choice of governing law shall not be considered
determinative of the jurisdiction or venue of any action between the parties. In
any action relating to this Master Agreement or any Schedule, (a) each of the
parties irrevocably waives the right to trial by jury, (b) each of the parties
irrevocably consents to service of process by first class certified mail, return
receipt requested, postage prepaid, to the designated street address at which
the party is to receive notice in accordance with Section 8 of this Master
Agreement, and (c) the prevailing party shall be entitled to recover its
reasonable attorney's fees (including, if applicable, charges for in-house
counsel), court costs and other legal expenses from the other party. A
determination that any term of this Master Agreement or any Schedule is invalid
or unenforceable shall not affect the other terms thereof. Section headings are
for convenience of reference only and shall not affect the interpretation of
this Master Agreement or any Schedule. The relationship between the parties
created by this Master Agreement or any Schedule is that of independent
contractors, and not partners, joint venturers or agents. Sections 3, 5, 6 and
l2 shall survive any termination of this Master Agreement or any Schedule.

13. ENFORCEMENT. Each party acknowledges that the provisions of this Master
Agreement regarding confidentiality and access to and use of the other party's
resources are reasonable and necessary to protect the other party's legitimate
business interests. Each party acknowledges that any breach of such provisions
shall result in irreparable injury to the other for which money damages could
not adequately compensate. If there is a breach of such provisions, then the
injured party shall be entitled, in addition to all other rights and remedies
which it may have at law or in equity, to have a decree of specific performance
or an injunction issued by any competent court, requiring the breach to be cured
or enjoining all persons involved from continuing the breach. The existence of
any claim or cause of action that a party (or any other person involved in the
breach) may have against the other party shall not constitute a defense or bar
to the enforcement of such provisions.

                                                                 MSA0504 (Legal)

                                  Page 6 of 6
                                      MSA
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                       MANAGED IT SERVICES EXHIBIT TO THE
                 MASTER AGREEMENT FOR U.S. AVAILABILITY SERVICES
                              DATED MARCH 31, 2007

A. POLICIES AND SERVICES GUIDE

The services provided under this Exhibit shall at all times be used in
compliance with SunGard's then-current general policies and guidelines ("General
Policies") and the policies and guidelines of SunGard's underlying
telecommunications providers ("Network Policies") (collectively, the General
Policies and Network Policies are sometimes herein referred to as "Policies").
All Policies, inducing change management policies and procedures, and additional
detail regarding the specifications of the service offerings, are set forth in
SunGard's Services Guide, which is available to Customer at
http://www.mySunGard.com. In addition, all implementation services which are
included as part of a service offering, are detailed in the Services Guide.

B. HOSTING SERVICES

1. SPACE

     a.   SunGard hereby grants to Customer the right to use the Space (as
          defined in the Schedule) for the placement and maintenance of the
          computer and communications equipment specified in the Schedule
          ("Equipment") which may be interconnected to the Network Services
          offered by SunGards (as defined herein) or to other communications
          carriers via facilities offered by SunGard. The Equipment and any
          necessary software ("Software") may be provided by Customer
          ("Customer-provided Equipment" or "Customer-provided Software") or by
          SunGard ("SunGard-provided Equipment" or "SunGard-provided Software")
          as specified in the Schedule. Customer acknowledges that the Space
          shall be used in accordance with the equipment vendor's specifications
          for electrical, airflow, and clearance. If Customer desires to install
          Equipment in the Space that exceeds the vendor specification(s),
          SunGard reserves the right to require Customer to contract for
          additional Space. This Exhibit does not create any interest in real
          estate and is strictly an agreement for the provision of services,
          which are personal in nature to the parties. The Monthly Fees and any
          other fees in connection with Customer's use of the Space are set
          forth in the Schedule. Customer's use of the Space shall not interfere
          with any other SunGard customer's use of SunGard's facilities.
          Customer represents and warrants that it has the full legal right (i)
          to utilize any Customer-provided Equipment and Software, and (ii) to
          obtain a maintenance contract thereon. The Equipment shall operate on
          conditioned UPS-based electrical circuits with transparent and
          immediate access to a backup power source capable of sustaining power
          to the Equipment during any interruption to the primary power source.

     b.   SunGard shall perform such janitorial services, environmental systems
          maintenance, power plant maintenance and other services as are
          reasonably required to maintain the facility in which the Space is
          located in good condition suitable for the placement of Equipment.
          Customer shall keep the Space clear of all refuse, cardboard or any
          potentially hazardous material. Customer shall maintain the Space in
          an orderly and safe condition, and shall return the Space to SunGard
          at the conclusion of the Agreed Term as defined in the Schedule in
          the same condition (reasonable wear and tear excepted) as when such
          Space was delivered to Customer. EXCEPT AS EXPRESSLY STATED HEREIN,
          THE SPACE SHALL BE DELIVERED AND ACCEPTED "AS IS". THE SPACE SHALL BE
          IN SECURE FACILITIES MONITORED TWENTY FOUR (24) HOURS PER DAY, SEVEN
          (7) DAYS PER WEEK BY ON-SITE SECURITY STAFF, WITH CARD KEY ACCESS AND
          CLOSED CIRCUIT TV MONITORING, FULL POWER REDUNDANCY. UPS AND DIESEL
          GENERATOR CAPABILITY ("INFRASTRUCTURE"). Notwithstanding the
          foregoing. Customer shall have the right to visit and inspect the
          Space prior to accepting the Space. Any Schedule to this Exhibit that
          includes new or additional Space shall not become effective until
          Customer notifies SunGard in writing of its acceptance of the Space.
          E-mail notification shall be sufficient notice for purposes of the
          foregoing notice. SunGard represents that it will not materially
          diminish such Infrastructure at the Designated Facility (as defined in
          the Schedule) during the Agreed Term. At its sole risk and expense,
          Customer shall be responsible for installation of the
          Customer-provided Equipment and Software in the Space, unless Customer
          elects to contract for Hardware and Software Installation Services as
          set forth herein. If Customer elects to contract for Hardware and
          Software Installation Services, then SunGard shall be responsible for
          the installation of the Customer-provided Equipment and Software to
          the extent provided herein. Upon termination or expiration of the
          Schedule, Customer shall be responsible for removal of the Equipment
          and Software from the Space within ten (10) business days of such
          termination or expiration.

     c.   In addition to the Policies, Customer shall abide by any posted rules
          relating to use of, access to, or security measures respecting the
          Space. The Equipment shall be installed, operated, inspected,
          maintained, repaired, replaced and removed only by qualified agents of
          Customer who are properly licensed, if applicable, a list of whom
          shall be provided to SunGard in advance of any such activity. Customer
          shall not permit any liens to be placed against all or any portion of
          the Space or any SunGard-provided Equipment or Software. Customer
          shall not make any material alterations to the Space without the prior
          written consent of SunGard. In the event that unauthorized parties
          gain access to the Space through access cards, keys or other access
          devices provided to Customer ("access devices"), Customer shall be
          responsible for any damages incurred as a result thereof. Customer
          shall be responsible for the cost of replacing any access devices lost
          or stolen after delivery thereof to Customer.

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          If Customer fails to pay SunGard any amounts due under a Schedule, and
          such failure continues for more than thirty (30) days after receipt of
          SunGard's written notice of nonpayment, included in SunGard's right to
          terminate Customer's use of the Space is the right to disconnect and
          remove any or all of the Equipment from the Space (including any data
          or Software resident on such Equipment), and store any
          Customer-provided Equipment in any reasonable location for a period
          not to exceed six (6) months and assess Customer reasonable charges
          for such storage. Upon conclusion of the six (6) month period, SunGard
          may dispose of such Equipment without liability to Customer. SunGard
          may redeploy any SunGard-provided Equipment in any manner in its sole
          discretion. Any of Customer's data or Software resident on
          SunGard-provided Equipment shall be removed, stored and disposed of in
          the manner and for the period specified above for Customer-provided
          Equipment. Exercise of any of the above rights by SunGard shall not
          relieve Customer of any of its payment obligations under the
          Agreement.

     d.   SunGard reserves the right to change the location or configuration of
          the Space, at SunGard's sole expense, within the Designated Facility
          or to another SunGard facility; provided, however, that SunGard shall
          not arbitrarily or discriminatorily require such changes. SunGard and
          Customer shall work in good faith to minimize any disruption to
          Customer's Services that may be caused by such changes in location or
          configuration of the Space. If the location of the Space is to be
          moved to another SunGard facility, SunGard shall provide Customer with
          at least ninety (90) days prior written notice of such relocation and
          Customer shall have the right to (a) elect to be relocated to another
          SunGard facility, or (b) elect to terminate the Schedule without
          penalty. Customer shall provide SunGard with written notice of its
          decision regarding the preceding sentence within thirty (30) days
          after receipt of SunGard's notice.

     e.   Prior to Customer's occupancy, and during the term of Customer's use,
          of the Space, Customer shall procure and maintain the following
          minimum insurance coverage: (a) Workers' Compensation in compliance
          with all applicable statutes of appropriate jurisdiction; Employer's
          Liability with limits of $500,000 each accident; (b) Commercial
          General Liability with combined single limits of $1,000,000 each
          occurrence and $2,000,000 annual aggregate; and (c) "All Risk"
          Property insurance covering the Customer-provided Equipment located in
          the Space. Customer shall provide to SunGard a certificate of
          insurance demonstrating that it has obtained the required insurance
          coverage prior to Customer's occupancy of the Space. Upon request by
          SunGard, Customer shall promptly notify SunGard of any material
          changes or cancellation in the required insurance coverage. Customer
          shall require any contractor entering the Space on its behalf to
          procure and maintain the same types and amounts of insurance as set
          forth in this section.

     f.   SunGard shall provide to Customer (including any of its employees,
          agents and other authorized representatives as Customer may from time
          to time reasonably designate in writing), access to the part of the
          Designated SunGard Facility from which SunGard is providing the Space,
          twenty-four (24) hours per day, seven (7) days per week, including
          statutory holidays. All of Customer's designees shall adhere to
          SunGard's Policies. Customer's access to the Space will be by escort
          by an authorized SunGard employee.

     g.   SPACE OPTIONS - Customer may subscribe to any of the following options
          available relating to Space: (i) Secure Cabinet; (ii) Secure
          Half-Cabinet; (ii) Secure Space; (iv) Secure Cage; or (v) Secure
          Suite.

          (i)  SECURE CABINET - The Secure Cabinet option includes 15 square
               feet of Space to support a SunGard-provided full cabinet. The
               Secure Cabinet will include: (i) a minimum of 42 U EIA rack space
               for the Equipment; (ii) proper air ventilation for the Equipment;
               (iii) two (2) stationary equipment shelves; (iv) a redundant 30
               AMP power feed; and (v) security by lock and key, managed by
               SunGard.

          (ii) SECURE HALF-CABINET - The Secure Half-Cabinet option includes
               Space to support a SunGard-provided half cabinet. The Secure
               Half-Cabinet will include: (i) a minimum of 20 U EIA rack space
               for the Equipment; (ii) proper air ventilation; (iii) a single
               stationary Equipment shelve; (v) a redundant 20 AMP power feed;
               and (v) security by lock and key, managed by SunGard.

          (iii) SECURE SPACE - The Secure Space option includes the amount of
               Space, in the square feet increments defined on the Schedule and
               five (5) hours of Operational Support Services per month.

          (iv) SECURE CAGE - The Secure Cage option includes the amount of Space
               defined on the Schedule and: (i) perimeter metal fence with an
               access door, (ii) security by lock and key, managed by SunGard;
               and (iii) five (5) hours of Operational Support Services per
               month.

          (v)  SECURE SUITE - The Secure Suite option includes the amount of
               Space defined on the Schedule for the number of cabinets as set
               forth on the Schedule. The Secure Suite includes: (i) perimeter
               metal fence or perimeter walls with an access door; (ii) private
               security with card key and pin code or by lock and key; and (iii)
               ten (10) hours of Operational Support Services per month.

For Equipment that is not rack mountable, SunGard will provide adequate power,
based on manufacturer hardware specifications. Equipment capable of supporting
redundant power will be provided with redundant power feeds. If applicable, the
Space may be subject to power installation charges that will be specified on the
Schedule.

2. INSTALLATION SERVICES

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     a.   HARDWARE INSTALLATION SERVICES. SunGard shall provide Hardware
          Installation Services for the number of devices set forth in the
          Schedule. Hardware Installation Services include the one-time
          installation of hardware devices and do not include on-going support.
          Hardware Installation Services include: (i) the unpacking and
          installation of the server equipment into 19" computer racks or
          cabinets in accordance with hardware vendor recommendations and
          Customer requirements; (ii) the installation of standard 20 amp AC
          power, (iii) installation of network cables and cross-connects; and
          (iv) floor cutouts, as necessary. Any additional electrical or
          construction costs, as well as costs for racks or cabinets purchased
          by SunGard as requested by Customer, will be passed through to
          Customer at cost without surcharge.

     b.   SOFTWARE INSTALLATION SERVICES. SunGard shall provide Software
          Installation Services for the specific software products set forth in
          the Schedule. Software Installation Services include the one-time
          installation of Customer-provided Software products (provided such
          software products(s) are currently supported by the applicable
          software vendor) and do not include on-going support except as
          provided below. Software Installation Services also include: (i) the
          installation of new software versions as provided by Customer; (ii)
          the configuration and testing of the software parameters in accordance
          with software vendor recommendations and Customer requirements; (iii)
          the execution of software vendor verification scripts, if applicable;
          (iv) the resolution of detected failures during the installation
          process; and (iv) the restarting of any failed processes and/or
          systems during the installation process. Software products and proof
          of licensing must be provided to SunGard by Customer prior to
          scheduled installation date.

3. SUPPORT AND MANAGEMENT SERVICES. Depending upon the specific Service(s)
selected from sections (a)-(h) below, Customer acknowledges the requirement to
have, as applicable, Customer-provided Equipment and Customer-provided Software
covered under a valid maintenance contract with the original equipment/software
manufacturer for 24 x 7 x 365 support with four (4) hour onsite response time in
order to be eligible for this Service. In the event that Customer elects to
contract for maintenance services with a vendor other than the original
equipment/software manufacturer. Customer is responsible for resolution of all
issues arising as a result thereof and associated obligations.

     a.   OPERATIONAL SUPPORT SERVICES. SunGard will provide Customer with
          access to technical personnel to assist Customer on a 24 x 7 x 365
          basis for the number of hours per month as set forth in the Schedule.
          In the event that the Customer exceeds the number of hours indicated
          on the Schedule in any month, Customer may then elect to have SunGard
          attempt to resolve the problem on a time and materials basis at
          SunGard's then prevailing hourly rate. Operational Support shall
          include: (i) execution of a command or series of commands as directed
          by Customer to determine operating status or to facilitate
          configuration changes; (ii) enlisting of vendor support as requested
          by Customer, (iii) visual inspection of Equipment including power up,
          restart or reboot as directed by Customer; (iv) insertion and ejection
          of media as directed by Customer. and (v) preparation of media for
          pickup at the Designated Facility as requested by Customer. Customer
          is responsible for providing all media, related materials, storage
          containers and any off-site storage contract for the media.

     b.   EQUIPMENT MANAGEMENT SERVICES. SunGard shall provide Equipment
          Management Services for the Equipment set forth on the Schedule.
          Equipment Management Services include: (i) resolution of detected
          Equipment failures; (ii) coordination of preventative maintenance;
          (iii) installation of microcode or firmware upgrades; (iv) power
          cycling or reboot; (v) issuance of software or firmware commands; and
          (vi) physical inspection of all Equipment components. Further, with
          respect to Customer-provided Equipment, Customer is responsible for
          obtaining consent of the maintenance vendor in order for SunGard to
          act as Customer's agent.

     c.   OPERATING SYSTEM MANAGEMENT SERVICES. SunGard shall provide Operating
          System (OS) Management Services for those servers or partitions set
          forth on the Schedule. Operating System Management Services include:
          (i) the initial OS build on the server, (ii) OS patch maintenance,
          including one (1) version upgrade per contract year, if available from
          the vendor, and upon Customer request; (iii) resolution of detected OS
          failures; (iv) OS configuration changes upon Customer request; (v)
          configuration of OS level backups; and (vi) management of root
          security access. Customer must provide SunGard with exclusive control
          of root security access to be eligible for the Service Level
          Commitment specified in Section I. Customer acknowledges that SunGard
          will install utility software on the contracted OS in order for
          SunGard to provide those Services.

     d.   DATABASE MANAGEMENT SERVICES. SunGard shall provide Database (DB)
          Management Services for the number of servers and instances as set
          forth on the Schedule. Database Management Services include: (i) the
          initial DB build on the server; (ii) DB patch maintenance including
          one (1) version upgrade per contract year, if available from DB
          vendor, and upon Customer request; (iii) resolution of detected DB
          failures; (iv) table compaction or reorganization upon Customer
          request; (v) DB configuration changes upon Customer request and (iv)
          management of DB security access in accordance with Customer-supplied
          specifications.

     e.   OPERATING SYSTEM ASSIST SERVICES. SunGard shall provide Operating
          System (OS) Assist Services for those servers or partitions as set
          forth in the Schedule. Operating System Assist Services include the
          following activities AS REQUESTED BY CUSTOMER AND FOLLOWING CUSTOMER
          INSTRUCTIONS: (i) initial OS build on the server; (ii) OS patch
          installation; (iii) assistance in resolution of detected OS failures;
          (iv) OS configuration changes; and (v) configuration of OS level
          backups. Customer acknowledges that SunGard will need to install
          utility software on the contracted OS in order to provide this
          Service.

     f.   DATABASE ASSIST SERVICES. SunGard shall provide database (DB) Assist
          Services for the number of servers and instances as set forth in the
          Schedule. Database Assist Services include the following AS REQUESTED
          BY CUSTOMER AND WITH CUSTOMER

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<PAGE>

     INSTRUCTIONS: (i) the initial DB build on the server; (ii) DB patch
     installation; (iii) assistance in resolution of detected DB failures; (iv)
     table compaction or reorganization; (v) DB configuration changes; and (iv)
     DB security changes.

     g.   SYSTEM UTILITY SERVICES. SunGard shall provide System Utility Services
          for the specific operating system utilities set forth in the Schedule.
          System Utility Services include: (i) Software Installation Services
          (as defined below) for the utility software; (ii) releases and
          maintenance uplifts and patches upon Customer request; utility
          software patch maintenance upon Customer request; (iii) one (1)
          version upgrade per contract year, if available from utility software
          vendor and upon customer request; (iv) resolution of detected utility
          software failures; (v) utility software configuration changes upon
          Customer request; and (vi) management of root security access, if
          applicable to the utility. This Service is only available for utility
          software currently supported by SunGard.

     h.   PRODUCTION CONTROL SERVICES. SunGard shall provide Production Control
          Services for the number of hours set forth in the Schedule. Production
          Control Services support Customer-provided production jobs, tasks and
          schedules. Production Control Services include: (i) altering of
          schedules upon Customer request; (ii) monitoring schedules; (iii) and
          responding to schedule failures as directed by Customer. This Service
          is only available for production jobs that are managed with scheduling
          software currently supported by SunGard.

C. NETWORK SERVICES

1. Network services include those network services and Internet Access Services
(as defined below) identified in a Schedule and as described below ("Network
Services"). Network Services shall be provided at the price specified in the
Schedule. The Network Services identified within the Schedule shall be made
available to Customer on an exclusive, 24-hour, 7-day per week basis (excluding
downtime attributable to previously scheduled routine and preventative
maintenance). All circuits will be connected between the entry point on the
SunGard network, as designated and coordinated by SunGard ("point of presence"),
and the Designated SunGard Facility set forth in the Schedule. If selected on a
Schedule, SunGard shall provide connectivity between the Customer location
specified in the Schedule to the point of presence.

2. Internet access services provide Customer with access to the Internet from
the Designated Facility specified in the Schedule ("Internet Access Services").
The Internet is not owned, operated or managed by, or in any way affiliated
with, SunGard or any of SunGard's affiliates. The Internet is an international
computer network of both Federal and non-Federal inter-operable packet switched
data networks. SunGard cannot and will not guarantee that the Internet Access
Services will provide Internet access that is sufficient to meet Customer's
needs. Customer agrees that its use of the internet is solely at its own risk
and is subject to all applicable local, state, national and international laws
and regulations ("Applicable Laws"). Customer represents and warrants that it
will comply with all Applicable Laws in its use of the Internet Access Services.

3. Customer hereby acknowledges receipt of SunGard's Network Policies and agrees
to comply with such Policies at all times while utilizing the Network Services.
Customer acknowledges that SunGard may from time-to-time revise its Network
Policies, which revisions will be communicated to Customer in writing, by
posting on SunGard's web site at http://www.mySunGard.com or via email
notification. Customer also acknowledges that a breach of any of the Network
Policies may result in the termination of the Network Services if any such
breach is not cured within twenty-four (24) hours of SunGard's written notice of
such breach to Customer. SunGard shall have no liability to Customer for any
restriction or termination of the Network Services pursuant to Customer's
violation of the Network Policies.

4. Network addresses assigned from a SunGard IP network block are non-portable.
Network space allocated by SunGard must be returned to SunGard in the event
Customer discontinues Internet Access Services as defined in this Exhibit for
any reason, or upon expiration of the Schedule.

5. MANAGED INTERNET ACCESS SERVICES. Managed Internet Access Services provide
Customer with a dedicated IP connection of Committed Bandwidth Tier Level (as
defined on the Schedule) as selected by Customer. Customer can contract to burst
above the selected Committed Bandwidth Tier Level up to the Burstable Limit set
forth on the Schedule ("Incremental Burstable Limit"), subject to available
bandwidth on SunGard's network. Customer's selected Committed Bandwidth Tier
Level as well as the associated Incremental Burstable Usage Fees are specified
in the Schedule. Customer's monthly billing is based on the Committed Bandwidth
Tier Level and the actual level of sustained burstable usage ("Burstable
Usage"). An Incremental Burstable Usage Fee will be charged for each Mbp(s)
exceeding the contracted Committed Bandwidth Tier Level. All Incremental
Burstable Usage Fees are invoiced monthly in arrears. Customer's Burstable Usage
level is determined by traffic samples taken every five (5) minutes over the
course of a month. The traffic samples are ranked from highest to lowest with
the top five-percent (5%) discarded to account for temporary traffic bursts. The
level at which 95% of the samples fall, will be the Customer's Burstable Usage
for that month and will determine the Customer's total Incremental Burstable
Usage Fees. Burstable Usage will be determined based upon Customer's utilization
data as maintained by SunGard. In addition, Managed Internet Access Services
include domain name administration services for primary and/or secondary domain
names for Customer registered domains as specified in the Services Guide.

6. CIRCUIT PROVISIONING SERVICES. SunGard shall provide technical support to
assist Customer with provisioning third party telecommunication circuits.
Circuit Provisioning Services for SunGard-provided access include: (i)
assistance with provisioning dedicated third party circuits; (ii) monitoring and
management of circuits; (iii) Device Monitoring (as defined in this Exhibit);
and (iv) management of a SunGard-provided router. Circuit Provisioning Services
for Customer-provided access include: port connections from

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SunGard's network distribution center to Customer-provided Equipment within the
Space. Customer must complete a Customer-provided access form, before any
telecommunications circuits can be connected to Customer-provided Equipment
within the Space.

7. MANAGED CIRCUIT SERVICES. SunGard shall provide network management services
for the network termination equipment and circuit termination located at the
Customer premises and at the Designated SunGard Facility defined on the
Schedule. As part of Managed Circuit Services, SunGard will: (i) provide and
install the hardware; (ii) provision the circuits; (iii) provide 7x24
monitoring/management of the router and circuits; (iv) perform a physical
inventory of the router(s) and circuit termination equipment situated at the
Customer premises (such information will be maintained in SunGard's contract
information system); and (v) coordinate, as necessary, vendor maintenance with
respect to the circuit termination equipment.

8. LOCAL LOAD BALANCING SERVICES. SunGard shall provide Local Load Balancing
Services for the actual number of load balancer devices within a single
Designated SunGard Facility as set forth in the Schedule. Local Load Balancing
Services include: (i) Equipment Management Service; (ii) Device Monitoring;
(iii) load balancer policy configuration upon Customer request; and (iv)
resolution of load balancer problems. If Customer contracts for a redundant
local load balancer pair, SunGard shall provide dual local load balancer devices
configured to provide redundancy should one of the local load balancers fail to
operate.

9. GEOGRAPHIC LOAD BALANCING SERVICES. SunGard shall provide Geographic Load
Balancing Services for the actual number of load balancer devices situated
across multiple Designated SunGard Facilities as set forth in the Schedule.
Geographic Load Balancing Services include Equipment Management; Device
Monitoring; load balancer policy configuration upon Customer request; and
resolution of load balancer problems. If Customer contracts for a redundant
geographic load balancer pair, SunGard shall provide dual local load balancer
devices configured to provide redundancy should one of the geographic load
balancers fail to operate.

D. BUSINESS CONTINUITY SERVICES

1. Enterprise Storage Management Services. SunGard shall provide Enterprise
Storage Management Services for the amount of storage and in association with
the specific servers (target servers) set forth on the Schedule. Enterprise
Storage Management Services include: (i) initial installation of connectivity
between storage device and target server(s); (ii) initial allocation and
configuration of storage units to target servers in accordance with
Customer-provided instructions and documentation; and (iii) problem resolution
related to storage connectivity and storage device. If Customer has contracted
for OS Management Services for the target servers, then Enterprise Storage
Management Services shall also include: (i) the initial installation and
configuration of path management software; (ii) installation of storage
management software and related device driver software on target servers; (iii)
application of maintenance changes; and (iv) problem resolution of path
management software, storage management software and related device driver
software. Alteration of the storage allocations, the number of connections, the
number of target servers, or hardware and software replacements, will require an
upgrade to the affected Schedule prior to the service being rendered by SunGard.

If Enterprise Storage Management Services are provided through the SunGard
shared storage area network (SAN), the Services also include: (i) monitoring and
maintenance of SAN performance and capacity; (ii) SAN capacity upgrades; and
(iii) maintenance services for the storage device.

If Enterprise Storage Management Services are provided through dedicated and/or
Customer-provided storage devices, the Services shall include Equipment
Management Services for the associated storage devices. Customer acknowledges
that the specifications for the design of the storage device must include remote
connectivity capability to the hardware, software and network connectivity, as
SunGard will facilitate such changes through SunGard's management network.

Enterprise Storage Management Services are only available if SunGard supported
storage and network devices, servers, and adapters, as specified in the Services
Guide, are utilized in the solution. Enterprise Storage Management does not
include installation or support for volume management or volume replication
software.

2. MANAGED TAPE BACKUP SERVICES. SunGard shall provide Managed Tape Backup
services for the amount of storage, and in association with the specific servers
(target servers), as set forth in the Schedule. Managed Tape Backup Services
include: (i) initial connectivity between backup network and target servers;
(ii) installation of backup agent software on target servers; (iii)
configuration of daily backup schedules in accordance with Customer request;
(iv) execution of daily backup schedules; (v) retention of daily backups for 35
days; (vi) file restore from tape upon Customer request; and (vii) modifications
to the backup schedule upon Customer request. If Customer subscribes to Database
Management Services, SunGard will define and implement Database backup and
restore methodology as part of Database Management Services, otherwise Customer
acknowledges that Customer is responsible for the backup and restoration
methodology for databases.

SunGard will use all reasonable efforts to schedule backups within the Customer
identified back-up window(s). SunGard cannot guarantee that back-up schedule(s)
will be completed within Customer's desired back-up window(s) as backup times
are dependant on the number of files and the quantity of data to transfer. If
back-up schedules cannot be completed in Customers desired back-up window, a
customized solution may be required. A customized solution will require an
additional Schedule and a detailed Statement of Work, identifying any additional
hardware, software and service requirements.

Customer must provide one (1) dedicated network interface per target server, of
the type and capability as recommended by SunGard, for connectivity to backup
network. Customer agrees to provide SunGard with permanent administrative access
to all target servers

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requiring Managed Tape Backup Services. If the Customer-provided network
interface for the Customer production network does not also provide SunGard with
access to the target servers, Customer must provide an additional dedicated
network interface for connectivity to Subscriber's server(s).

3. BUSINESS RECOVERY SERVICES. Sungard shall provide Business Recovery Services
for the devices as set forth in the Schedule. The Services shall be as
delineated in a Statement of Work which will be attached to the applicable
Schedule. Business Recovery Services may include: (i) disaster recovery services
for the Equipment situated in the Space; (ii) maintenance of a disaster recovery
plan; (iii) coordination of one (1) annual disaster recovery plan test exercise;
and (iv) reasonable technical support during scheduled recovery tests, as
specified in the Statement of Work.

E. SECURITY SERVICES

1. MANAGED FIREWALL SERVICES. SunGard shall provide Managed Firewall Services
for the number of firewalls set forth on the Schedule and one (1) Virtual
Private Network (VPN) tunnel for each firewall. Managed Firewall Services
include: (i) Equipment Management Services; (ii) Device Monitoring; (ii)
firewall configuration based on Customer's written specifications; and
(iv) resolution of firewall problems. If Customer subscribes to dual firewalls
per device (i.e. router, server etc.), SunGard shall provide dual firewall
devices configured to provide redundancy should one of the firewalls fail to
operate.

2. MANAGED INTRUSION DETECTION SERVICES. SunGard shall provide Managed Intrusion
Detection Services (IDS) as set forth on the Schedule as Network IDS and/or Host
IDS. For Network IDS, the Services are provided for the number of IDS appliances
and network(s) as set forth in the Schedule. If multiple networks are to be
monitored, the network architecture must support routing across the networks
that are being monitored. For Host IDS, the Services are provided for the number
of servers as set forth in the Schedule. IDS includes: (i) installation and
configuration of IDS hardware and software; (ii) configuration of IDS rules;
(iii) resolution of IDS configuration problems; (iv) signature file appliance
and management; (v) monthly backup of Customer specified files; (vi) 24x7x365
intrusion monitoring and notification to Customer of detected intrusion alerts;
and (vii) a monthly report of IDS incidents.

3. MANAGED VULNERABILITY ASSESSMENT SERVICES. SunGard shall provide Managed
Vulnerability Assessment Services for the number of IP addresses set forth in
the Schedule. Managed Vulnerability Assessment Services are delivered over the
Internet or internally to scrutinize Customer's Internet facing OR internal
facing devices for security vulnerabilities. Managed Vulnerability Assessment
Services: (i) identify all visible perimeter and/or network devices and map all
underlying Customer network devices that are accessible from the Internet and
provide information about each device; (ii) characterize devices as access
gateways, routers, or other types of equipment, by machine type and operating
system; (iii) provide information, such as Customer network span and machine
names, and where possible, identifying information about private networks and
intranets; and (iv) identify all common TCP/IP services, such as HTTP servers,
SMTP servers, and telnet or SSH servers. Scans are conducted monthly or
quarterly on a date that is mutually agreed to between the parties. Customer
will be provided with a report which includes a summary of the security of the
network devices, including summary information about the scan, general network
information, specific host information, a list of detected vulnerabilities and
an executive overview that provides a global view of the security level of all
networks and IP addresses, and changes since the last scan.

4. PENETRATION TESTING SERVICES. SunGard shall provide Penetration Testing
Services for the IP address(s) set forth in the Schedule. Penetration Testing
Services include: (i) a semi-annual attempted penetration of the target IP
segments; (ii) potential discovery of vulnerabilities; and (iii) a report
detailing the results of the test.

Managed Intrusion Detection Services, Managed Vulnerability Assessment Services,
and Penetration Testing Services are provided, in part, by SunGard's designated
third party contractor.

F. MONITORING SERVICES

Monitoring Services include: (i) the implementation by SunGard of monitoring
rules provided by Customer for the requested device(s), database(s), platform(s)
or website(s); (ii) 24 x 7 x 365 monitoring of alerts generated by the
Monitoring Services; and (iii) notification to Customer of monitoring alerts
that may include a service impacting event (as defined in the Services Guide).
Customer agrees to complete and return all forms provided by SunGard so that
SunGard can implement the Monitoring Services. Monitoring Services are provided
within a measurement period ("polling period") whereby the monitoring system
detects resource availability or resource utilization. There may be occasions
when monitored resources reset completely within the polling period and
therefore may not be monitored during such reset period.

1. DEVICE MONITORING SERVICES. SunGard shall provide Device Monitoring Services
for the number of devices set forth in the Schedule. Device Monitoring Services
include the detection of the failure of a device(s) to respond. The frequency of
the polling of devices will be every five (5) minutes.

2. DATABASE MONITORING SERVICES. SunGard shall provide Database Monitoring
Services (DBMS) for the number of servers and the number of databases set forth
in the Schedule. Database Monitoring services include provision and installation
of a monitoring agent and monitoring of table-space utilization, DBMS logs and
DBMS related file systems. The frequency of polling will be every five (5)
minutes.

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<PAGE>

3. PLATFORM MONITORING SERVICES. SunGard shall provide Platform Monitoring
Services for the number of servers and the number of operating system partitions
set forth in the Schedule. Platform Monitoring Services include provision and
installation of a monitoring agent, monitoring of CPU, memory, and system
utilization, as well as monitoring of IP port availability. The frequency of
polling will be - every five (5) minutes.

4. BASIC WEBSITE MONITORING SERVICES. SunGard shall provide Basic Website
Monitoring Services for the number of URLs set forth in the Schedule. Basic
Website Monitoring Services include the detection of HTTP error codes as further
described in the Services Guide and URL failure to respond to an HTTP GET
request within a specified threshold. The frequency of the polling of URLs will
be every five (5) minutes.

5. ADVANCED WEBSITE MONITORING SERVICES. SunGard shall provide Advanced Website
Monitoring Services for the number of transactions set forth in the Schedule.
Advanced Website Monitoring Services include the development of a specific URL
sequence as a synthetic user; and the detection of transaction failures as
developed. Transactions may include up to five (5) discrete steps. The polling
frequency of the actual transaction(s) will be determined during transaction
development. Customer agrees to provide a technical contact to assist SunGard in
the development of each transaction.

6. WEBSITE REPORTING SERVICES. SunGard shall provide Website Reporting Services
for the number of URLs set forth in the Schedule. Website Reporting Services
include streaming media and proxy server traffic analysis and content navigation
assessment including link analysis using industry standard website performance
monitoring tools.

G. PROBLEM RESOLUTION

1. DETECTION, NOTIFICATION AND DIAGNOSIS. Within fifteen(15) minutes of
SunGard's determination that there has been a service impacting event, SunGard
will notify Customer of the problem (unless SunGard was first notified by
Customer). If the service impacting event is associated with a device(s) for
which Customer has contracted with SunGard for Equipment Management Services,
then SunGard shall immediately engage then-available technical support to assist
in problem diagnosis. If the appropriate technical support resource has not been
assigned to problem analysis within fifteen (15) minutes of problem
determination, escalation to the next level of Technical Services Management (as
defined in the Services Guide) occurs, culminating with escalation of the
problem to the Vice President of Operations at the Designated SunGard Facility
in accordance with SunGard's standard operational procedures.

2. RESOLUTION OF SERVICE IMPACTING EVENT. As necessary, following the detection
and notification to Customer of a service impacting event associated with a
device for which Customer has contracted with SunGard for Equipment Management
Services, if the problem has resulted in a service outage, SunGard will continue
to escalate the problem internally until the service is restored. If the service
is not restored within thirty (30) minutes of determination, escalation to the
Technical Services Manager and Customer Services occurs. If the service is not
then restored within sixty (60) minutes, escalation to the Technical Services
Director occurs. If the service is not then restored within ninety (90) minutes,
escalation to Vice President of Operations occurs. SunGard shall provide
continuous support to Customer in accordance with the terms of the Agreement for
problem resolution until the service has been restored. As necessary, SunGard
shall coordinate with the applicable maintenance vendor to facilitate resolution
of the issue.

H. TRANSITION SERVICES

Upon expiration/cancellation of a Schedule to this Exhibit for any reason other
than due to an uncured material breach by Customer, and provided Customer is not
in default of its payment obligations under the applicable Schedule, SunGard
shall provide Customer with reasonable and orderly transition services and
information and documentation that reasonably may be needed by Customer in
connection with the orderly and expeditious transition of the Services
("Transition Services"). The Transition Services shall be provided for a period
of up to one hundred twenty (120) days, provided Customer continues to make
timely payments of the Monthly Fees attributable to all Schedules to the
Agreement.

I. SERVICE LEVEL COMMITMENTS

1.   INTERNET ACCESS AVAILABILITY.

     -    GUARANTEE - SunGard guarantees that during any calendar month, its
          Internet protocol network utilized to access the Internet from the
          Designated SunGard Facility will have availability of 99.99% for
          Customer to transmit to, and receive information from, the Internet.

     -    DEFINITION - "Internet availability" is defined as the ability to
          route a data packet from Customer's environment located within a
          cabinet or suite in the Space, to the egress point to the public
          Internet.

     -    MEASUREMENT - SunGard will measure availability of the SunGard
          Internet protocol network by computing the total number of successful
          performance measurements between agents as a percentage of the total
          number of attempts between agents. "Agents" are defined as passive
          devices that are located in every SunGard hosting facility. Network
          error conditions are considered "failed attempts". Measurements will
          be posted to SunGard's web site at http://www.mySunGard.com.

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                                      MITE

<PAGE>

     -    REMEDY - If SunGard fails to provide Internet access in accordance
          with the Guarantee, then Customer is entitled to a credit of one (1)
          day's Service Fee for the Services on the applicable Schedule. If
          Customer exceeds eight (8) or more cumulative full hours of
          unavailability during a calendar month, Customer shall be issued a
          total credit of one (1) month's Service Fee under the applicable
          Schedule for the calendar month in which SunGard failed to meet the
          Internet Access Availability Guarantee.

2.   LATENCY.

     -    GUARANTEE - SunGard guarantees that the average round trip latency
          between any two agents within SunGard's Internet protocol network will
          not exceed an average of 75 milliseconds in North America during any
          calendar month.

     -    DEFINITION - Latency is defined as the round trip time it takes for a
          data packet to travel between two agents within SunGard's Internet
          protocol network. "Agents" are defined as passive devices that are
          located in every SunGard hosting facility. Each agent is placed on
          that hosting facility's network infrastructure to take measurements
          across the SunGard Internet protocol network.

     -    MEASUREMENT - SunGard will measure latency by averaging sample
          measurements taken during the prior calendar month between agents on
          SunGard's Internet protocol network. SunGard records the packet
          measurement based on the time in milliseconds that it takes to send a
          data packet and to receive the acknowledgement of that data packet.
          Measurements shall be posted to SunGard's web site at
          http://www.mySunGard.com.

     -    REMEDY - If SunGard's average monthly latency is greater than the
          Guarantee above, then Customer is entitled to a credit of one (1)
          day's Service Fees for the applicable Schedule for the calendar month
          in which SunGard failed to meet the average trip Latency Guarantee.

3.   PACKET DELIVERY.

     -    GUARANTEE - SunGard guarantees a monthly average success rate of 99%
          for packet delivery through SunGard's Internet protocol network.

     -    DEFINITION - "Unsuccessful delivery" is defined as packets dropped due
          to transmission errors or router overload before exiting the SunGard
          Internet protocol network.

     -    MEASUREMENT - SunGard shall measure packet loss by the number of
          re-transmitted data packet requests. All data packet retransmits are
          assumed to be due to a lost packet. Daily measurements will be summed
          and then divided by thirty (30) to calculate a monthly average.
          Measurements will be posted to SunGard's web site at
          http://www.mySunGard.com.

     -    REMEDY - If SunGard's average successful monthly packet delivery is
          less than 99%, then Customer is entitled to a credit of one (1) day's
          Service Fees for the applicable Schedule for the calendar month in
          which SunGard failed to meet the monthly Packet Delivery Guarantee.

4.   POWER.

     -    GUARANTEE - SunGard guarantees 100% power availability in all of the
          fully hardened SunGard facilities.

     -    DEFINITION - Provision of uninterrupted power to the Designated
          SunGard Facility infrastructure and to the Equipment located within
          the Designated SunGard Facility in accordance with equipment
          manufacturer's specifications. Customer will be provided with dual
          power feeds via physically diverse power distribution units.
          Customer's Equipment must support multiple redundant power feeds or
          integrate a static switch which will provide redundancy to a single
          fed piece of Equipment, in order to qualify for the Guarantee.

     -    MEASUREMENT - Power availability is measured as the unscheduled time
          that the SunGard-provided dual power feeds were simultaneously
          unavailable.

     -    REMEDY - If power is unavailable as a result of SunGard's actions or
          inactions, such that Customer's Services are interrupted, then
          Customer is entitled to a credit of one (1) day's Service Fees for the
          applicable Schedule for each incident. If Customer exceeds eight (8)
          or more cumulative full hours of unavailability during a calendar
          month, Customer shall be issued a total credit of one (1) month's
          Service Fee under the applicable Schedule for the calendar month in
          which SunGard failed to meet the Power Availability Guarantee.

5.   SERVER AVAILABILITY.

     -    GUARANTEE - The servers for which Customer has contracted with SunGard
          for each of the following services: Equipment Management Services;
          Operating System Management Services; and Platform Monitoring Services
          (hereinafter referred to as "the System") shall be operational and
          available to Customer 99.9% of the time during the Agreed Term of the
          Schedule. The System

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                                      MITE

<PAGE>

          includes the Equipment and the operating system situated thereon and
          does not include the network infrastructure connected to the server.

     -    MEASUREMENT - System Availability will be measured utilizing internal
          monitoring software to measure the availability of Customer's System.
          The System shall be deemed available if the System is responsive to
          standard ICMP or SNMP requests.

     -    REMEDY - If during any three (3) month period, System Availability for
          two (2) months (consecutive or non-consecutive) falls below the
          applicable percentage as an average for the month, SunGard will credit
          Customer ten percent (10%) of the then current Monthly Fee for the
          affected Schedule, for each of the two months during which the Service
          Level was not met.

6.   NETWORK HARDWARE AVAILABILITY.

     -    GUARANTEE - Network hardware components which are provided by SunGard
          to facilitate Local Load Balancing Services, and/or Geographic Load
          Balancing Services which are configured in a redundant configuration,
          wherein all single points of failure have been eliminated, shall be
          operational and available to Customer 99.99% of the time during the
          Agreed Term of the Schedule. Notwithstanding the foregoing, for all
          network hardware provided by SunGard in which the hardware is
          configured in a single architecture, SunGard commits that associated
          network hardware shall be operational and available to Customer 99.5%
          of the time during the Agreed Term of the Schedule.

     -    MEASUREMENT - SunGard shall monitor the network hardware and the
          network devices shall be polled every 5 minutes via a standard ICMP or
          SNMP poll.

     -    REMEDY - If during any three (3) month period, network hardware
          availability for two (2) months (consecutive or non-consecutive)
          falls below the applicable Guarantee percentage as an average for the
          month, SunGard will credit Customer ten percent (10%) of the then
          current Monthly Fee for the affected Schedule, for each of the two
          months during which the Service Level was not met.

7.   NOTIFICATION.

     -    GUARANTEE - SunGard shall notify Customer, in the manner as set forth
          herein and in SunGard's Services Guide within fifteen (15) minutes
          after SunGard has determined that Customer's Equipment/Services are
          unavailable.

     -    REMEDY - SunGard shall credit Customer one (1) day's Service Fees for
          the applicable Schedule for the calendar month in which SunGard fails
          to meet the Notification Guarantee, which will not exceed eight (8)
          one (1) day credits per calendar month. In the event that Customer
          notifies SunGard regarding unavailability of Equipment/Services, this
          remedy is not operational.

8.   REMEDIES GENERAL.

If SunGard fails to meet a defined Service Level during the Agreed Term of the
Schedule, as Customer's sole monetary remedy, Customer shall be entitled to
receive the credits as reflected herein by Service Level. Failure to meet the
same Service Level three (3) times in any contract year shall entitle Customer
the right to terminate the applicable Schedule upon ninety (90) days prior
written notice to SunGard. In no event will the total credits for any occurrence
exceed Customer's then current Monthly Fee for the applicable Schedule.

SunGard shall not be responsible for the failure to meet a Service Level if the
failure is caused by: (a) the breach of the Agreement or this Exhibit by
Customer; (b) the negligence or intentional acts or omissions of Customer or its
employees or agents; (c) Equipment malfunction (provided said Equipment has been
maintained by SunGard in accordance with the terms of the Agreement); or (d)
"Software Failure" as defined in the Agreement. In addition, any scheduled
maintenance (including upgrades, repair or component replacement or scheduled
backups) or other mutually agreed-to downtime shall not be included in
calculating any Guarantee has been met. (Collectively all of the above shall be
referred to as "Exceptions"). In addition, the Guarantees do not include any
downtime as a result of: (a) Customer-made changes to applications or data; (b)
Customer retaining ROOT or ADMIN privileges; (c) Customer requiring SunGard to
maintain, or continue to run unsupported software or hardware releases; (d)
Customer refusing SunGard maintenance changes for any reason: or (e) Customer
retaining access control to the devices for which SunGard is providing the
Services.

                                                                 MIT0504 (Legal)

                                  Page 9 of 9
                                      MITE
<PAGE>

                            RECOVERY SERVICES EXHIBIT
             TO THE MASTER AGREEMENT FOR U.S. AVAILABILITY SERVICES
                               DATED MARCH 31, 2007

A. RECOVERY SERVICES. Each Schedule to this Master Agreement specifies a
Customer location ("Location"), the recovery services to be provided by SunGard
to Customer for that Location ("Recovery Services"), the fees to be paid by
Customer to SunGard for those services, and any other applicable terms.

1.   DISASTER. A "Disaster" is any unplanned event or condition that renders
     Customer unable to use a Location or the equipment situated there for its
     intended computer processing and related purposes. By signing or amending a
     Schedule, Customer warrants that the Location specified in that Schedule is
     not at that time experiencing a Disaster. Customer may declare a Disaster
     by having one of its designated representatives give notice to SunGard
     stating that a Disaster occurred, identifying the affected Location, and
     specifying which Recovery Services Customer believes will be required.
     SunGard will then follow Customer's reasonable declaration procedures as
     provided to SunGard in the Disaster Declaration Authority form.

2.   SELECTED SERVICES. Whenever Customer declares a Disaster, the Recovery
     Services to be provided by SunGard to Customer shall be the following
     services which were selected by Customer in the applicable Schedule:

     (a)  CENTER-BASED RECOVERY SERVICES. Immediate and exclusive use of the
          services described below ("Center-Based Recovery Services"), which
          Customer may use during the period of time stated below, provided at a
          SunGard facility:

          (i)  HOTSITE. An installed, fully operational computer system and
               networking capability ("Hotsite"), equal to or better than (in
               all material respects including equipment quality and processing
               capacity) the Hotsite Configuration described in the Schedule,
               which Customer may use for six (6) weeks.

          (ii) COLDSITE. Environmentally prepared computer space ("Coldsite"),
               properly equipped to facilitate the installation of a computer
               system comparable to the Hotsite Configuration, which Customer
               may use for six (6) months.

          (iii) OFFICE SPACE. An adequate and reasonable amount of office space
               in the same facility where the Hotsite or Coldsite is located,
               properly equipped to facilitate the installation of terminals,
               which Customer may use to operate that Hotsite or Coldsite.

          (iv) WORK GROUP SPACE. An adequate and reasonable amount of office
               space, properly equipped to accommodate the Work Group
               Configuration described in the Schedule, which Customer may use
               for six (6) weeks.

          (v)  MEGAVOICE.(SM) SunGard's voice communications backup service for
               the number of communications ports stated in the Schedule, which
               Customer may use for six (6) weeks.

     (b)  MOBILE RECOVERY SERVICES. Immediate and exclusive use of the services
          described below ("Mobile Recovery Services"), which Customer may use
          for the duration of a Disaster:

          (i)  REPLACEMENT RECOVERY SYSTEM. A fully operational, relocatable
               computer system and networking capability ("Replacement Recovery
               System"), equal to or better than (in all material respects
               including equipment quality and processing capacity) the Mobile
               Configuration described in the Schedule, to be provided to
               Customer by one of the following methods at Customer's option:

               a.   PRIMARY RECOVERY FACILITY. Access to the Replacement
                    Recovery System at a SunGard facility where it is then
                    installed.

               b.   ALTERNATE RECOVERY FACILITY. Delivery of the Replacement
                    Recovery System to a SunGard facility where it may be
                    accommodated, within forty-eight (48) hours after SunGard
                    receives the Disaster declaration notice.

               c.   MOBILE DATA CENTER. Delivery of a properly equipped vehicle
                    housing the Replacement Recovery System to a destination in
                    the continental United States requested by Customer, within
                    forty-eight (48) hours after SunGard receives the Disaster
                    declaration notice.

               d.   CUSTOMER FACILITY. Delivery of the Replacement Recovery
                    System to a properly equipped facility located in the
                    continental United States requested by Customer, within
                    forty-eight (48) hours after SunGard receives the Disaster
                    declaration notice.

          (ii) COMPUTER SPACE. Environmentally prepared computer space
               ("Computer Space"), properly equipped to facilitate the
               installation of a computer system comparable to the Mobile
               Configuration, to be provided to Customer by one of the following
               methods at Customer's option:

<PAGE>

               a.   SUNGARD FACILITY. Access to the Computer Space at a SunGard
                    facility where the Replacement Recovery System may be
                    accommodated.

               b.   MOBILE COLDSITE. Delivery of a properly equipped vehicle
                    housing the Computer Space to a destination in the
                    continental United States requested by Customer, within
                    forty-eight (48) hours after SunGard receives the Disaster
                    declaration notice.

          (iii) SUPPLEMENTAL OFFICE SPACE. An adequate and reasonable amount of
               office space in the same SunGard facility where the Replacement
               Recovery System or Computer Space is located, properly equipped
               to facilitate the installation of terminals, which Customer may
               use to operate that Replacement Recovery System or Computer
               Space.

          (iv) MOBILE WORK GROUP SPACE. SunGard will commence the delivery of a
               vehicle properly equipped to accommodate the Mobile Work Group
               Configuration described in the Schedule, to a destination in the
               continental United States requested by Customer, within
               twenty-four (24) hours after SunGard receives the Disaster
               declaration notice.

          (v)  QUICK SHIP EQUIPMENT. Delivery of equipment equal to or better
               than (in all material respects including equipment quality and
               processing capacity) the Quick Ship Equipment described in the
               Schedule, to a properly equipped facility in the continental
               United States requested by Customer, within forty-eight (48)
               hours after SunGard receives the Disaster declaration notice.

     (c)  NETWORK SERVICES. Use, within two (2) hours after SunGard receives the
          Disaster declaration notice, of the network services described below
          ("Network Services"), which Customer may use for six (6) weeks:

          (i)  CENTER TO CENTER. On-demand connectivity among SunGard facilities
               using the SunGard Global Network ("SGN") in accordance with the
               Network Configuration described in the Schedule.

          (ii) DEDICATED CIRCUIT. Dedicated connectivity between the Customer
               location described in the Schedule and the SunGard facility or
               SGN POP (point of presence) described in the Schedule, using a
               dedicated circuit that is either (a) procured and installed by
               SunGard or (b) procured and installed by Customer with
               installation management assistance from SunGard.

          (iii) NET REDIRECT SERVICES. On-demand connectivity between the SGN
               POP where the Customer's local circuit terminates and the SunGard
               facility described in the Schedule, which are designated as "Net
               ReDirect Metropolitan Services" when the SGN POP and SunGard
               facility are located in the same metropolitan area.

          (iv) IP REDIRECT SERVICES. On-demand, point-to-point or
               point-to-multipoint, Internet Protocol (IP) connectivity between
               the IP-enabled SGN POP where Customer is accessing the SGN and
               the IP-enabled SunGard facility described in the Schedule, with
               such connectivity delivered using a single Ethernet interface
               directly attached to a router at the Customer Location procured
               by either SunGard or Customer.

          (v)  FRAME RELAY OR ATM PORT. On-demand use of a frame relay or ATM
               port on the SGN as described in the Schedule, to provide
               connectivity between Customer's frame relay or ATM network and
               the SGN. Customer shall be responsible for all costs and all
               necessary telecommunications vendor notifications and
               communications attributable to Customer's re-direction of
               Customer's frame relay/ATM permanent virtual circuit(s) to the
               SunGard frame relay or ATM DRO port.

          (vi) WEB REDIRECT SERVICES. On-demand access to the Internet from the
               SunGard facility described in the Schedule, using any of the
               multiple Internet service providers under contract with SunGard
               (which may require Customer to set up domains to use the Web
               ReDirect Services).

3.   EXTENDED USE. During a Disaster, Customer may continue to use the
     Center-Based Recovery Services or the Network Services beyond the periods
     stated in Section A2(a) and A2(c), respectively, provided that this
     extended use shall be subject to immediate termination if and when any
     other customer declares a disaster and requires use of the Recovery
     Resources then being utilized by Customer.

4.   COMPREHENSIVE DISASTER RECOVERY SUPPORT. WHENEVER CUSTOMER USES RECOVERY
     SERVICES DURING A DISASTER, SUNGARD'S SUPPORT STAFF (CONSISTING OF
     OPERATIONS, COMMUNICATIONS, SECURITY, TRANSPORTATION, SYSTEMS SOFTWARE AND
     CUSTOMER SUPPORT PERSONNEL, AS APPROPRIATE) SHALL PROVIDE COMPREHENSIVE
     SUPPORT TO CUSTOMER ON A 24-HOUR-A-DAY, 7-DAY-A-WEEK BASIS, AS NEEDED.
     During a Disaster, SunGard's Support Staff also shall assist Customer in
     contacting vendors and in obtaining replacement equipment.

5.   TESTS. Promptly after execution of this Master Agreement, SunGard shall
     either notify Customer of available times to schedule a training workshop
     at a SunGard facility or provide instructions to Customer to conduct a
     computer based training workshop. Customer may use certain Recovery
     Services to test its disaster recovery capability ("Test") for the number
     of Test Periods stated in the applicable Schedule. Each Test Period
     entitles Customer to eight (8) hours

<PAGE>

     of consecutive test time per contract year at a designated SunGard
     facility, on a non-cumulative basis. During each Test, Sungard's Support
     Staff shall provide reasonable supplies and support to Customer as needed,
     subject to availability. In order for SunGard to provide support to
     Customer for a scheduled Test, all Test plans must be provided to SunGard
     at least three (3) weeks prior to the Test date. Upon receipt of Customer's
     Test plan, SunGard will then assign a SunGard technical coordinator to
     review Customer's Test plan and coordinate Test support activities.
     Customer shall schedule Tests at least four (4) months in advance. Test
     time is available on a 24-hour-a-day, 7-day-a-week basis. Any Test
     Period(s) cancelled by Customer less than 45 days before the scheduled date
     will be applied against Customer's annual allotment of Test Periods, unless
     SunGard is able to utilize the cancelled time to provide test time to
     another customer. All Tests shall be subject to immediate cancellation or
     termination by SunGard, and shall be rescheduled as soon as possible, if
     and when any other customer declares a disaster and requests use of the
     Recovery Services being tested.

6.   E-TESTING PROGRAM. Customer may, at its option, elect to participate in
     SunGard's E-Testing Program. The E-Testing Program is a web-based service
     designed by SunGard to facilitate efficiency of pretest communications, by
     allowing Customer to complete and submit Test plans online for any
     scheduled Test. Customer shall use the E-Testing Program only for its own
     internal purposes in testing certain Recovery Services with SunGard.
     Periodically, in its sole discretion, SunGard may change or discontinue the
     E-Testing Program. SunGard shall not be liable for any damages incurred by
     Customer as a result of Customer's access to, use of, or retrieval of
     Customer's Test plans, including damages caused by any viruses. SunGard
     represents that it shall not knowingly code or introduce any virus or other
     disabling code into the systems used to provide the E-Testing Program or
     Customer's Test plan. SunGard shall use commercially reasonable efforts to
     assist Customer, at no charge, in mitigating the effects of any virus that
     is coded or introduced into the system.

7.   TEST SERVICES. SunGard's testing services are designed to provide reliable
     and repeatable Test services for operating system, application and data
     restorations ("Test Services") while Customer is using the Recovery
     Services for a Test. Whenever Customer schedules a Test of the Recovery
     Services, the Test Services provided by SunGard to Customer shall the Test
     services selected by Customer for the configurations identified in the
     applicable Schedule or Addendum.

8.   SOFTWARE. All systems and utility software which SunGard has installed on
     the equipment used to provide the Recovery Services may be used by Customer
     during a Disaster or a Test.

9.   TECHNOLOGY EXCHANGE. Upon Customer's request, SunGard will provide a list
     of computer and communications equipment that is then currently available
     to enhance the Recovery Services. Customer may exchange certain components
     of its configuration for hardware representing newer technology, by giving
     written notice to SunGard and signing an appropriate Addendum to the
     applicable Schedule. Upon the effective date of this exchange, the Monthly
     or Annual Fees due under that Schedule may increase by an amount reasonably
     determined by SunGard, based upon the difference between (a) SunGard's then
     prevailing Monthly or Annual Fees for the new hardware selected, and (b)
     the portion of the prior Monthly or Annual Fees covering the components
     that were replaced.

10.  ACCOUNT EXECUTIVE. SunGard shall assign an Account Executive to Customer to
     assist in monitoring the continued viability of Customer's disaster
     recovery capability and to facilitate ongoing communications between
     Customer and SunGard.

11.  HOTLINE. SunGard shall maintain a toll-free customer support telephone
     service, on a 24-hour-a-day, 7-day-a-week basis, which Customer may use as
     needed.

12.  USER GUIDE. Customer shall receive on-line access to SunGard's current User
     Guide for the Recovery Services and all applicable updates and revisions,
     as and when issued. Access is available at http://www.mysungard.com.

13.  ACTIVATION MANUAL. Customer may select in the Schedule to receive an
     Activation Manual. If Customer does so, then SunGard will prepare and
     deliver to Customer, within 120 days after the Schedule is signed by
     SunGard, an Activation Manual that will serve as a guideline for Customer's
     use of the Mobile Data Centers and will contain placement recommendations,
     vendor contact information, and electrical and communication requirements.
     SunGard's obligation to prepare and provide the Activation Manual is
     subject to Customer's reasonable cooperation and the availability of key
     Customer personnel to assist with the preparation of the Activation Manual.

B. MAINTENANCE AND USE OF RECOVERY RESOURCES. The terms of this Section B are
intended to ensure that the facilities, equipment, network and other resources
used by SunGard to provide the Recovery Services ("Recovery Resources") are
properly maintained and used, and to protect the respective interests of the
parties in using the Recovery Resources.

1.   MAINTENANCE. SunGard shall maintain vendor-specified proper operating
     environments at its facilities and in its vehicles used to provide the
     Recovery Services. SunGard shall adhere to vendor-recommended procedures
     and policies for proper maintenance of the Recovery Resources, including
     necessary remedial maintenance and regularly scheduled preventive
     maintenance. SUNGARD WARRANTS TO CUSTOMER THAT THE RECOVERY RESOURCES SHALL
     BE MAINTAINED IN A STATE OF
<PAGE>

     READINESS AT ALL TIMES, CONSISTENT WITH SUNGARD'S OBLIGATIONS UNDER THIS
     MASTER AGREEMENT.

2.   SIGNIFICANT CHANGES. SunGard may change the Recovery Resources and shall
     give written notice to Customer at least 60 days before making any
     significant change that might substantially and adversely impact Customer.
     Customer shall then have an adequate and reasonable number of free
     additional Test Periods to Test the affected Recovery Services. If, in
     Customer's reasonable judgment, any such change substantially and adversely
     impacts Customer to the extent that Customer cannot use the affected
     Recovery Services, then Customer may terminate the affected Recovery
     Services by giving written notice to SunGard within ten (10) days after
     Customer first uses the affected Recovery Services for either a Disaster or
     Test.

3.   AUDITS. At any time except when the Recovery Resources are being used
     during a disaster or a confidential test, Customer may, at its expense,
     audit the Recovery Resources to verify SunGard's compliance with this
     Master Agreement. SunGard also shall permit any regulatory authority having
     jurisdiction over Customer to inspect the Recovery Resources. SunGard
     shall, at its expense, have the Recovery Resources annually reviewed by an
     independent third-party auditor, whose reports shall be furnished to
     Customer upon request.

4.   STANDARD PROCEDURES. SunGard shall maintain reasonable and uniform policies
     regarding security, safety, operations and other procedures for accessing
     and using the Recovery Resources during disasters and tests. In the case of
     network resources, these policies ("Network Policies") incorporate the
     policies, rules and regulations of SunGard's underlying network and
     Internet service providers. All of these policies are included in SunGard's
     on-line User Guide and in other written documents provided by SunGard to
     its Customers from time to time. Both SunGard and Customer shall comply
     with these policies in all material respects and shall use all Recovery
     Resources in accordance with manufacturer specifications. Before the
     conclusion of any Test or Disaster, Customer shall remove, erase or destroy
     all Customer Confidential Information it maintained in any form, recorded
     on any medium, or stored in any storage system as part of its use of the
     Recovery Services.

5.   SPECIAL PROCEDURES. If Customer gives written notice to SunGard describing
     any special data protection or other security procedures used by Customer,
     then SunGard shall use commercially reasonable efforts to help implement
     those procedures whenever Customer is using the Recovery Resources.
     Customer shall be responsible for any additional expenses reasonably
     incurred by SunGard in implementing Customer's special procedures.

6.   MOBILE RESOURCES. Title to all of the Recovery Resources used to provide
     Mobile Recovery Services ("Mobile Resources"), wherever located, shall
     remain in SunGard or its supplier, except for any Quick Ship Equipment as
     to which Customer properly exercises its purchase option, if any, described
     in the applicable Schedule. With respect to any Mobile Resources for which
     the destination is not a SunGard facility, (a) Customer shall obtain or
     provide, at Customer's expense, all permits, landlord consents and other
     authorizations, and all communications, power and other utility lines and
     equipment, needed to possess, locate or use the Mobile Resources at that
     destination, (b) Customer shall be responsible for the security of the
     Mobile Resources at that destination, (c) with respect to any SunGard
     vehicle, Customer shall provide a suitable location for SunGard to park the
     vehicle (which location SunGard may disapprove in its reasonable
     discretion), (d) Customer shall not relocate the Mobile Resources without
     SunGard's prior written consent which will not be unreasonably withheld,
     (e) when Customer's use or right to use the Mobile Resources during a
     Disaster or Test ends, Customer shall comply with SunGard's return delivery
     or shipment instructions, and (f) if the Mobile Resources do not include a
     SunGard vehicle, then Customer shall provide a proper operating environment
     for the Mobile Resources.

7.   NETWORK RESOURCES. SunGard shall privately manage the SGN as a
     protocol-independent, multi-layer network. After Customer has been switched
     onto the SGN, the applicable Network Services will be available on a
     24-hour-a-day, 7-day-a-week basis excluding downtime attributable to
     routine and preventative maintenance. Dedicated circuits connecting
     Customer locations to SunGard facilities or SGN POPs are provided by third
     parties and do not constitute Recovery Resources. The Network Services are
     provided subject to the availability of the necessary services by SunGard's
     underlying network and Internet service providers. SunGard may, without
     penalty, and by providing Customer with thirty (30) days prior written
     notice, terminate any Schedule or withhold provision of the Network
     Services if: (a) SunGard's underlying network and Internet service
     providers withdraw or substantially alter any underlying tariff(s)
     resulting in a material, adverse effect on SunGard's operational or
     financial ability to provide the Network Services; or (b) any public
     utility commission or other regulatory authority asserts jurisdiction over
     the Network Services, such that SunGard would be required to submit to
     common carrier, public utility or other regulation to which SunGard is not
     now subject.

8.   FEES AND EXPENSES. Customer shall be responsible for (a) any applicable
     Disaster Fees as indicated on a Schedule, (b) all communications and
     similar third party charges resulting from Customer's use of the Recovery
     Resources, (c) all power, fuel and other utility charges resulting from
     Customer's use of the Recovery Resources, except the initial six weeks of
     Hotsite use and except for Tests, (d) all costs associated with the
     transportation, delivery, operation and ongoing support of Mobile Resources
     used by Customer, and (e) all costs associated with the installation and
     de-installation of Mobile Resources used by Customer at non-SunGard
     locations.

C. MULTIPLE DISASTER. Customer's rights of immediate and exclusive use of the
Recovery Services, as provided in Section A2, shall be subject to the
possibility that one or more other customers ("other affected customers") could
declare a disaster at the same time as (or before or after) Customer and require
use of the same Recovery Resources at the same time

<PAGE>

as Customer ("Multiple Disaster"). The following provisions are intended to
avoid or minimize contention for Recovery Resources during Multiple Disasters.

1.   PRIORITY RESOURCES AND SHARED RESOURCES. All Recovery Resources shall be
     available on a priority use basis ("Priority Resources") except for those
     designated by SunGard as available on a shared use basis ("Shared
     Resources"). SunGard's designations of Shared Resources shall be made in
     its reasonable discretion and shall be subject to change without notice.

2.   ACCESS AND USE PROCEDURES. Access to and use of Recovery Resources during
     disasters shall depend upon whether the Recovery Resources are Priority
     Resources or Shared Resources and, with respect to Priority Resources, the
     order in which disasters are declared. SunGard shall maintain records of
     its receipt of disaster declarations, which shall be the exclusive basis
     for determining the order in which disasters are declared.

     (a)  Customer shall have priority rights of access to and use of applicable
          Priority Resources that are not then being used by other affected
          customers who previously declared disasters. Use of such Priority
          Resources is exclusive for as long as Customer is entitled to use them
          under Section A2.

     (b)  Customer and all other affected customers shall have equal rights of
          access to and use of applicable Shared Resources, irrespective of the
          order in which disasters occur or are declared. Use of Shared
          Resources may be exclusive at times, but remains subject to the
          possible need for shared or allocated use with other affected
          customers. In an effort to avoid the need for shared or allocated use
          of any Shared Resources, SunGard shall, to the fullest extent possible
          under the circumstances, take full advantage of, and provide access
          to, all of its other available Shared Resources.

     (c)  If applicable Priority Resources and applicable Shared Resources are
          both available, Customer may choose which type to use.

     (d)  Customer shall cooperate with SunGard and all other affected customers
          as reasonably required under the circumstances, including to
          coordinate the efficient use of Recovery Resources, to avoid or
          minimize the need for shared or allocated use of Shared Resources, and
          to implement any necessary plans for shared or allocated use of Shared
          Resources.

     (e)  If a Multiple Disaster is widespread or extreme, then, notwithstanding
          the foregoing provisions, SunGard may implement emergency procedures
          that are necessary, in SunGard's reasonable judgment, to allocate
          Recovery Resources in order to address applicable national interests
          and comparable concerns.

3.   MULTIPLE DISASTER PROTECTION. To lower the probability of a Multiple
     Disaster, SunGard shall comply with the following terms:

     (a)  No other customer shall be granted any greater rights of access to or
          use of the Recovery Resources than are granted to Customer under this
          Master Agreement.

     (b)  No agreement to provide use of any Recovery Resources shall be entered
          into at a time when the customer location to be serviced is then
          currently experiencing a disaster.

          For Center-Based Recovery Services, SunGard also shall comply with the
          following:

     (c)  To discourage unnecessary disaster declarations, Disaster Declaration
          Fees, as provided in the Schedules, shall be charged whenever a
          customer declares a disaster.

     (d)  To discourage unnecessary use of the Recovery Resources, Daily Usage
          Fees, as provided in the Schedules, shall be charged for use of the
          Recovery Resources other than for tests.

4.   CRISIS MANAGEMENT. Whenever SunGard learns of an approaching storm or other
     situation that might cause a Multiple Disaster, SunGard shall monitor the
     situation and use commercially reasonable efforts to coordinate contingency
     plans with all potentially affected customers.

                                                                 RSE0504 (Legal)

<PAGE>

                          PROFESSIONAL SERVICES EXHIBIT
                  TO THE MASTER AGREEMENT FOR U.S. AVAILABILITY
                               DATED MARCH 31, 2007

1.   DESCRIPTION OF SERVICES

SunGard shall provide consulting and assessment professional services and
deliverables as described in the Schedule attached to this Exhibit, and if
applicable, in the attached Statement of Work ("Professional Services"). All
Professional Services to be provided by SunGard shall be performed by qualified
personnel in accordance with professional standards, and all Professional
Services provided and documents and reports delivered by SunGard shall conform
to the requirements of this Exhibit and the attached Schedule and/or Statement
of Work. Notwithstanding anything to the contrary herein, SunGard reserves the
right to subcontract the Professional Services to a third party without written
consent of Customer.

Except as otherwise stated in the attached Schedule or Statement of Work, the
parties intend that all Professional Services to be provided to Customer under
this Exhibit shall be completed within one year after the Schedule is signed by
SunGard. If Customer does not permit SunGard to perform the Professional
Services during that period, then all payments otherwise due upon project
completion will become due at the end of the one-year period. Any deficiencies,
as determined by generally accepted professional standards, shall be promptly
reported by Customer to SunGard and, in any event, within 30 days after receipt
of the document or Services involved. SunGard will correct such deficiencies in
its deliverables, Services or work within a mutually agreeable time period.

2.   PERSONNEL

All SunGard personnel, when working at Customer's premises, will conduct
themselves in a professional manner and will use commercially reasonable efforts
to minimize disruptions to Customer's business. SunGard will retain full
responsibility for its own personnel, including payment of compensation and
payroll taxes, provision of benefits, and maintenance of workers' compensation
and other required insurance. SunGard and Customer also agree that during the
term of this Agreement and for one (1) year thereafter neither party will
interview for employment purposes or employ current employees of the other.

3.   CUSTOMER'S RESPONSIBILITIES

Customer will provide to SunGard, as and when necessary, all information, data
and other materials concerning Customer's personnel, operations and facilities
and other relevant aspects of Customer's business, to the extent required by
SunGard to properly perform the Professional Services. All such information,
data and materials provided to SunGard by any of Customer's personnel will be
accurate, current and complete, and may be relied upon by SunGard in performing
the Professional Services. Customer will be responsible for preparing and
maintaining backup or duplicate copies of all such information, data and
materials, and SunGard will have no liability for any loss or damage resulting
from Customer's failure to do so.

Further, Customer will provide SunGard access to Customer's offices and
facilities at mutually agreeable times, make available to SunGard experienced
personnel having knowledge of Customer's operations and other relevant aspects
of Customer's business, and cooperate with SunGard in all respects reasonably
necessary to allow SunGard to perform the Services.

4.   TERMINATION

Termination of the Services under this Exhibit for any reason will not relieve
Customer of liability for all amounts owed to SunGard under a Schedule to this
Exhibit for Professional Services. If Customer terminates the Professional
Services under a Schedule to this

<PAGE>

Exhibit, Customer shall pay to SunGard, together with the notice of termination,
an amount equal to the present value (calculated using an annual discount rate
equal to the then current prime rate published in The Wall Street Journal) of
all remaining fees due under the applicable Schedule(s), and Customer shall
remain liable for any reimbursable expenses incurred by SunGard before
termination.

If Customer breaches any of its obligations under the Master Agreement in any
material respect, then, in addition to SunGard's right to terminate the
Agreement and any other rights and remedies that SunGard may have, SunGard may
suspend performance of all Services under a Schedule to this Exhibit until the
default is cured.

                                                                 PSE0504 (Legal)
<PAGE>

Confidential Materials omitted and filed separately with the Securities and
Exchange Commission. Astrisks denote omissions.

                          SCHEDULE NUMBER 20448 V. 1.0
                       FOR MANAGED IT SERVICES GOVERNED BY
                MASTER AGREEMENT FOR U.S. AVAILABILITY SERVICES
                                     BETWEEN
                SUNGARD AVAILABILITY SERVICES LP AND ATHENAHEALTH

                              DATED MARCH 31, 2007

This is a new Schedule having an Agreed Term of 36 months with a Commencement
Date of July 1, 2007.

SUMMARY OF SERVICES AND FEES

<TABLE>
<S>                   <C>
SELECTED SERVICES
   Hosting Services
   Network Services
ONE-TIME FEE          $ *
MONTHLY FEE           $ *
</TABLE>

All One- Time Fees will be invoiced to Customer upon counter- execution of the
Schedule by SunGard and are due in accordance with the Master Agreement.

BILLING SCHEDULE

<TABLE>
<CAPTION>
INVOICE FROM:   MONTHLY FEE:
-------------   ------------
<S>             <C>
07/01/2007        $ *
</TABLE>

BY THE SIGNATURES OF THEIR DULY AUTHORIZED REPRESENTATIVES BELOW, SUNGARD AND
CUSTOMER, INTENDING TO BE LEGALLY BOUND, AGREE TO ALL OF THE PROVISIONS OF THIS
SCHEDULE AND RATIFY THE TERMS OF THE MASTER AGREEMENT.

SUNGARD AVAILABILITY SERVICES LP        ATHENAHEALTH

By: /s/ Dennis Musolino                 By: /s/ James M. MacDonald
    ---------------------------------       ------------------------------------
Print Name: Dennis Musolino             Print Name: JAMES M. MACDONALD
Print Title: Regional Vice President    Print Title: CHIEF OPERATING OFFICER
Date Signed: 4/16/07                    Date Signed: MARCH 30, 2008

(SUNGARD(R)     Keeping People                           DOC ID: 20448 VER.: 1.0
AVAILABILITY    and Information                                   QUOTE ID: 9349
SERVICES LOGO)  Connected.(TM)                PRINTED: MAR. 27, 2007 03:16:23 PM

                   THE TERMS OF THIS SCHEDULE ARE CONFIDENTIAL

<PAGE>
Confidential Materials omitted and filed separately with the Securities and
Exchange Commission. Asterisks denote omissions.

                         SCHEDULE NUMBER 20448 V. 1.0
                       FOR MANAGED IT SERVICES GOVERNED BY
                MASTER AGREEMENT FOR U. S. AVAILABILITY SERVICES
                                     BETWEEN
                SUNGARD AVAILABILITY SERVICES LP AND ATHENAHEALTH

                               DATED MARCH 31,2007

                                   PAGE 2 OF 4

CUSTOMER INFORMATION

BILL TO ADDRESS:               311 ARSENAL STREET, WATERTOWN, MA 02472 US
                               JIM MACDONALD
NOTIFICATION ADDRESS:          311 ARSENAL STREET, WATERTOWN, MA 02472 US
                               JIM MACDONALD
DESIGNATED SUNGARD FACILITY:   *

(SUNGARD(R) LOGO)                                        DOC ID: 20448 VER.: 1.0
Availability Services                                             QUOTE ID: 9349
Keeping People and                            PRINTED: MAR. 27, 2007 03:16:24 PM
Information Connected.(TM)

                  THE TERMS OF THIS SCHEDULE ARE CONFIDENTIAL

<PAGE>
Confidential Materials omitted and filed separately with the Securities and
Exchange Commission. Asterisks denote omissions.

                          SCHEDULE NUMBER 20448 V. 1.0
                       FOR MANAGED IT SERVICES GOVERNED BY
                MASTER AGREEMENT FOR U. S. AVAILABILITY SERVICES
                                     BETWEEN
                SUNGARD AVAILABILITY SERVICES LP AND ATHENAHEALTH

                               DATED MARCH 31,2007

                                   PAGE 3 OF 4

<TABLE>
<CAPTION>
QTY   HOSTING SERVICES
---   ----------------
<S>   <C>
  1   Secure Hosting Bundle - 120V base, A&B- side 30 Amp
  1   1st addt'l 120V 30A, A&B- side for 120V base
  1   2nd addt'l 120V 30A, A&B- side for 120V base
  1   Secure Hosting Bundle - 120V base, A&B- side 30 Amp
  1   1st addt'l 120V 30A, A- side for 120V base
  1   2nd addt'l 120V 30A, A&B- side for 120V base
  1   Secure Hosting Bundle - 120V base, A&B- side 30 Amp
  1   1st addt'l 120V 30A, A&B- side for 120V base
  1   2nd addt'l 120V 30A, A&B- side for 120V base
  1   15" Rollout Flt Scrn Monitor w/ Kybrd & Mouse for use w/ Windows and UNIX
      KVM Switches
  1   8 Port Windows/Linux KVM switch, w/ 8ft cables
</TABLE>

<TABLE>
<CAPTION>
QTY   NETWORK SERVICES
---   ----------------
<S>   <C>                                               <C>               <C>
  1   *                                                 Usage Based Fee   $*(1)
  1   *
  1   *
  1   *
</TABLE>

(SUNGARD(R) LOGO)                                        DOC ID: 20448 VER.: 1.0
Availability Services                                             QUOTE ID: 9349
Keeping People and                            PRINTED: MAR. 27, 2007 03:16:24 PM
Information Connected.(TM)

                  THE TERMS OF THIS SCHEDULE ARE CONFIDENTIAL

<PAGE>

                          SCHEDULE NUMBER 20448 V. 1.0
                       FOR MANAGED IT SERVICES GOVERNED BY
                MASTER AGREEMENT FOR U. S. AVAILABILITY SERVICES
                                     BETWEEN
                SUNGARD AVAILABILITY SERVICES LP AND ATHENAHEALTH

                               DATED MARCH 31,2007

                                   PAGE 4 OF 4

FOOTNOTES

1.   Usage Fee per Mbps over Committed Bandwidth Tier Level.

(SUNGARD(R) LOGO)                                        DOC ID: 20448 VER.: 1.0
Availability Services                                             QUOTE ID: 9349
Keeping People and                            PRINTED: MAR. 27, 2007 03:16:25 PM
Information Connected.(TM)

                  THE TERMS OF THIS SCHEDULE ARE CONFIDENTIAL

<PAGE>

                    ADDENDUM TO SCHEDULE NUMBER 20448 V. 1.0
                       FOR MANAGED IT SERVICES GOVERNED BY
                MASTER AGREEMENT FOR U. S. AVAILABILITY SERVICES
                                     BETWEEN
               SUNGARD AVAILABILITY SERVICES LP AND ATHENAHEALTH

                              DATED MARCH 31, 2007

                                   PAGE 1 OF 1

The above referenced Schedule ("Specified Schedule"), which has a Commencement
Date of July 1, 2007, is amended effective July 1, 2007.

The following changes are applicable to the Specified Schedule:

1.   Section 2, Fees and Expenses, of the Master Agreement is amended by
     deleting the last sentence and replacing it with the following:

          "Beginning one year after the Commencement Date of a Schedule, SunGard
          may increase all fees chargeable under that Schedule, subject to the
          annual percentage limitation stated in the next sentence, by giving at
          least 90 days prior written notice to Customer. The rate of increase
          during any contract year shall not exceed the sum of (a) the annual
          rate of increase in the United States Consumer Price Index- - All
          Cities (or a comparable replacement index) during the then most
          currently available 12- month period, plus (b) 2.0%, provided that
          such increase shall in no event exceed 5.0%."

BY THE SIGNATURES OF THEIR DULY AUTHORIZED REPRESENTATIVES BELOW, SUNGARD AND
CUSTOMER, INTENDING TO BE LEGALLY BOUND, AGREE TO ALL OF THE PROVISIONS OF THIS
ADDENDUM AND RATIFY THE TERMS OF THE MASTER AGREEMENT.

SUNGARD AVAILABILITY SERVICES LP        ATHENAHEALTH

By: /s/ Dennis Musolino                 By: /s/ James M. MacDonald
    ---------------------------------       ------------------------------------
Print Name: Dennis Musolino             Print Name: JAMES M. MACDONALD
Print Title: Regional Vice President    Print Title: CHIEF OPERATING OFFICER
Date Signed: 4/16/07                    Date Signed: MARCH 30, 2007

(SUNGARD(R) LOGO)                                        DOC ID: 20448 VER.: 1.0
Availability Services                                             QUOTE ID: 9349
Keeping People and                            PRINTED: MAR. 27, 2007 03:19:26 PM
Information Connected.(TM)

                  THE TERMS OF THIS ADDENDUM ARE CONFIDENTIAL

<PAGE>
Confidential Materials omitted and filed separately with the Securities and
Exchange Commission. Asterisks denote omissions.

                        ADDENDUM TO SCHEDULE NUMBER 20448
                             FOR MANAGED IT SERVICES
         GOVERNED BY THE MASTER AGREEMENT FOR U.S. AVAILABILITY SERVICES
                                     BETWEEN
                SUNGARD AVAILABILITY SERVICES LP AND ATHENAHEALTH

                              DATED MARCH 31, 2007

                                   PAGE 1 OF 2

The Master Agreement for U.S. Availability Services, having the above date,
between SunGard Availability Services LP ("SunGard") and the Customer named
below, ("Master Agreement"), with regard to the Schedule identified above
("Specified Schedule") is amended effective July 1, 2007, as follows:

1.   "Secure Hosting Bundle", as referenced in the Specified Schedule, shall
     include the following:

          SECURE HOSTING - Secure Hosting includes: (i) one (1) SunGard-Provided
          Cabinet (as defined herein); (ii) one (1) Standard Power Circuit (as
          defined herein), one (1) thirty (30) AMP B-Side Circuit; (iii)
          Standard Monitoring (as defined herein) for up to ten (10) devices;
          and (iv) five (5) hours of Operational Support Services per month.

          SUNGARD PROVIDED CABINET - includes fifteen (15) square feet of Space
          to support a SunGard-provided full cabinet. Each cabinet will include:
          (i) a minimum of 42 U EIA rack space for the Equipment; (ii) proper
          air ventilation for the Equipment; (iii) two (2) stationary equipment
          shelves; (iv) one (1) Standard Power Circuit (as defined herein); and
          (v) security by lock and key, managed by SunGard.

          STANDARD POWER CIRCUIT is a single one hundred and twenty (120) Volt,
          thirty (30) AMP power feed.

2.   UPGRADES. At any time during the initial Agreed Term of the Specified
     Schedule, Customer may elect to contract for the following additional
     Managed Services, subject to SunGard's installed and available inventory at
     the time of such election, for the corresponding additional Monthly Fee set
     forth below. Such additional Managed Services will be available to Customer
     effective upon the execution of an Addendum to the Specified Schedule or a
     replacement Schedule, defining such additional Managed Services, the
     effective date thereof, and the additional Monthly Fee therefore.

<TABLE>
<CAPTION>
Managed Service                                           Additional Monthly Fee
---------------                                           ----------------------
<S>                                                       <C>
Secure Hosting Bundle (as defined in provision 1 above)   $* per bundle
</TABLE>

                 --remainder of page intentionally left blank--

(SUNGARD(R) LOGO)                                                 DOC ID.: VER.:
Availability Services                                            QUOTE ID.: 9349
Keeping People and                                                      PRINTED:
Information Connected.(TM)

                  THE TERMS OF THIS ADDENDUM ARE CONFIDENTIAL

<PAGE>

                        ADDENDUM TO SCHEDULE NUMBER 20448
                             FOR MANAGED IT SERVICES
         GOVERNED BY THE MASTER AGREEMENT FOR U.S. AVAILABILITY SERVICES
                                    BETWEEN
               SUNGARD AVAILABILITY SERVICES LP AND ATHENAHEALTH

                              DATED MARCH 31, 2007

                                   PAGE 2 OF 2

By the signatures of their duly authorized representatives below, SunGard and
Customer, intending to be legally bound, agree to all of the provisions of this
Addendum and ratify the terms of the Agreement.

SUNGARD AVAILABILITY SERVICES LP        CUSTOMER: ATHENAHEALTH

BY: /s/ Dennis Musolino                 By: /s/ James M. MacDonald
    ---------------------------------       ------------------------------------
PRINT NAME: Dennis Musolino             PRINT NAME: JAMES M. MACDONALD
PRINT TITLE: Regional Vice President    PRINT TITLE: CHIEF OPERATING OFFICER
DATE SIGNED: 4/16/07                    DATE SIGNED: MARCH 30, 2007

(SUNGARD(R) LOGO)                                                 DOC ID.: VER.:
Availability Services                                            QUOTE ID.: 9349
Keeping People and                                                      PRINTED:
Information Connected.(TM)

                  THE TERMS OF THIS ADDENDUM ARE CONFIDENTIAL
<PAGE>
Confidential Materials omitted and filed separately with the Securities and
Exchange Commission. Asterisks denote omissions.

                        ADDENDUM TO SCHEDULE NUMBER 16956
                              FOR RECOVERY SERVICES
         GOVERNED BY THE MASTER AGREEMENT FOR U.S. AVAILABILITY SERVICES
                                     BETWEEN
                SUNGARD AVAILABILITY SERVICES LP AND ATHENAHEALTH
                               DATED MARCH 31,2007

                                   PAGE 1 OF 2

The Master Agreement for U.S. Availability Services, having the above date,
between SunGard Availability Services LP ("SunGard") and the Customer named
below, ("Master Agreement"), with regard to the Schedule identified above
("Specified Schedule") is amended effective July 1, 2007, as follows:

1.   DOWNGRADES. Customer may downgrade the Recovery Services set forth on the
     Specified Schedule to any lower service level offered by SunGard, by giving
     written notice to SunGard and then signing a new Schedule that (a) has a
     Commencement Date that is no earlier than six (6) months after SunGard
     receives Customer's notice, (b) provides for a Monthly Fee equal to the
     "New Fee" (defined below), and (c) has a term equal to the number of months
     in the then remaining term of the prior Schedule, multiplied by the "Old
     Fee" (defined below) and divided by the New Fee (rounded to the nearest
     whole number). Effective on the Commencement Date stated in the new
     Schedule, the new Schedule shall supersede the prior Schedule.

     The New Fee shall be equal to SunGard's then prevailing Monthly Fee for the
     lower service level elected, provided that such New Fee shall not be less
     than at least * percent (*%) of (a) the initial Monthly Fee (adjusted
     for any applicable price increases) or (b) the then prevailing Monthly Fee
     for services being provided under the affected Schedule immediately before
     such downgrade ("Old Fee"), whichever is greater.

     The right to downgrade under this provision (a) may be invoked not more
     than once during any twelve (12) month period provided the limitations
     stated above are not exceeded, and (b) will be in effect only during the
     initial term of a Schedule and not during any renewal term.

2.   UPGRADES. At any time during the initial Agreed Term of the Specified
     Schedule, except if Customer is then experiencing a Disaster, Customer may
     elect to contract for the following additional Recovery Services,
     configured as follows (subject to SunGard's installed and available
     inventory at the time of such election), for the corresponding additional
     Monthly Fee set forth below. Such additional Recovery Services will be
     available to Customer effective upon the execution of an Addendum to the
     Specified Schedule or a replacement Schedule, defining such additional
     Recovery Services, the effective date thereof, and the additional Monthly
     Fee therefore.

<TABLE>
<CAPTION>
                                                       Additional Monthly
Recovery Service                                         Fee (per unit)
----------------                                       ------------------
<S>                                                    <C>
Dual 3.16 CPU, 8,192 Memory, 200 GB Internal Disk            $ *
Dual 2.6 CPU, 4,094 Memory, 150 GB Internal Disk             $ *
Four 3.16 CPU, 16, 384 Memory, 100 GB Internal Disk          $ *
*                                                            $ *
SDLT Tape Drives                                             $ *
*                                                            $ *
*                                                            $ *
*                                                            $ *
*                                                            $ *
Mbps of Web Redirect                                         $ *
</TABLE>

(SUNGARD(R) LOGO)                                                 DOC ID.: VER.:
Availability Services                                            QUOTE ID.: 9349
Keeping People and                                                      PRINTED:
Information Connected.(TM)

                   THE TERMS OF THIS ADDENDUM ARE CONFIDENTIAL

<PAGE>
Confidential Materials omitted and filed separately with the Securities and
Exchange Commission. Asterisks denote omissions.

                        ADDENDUM TO SCHEDULE NUMBER 16956
                              FOR RECOVERY SERVICES
         GOVERNED BY THE MASTER AGREEMENT FOR U.S. AVAILABILITY SERVICES
                                     BETWEEN
                SUNGARD AVAILABILITY SERVICES LP AND ATHENAHEALTH
                               DATED MARCH 31,2007

                                   PAGE 2 OF 2

3.   DESIGNATION OF RECOVERY RESOURCES. Customer has designated SunGard's *
     recovery center as its preferred recovery center for testing and Disaster
     purposes, which will be accommodated by SunGard consistent with the terms
     of the Agreement. As of the July 1, 2007 Commencement Date of the Specified
     Schedule, SunGard represents that the Recovery Resources contracted for on
     the Specified Schedule are designated below as either Shared Resources or
     Priority Resources, based on Customer's preferred recovery facility of * .
     Further, in the event Customer adds additional Recovery Resources, and/or
     modifies the Specified Schedule, at Customer's written request, SunGard
     agrees to provide Customer with information as to the designation of those
     Recovery Resources as either Priority or Shared Resources prior to
     Customer's execution of an Addendum to the Specified Schedule or a
     replacement Schedule.

          PRIORITY RESOURCES:
               All Mobile Configurations

          SHARED RESOURCES:
               Network Configuration 1

4.   PORTS. The following items are hereby added to the Specified Schedule:

<TABLE>
<CAPTION>
Qty.   Description
----   -----------
<S>    <C>
8      Data Center Connectivity to Managed Services - Fiber Ports
</TABLE>

     The additional Monthly Fee for the above items is included in the Monthly
     Fee defined on the Specified Schedule.

By the signatures of their duly authorized representatives below, SunGard and
Customer, intending to be legally bound, agree to all of the provisions of this
Addendum and ratify the terms of the Agreement.

SUNGARD AVAILABILITY SERVICES LP        CUSTOMER: ATHENAHEALTH

BY: /s/ Dennis Musolino                 BY: /s/ James M. MacDonald
    ---------------------------------       ------------------------------------
PRINT NAME: Dennis Musolino             PRINT NAME: JAMES M. MACDONALD
PRINT TITLE: Regional Vice President    PRINT TITLE: CHIEF OPERATING OFFICER
DATE SIGNED: 4/16/07                    DATE SIGNED: MARCH 30, 2007

(SUNGARD(R) LOGO)                                                 DOC ID.: VER.:
Availability Services                                            QUOTE ID.: 9349
Keeping People and                                                      PRINTED:
Information Connected.(TM)

                   THE TERMS OF THIS ADDENDUM ARE CONFIDENTIAL

<PAGE>

                   ADDENDUM FOR MULTIPLE LOCATION COVERAGE TO
                          SCHEDULE NUMBER 16956 V. 1.0
                        FOR RECOVERY SERVICES GOVERNED BY
                MASTER AGREEMENT FOR U. S. AVAILABILITY SERVICES
                                     BETWEEN
                SUNGARD AVAILABILITY SERVICES LP AND ATHENAHEALTH

                               DATED MARCH 31,2007
                                   PAGE 1 OF 2

Schedule Reference Name: AthenaHealth - Servers Configurations

The above referenced Schedule ("Specified Schedule"), which has a Commencement
Date of July 1, 2007, is amended effective July 1, 2007.

I. COVERED LOCATIONS

Notwithstanding anything to the contrary stated on the Specified Schedule, the
following locations are referred to as the "Covered Locations".

PRIMARY   1.   55 MIDDLESEX TURNPIKE, BEDFORD, MA 01730 US
               ED PARK

          2.   311 ARSENAL STREET, WATERTOWN, MA 02472 US
               JIM MACDONALD

II. MULTIPLE LOCATION COVERAGE

Each of the Covered Locations may use the Recovery Services described in the
Specified Schedule alone or together with another Covered Location, as needed,
provided that all affected Locations shall use only the configuration described
in the Specified Schedule (subject to future additions), and the total capacity
in use does not exceed one Covered Location's configuration at any given time.
Regardless of the number of Covered Locations that may experience a Disaster at
or about the same time, Customer shall not be entitled to use any equipment or
services other than those described in the Specified Schedule.

BY THE SIGNATURES OF THEIR DULY AUTHORIZED REPRESENTATIVES BELOW, SUNGARD AND
CUSTOMER, INTENDING TO BE LEGALLY BOUND, AGREE TO ALL OF THE PROVISIONS OF THIS
ADDENDUM AND RATIFY THE TERMS OF THE MASTER AGREEMENT.

SUNGARD AVAILABILITY SERVICES LP        ATHENAHEALTH

By: /s/ Dennis Musolino                 By: /s/ James M. MacDonald
    ---------------------------------       ------------------------------------
Print Name: Dennis Musolino             Print Name: JAMES M. MACDONALD
Print Title: Regional Vice President    Print Title: CHIEF OPERATING OFFICER
Date Signed: 4/16/07                    Date Signed: MARCH 30, 2007

(SUNGARD(R) LOGO)                                        DOC ID: 16956 VER.: 1.0
Availability Services                                             QUOTE ID: 9349
Keeping People and                            PRINTED: MAR. 27, 2007 03:19:46 PM
Information Connected.(TM)

                   THE TERMS OF THIS SCHEDULE ARE CONFIDENTIAL

<PAGE>

                   ADDENDUM FOR MULTIPLE LOCATION COVERAGE TO
                          SCHEDULE NUMBER 16956 V. 1.0
                        FOR RECOVERY SERVICES GOVERNED BY
                MASTER AGREEMENT FOR U.S. AVAILABILITY SERVICES
                                     BETWEEN
                SUNGARD AVAILABILITY SERVICES LP AND ATHENAHEALTH

                               DATED MARCH 31,2007
                                   PAGE 2 OF 2

III. TESTING

Customer is responsible for allocating the Test Periods stated in the Specified
Schedule among the Covered Locations.

The term of this Addendum shall continue until the end of the initial Agreed
Term or any extended or renewal term of the Specified Schedule.

(SUNGARD(R) LOGO)                                        DOC ID: 16956 VER.: 1.0
Availability Services                                             QUOTE ID: 9349
Keeping People and                            PRINTED: MAR. 27, 2007 03:19:47 PM
Information Connected.(TM)

                   THE TERMS OF THIS SCHEDULE ARE CONFIDENTIAL
<PAGE>

                    ADDENDUM TO SCHEDULE NUMBER 16956 V. 1.0
                        FOR RECOVERY SERVICES GOVERNED BY
                MASTER AGREEMENT FOR U. S. AVAILABILITY SERVICES
                                     BETWEEN
                SUNGARD AVAILABILITY SERVICES LP AND ATHENAHEALTH

                               DATED MARCH 31,2007

                                   PAGE 1 OF 1

Schedule Reference Name: AthenaHealth - Servers Configurations

The above referenced Schedule ("Specified Schedule"), which has a Commencement
Date of July 1,2007, is amended effective July 1, 2007.

The following changes are applicable to the Specified Schedule:

1.   Section 2, Fees and Expenses, of the Master Agreement is amended by
     deleting the last sentence and replacing it with the following:

          "Beginning one year after the Commencement Date of a Schedule, SunGard
          may increase all fees chargeable under that Schedule, subject to the
          annual percentage limitation stated in the next sentence, by giving at
          least 90 days prior written notice to Customer. The rate of increase
          during any contract year shall not exceed the sum of (a) the annual
          rate of increase in the United States Consumer Price Index- - All
          Cities (or a comparable replacement index) during the then most
          currently available 12- month period, plus (b) 2.0%, provided that
          such increase shall in no event exceed 5.0%."

BY THE SIGNATURES OF THEIR DULY AUTHORIZED REPRESENTATIVES BELOW, SUNGARD AND
CUSTOMER, INTENDING TO BE LEGALLY BOUND, AGREE TO ALL OF THE PROVISIONS OF THIS
ADDENDUM AND RATIFY THE TERMS OF THE MASTER AGREEMENT.

SUNGARD AVAILABILITY SERVICES LP        ATHENAHEALTH

By: /s/ Dennis Musolino                 By: /s/ James M. MacDonald
    ---------------------------------       ------------------------------------
Print Name: Dennis Musolino             Print Name: JAMES M. MACDONALD
Print Title: Regional Vice President    Print Title: CHIEF OPERATING OFFICER
Date Signed: 4/16/07                    Date Signed: MARCH 30, 2007

(SUNGARD(R) LOGO)                                        DOC ID: 16956 VER.: 1.0
Availability Services                                             QUOTE ID: 9349
Keeping People and                            PRINTED: MAR. 27, 2007 03:19:53 PM
Information Connected.(TM)

                   THE TERMS OF THIS ADDENDUM ARE CONFIDENTIAL

<PAGE>
Confidential Materials omitted and filed separately with the Securities and
Exchange Commission. Asterisks denote omissions.

                          SCHEDULE NUMBER 16956 V. 1.0
                        FOR RECOVERY SERVICES GOVERNED BY
                MASTER AGREEMENT FOR U. S. AVAILABILITY SERVICES
                                     BETWEEN
                SUNGARD AVAILABILITY SERVICES LP AND ATHENAHEALTH

                               DATED MARCH 31,2007

                                   PAGE 1 OF 6

Schedule Reference Name: AthenaHealth - Servers Configurations

This is a new Schedule having an Agreed Term of 36 months with a Commencement
Date of July 1, 2007.

SUMMARY OF SERVICES AND FEES

<TABLE>
<CAPTION>
                                                          BASE
                                                          TEST
SELECTED SERVICES                                        PERIODS
-----------------                                        -------
<S>                        <C>                           <C>       <C>
MOBILE RECOVERY SERVICES
   Mobile Configurations                                       3
      Delivery Methods     Primary Recovery Facility
                           Alternate Recovery Facility
                           Mobile Data Center
                           Subscriber Facility
NETWORK SERVICES
MONTHLY FEE                                                        $*
</TABLE>

BILLING SCHEDULE

<TABLE>
<CAPTION>
INVOICE FROM:   MONTHLY FEE:
-------------   ------------
<S>             <C>
07/01/2007         $*
</TABLE>

BY THE SIGNATURES OF THEIR DULY AUTHORIZED REPRESENTATIVES BELOW, SUNGARD AND
CUSTOMER, INTENDING TO BE LEGALLY BOUND, AGREE TO ALL OF THE PROVISIONS OF THIS
SCHEDULE AND RATIFY THE TERMS OF THE MASTER AGREEMENT.

SUNGARD AVAILABILITY SERVICES LP        ATHENAHEALTH

By: /s/ Dennis Musolino                 By: /s/ James M. MacDonald
    ---------------------------------       ------------------------------------
Print Name: Dennis Musolino             Print Name: JAMES M. MACDONALD
Print Title: Regional Vice President    Print Title: CHIEF OPERATING OFFICER
Date Signed: 4/16/07                    Date Signed: MARCH 30, 2007

(SUNGARD(R) LOGO)                                        DOC ID: 16956 VER.: 1.0
Availability Services                                             QUOTE ID: 9349
Keeping People and                           MPRINTED: MAR. 28, 2007 12:08:57 PM
Information Connected.(TM)

                  THE TERMS OF THIS SCHEDULE ARE CONFIDENTIAL

<PAGE>

                          SCHEDULE NUMBER 16956 V. 1.0
                        FOR RECOVERY SERVICES GOVERNED BY
                MASTER AGREEMENT FOR U. S. AVAILABILITY SERVICES
                                     BETWEEN
                SUNGARD AVAILABILITY SERVICES LP AND ATHENAHEALTH

                               DATED MARCH 31,2007

                                   PAGE 2 OF 6

CUSTOMER INFORMATION

<TABLE>
<S>                          <C>
CUSTOMER LOCATION ADDRESS:   SEE ADDENDUM
NOTIFICATION ADDRESS:        311 ARSENAL STREET, WATERTOWN, MA 02472 US
                             JIM MACDONALD
BILL TO ADDRESS:             311 ARSENAL STREET, WATERTOWN, MA 02472 US
                             JIM MACDONALD
</TABLE>

(SUNGARD(R) LOGO)                                        DOC ID: 16956 VER.: 1.0
Availability Services                                             QUOTE ID: 9349
Keeping People and                           MPRINTED: MAR. 28, 2007 12:08:58 PM
Information Connected.(TM)

                  THE TERMS OF THIS SCHEDULE ARE CONFIDENTIAL

<PAGE>
Confidential Materials omitted and filed separately with the Securities and
Exchange Commission. Asterisks denote omissions.

                          SCHEDULE NUMBER 16956 V. 1.0
                        FOR RECOVERY SERVICES GOVERNED BY
                MASTER AGREEMENT FOR U. S. AVAILABILITY SERVICES
                                     BETWEEN
                SUNGARD AVAILABILITY SERVICES LP AND ATHENAHEALTH

                               DATED MARCH 31,2007

                                   PAGE 3 OF 6

<TABLE>
<CAPTION>
                                                                       DISASTER FEES
                                                             --------------------------------
QTY   MOBILE 1                                               DECLARATION FEE   DAILY USAGE(1)
---   --------                                               ---------------   --------------
<S>   <C>                                                    <C>               <C>
      Customer Configuration Ref:
      *                                                              $*             $*
  3   Annual Test Periods - Additional
 10   *
      *
      *
      *
      *
      *
      *
      *
  1   *
      *
      *
</TABLE>

<TABLE>
<CAPTION>
                                                                       DISASTER FEES
                                                             --------------------------------
QTY   MOBILE 3                                               DECLARATION FEE   DAILY USAGE(1)
---   --------                                               ---------------   --------------
<S>   <C>                                                    <C>               <C>
      Customer Configuration Ref:
      *                                                             $*             $*
 3    Annual Test Periods - Additional
 41   *
      *
      *
      *
      *
      *
      *
      *
  1   *
      *
      *
      *
      *
  1   *
      *
      *
      *
</TABLE>

<TABLE>
<CAPTION>
                                                                       DISASTER FEES
                                                             --------------------------------
QTY   MOBILE 6                                               DECLARATION FEE   DAILY USAGE(1)
---   --------                                               ---------------   --------------
<S>   <C>                                                    <C>               <C>
      Customer Configuration Ref:
      *                                                             $*             $*
</TABLE>

(SUNGARD(R) LOGO)                                        DOC ID: 16956 VER.: 1.0
Availability Services                                             QUOTE ID: 9349
Keeping People and                           MPRINTED: MAR. 28, 2007 12:08:58 PM
Information Connected.(TM)

                   THE TERMS OF THIS SCHEDULE ARE CONFIDENTIAL

<PAGE>
Confidential Materials omitted and filed separately with the Securities and
Exchange Commission. Asterisks denote omissions.

                          SCHEDULE NUMBER 16956 V. 1.0
                        FOR RECOVERY SERVICES GOVERNED BY
                MASTER AGREEMENT FOR U. S. AVAILABILITY SERVICES
                                     BETWEEN
                SUNGARD AVAILABILITY SERVICES LP AND ATHENAHEALTH

                               DATED MARCH 31,2007

                                   PAGE 4 OF 6

<TABLE>
<CAPTION>
      MOBILE 6
QTY   (CONTINUED)
---   -----------
<S>   <C>                                                    <C>               <C>
  3   Annual Test Periods - Additional
  1   *
      *
      *
      *
      *
      *
  1   *
  5   *
  1   *
</TABLE>

<TABLE>
<CAPTION>
                                                                       DISASTER FEES
                                                             --------------------------------
QTY   MOBILE 7                                               DECLARATION FEE   DAILY USAGE(1)
---   --------                                               ---------------   --------------
<S>   <C>                                                    <C>               <C>
      Customer Configuration Ref:
      *                                                             $*             $*
 50   *
      *
      *
      *
      *
      *
      *
  2   *
</TABLE>

<TABLE>
<CAPTION>
                                                                       DISASTER FEES
                                                             --------------------------------
QTY   MOBILE 8                                               DECLARATION FEE   DAILY USAGE(1)
---   --------                                               ---------------   --------------
<S>   <C>                                                    <C>               <C>
      Customer Configuration Ref:
      *                                                             $*             $*
 49   *
      *
      *
      *
      *
      *
      *
  1   *
</TABLE>

<TABLE>
<CAPTION>
                                                                       DISASTER FEES
                                                             -----------------------------
QTY   NETWORK 1(3)                                           DECLARATION FEE   DAILY USAGE
---   ------------                                           ---------------   -----------
<S>   <C>                                                    <C>               <C>
      Customer Configuration Ref:
      *                                                           $*               $*
      *
</TABLE>

(SUNGARD(R) LOGO)                                        DOC ID: 16956 VER.: 1.0
Availability Services                                             QUOTE ID: 9349
Keeping People and                           MPRINTED: MAR. 28, 2007 12:08:58 PM
Information Connected.(TM)

                   THE TERMS OF THIS SCHEDULE ARE CONFIDENTIAL

<PAGE>
Confidential Materials omitted and filed separately with the Securities and
Exchange Commission. Asterisks denote omissions.

                          SCHEDULE NUMBER 16956 V. 1.0
                        FOR RECOVERY SERVICES GOVERNED BY
                MASTER AGREEMENT FOR U. S. AVAILABILITY SERVICES
                                     BETWEEN
                SUNGARD AVAILABILITY SERVICES LP AND ATHENAHEALTH

                               DATED MARCH 31, 2007

                                   PAGE 5 OF 6

<TABLE>
<CAPTION>
      NETWORK 1
QTY   (CONTINUED)
---   -----------
<S>   <C>                                                    <C>               <C>
40    Mbps
          32 (Additional SunGard Addresses
             Destination: *
</TABLE>

(SUNGARD(R) LOGO)                                        DOC ID: 16956 VER.: 1.0
Availability Services                                             QUOTE ID: 9349
Keeping People and                           MPRINTED: MAR. 28, 2007 12:08:59 PM
Information Connected.(TM)

                   THE TERMS OF THIS SCHEDULE ARE CONFIDENTIAL
<PAGE>

                          SCHEDULE NUMBER 16956 V. 1.0
                        FOR RECOVERY SERVICES GOVERNED BY
                MASTER AGREEMENT FOR U. S. AVAILABILITY SERVICES
                                     BETWEEN
                SUNGARD AVAILABILITY SERVICES LP AND ATHENAHEALTH

                               DATED MARCH 31,2007

                                   PAGE 6 OF 6

FOOTNOTES

1.   Daily Usage Fees during a Disaster will begin on day 31.

2.   Not shippable and governed by the terms and conditions applicable to
     Center-Based Resources.

3.   If a Declaration Fee of equal or greater value is charged in association
     with a Center- Based or Mobile Configuration defined on this Schedule, then
     the Declaration Fee for the applicable Network Services will be deemed
     included in such fee.

4.   Not shippable and subject to the terms and conditions of Shared Resources.

(SUNGARD(R) LOGO)                                        DOC ID: 16956 VER.: 1.0
Availability Services                                             QUOTE ID: 9349
Keeping People and                           MPRINTED: MAR. 28, 2007 12:08:59 PM
Information Connected.(TM)

                   THE TERMS OF THIS SCHEDULE ARE CONFIDENTIAL

<PAGE>
Confidential Materials omitted and filed separately with the Securities and
Exchange Commission. Asterisks denote omissions.

                         SCHEDULE NUMBER 21010 V. 1.0
                    FOR PROFESSIONAL SERVICES GOVERNED BY THE
                MASTER AGREEMENT FOR U. S. AVAILABILITY SERVICES
                                     BETWEEN
                SUNGARD AVAILABILITY SERVICES LP AND ATHENAHEALTH

                               DATED MARCH 31,2007

                                   PAGE 1 OF 2

Schedule Reference Name: TAP

Effective Date: July 1, 2007

SERVICES

The Services as described in the Statement of Work, Business Availability Custom
Sow (14751) dated 02/12/2007 ("SOW") is attached hereto and made a part hereof.
The total value for the Services for this SOW is $ *, for a grand total of
$ *, which is due and payable as follows:

<TABLE>
<S>                                                   <C>
Remaining Fees included in Total Monthly Fee below:   $ *
Fees for the Plan Maintenance Services included in
   the Total Monthly Fee below:                       $ *
</TABLE>

TOTAL MONTHLY FEE

Customer has opted for a 36 month term, resulting in a $* Monthly Fee which will
be billed by SunGard commencing July 1, 2007.

The Monthly Fee set forth on this Schedule does not include any Fees related to
periodic payments.

Reimbursable expenses (travel, lodging, food and incidental actual costs) will
be billed on a monthly basis as the expenses are incurred.

CUSTOMER INFORMATION
BILL TO ADDRESS:                311 ARSENAL STREET, WATERTOWN, MA 02472 US

BY THE SIGNATURES OF THEIR DULY AUTHORIZED REPRESENTATIVES BELOW, SUNGARD AND
CUSTOMER, INTENDING TO BE LEGALLY BOUND, AGREE TO ALL OF THE PROVISIONS OF THIS
SCHEDULE AND RATIFY THE TERMS OF THE MASTER AGREEMENT.

SUNGARD AVAILABILITY SERVICES LP        ATHENAHEALTH

By: /s/ Dennis Musolino                 By: /s/ James M. MacDonald
    ---------------------------------       ------------------------------------
Print Name: Dennis Musolino             Print Name: JAMES M. MACDONALD
Print Title: Regional Vice President    Print Title: CHIEF OPERATING OFFICER
Date Signed: 4/16/07                    Date Signed: MARCH 30, 2007

(SUNGARD(R) LOGO)                                        DOC ID: 21010 VER.: 1.0
Availability Services                                             QUOTE ID: 9349
Keeping People and                            PRINTED: MAR. 29, 2007 06:12:00 PM
Information Connected.(TM)

                   THE TERMS OF THIS SCHEDULE ARE CONFIDENTIAL

<PAGE>

                         SCHEDULE NUMBER 21010 V. 1.0
                    FOR PROFESSIONAL SERVICES GOVERNED BY THE
                MASTER AGREEMENT FOR U. S. AVAILABILITY SERVICES
                                     BETWEEN
                SUNGARD AVAILABILITY SERVICES LP AND ATHENAHEALTH

                              DATED MARCH 31, 2007

                                   PAGE 2 OF 2

CUSTOMER INFORMATION (CONTINUED)
                                   JIM MACDONALD
NOTIFICATION ADDRESS:              311 ARSENAL STREET, WATERTOWN, MA 02472 US
                                   JIM MACDONALD

(SUNGARD(R) LOGO)                                        DOC ID: 21010 VER.: 1.0
Availability Services                                             QUOTE ID: 9349
Keeping People and                            PRINTED: MAR. 29, 2007 06:12:01 PM
Information Connected.(TM)

                   THE TERMS OF THIS SCHEDULE ARE CONFIDENTIAL
<PAGE>

                                   ADDENDUM TO
               THE MASTER AGREEMENT FOR U.S. AVAILABILITY SERVICES
                                     BETWEEN
                SUNGARD AVAILABILITY SERVICES LP AND ATHENAHEALTH
                              DATED MARCH 31, 2007

                                   PAGE 1 OF 2

The Master Agreement for U.S. Availability Services, having the above date,
between SunGard Availability Services LP ("SunGard") and the Customer named
below, ("Master Agreement"), is amended effective July 1, 2007, as follows:

1.   Schedule Number 20448 v.1.0 for Managed IT Services ("MS Schedule") is
     amended as follows:

     a.   By changing the Commencement Date from July 1, 2007 to September 1,
          2007; and

     b.   By changing the "Invoice From" date on the Billing Schedule from July
          1, 2007 to September 1, 2007.

2.   The Addendum to the MS Schedule that modifies Section 2 of the Master
     Agreement is amended by deleting the first sentence of the Addendum and
     replacing it with the following:

     "The above referenced Schedule ("Specified Schedule"), which has a
     Commencement Date of September 1, 2007, is amended effective September 1,
     2007."

3.   The two-page Addendum to the MS Schedule is amended by changing the
     effective date of the Addendum from July 1, 2007 to September 1, 2007

4.   Schedule Number 16956 v.1 0 for Recovery Services ("RS Schedule") is
     amended as follows:

     a.   By changing the Commencement Date from July 1, 2007 to September 1,
          2007, and

     b.   By changing the "Invoice From" date on the Billing Schedule from July
          1, 2007 to September 1, 2007.

5.   The Addendum to the RS Schedule that modifies Section 2 of the Master
     Agreement is amended by deleting the first sentence of the Addendum and
     replacing it with the following:

     "The above referenced Schedule ("Specified Schedule"), which has a
     Commencement Date of September 1, 2007, is amended effective September 1,
     2007."

6.   The two-page Addendum to the RS Schedule is amended by changing the
     effective date of the Addendum from July 1, 2007 to September 1, 2007.

7.   The Addendum for Multiple Location Coverage to the RS Schedule is amended
     by changing the effective date of the Addendum from July 1, 2007 to
     September 1, 2007.

(SUNGARD(R)     Keeping People                       DOC ID.: VER.: ____________
AVAILABILITY    and Information                                   QUOTE ID: 9349
SERVICES LOGO)  Connected.(TM)                       PRINTED: __________________

                  THE TERMS OF THIS ADDENDUM ARE CONFIDENTIAL

<PAGE>

                                   ADDENDUM TO
               THE MASTER AGREEMENT FOR U.S. AVAILABILITY SERVICES
                                     BETWEEN
               SUNGARD AVAILABILITY SERVICES LP AND ATHENAHEALTH
                              DATED MARCH 31, 2007

                                   PAGE 2 OF 2

8.   Schedule Number 21010 v.1.0 for Professional Services ("PS Schedule") is
     amended as follows:

     a.   By changing the Effective Date from July 1, 2007 to September 1,
          2007; and

     b.   By changing the Monthly Fee commencement date from July 1, 2007 to
          September 1, 2007

By the signatures of their duly authorized representatives below, SunGard and
Customer, intending to be legally bound, agree to all of the provisions of this
Addendum and ratify the terms of the Agreement.

SUNGARD AVAILABILITY SERVICES LP        CUSTOMER: ATHENAHEALTH

By: /s/ Dennis Musolino                 By: /s/ James M. Macdonald
    ---------------------------------       ------------------------------------
Print Name: Dennis Musolino             Print Name: JAMES M. MACDONALD
Print Title: Regional Vice President    Print Title: CHIEF OPERATING OFFICER
Date Signed: 5/4/07                     Date Signed: April 25, 2007

(SUNGARD(R)     Keeping People                       DOC ID.: VER.: ____________
AVAILABILITY    and Information                                   QUOTE ID: 9349
SERVICES LOGO)  Connected.(TM)                       PRINTED: __________________

                  THE TERMS OF THIS ADDENDUM ARE CONFIDENTIAL<PAGE>
Confidential Materials omitted and filed separately with the Securities and
Exchange Commission. Asterisks denote omissions.

                                                                   EXHIBIT 10.10

                                                                           Final

               AMENDED AND RESTATED MARKETING AND SALES AGREEMENT

     This Amended and Restated Marketing and Sales Agreement ("Agreement")
between WORLDMED SHARED SERVICES, INC. d/b/a PSS WORLD MEDICAL SHARED SERVICES,
INC. ("PSS"), with its offices at 4345 Southpoint Boulevard, Jacksonville,
Florida, 32216, and athenahealth, Inc., a Massachusetts corporation ("Athena"),
with offices at 311 Arsenal Street, Watertown, MA 02472, (the "Parties") is
effective this 24th day of May, 2007 ("Effective Date").

     WHEREAS Athena, a developer of innovative web-based solutions for practice
automation, billing and collections needs, and PSS, an independent marketing and
sales organization, entered into a Marketing and Sales Agreement, effective
December 12, 2006 (the "Initial Agreement"), pursuant to which Athena and PSS
established a relationship whereby PSS promotes and arranges for initial orders
for Athena's services to existing and prospective customers.

     WHEREAS Athena and PSS desire to amend and restate the Initial Agreement
and accept the rights, obligations and covenants set forth in this Agreement in
lieu of their respective rights, obligations and covenants under the Initial
Agreement.

     THEREFORE PSS and Athena agree to the following terms and conditions:

1    DEFINITIONS

     The following terms have the meaning indicated here when used in this
     Agreement:

          1.1  "Affiliate": means, with respect to either Party, any person,
               firm, corporation or other legal entity which controls or is
               controlled by or under common control with such Party.

          1.2  "Bolt-On" means a software module that is an enhancement to an
               existing practice management information system (PMIS) or billing
               system or service, and that does not, alone or in conjunction
               with other Bolt-On modules, perform substantially all of the
               functions of such a system or service or otherwise constitute a
               replacement for such system or service.

          1.3  "Generally Available" refers to a Clinical Cycle Service
               developed by Athena that (i) has been CCHIT certified; (ii) is a
               stand-alone service offered without the requirement that the
               customer purchase any Revenue Cycle Service and (iii) has been
               released to the Athena sales force for general sale to
               prospective customers for implementation within six months of the
               sale.

          1.4  "Change of Control" means, with respect to either Party the
               consummation of (1) the dissolution or liquidation of such Party,
               (2) the sale of all or substantially all of the assets of such
               Party on a consolidated basis to an unrelated person or entity,
               (3) a merger, reorganization or consolidation in

<PAGE>

               which the outstanding shares of stock are converted into or
               exchanged for securities of the successor entity and the holders
               of such Party's outstanding voting power immediately prior to
               such transaction do not own at least a majority of the
               outstanding voting power of the successor entity immediately upon
               completion of such transaction, (4) the sale of all or a majority
               of the stock of the Party to an unrelated person or entity in a
               single transaction or series of related transactions, or (5) any
               other transaction or series of related transactions in which the
               holders of the Party's outstanding voting power immediately prior
               to such transaction do not own at least a majority of the
               outstanding voting power of the Party or a successor entity
               immediately upon completion of the transaction.

          1.5  "Clinical Cycle Services" means Athena's athenaClinicals service
               as it is defined from time to time by Athena in its standard
               service specifications, or other Athena services relating to the
               management of clinical processes as may be set forth from time to
               time in an addendum to this Agreement.

          1.6  "Contract Year" means each consecutive 12 month period during the
               term of this Agreement, commencing on the first day of the first
               month beginning after the Effective Date.

          1.7  "Distribution Business" means (i) any business or subsidiary
               thereof which has, as its primary source of revenue, revenue from
               the Distribution Market including, without limitation, any of
               McKesson Corporation, Henry Schein, Inc. or Cardinal Health,
               Inc., or any affiliate, successor or assign of any of the
               foregoing which entity has, as its primary source of revenue,
               revenue from the Distribution Market, and (ii) Significant
               Competitors. For purposes of this Section 1.7, the term
               "Significant Competitors shall mean businesses that (a) have a
               significant source or their revenue derived from the Distribution
               Market such that PSS reasonably and in good faith determines them
               to be significant competitors to PSS in the Distribution Market
               (regionally or nationally), and (b) are listed on Exhibit F
               hereto, as amended from time to time. The Parties shall meet
               within 30 days of the date hereof to agree in good faith upon the
               initial list for Exhibit F. At any time during the term of this
               Agreement, PSS may suggest additions to Exhibit F to the extent
               that additional businesses, in PSS's good faith judgment, are
               significant competitors to PSS in the Distribution Market
               regionally or nationally. Athena shall in good faith consider
               such suggestion and, within a reasonable period notify PSS of its
               agreement or disagreement with such suggestion, provided that
               Athena shall not unreasonably withhold its agreement. Athena
               shall use commercially reasonable efforts to terminate any
               existing arrangement with any such business as promptly as
               practicable. Upon such agreement, and upon the termination of any
               such existing arrangement, if applicable, the parties will
               execute an amendment to Exhibit F including the names of the
               suggested additions.

                                        2

<PAGE>

Confidential Materials omitted and filed separately with the Securities and
Exchange Commission. Asterisks denote omissions.

          1.8  "Distribution Market" means the business of distributing medical
               and surgical supplies to the physician ambulatory care market in
               the Territory.

          1.9  "Estimated Contract Value" means, with respect to a PSS Order or
               customer contract with a Practice, an amount equal to the
               estimated aggregate of annual recurring revenue to Athena from
               such PSS Order or customer contract, such estimate to be
               calculated by Athena using the same methodology that Athena uses
               to calculate commissions for its internal sales force.

          1.10 "Initial Sale" means a contract by a Practice for purchase of any
               Services that is the first contract of that Practice for any
               services with Athena.

          1.11 "Order" means an Athena-approved contract form fully filled out
               and executed by a PSS Lead for an Initial Sale, accompanied by a
               cash deposit from the Practice in the amount requested by Athena.
               Orders may be accepted by Athena only at its home office and only
               by its President or his or her designee. No Athena sales
               personnel are authorized to accept any Order.

          1.12 "Practice" means an office-based physician practice that: has its
               principle place of business within the Territory, is not on any
               exclusion list of the United States or any state government or
               any government agency, is not a governmental entity and does not
               bill government payors on a cost or other pass-through basis.
               Practices may also be referred to as "End-Users".

          1.13 "Proposal" means a document prepared by Athena and provided to
               PSS proposing contractual terms and conditions to PSS Leads.

          1.14 "PSS/Athena Customers" shall mean PSS Leads who execute an Order
               during the term of this Agreement which Order is accepted and
               executed by Athena.

          1.15 "PSS Leads" means those Practices who are registered by Athena as
               such pursuant to the provisions of Sections 7.2 and 7.3 hereof.

          1.16 "PSS Order" means an Order executed by a PSS Lead.

          1.17 "PSS Bookings" for any period means the aggregate Estimated
               Contract Value of PSS Orders executed by Athena during the
               period.

          1.18 "Revenue Cycle Exclusivity Date" means the earlier of (i) two
               years from the Effective Date or (ii) the date upon which Athena
               has executed an aggregate of at least * contracts to provide
               Services to PSS Leads which were obtained using the Virtual Sales
               Method.

          1.19 "Revenue Cycle Services" means Athena's athenaCollector(SM)
               service as defined from time to time by Athena in its standard
               service specifications, or

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Confidential Materials omitted and filed separately with the Securities and
Exchange Commission. Asterisks denote omissions.

               other Athena services relating to physician practice management
               as may be set forth from time to time in an addendum to this
               Agreement.

          1.20 "Services" means Revenue Cycle Services and Clinical Cycle
               Services.

          1.21 "Similar Services" means Similar Revenue Cycle Services and
               Similar Clinical Cycle Services.

          1.22 "Similar Revenue Cycle Services" means a third party's systems,
               software or services that perform or facilitate physician
               practice management, patient registration; patient scheduling;
               bill or accounts receivable generation and tracking; practice
               financial performance reporting; recovery of patient demographic,
               insurance and charge data; charge posting; tracking or follow- up
               on collections; and/or any other activity that is a substitute
               for some or all of the Revenue Cycle Services.

          1.23 "Similar Clinical Cycle Services" means a third party's systems,
               software or services that perform or facilitate the management of
               key clinical processes, including medical record documentation,
               order management, results processing, fax categorization and
               access to aggregated clinical patient information, and/or any
               other activity that is a substitute for some or all of the
               functionality of the Clinical Cycle Services.

          1.24 "Territory": USA

          1.25 "Virtual Sales Method" means Athena's method of selling its
               Services using the internet and telephone sales, without the
               intervention of a face-to-face sales call by Athena sales
               personnel, provided that presence of Athena personnel for sales
               coaching or training, including but not limited to presence under
               Section 2.1(c) below, will not constitute a face-to-face sales
               call by Athena.

2    IMPLEMENTATION; APPOINTMENT

          2.1  Athena shall, at its cost and expense, make the following
               contributions during the rollout of the sales of Services by PSS:

          (a)  Athena shall allocate $* toward the establishment of an
               incentive plan adopted by PSS for PSS Sales Reps in connection
               with the performance of PSS's sales, marketing and promotion
               obligations under this Agreement, with such incentives and award
               to be distributed by PSS by the end of the first Contract Year.

          (b)  During the first Contract Year, Athena shall co-sponsor 6-8
               training sessions for "expert" PSS Reps, to be conducted at sites
               selected by PSS, Athena will share equally with PSS in the
               payment of pre-approved expenses in connection with such training
               sessions.

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Confidential Materials omitted and filed separately with the Securities and
Exchange Commission. Asterisks denote omissions.

          (c)  Athena shall provide competent personnel to accompany the top
               performing 50% of PSS Reps (as designated by PSS) for two days of
               sales calls during the first Contract Year.

          (d)  During the first Contract Year, Athena will conduct on-line
               education for the PSS Reps on times and at a frequency that shall
               be mutually determined.

          2.2  On or before May 30, 2007, PSS shall (a) conduct a meeting with
               all of its Sales Reps in connection with the formal introduction
               and implementation of its sales and marketing plan for the
               Services and (b) allocate a mutually agreeable number of Sales
               Reps who focus on healthcare information technology and the
               Services to be trained by Athena staff members in connection with
               the performance of PSS's duties and obligations under this
               Agreement. Additionally, PSS shall, within 30 days after the
               Effective Date, establish a commission structure reasonably
               acceptable to Athena in which any commission rate payable to a
               PSS Sales Rep with respect to a sale of Revenue Cycle Services
               shall be at least *% greater than any commission rate payable
               to such Sales Rep with respect to a sale of Similar Revenue Cycle
               Services. The same commission structure shall apply to the
               Clinical Cycle Services as compared to Similar Clinical Cycle
               Services; provided that once the Clinical Cycle Services become
               Generally Available with respect to a particular medical
               specialty, any commission rate payable to a PSS Sales Rep with
               respect to a sale of Clinical Cycle Services to such medical
               specialty shall be at least *% greater than any commission rate
               payable to such Sales Rep with respect to a sale of Similar
               Clinical Cycle Services.

          2.3  Athena hereby grants PSS (including its Affiliates) the
               non-exclusive right to distribute, sell, market and promote the
               Services only in the Territory, subject to the terms and
               conditions of this Agreement. PSS shall ensure that its sale
               representatives ("PSS Sales Reps") are required to comply with
               the terms and conditions of this Agreement. Except as otherwise
               specifically set forth herein, PSS shall not be precluded from
               marketing or selling Similar Services.

3    RELATIONSHIP; EXCLUSIVITY

          3.1  The relationship of PSS to Athena shall be that of an independent
               contractor engaged in marketing and selling the Services to PSS's
               current and prospective customers.

          3.2  Nothing contained in this Agreement shall be deemed to create a
               partnership or joint venture between the Parties. Neither the
               making nor the performance of this Agreement shall be construed
               in any manner to have established a joint venture or partnership.

                                        5

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Confidential Materials omitted and filed separately with the Securities and
Exchange Commission. Asterisks denote omissions.

          3.3  Neither Party shall hold itself out as the agent of the other,
               nor shall they incur any indebtedness or obligations in the name
               of, or which shall be binding on the other, without the prior
               written consent of the other. Each Party assumes full
               responsibility for its own personnel under laws and regulations
               of the governmental authorities of the competent jurisdiction.

          3.4  Both Parties shall comply with all laws, regulations and orders
               relating to its performance under this Agreement, including
               without limitation all anti-fraud and anti-kickback laws,
               regulations and orders. PSS and Athena each agrees, warrants and
               certifies that in performance of this Agreement it will fully
               comply with the provisions of the Social Security Act, Section
               1128B(b) (42 U.S.C. Section 1320a-7b(b)) which prohibit the
               knowing or willful offer, solicitation or receipt of any
               remuneration, including discounts and/or rebates, directly or
               indirectly, in return for purchasing, leasing or ordering, or
               arranging for or recommending the purchase, lease or order, of
               any services or items, including any Services, for which payment
               may be made in whole or in part under a federal health care
               program.

          3.5  Without limiting the generality of 3.4, neither Party shall
               directly or indirectly, pay any compensation, amounts, benefits
               or other consideration to any employee of the other Party, or any
               family member of the other Party's employee, (other than
               customary gifts valued under $100 in the course of one year, and
               business meals in the ordinary course) without the express
               written consent of such Party. The provisions of this Section
               shall survive termination or expiration of this Agreement for any
               reason.

          3.6  Athena agrees not to send any product, or marketing materials or
               other communications (including without limitation, email, voice
               mail, direct mail or fax) to a Group of PSS's employees or agents
               without prior written approval from PSS. For purposes of this
               Section, a "Group" is defined as more than five people receiving
               the same or similar communication. The provisions of this Section
               shall survive termination or expiration of this Agreement for any
               reason.

          3.7  Notwithstanding anything to the contrary in this Agreement,
               during the term of this Agreement, Athena (a) shall not permit
               any of its marketers, resellers or distributors to assign or
               otherwise make available their rights under any of their
               agreements with Athena to a Distribution Business which would
               effectively allow the Distribution Business to market, sell or
               distribute any of the Services; (b) shall not enter into a
               distribution arrangement with any business which has, as its
               primary source of revenue, the manufacture of medical and
               surgical supplies for the physician ambulatory care market in the
               Territory unless such arrangement provides a commission rate
               payable to such manufacturer for the sale of Services which is at
               least *% less than the commission rate payable to PSS
               hereunder; (c) shall not contract for, agree with or accept
               compensation from any Distribution Business for the sale of any
               medical, surgical or pharmaceutical products to its customers,
               (d)

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<PAGE>

Confidential Materials omitted and filed separately with the Securities and
Exchange Commission. Asterisks denote omissions.

               shall not sell, promote, market, contract for, or agree with any
               Distribution Business other than PSS to provide services that are
               substantially similar to the services provided by PSS under this
               Agreement, and (e) shall not contract for, agree with or grant
               any rights to any Distribution Business other than PSS to sell,
               resell, offer for sale or distribute any Services within the
               Territory, and Athena shall ensure that any such arrangements in
               effect prior to the Effective Date shall have expired or shall
               have been terminated as of the Effective Date, such that PSS
               shall be the sole and exclusive Distribution Business with whom
               Athena has a sales and marketing arrangement with respect to the
               Services. For the avoidance of doubt, except as otherwise
               provided in this Section 3.7, Athena reserves the right to sell,
               in the Territory and elsewhere, to Practices and others, all of
               the Services, directly or through any and all resellers,
               distributors, representatives, employees or other agents or
               contractors selected or appointed at any time by Athena.

          3.8  PSS will not be entitled to any commission with respect to any
               sale made or Order obtained by Athena other than with respect to
               a PSS Lead as set forth herein. Notwithstanding the foregoing,
               Athena agrees it shall not directly or indirectly market,
               solicit, offer or sell medical supply products (not including the
               Services or Similar Services) to any third party, without PSS's
               prior written consent.

          3.9  From and after the Revenue Cycle Exclusivity Date, except as set
               forth in this paragraph PSS shall not contract or enter into any
               partnership with any business that is a provider of Similar
               Revenue Cycle Services (a "Revenue Cycle Vendor") other than
               Athena. On or before the Revenue Cycle Exclusivity Date, any and
               all contracts and partnership arrangements between PSS and any
               other Revenue Cycle Vendors in effect as of the Effective Date or
               entered into between the Effective Date and the Revenue Cycle
               Exclusivity Date (other than arrangements in connection with a
               Bolt- On as set forth in Section 3.10 below) shall have expired
               or shall have been terminated, such that Athena shall be the sole
               and exclusive Revenue Cycle Vendor with whom PSS has a sales and
               marketing arrangement. Notwithstanding the foregoing, PSS may
               enter into and continue contracts or partnership arrangements
               with respect to Bolt-On products or services, as long as such
               arrangements provide that the commission rate payable to PSS Reps
               in connection with the sale of such Bolt-On products is at least
               *% less than the commission rate payable in connection with the
               sale of the Services. The foregoing limitation on commission
               rates shall not apply, however, to the existing agreement between
               PSS and ClaimRemedi Inc.

          3.10 From and after the date that Clinical Cycle Services are
               Generally Available with respect to a particular medical
               specialty, PSS agrees that (i) it will not enter into any new
               agreements or arrangements to sell any third party's Similar
               Clinical Cycle Services relating to such medical specialty that
               are based on an application service provider ("ASP") model, and
               will terminate

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<PAGE>

               any such agreement or arrangement then in effect, and (ii) in the
               event PSS enters into a contract, agreement or arrangement with
               any provider of Similar Clinical Cycle Services relating to such
               medical specialty that are based on an ASP model, PSS shall not
               be entitled to accept any commissions for sales of Similar
               Revenue Cycle Services sold by such provider.

          3.11 After termination or expiration of this Agreement:

          (a)  PSS shall not sell Similar Services to any PSS/Athena Customer;
               if it does so and cannot cure such action (for example, by
               terminating such sale) within 30 days of receipt of notice from
               Athena, the obligations of Athena set forth in paragraph (b) of
               this Section 3.11 shall terminate and be of no further force or
               effect.

          (b)  Athena shall not directly or indirectly (i) sell any medical,
               surgical or pharmaceutical products to any PSS/Athena Customer,
               or (ii) accept compensation for any medical, surgical or
               pharmaceutical products sold to any PSS/Athena Customer.

          (c)  Notwithstanding the foregoing, (i) if this Agreement is
               terminated by PSS in accordance with Sections 5.1, 5.2 or 5.4 of
               this Agreement, then PSS shall be relieved of its obligations set
               forth in paragraph (a) of this Section 3.11 and such obligations
               shall have no force or effect; and (ii) if this Agreement is
               terminated by Athena in accordance with Sections 5.1, 5.2 or 5.4
               of this Agreement, then Athena shall be relieved of its
               obligations set forth in paragraph (b) of this Section 3.11 and
               such obligations shall have no force or effect.

          3.12 Athena and PSS intend to work together toward the development,
               marketing and sale of an inventory management system having the
               characteristics set forth on Exhibit E hereof, which development,
               marketing and sale and other related rights and obligations of
               the Parties shall be as set forth in an amendment to this
               Agreement.

4    TERM OF AGREEMENT

          4.1  The term of this Agreement shall commence on the Effective Date
               and, subject to any earlier termination of this Agreement in
               accordance with its terms, shall continue for a period of three
               (3) years. Subject to any earlier termination of this Agreement
               in accordance with its terms, this Agreement shall automatically
               renew after the initial 3 year term and the term of this
               Agreement shall be extended for successive one year periods
               unless either Party gives notice of termination no later than
               sixty (60) days prior to expiration of the then-current term.

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<PAGE>

          4.2  In the event of expiration or termination of this Agreement for
               any reason, this Agreement shall continue to apply to all Orders
               previously accepted by Athena.

5    TERMINATION

          5.1  If either Party breaches or fails to perform any of the
               obligations imposed upon it under the terms of this Agreement,
               the other Party may terminate the Agreement in the event the
               breaching Party fails to cure such breach within sixty (60) days
               after receiving written notice of such breach from the non-
               breaching Party.

          5.2  To the extent permitted by law, if either Party becomes
               insolvent, is unable to pay its debts when due, files for
               bankruptcy, is subject of involuntary bankruptcy, has a receiver
               appointed, or has its assets assigned, the other Party may
               terminate this Agreement immediately upon notice to the other
               Party and may cancel any unfulfilled obligations.

          5.3  Either Party may terminate this Agreement without cause by giving
               the other Party at least one hundred twenty (120) days written
               notice thereof.

          5.4  Either Party may terminate this Agreement by written notice to
               the other Party within 30 days after a Change of Control of such
               other Party.

          5.5  In event of a termination of this Agreement, (i) PSS shall
               immediately cease marketing, promoting or initiating sales of the
               Services, (ii) PSS shall cease use of all Athena trademarks,
               service marks and trade names and (iii) each Party shall return
               all Confidential Information and other tangible materials as
               provided herein.

          5.6  In the event of termination or expiration of this Agreement for
               any reason, PSS shall be entitled to continued payment of its
               commission for a tail period of two (2) years following such
               termination or expiration, with respect to customers who had
               purchased Revenue Cycle Services and/or Clinical Cycle Services
               as of the Termination Date, as calculated, payable and set forth
               herein, for as long as the customers use such Services. There
               will be no situation (post-termination or expiration of this
               Agreement) by which Athena may discontinue or interrupt the
               payment of commissions to PSS during the 2 year tail unless and
               only to the extent a customer terminates the Services.

6    ASSIGNMENT

          During the term of this Agreement, the rights of either Party under
this Agreement shall not be assigned nor shall the performance of duties
hereunder be delegated, without the other Party's prior written consent, which
shall not be unreasonably withheld; provided however, either Party may assign
this Agreement (i) to an Affiliate that is an Affiliate as of the date of
execution of this Agreement; (ii) to an Affiliate whose assets consist entirely
of the assets of an

                                        9

<PAGE>

Affiliate or Affiliates that were Affiliates as of the date of execution of this
Agreement; or (iii) in the event of the sale of all or substantially all the
assets of the Party or a controlling interest in the Party. Notwithstanding the
generality of the foregoing, in the event Athena, or a controlling interest
therein, is acquired by a third party, whether through merger, restructuring,
sale of assets, sale of stock or otherwise, Athena agrees to require the
successor third party to assume all obligations under this Agreement. This
Agreement shall be binding on all successors and assigns of Athena.

7    PRICES AND PAYMENTS

          7.1  Athena shall pay PSS a commission for the sale of the Services to
               PSS Leads in accordance with Exhibit A, attached hereto, subject
               to any applicable offsets in accordance with Exhibit A.

          7.2  For purposes of this Agreement, a Practice shall be deemed a
               registered PSS Lead if it has been introduced to Athena through
               any one of the following marketing tactics and is registered in
               accordance with Section 7.3 below:

          (a)  The PSS Sales Rep scheduled a telephone or face-to-face meeting
               with a representative of the Practice and Athena;

          (b)  The PSS Sales Rep is responsible for a representative of the
               Practice attending an Athenahealth sales webinar;

          (c)  The PSS Sales Rep has directed a representative of the Practice
               to attend a local Athenahealth sales seminar; or

          (d)  The PSS Sales Rep called and informed the appropriate Athena
               sales representative of the Practice and documented
               Practice-specific information as reasonably required by Athena.

          7.3  If PSS, through its pursuit of one or more of the tactics set
               forth in Section 7.2 above or otherwise, identifies a Practice
               that it believes in good faith could generate an Order, PSS will
               inform Athena by e-mail or by telephone in accordance with
               Section 7.2 (d) above, identifying the Practice, its size and
               specialty. If Athena has not previously registered the Practice
               in its customer relationship management system as a lead, and
               unless Athena knows that pursuit of the sale is not advisable,
               Athena will promptly (within two business days) notify PSS by
               e-mail that the Practice is qualified and registered as of the
               date of such email, and the Practice will be deemed a "PSS Lead"
               for a period of 18 months from the date of such registration. If
               the Practice is already registered in Athena's customer
               relationship management system as a lead, Athena shall in good
               faith conduct a diligent review to determine the background of
               the lead and to determine if it was properly registered and
               maintained as a lead, and shall, as promptly as is practicable,
               inform PSS in writing of the results of such review and the
               reasons for not registering the potential customer as a PSS Lead.
               Notwithstanding anything to the contrary in this Agreement, if
               Athena

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Confidential Materials omitted and filed separately with the Securities and
Exchange Commission. Asterisks denote omissions.

               contracts for the provision of any Services to a PSS Lead during
               the 18 month period after its registration, such contract shall
               be deemed an Initial Sale under a PSS Order for purposes of this
               Agreement.

          7.4  Athena will effectively and promptly follow up on all PSS Leads
               within 10 days of the Practice being deemed a PSS Lead and Athena
               will keep PSS informed of the results. However, if Athena
               reasonably and in good faith believes that pursuit of the sale is
               not advisable, it shall so notify PSS promptly after designation
               of the Practice as a PSS Lead, and in such event Athena shall not
               be obligated to follow up on such PSS Lead. If the PSS Lead is a
               Practice consisting of four or more individuals, Athena's follow
               up activities shall include an in-person meeting between the
               Practice and an Athena field sales rep. If the PSS Lead is a
               Practice consisting of less than four individuals, Athena's
               follow up activities shall include its Virtual Sales Method.

          7.5  Payment from Athena to PSS shall be in U.S. dollars fully payable
               within thirty (30) days following each month end. A commission
               payment report will be submitted to PSS within fifteen (15) days
               following each month end.

          7.6  In competitive situations or as part of a large order, PSS and
               Athena may agree on a special price arrangement. In addition,
               Athena may, in collaboration with PSS, agree to discount standard
               pricing by up to *% (or up to the then current discount
               threshold for Athena's sales representatives) under circumstances
               in which price is mutually determined by Athena and PSS to be an
               obstacle to a sale of Services. For avoidance of doubt, the
               foregoing does not grant any right to PSS to determine Athena
               pricing to Athena customers nor the fact that PSS may get
               commissions under this Agreement be deemed to prevent Athena from
               offering other discounts or credits to customers, from declining
               to contract with prospective customers or from terminating
               customer contracts as it, alone, determines.

          7.7  To the extent Athena is not otherwise prohibited under this
               Agreement from using other independent resellers of the Services,
               Athena (including its Affiliates, successors and assigns) agrees
               that the commission rates and the total commission payout to be
               paid to PSS under this Agreement shall be at least as favorable
               as the commission rates and/or total commission payout to be paid
               by Athena, as applicable, to other independent resellers of
               Athena's Services.

          7.8  Unless the Parties otherwise agree, a sales booking quota shall
               apply to PSS during the fifth Contract Year equal to *% of the
               PSS Bookings achieved during the fourth Contract Year and each
               Contract Year after the fifth Contract Year shall have a sales
               booking quota as may be agreed upon by the Parties, provided that
               if after good faith discussions the Parties fail to agree on a
               quota, then the quota shall be equal to *% of the PSS Bookings
               achieved in the previous Contract Year. Athena shall be obligated
               to pay

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<PAGE>

               continuing commissions on PSS Orders indefinitely (except in the
               case of termination or expiration of this Agreement as set forth
               in Section 5.6 hereof); provided that if PSS fails to meet it
               sales booking quota in any Contract Year, then Athena's
               obligation to pay continuing commissions on PSS Orders entered
               into prior to the end of such Contract Year shall be limited to
               five years with respect to each PSS Order. For the avoidance of
               doubt, (i) except as otherwise provided in this Section 7.8 and
               Section 5.6, Athena shall be obligated to pay PSS the commissions
               under Exhibit A for as long as the customer uses the applicable
               Services, and (ii) any failure by PSS to meet its sales booking
               quota in any Contract Year shall have no affect on the
               obligations of Athena set forth in Article 3 hereof.

8    OBLIGATIONS OF PSS

          8.1  PSS will use its best efforts to promote and market the Services
               within the Territory, and engage in sales activities approved by
               Athena in writing in the Territory, including but not limited to
               prospecting for sales leads and distributing printed material
               supplied by Athena to potential customers. Athena may, but will
               not be obligated to identify sales leads for PSS.

          8.2  PSS will introduce Athena sales personnel to PSS Leads and will
               coordinate and participate (where reasonably feasible for it) in
               an initial sales meeting with such Practices and in demonstration
               of the Services by Athena.

          8.3  PSS will assist Athena in identifying Practice needs and
               expectations with respect to Proposals.

          8.4  As reasonably requested by Athena, the PSS sales representative
               will coordinate and participate in presentation of Proposals to
               PSS Leads.

          8.5  PSS will transmit to PSS Leads Athena technical information and
               other pre-sales customer liaison information to Athena and will
               provide pre-sales advice to Athena as to the implementation of
               Services and training programs. PSS will inform Athena of all
               inquiries and requests of PSS Leads relating to the potential
               sales of Services, will promptly and diligently collect and
               communicate to Athena all requests for price and term quotes from
               them, and will contemporaneously furnish Athena with copies of
               all pertinent correspondence and communications by PSS with them.

          8.6  PSS will provide such other assistance with respect to PSS Leads
               as Athena may from time to time reasonably request.

          8.7  PSS will make periodic reports to Athena, as reasonably requested
               by Athena, with respect to potential sales, including available
               information relating to commercial conditions in the Territory.

          8.8  PSS will adhere to Athena's price and terms established for any
               Practice and will not offer, promise, agree to or disclose prices
               or terms for Services not

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<PAGE>

               as explicitly approved by Athena in writing on a
               Practice-by-Practice basis. PSS will adhere to, cooperate and
               comply with Athena's sales policies and programs, will at all
               times conduct its business in a manner as will reflect favorably
               on Athena and the Services and will not engage in any deceptive,
               misleading, illegal or unethical business practice.

          8.9  PSS will at all times designate and refer to the Services by
               their current names (as designated by Athena) and identify them
               as the Services of Athena being offered for sale through PSS. PSS
               will not represent or permit representation of the Services as
               its own, as supplied by it or as contracted by it. PSS will not
               engage in advertising or in Internet or media promotions or in
               any direct mail or telephone or fax marketing campaign of the
               Services. For the avoidance of doubt, sales information
               concerning the Services provided to Practices who call the PSS
               call center shall not constitute a telephone marketing campaign.
               No signage, written material, business cards, brochures, or other
               descriptions of PSS or its business will include mention of
               Athena unless individually and specifically approved in writing
               by a vice-president or higher officer of Athena. In advance of
               any use or distribution, PSS will furnish and get Athena's
               written approval for copies of all written or electronic matter
               used by PSS which are not supplied by Athena and in which Athena
               or the Services are mentioned.

          8.10 PSS will promptly advise Athena concerning any market information
               that may come to PSS's attention regarding the Services, PSS's
               market position, and the continued competitiveness of the
               Services in the marketplace, including charges, complaints, or
               claims about the Services. PSS shall confer with Athena from time
               to time, at the request of Athena on matters relating to market
               conditions, sales forecasting and service planning.

          8.11 PSS will not make any representations, warranties, or guarantees
               to End- Users or to the public with respect to the
               specifications, features or capabilities of athenaNet(R) services
               that are inconsistent with the literature distributed by Athena,
               including all warranties, disclaimers, and license terms
               contained in such literature.

          8.12 PSS will be responsible for all expenses incurred by it in
               connection with the implementation and performance of its duties
               and obligations under this Agreement, including but not limited
               to, the expenses incurred in fulfilling its duties and
               responsibilities as described above; salaries for its personnel;
               costs and expenses associated with establishing and maintaining
               its sales organization and offices; communication expenses;
               travel expenses, promotion expenses and any and all taxes,
               duties, tariffs or charges which may be imposed on PSS. Subject
               to Section 2.2 hereof, PSS, in its sole discretion, will
               determine how PSS Sales Reps are compensated for the sale of
               Services.

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<PAGE>

          8.13 PSS will designate an individual as the primary point of contact
               to communicate with Athena personnel and to manage strategy and
               logistics related to the arrangements described in this
               Agreement.

9    OBLIGATIONS OF ATHENA

          9.1  Athena will provide information to PSS on Service configuration,
               price, delivery, scheduling, and implementation, sales orders,
               order status, and invoices as reasonably requested by PSS with
               respect to Practices that PSS has identified to Athena as
               prospects. Athena shall provide PSS, on an as needed basis, with
               Athena's sales pipeline report as in existence from time to time;
               provided that PSS shall agree that if such information is shared
               with any member of PSS's field sales organization, it will notify
               Athena.

          9.2  Athena, at its sole expense, will provide PSS with Service
               marketing brochures, descriptions and other marketing collateral
               in quantities and types as reasonably determined by Athena.
               Athena will provide PSS with reasonable sales and technical
               information regarding the Services, at Athena's sole expense and
               in quantities to be established by Athena. All such items
               furnished by Athena to PSS will remain the property of Athena,
               and to the extent not distributed to prospects, will be returned
               to Athena or certified as destroyed by PSS when Athena so
               requests, but in no event later than the effective date of
               termination of this Agreement.

          9.3  Athena will receive and consider in good faith all inquiries and
               request for proposals, terms and prices provided to it by PSS and
               Athena will provide all practices deemed to be PSS Leads with
               proposal and contract forms sufficient to provide to prospects
               proposals, quotes of price and terms. Athena will receive and
               consider in good faith acceptance of all Orders submitted by PSS.
               Notwithstanding the foregoing and without limitation, Athena may
               refuse to accept an Order where Athena business records show that
               there is pre-existing sales activity by another person or entity
               on behalf of Athena, or Athena in its discretion determines that
               the sale is not advisable.

          9.4  If Athena accepts an Order, Athena will use its best efforts to
               meet the delivery dates and terms therein and otherwise to
               fulfill its commitments pursuant to that Order. Athena will
               assume all responsibility for the quality and performance of the
               Services by it not caused by incorrect or incomplete information
               provided to it or to the Practice by PSS. Athena will provide and
               make available expert personnel and sales and technical
               assistance, in the manner and at the time Athena considers
               appropriate under the circumstances, to follow-up PSS's promotion
               and sales activities and to fulfill accepted Orders. Athena will
               be solely responsible for the design, development, supply,
               production and performance of Services, and the performance of
               its personnel, but in no event will PSS be entitled to nor have
               any right to claim any compensation or loss for loss of
               clientele, sales,

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               or commission or for any other reason arising from Athena's
               performance or failure to perform any obligations under any
               accepted Order provided that Athena has acted in a good faith and
               reasonable manner.

          9.5  As reasonably requested by PSS, Athena from time to time will
               arrange for briefings and demonstrations to PSS and to Practice
               prospects with respect to the Services, as well as more advanced
               programs depending on the circumstances to familiarize PSS and
               prospects with the use and applications of the Services and to
               facilitate PSS's performance of its duties hereunder. Athena and
               PSS will consult from time to time and review the nature and
               content of such briefings and programs to determine whether they
               are accomplishing their purposes and whether improvements can be
               made thereto. Such briefings and programs may take place at
               Athena's facilities or elsewhere as may be approved by Athena.
               Athena will bear the cost of arranging and conducting such
               programs, including the cost of its personnel, and PSS will
               likewise bear its own costs and expenses in attending such
               programs.

          9.6  Athena will provide a one-day training course to PSS with respect
               to the athenaNet(R) Services without charge at Athena's
               facilities two (2) times per year for the term of this Agreement.
               Athena may combine this training with customer or internal
               training, as it deems appropriate. All costs related to travel
               and personal expenses for PSS employees will be the
               responsibility of PSS.

          9.7  Athena will be responsible for billing and collection of all fees
               for Services from End-User customers.

          9.8  Athena shall provide sales support during normal business hours
               (8:30 AM to 5:00 PM EST/EDT, Monday through Friday), and shall
               designate a primary customer service representative for PSS.

          9.9  Athena will designate an individual as the primary point of
               contact to communicate with PSS personnel and to manage strategy
               and logistics related to the arrangements described in this
               Agreement.

          9.10 Athena will not pay its sales personnel a higher commission rate
               with respect to sales of Services to customers other than
               PSS/Athena Customers than it pays on sales to PSS/Athena
               Customers.

10   ADVERTISING, PROMOTIONS, TRADEMARKS AND COPYRIGHTED MATERIAL

          10.1 Athena hereby grants PSS a non- exclusive, royalty-free limited
               right and license during the term of this Agreement to use,
               display, copy and distribute only those Athena trademarks,
               service marks or trade names which are associated with the
               Services and are contained in the marketing collateral and other
               materials provided to PSS pursuant to this Agreement or

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<PAGE>

               otherwise approved for use by PSS by Athena pursuant to this
               Agreement, solely for purposes of and in connection with the
               advertisement, promotion and sale of the Services. PSS may not
               alter any such marketing collateral or other materials provided
               by Athena in any way, without the prior express written consent
               of Athena. Except as expressly permitted herein, or as expressly
               agreed by the parties in writing, PSS may not affix or display
               any Athena mark to any materials other than the marketing
               collateral and other materials provided by Athena. Athena also
               grants PSS, during the term of this Agreement, a non-exclusive
               royalty-free limited right and license to post or otherwise
               display on the PSS Intranet, Extranet and Internet web sites only
               those Athena trademarks, service marks or trade names, and/or
               other materials, as the Parties mutually agree in writing from
               time to time, solely for purposes of and in connection with the
               advertisement, promotion and sale of the Services; provided that
               for purposes of quality control, any such posting and associated
               textual description, placement, or design is approved in advance
               in writing by Athena. Any use of any Athena trademark, service
               mark or trade name by PSS pursuant to this paragraph, and any
               goodwill generated thereby, shall inure solely to the benefit of
               Athena, and nothing herein shall convey to PSS any ownership
               right, title or interest in or to any patent, trademark, service
               mark or trade name belonging to Athena.

11   SALES, MARKETING AND SUPPORT OBLIGATIONS

          11.1 Athena shall maintain a commercially reasonable number of
               sales/support representatives to provide marketing, demonstration
               and sales support for PSS's sales efforts under this Agreement.
               The sales representatives shall be reasonably available to PSS as
               reasonably required in support of PSS's sales efforts with
               respect to the Services. Athena shall use commercially reasonable
               efforts to increase the number of sales/support representatives
               within one (1) year after the Effective Date of this Agreement.
               Athena shall replace terminated or transferred sales
               representatives within sixty (60) days after such termination or
               transfer.

          11.2 PSS and its Sales Reps shall become knowledgeable about and
               maintain detailed knowledge of the Services and shall arrange for
               those responsible for training Sales Reps to attend sales
               training meetings as may periodically be scheduled by Athena.
               Travel and other incidental expenses of PSS incurred for such
               training shall be borne by PSS. In addition, in certain
               circumstances involving sales to potential customers which are
               not PSS Leads, at the discretion of Athena, Athena may request a
               PSS Sales Rep to provide account guidance, assistance with
               negotiations or to assist in accelerating stalled sales. If such
               a request is made and such assistance is given, then PSS shall be
               entitled to a Deal Assist commission with respect to such sale,
               as set forth on Exhibit A.

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          11.3 PSS acknowledges that all customers who purchase the Services
               must enter into an Athenahealth Services Agreement with Athena,
               the current forms of which, relating to Revenue Cycle Services
               and Clinical Cycle Services, respectively, are attached hereto as
               Exhibit B-1 and Exhibit B-2, before services will be provided by
               Athena and the Services will be available to such customers.
               Neither PSS nor any of the PSS Sales Reps shall modify,
               supplement or otherwise change the terms and conditions of the
               Services Agreement.

12   BOOKS AND RECORDS

          12.1 Each Party shall retain accurate books and records relating to
               performance of and compliance under this Agreement for a minimum
               of two (2) years after their creation. Each Party shall have the
               right to inspect such books and records relating to the Parties'
               relationship and business over the two (2) year period, no more
               frequently than twice each calendar year. The following terms and
               conditions shall apply with respect to each such audit:

          12.2 The audited Party shall designate a central contact point and
               coordinator for the audit;

          12.3 The auditing Party shall provide the audited Party with at least
               ninety (90) days prior advance written notice of the requested
               audit, and shall promptly notify the audited Party of any
               regulatory or governmental agency requested audit;

          12.4 The audited Party shall have the right to notify the auditing
               Party of annual "blackout periods" during which times, due to
               other demands on the audited Party's internal resources, the
               audited Party shall not be obligated to prepare for or permit the
               requested audit, or any other audit that is not legally mandated
               to be conducted within a particular period of time;

          12.5 The auditing Party shall work and coordinate in good faith with
               the audited Party to establish a reasonable audit sampling
               approach to minimize the disruption to the audited Party's
               operations; and

          12.6 The auditing Party shall bear the costs for such audit; provided,
               however, that if an independent auditor determines during the
               audit that a discrepancy exists in the audited company's books
               and records which resulted in a payment error in any month of
               fifteen percent (15%) or more, then the audited Party shall
               reimburse the auditing Party for all reasonable expenses incurred
               by the auditing Party in conducting any such audit.

13   REPRESENTATIONS AND WARRANTIES

          13.1 Both Parties, represent, warrant and covenant to the other that:

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<PAGE>

               13.1.1. They are and will continue to be a duly formed and
                    validly existing entity in good standing under the laws of
                    the state of its organization.

               13.1.2. The execution, delivery and performance under this
                    Agreement, and the transactions and actions contemplated
                    hereunder, have been duly authorized by all necessary
                    actions by each Party. This Agreement, when duly executed
                    and delivered, constitutes a valid, legal and binding
                    obligation of both Parties enforceable in accordance with
                    its terms.

               13.1.3. The execution, consummation of the transactions
                    contemplated by, and/or compliance with the terms and
                    provisions of this Agreement, will not conflict with, result
                    in a breach of, or constitute a default under any of the
                    terms, conditions or provisions of either Party's
                    constituent documents or any agreement, license or other
                    contract or instrument to which either Party is a party or
                    by which either Party may be bound or affected or to which
                    either Party is subject, or any law, regulation, order,
                    writ, injunction or decree of any court or agency or
                    regulatory body.

               13.1.4. They will not publish or cause to be published any
                    statement, or encourage or approve any advertising or
                    practice, which might mislead or deceive any parties or
                    might be detrimental to the good name, marks, good will or
                    reputation of either Party.

               13.1.5. They will conduct business in a manner that reflects
                    favorably at all times on the other Party and their
                    reputation; not engage in deceptive, misleading, or
                    unethical practices; make no false or misleading
                    representations with regard to the other Party; nor publish
                    or employ any misleading or deceptive advertising material.
                    Without limiting the generality of the foregoing, the
                    Parties agree to be bound by the provisions set forth in
                    Exhibit D hereto, which is hereby incorporated herein by
                    reference.

          13.2 Athena represents and warrants to PSS that:

               13.2.1. Athena has good and marketable title to, or has otherwise
                    adequate rights in, all software and systems used in the
                    delivery of the Services.

               13.2.2. To the best of Athena's knowledge, the use of the
                    Services by any existing or potential customer of PSS does
                    not and will not infringe any intellectual property right
                    held by any third party, provided that such customer
                    complies with all of the terms, conditions, and

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<PAGE>

                    restrictions on use contained within such customer's
                    Services agreement with Athena.

               13.2.3. Except as listed in Exhibit C to this Agreement, to the
                    best of Athena's knowledge, there are no threatened or
                    pending claims, disputes, actions or suits involving Athena
                    or any of its Affiliates that (i) relate to any software or
                    system used in the delivery of the Services and (ii) allege
                    infringement of any intellectual property right held by any
                    third party.

14   FORCE MAJEURE

          No Party to this Agreement shall be liable for failure or delay of
performance of any of its obligations hereunder if such failure or delay is due
to causes beyond its reasonable control including, without limitation, natural
disasters, fires, earthquake or storm, strikes, failures of public utilities or
common carriers, acts of war, or intervention, acts restraints or regulations of
any governmental authority, including compliance with any order of any
governmental authority; provided that any such delay or failure shall be
remedied by such Party as soon as possible after removal of the cause of such
failure. A Party suffering such delay or which expects to suffer such delay
shall promptly notify the other Party in writing of the cause and expected
duration of such delay. In the event a delay lasts or is expected to last more
than sixty (60) days the other Party shall have the option to terminate this
Agreement upon written notice.

15   CONFIDENTIALITY

          15.1 Return of Confidential Information. Each Party (the "Receiving
               Party") shall return to the other all Confidential Information
               (as defined below) received from that other Party (the
               "Disclosing Party"), along with all copies, immediately upon the
               termination of this Agreement.

          15.2 Remedies. Each Party shall be liable to the other for damages
               caused by any breach of this Section 15 or by any unauthorized
               disclosure or use of the other's Confidential Information by such
               Party or third parties to whom unauthorized disclosure was made.
               In addition to any other rights or remedies which may be
               available to it, each Party shall be entitled to seek appropriate
               injunctive relief or specific performance to prevent unauthorized
               use or disclosure of Confidential Information. Each Party
               acknowledges and agrees that the unauthorized use or disclosure
               of the other Party's Confidential Information will cause
               irreparable injury to the other Party and that money damages will
               not provide adequate remedy to the other Party.

          15.3 Confidential Information. The business and technical information
               developed or acquired by, or entrusted by a third party to, each
               Party, including, but not limited to, customer lists, names,
               contact information, addresses, telephone numbers, email
               addresses, Service designs, manufacturing processes, Service
               pricing, pricing strategies and pricing

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               information, business plans, and all related trade secrets
               ("Confidential Information") are the exclusive property of such
               Party, are among such Party's valuable assets, and their value to
               that Party may be lost by their unauthorized use or disclosure to
               persons or entities not related to such Party. Neither Party
               shall, directly or indirectly, use the other Party's Confidential
               Information received hereunder (other than directly in connection
               with its obligations hereunder) or disclose or disseminate it to
               any party or entity during the term of this Agreement or at any
               time thereafter (subject to the exceptions below), regardless of
               the reason for such expiration, without the express written
               consent of the other Party. This obligation of confidentiality
               shall not apply to any Confidential Information which (i) was
               properly and lawfully known to the Receiving Party at the time of
               receipt without any misconduct on the Receiving Party's part;
               (ii) was in the public domain at the time of receipt; (iii)
               becomes public through no wrongful act of the Party obligated to
               keep it confidential; or (iv) is properly received by the
               Receiving Party from a third party who did not thereby violate
               any confidentiality obligations to the Disclosing Party.

          15.4 Cooperation. The Receiving Party may disclose Confidential
               Information in response to a request for disclosure by a court or
               other governmental authority, including a subpoena, court order,
               or audit-related request by a taxing authority or other
               governmental authority, or if so obligated under applicable laws
               or regulatory authority, provided that the Receiving Party shall
               promptly notify the Disclosing Party and cooperate with the
               Disclosing Party in seeking continued protection of the
               confidentiality of such Confidential Information, including
               avoidance or limitation of such disclosure, or disclosure under
               continued confidentiality protection and restrictions.

          15.5 Ownership of Intellectual Property. Nothing in this Agreement
               shall grant or result in PSS acquiring any right, title or
               interest in the Services or any proprietary information of Athena
               even if PSS or Athena modifies, customizes or privately brands
               the Services. PSS shall take appropriate steps by instruction,
               agreement or otherwise with its employees and Sales Reps to
               restrict and control the use of such information and Services as
               required by this Agreement.

16   INDEMNIFICATION

          16.1 Athena shall, except as otherwise provided below, indemnify, and
               hold PSS and its Affiliates (including their respective
               directors, officers, employees, representatives and agents)
               harmless, and defend or settle any claim made or any suit
               proceeding, including reasonable attorneys fees, brought against
               PSS and its Affiliates (including their respective directors,
               officers, employees, representatives and agents), subsidiaries,
               assigns, subcontractors, and customers, arising out of or
               relating to (i) any Athenahealth Services Agreement or any other
               agreement between Athena

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<PAGE>

               and its customers, or (ii) an allegation that any Service
               (including any software, system or part thereof), Athena
               trademarks, Athena trade names, Athena logos, or materials
               provided by Athena, or any portion or use or sale of any of the
               foregoing, infringes, misappropriates or violates a patent,
               copyright, trademark, trade secret, or other intellectual
               property right of any third party. PSS shall (a) promptly notify
               Athena in writing of any such claim, (b) reasonably cooperate
               with Athena in connection with the defense of such claim, and (c)
               give Athena the sole authority to defend or settle the claim (at
               Athena's expense). Athena shall pay all damages and costs finally
               awarded in any such claim, suit or proceeding against PSS or any
               of its Affiliates (including their respective directors,
               officers, employees, representatives and agents), or any
               settlement amount required to settle the claim. In the event the
               Service is held to infringe and the use or sale of said Service
               is enjoined, Athena shall have the option at its own expense, to
               procure for PSS the right to continue selling said Service, or
               replace same with a non-infringing Service, or modify same so it
               becomes non-infringing. Notwithstanding anything to the contrary
               above, Athena shall have no obligation under this paragraph with
               respect to any claims to the extent arising (i) as a result of
               any breach by PSS of the terms of this Agreement or (ii) in
               connection with the sale of a Bolt-On by PSS or use by any
               customer of a Bolt-On sold by PSS, either alone or in combination
               with the Services.

          16.2 Each Party (the "Indemnifying Party") shall indemnify, defend and
               hold the other Party and its Affiliates (the "Indemnified Party")
               harmless from and against any and all liabilities, claims,
               demands, damages, costs and expenses or money judgments
               (including reasonable attorneys fees) asserted against, incurred
               by or rendered against any of them arising out of or relating to
               (a) third party claims or actions which arise out of the
               Indemnifying Party's breach of any of its representations,
               warranties, covenants or other obligations set forth herein, (b)
               a defect due to defective design, parts, packaging, labeling,
               advertising materials, or faulty workmanship of, or failure to
               warn with respect to services provided by the Indemnifying Party,
               except to the extent that such damage arise out of the
               Indemnified Party's negligence or breach of this Agreement (as
               set forth in herein), and (c) third party claims or actions
               arising from the Indemnifying Party's negligence, breach of this
               Agreement or other acts or omissions.

          16.3 The indemnification obligations under this Agreement shall
               survive termination or expiration of this Agreement for any
               reason.

          16.4 Except as explicitly set forth in this Agreement: (a) all
               warranties and obligations by Athena with respect to the nature,
               extent, content, timing, completeness, sufficiency, accuracy and
               quality of the Services, including but not limited to all data in
               connection with such Services, are contained exclusively in each
               agreement of Athena with its customers and are owed only to its
               customers and not to PSS; and, (b) without limiting the
               foregoing, EXCEPT FOR ATHENA'S REPRESENTATIONS, WARRANTIES,

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               COVENANTS AND OBLIGATIONS UNDER THIS AGREEMENT, ATHENA UNDERTAKES
               IN THIS AGREEMENT NO OTHER WARRANTY, REPRESENTATION OR
               CONTRACTUAL OR OTHER OBLIGATION WITH RESPECT TO THE SERVICES AND
               EXPLICITLY DISCLAIMS ANY SUCH WARRANTY, REPRESENTATION OR
               OBLIGATION UNDER OR WITH RESPECT TO THIS AGREEMENT, INCLUDING BUT
               NOT LIMITED TO ANY IMPLIED WARRANTY OR WARRANTY OF
               MERCHANTABILITY, TITLE, DESIGN, OPERATION OR FITNESS FOR ANY
               PURPOSE.

17   LIMITATION OF LIABILITY

          EXCLUDING CLAIMS FOR INDEMNIFICATION AND A PARTY'S LIABILITY ARISING
FROM BREACHES OF CONFIDENTIALITY, GROSS NEGLIGENCE, INTENTIONAL OR WILFULL
MISCONDUCT, AND FAILURE TO COMPLY WITH APPLICABLE LAWS AND REGULATIONS, IN NO
EVENT SHALL EITHER PARTY BE LIABLE TO THE OTHER PARTY FOR ANY INDIRECT,
INCIDENTAL, SPECIAL, CONSEQUENTIAL, OR PUNITIVE DAMAGES OF ANY KIND WHATSOEVER
INCLUDING BUT NOT LIMITED TO LOST PROFITS, IN CONJUNCTION WITH OR ARISING OUT OF
THE PERFORMANCE UNDER THIS AGREEMENT OR THE USE OR PERFORMANCE OF PRODUCTS AND
SUPPORT SERVICES EVEN IF THE OTHER PARTY HAS BEEN ADVISED OF THE POSSIBILITY OF
SUCH DAMAGES.

18   CONFLICT RESOLUTION

          18.1 Each Party shall designate (in writing, if requested by the other
               Party) a relationship manager responsible for the day to day
               management and coordination of the Party's performance under this
               Agreement, and the Parties' communications, transactions and
               relationship with each other. The relationship managers shall
               address conflicts that arise relative to this Agreement. If these
               relationship managers can not resolve such conflicts, then Athena
               and PSS shall promptly establish a review board comprised of
               appropriate members of management from Athena and PSS to resolve
               the conflict.

          18.2 In the event that the review board of the Parties does not
               resolve a dispute within thirty (30) days from the date the
               review board is established, then the Parties agree to submit the
               dispute to non-binding mediation. If the Parties do not resolve
               the dispute through mediation, then the dispute will be submitted
               to binding arbitration as provided in Section 18.3 below.

          18.3 Arbitration pursuant to this Agreement will take place before a
               panel of three arbitrators in accordance with the American Health
               Lawyers Association (AHLA) Alternative Dispute Resolution Service
               Rules of Procedure for Arbitration. Either Party will initiate
               such arbitration only in Washington, DC by making a written
               demand for arbitration on the other Party and notifying the AHLA
               Alternative Dispute Resolution Service. The

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               Parties agree to be bound by the final decision of the
               arbitrators and to accept any final decision by the arbitrators
               as a final determination of the matter in dispute. The Parties
               will share equally the costs of the arbitration, including any
               administration fee, the arbitrator's fee, and costs for the use
               of facilities, during the arbitration. Attorney's fees and costs
               may be awarded to the prevailing Party at the discretion of the
               arbitrators. Notwithstanding the foregoing, either Party may
               terminate the Agreement according to its terms or may seek
               injunctive relief in court to prevent imminent harm, on condition
               that in the latter case such Party will immediately submit the
               merits of the subject of any injunction to arbitration pursuant
               to this Subsection.

19   INSURANCE

          Both Parties shall obtain, pay for and maintain the following
insurance coverages:

          19.1 COMPREHENSIVE COMMERCIAL GENERAL LIABILITY insurance, including
               product liability insurance against claims regarding the Services
               and its activities contemplated by this Agreement, in an amount
               not less than one million dollars ($1,000,000) Combined Single
               Limit bodily Injury & Property Damage Each Occurrence / two
               million dollars ($2,000,000) Aggregate, independent contractors,
               and personal and advertising injury coverages.

          19.2 WORKERS' COMPENSATION insurance with limits to conform with the
               greater of the amount required by applicable law or one million
               dollars ($1,000,000) each accident, including occupational
               disease coverage.

          19.3 COMPREHENSIVE AUTOMOBILE LIABILITY insurance with limits not less
               than one million dollars ($1,000,000) each occurrence combined
               single limit of liability for bodily injury, death, and property
               damage, including owned and non-owned and hired automobile
               coverages, as applicable.

          Both Parties shall maintain such insurance during the term of this
Agreement and thereafter for so long as it maintains insurance for itself
covering such activities. Both Parties shall maintain such insurance during the
term of this Agreement and thereafter for so long as it maintains insurance for
itself covering such activities. Coverage shall be written on a Standard ISO
Occurrence Form CG00010196 or its equivalent. Upon execution of this Agreement,
and thereafter upon request from the other Party, both Parties will provide
certificates and renewal certificates of insurance reflecting such policies and
coverages as required above.

20   NON-SOLICITATION

          Throughout the term of this Agreement and for a period of one (1) year
thereafter, neither Athena nor PSS will, directly or indirectly, induce or
attempt to induct any employee of the other to terminate his or her employment
with the other or hire or offer to hire away or attempt to hire away any
employee of the other.

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<PAGE>

21   GENERAL

     21.1 Entire Agreement. This Agreement constitutes the entire Agreement
          between the Parties concerning the subject matter hereof and
          supersedes any prior written or verbal agreements or understandings in
          connection herewith. Upon the execution and delivery of this
          Agreement, the Prior Agreement shall be amended in its entirety and
          restated herein, and all provisions of, rights granted and covenants
          made in the Prior Agreement shall be superseded in their entirety and
          shall have no further force or effect. No addendum, amendment, waiver
          or modification hereto or hereunder shall be valid unless specifically
          made in writing and signed by an authorized signatory of each of the
          Parties hereto. No form, invoice, order, receipt or other document
          provided by either Party shall operate to supersede, modify or amend
          any provisions of this Agreement, unless the document expressly states
          that it modifies or amends this Agreement and is signed by an
          authorized representative of both Parties. Neither Party's failure to
          exercise any of its rights under this Agreement will constitute or be
          deemed a waiver or forfeiture of those rights. All Exhibits attached
          to the Agreement shall be deemed a part of this Agreement and
          incorporated herein. Terms that are defined in this Agreement, and
          used in any Exhibit, have the same meaning in the Exhibit as in this
          Agreement. The provisions of an Exhibit shall prevail over any
          conflicting provisions of the body of this Agreement.

     21.2 Publicity. During the term of this Agreement and at all times after
          the termination or expiration of this Agreement for any reason,
          neither Party shall make any media release or other public
          announcement relating to or referring to this Agreement without the
          other Party's prior written consent. Notwithstanding the foregoing, to
          the extent required by the Securities and Exchange Commission or other
          agency, either Party may make public disclosures about this Agreement
          and the terms thereof. Either Party will provide a copy of any
          required public disclosures associated with this Agreement at least
          two (2) business days prior to release to the public. Athena shall
          acquire no right to use, and shall not use, without PSS's prior
          written consent, the terms or existence of this Agreement, the names,
          trade names, trademarks, service marks, artwork, designs, or
          copyrighted materials, of PSS, its related or subsidiary companies,
          parent, employees, directors, shareholders, assigns, successors or
          licensees: (a) in any advertising, publicity, press release, client
          list, presentation or promotion; (b) to express or to imply any
          endorsement of Athena or Athena's products; or (c) in any manner other
          than expressly in accordance with this Agreement.

     21.3 Notices. All notices and other communications required or permitted
          hereunder shall be in writing and shall be mailed by registered or
          certified mail or delivered either by hand or by messenger, or sent
          via fax, addressed to the address set forth at the foot of this
          Agreement. Any notice or other communication so addressed and mailed
          by registered or certified mail (in

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          each case, with return receipt requested) shall be deemed to be
          delivered and given when so mailed. Any notice or other communication
          so addressed and delivered by hand, by messenger or by fax shall be
          deemed to be given when actually received by the addressee.

     21.4 Venue and Jurisdiction. The laws of the State of Florida, will govern
          any disputes arising in connection with this Agreement. Athena and PSS
          hereby consent to the exclusive jurisdiction and venue of the Florida
          federal courts, and Florida state courts if a federal court denies
          jurisdiction.

     21.5 Attorneys' Fees. In any action to enforce a provision of this
          Agreement, the prevailing party shall be entitled to recover from the
          non-prevailing party reasonable attorneys' fees and other costs
          incurred in such action, in addition to any other relief available at
          law.

     21.6 Severability. If for any reason any provision of this Agreement shall
          be deemed by a court of competent jurisdiction to be legally invalid
          or unenforceable, the validity of the remainder of the Agreement shall
          not be affected and the offending provision shall be deemed modified
          to the minimum extent necessary to make it consistent with applicable
          law, and, in its modified form, the provision shall then be
          enforceable and enforced.

     21.7 Captions. The section headings and captions of this Agreement are for
          convenience and reference only and in no way define, limit or describe
          the scope or intent of this Agreement nor substantively affect it in
          any way.

     21.8 Survival. Any expiration or termination of this Agreement shall be
          without prejudice to the survival of any provision expressly extending
          beyond the term of this Agreement or necessary to interpret the rights
          and obligations of the Parties in connection with the expiration or
          termination of this Agreement. Without limiting the generality of the
          foregoing, the following provisions shall survive the expiration or
          termination of this Agreement: Section 3.11, Section 4.2, Section 5.6,
          Article 15 (Confidentiality), Article 16 (Indemnification), Article 17
          (Limitation of Liability), Article 18 (Conflict Resolution) and
          Article 21 (General).

     21.9 Third Party Beneficiaries. This Agreement is solely for the benefit of
          the parties and their successors and permitted assigns, and does not
          confer any rights or remedies on any other person or entity.

     21.10 Binding Effect. This Agreement shall be binding upon and shall inure
          to the benefit of the respective parties hereto, their respective
          successors-in-interest, legal representatives, heirs and assigns.

     21.11 Further Assurances. Each Party hereto agrees to take, or cause to be
          taken, all such further or other actions as shall reasonably be
          necessary to make effective, to consummate and to perform the
          undertakings and obligations contemplated by this Agreement.

                                       25

<PAGE>

     21.12 Cumulative Remedies. Except as otherwise expressly provided for in
          this Agreement, the rights and remedies provided in this Agreement and
          all other rights and remedies available to either Party at law or in
          equity are, to the extent permitted by law, cumulative and not
          exclusive of any other right or remedy now or hereafter available at
          law or in equity. Neither the asserting of any right nor the employing
          of any remedy shall preclude the concurrent assertion of any other
          right or employment of any other remedy.

     21.13 Counterparts. This Agreement may be executed in one or more
          counterparts, all of which together shall be considered one and the
          same Agreement.

                                      26

<PAGE>

     IN WITNESS WHEREOF, the Parties have executed this Agreement to be executed
by their duly authorized representatives.

athenahealth, Inc.,                     WORLDMED SHARED SERVICES, INC.,
a Delaware corporation                  a Florida corporation

By: /s/ Jonathan Bush                   By: /s/ John Sasen
    ---------------------------------       ------------------------------------
Printed: Jonathan Bush                  Printed: JOHN SASEN
Its: Chairman & CEO                     Its: EUP/CMO

                                       27

<PAGE>

Confidential Materials omitted and filed separately with the Securities and
Exchange Commission. Asterisks denote omissions.

                                    EXHIBIT A

                                   COMMISSIONS

1. Commission Rates. If Athena enters an Initial Sale by countersigning a PSS
Order for provision of Revenue Cycle Services and/or Clinical Cycle Services
with a PSS Lead within eighteen months after the PSS Lead first becomes a PSS
Lead, then Athena will pay a commission to PSS at the rates set forth below:

Commission Rates:

<TABLE>
<CAPTION>
                                         Initial Commission       Subsequent Commission
                                               Payment                  Payments
                                     --------------------------   ---------------------
<S>                                  <C>                          <C>
PSS Commission Payment (calculated   *% (based on *% of each                *%
as a percentage of Estimated         PSS Order's Estimated
Contract Value of a PSS Order)       Contract Value)
</TABLE>

2. Accrual of Commissions. The commissions shall accrue as follows with respect
to each PSS Order and shall be payable pursuant to Section 7 of the Agreement:

     a.   Initial Commission Payment:

          -    *% of Athena's projected Year 1 Revenue for the PSS Order as
               calculated in the applicable Athenahealth Services Agreement will
               accrue with respect to *% of the Estimated Contract Value of a
               PSS Order on the date on which Athena countersigns a PSS Order
               for provision of Services to a PSS Lead. Such amount shall be
               paid on the Go Live Date of such PSS Order, and shall be adjusted
               15 months after the Go Live Date to reflect actual revenue
               received by Athena during the first year of the contract with
               such PSS/Athena Customer.

     b.   Subsequent Commission Payments:

          -    The subsequent annual commission payments, which shall be equal
               to *% in the aggregate based on the actual Revenue with respect
               to a PSS Order as of the date 15 months after the PSS Order's
               "Go-Live Date," will accrue in 12 monthly installments beginning
               on the PSS Order's "Go-Live Date" as such term is defined in the
               applicable Athenahealth Services Agreement. Thereafter, annual
               commissions due to PSS with respect to a PSS Order shall accrue
               in 12 monthly installments beginning on each anniversary of the
               PSS Order's Go-Live Date. For purposes of calculating the
               Subsequent Commission Payments, "Revenue" shall mean net
               collections that have been irrevocably paid by a PSS/Athena
               Customer to Athena in cash in consideration for the provision of
               Services.

3. "Deal Assist" Commissions shall be equal to *% of the first year Estimated
Contract Value of any order that is not a PSS Order but with respect to which
PSS has rendered assistance as described in Section 11.2 hereof. Such amount
shall be paid on the Go Live Date of such

                                       28

<PAGE>

order, and shall be adjusted 15 months after the Go Live Date to reflect actual
revenue received by Athena during the first year of the contract with such
customer.

4. Credit. If a PSS/Athena Customer's Athenahealth Services Agreement is
terminated prior to the applicable "Go-Live Date", then Athena will credit the
amount of any Initial Commission Payment made to PSS with respect to such
PSS/Athena Customer against the next payable commissions accrued hereunder,
until the amount of the initial commission for such PSS Order payment is offset
in full.

                                       29

<PAGE>

                                   EXHIBIT B-1

                       ATHENACOLLECTOR SERVICES AGREEMENT

                                       30
<PAGE>

                                   EXHIBIT B-2

                       ATHENACLINICALS SERVICES AGREEMENT

                                       31

<PAGE>

                                    EXHIBIT C

                                   LITIGATION

On February 8, 2005, the Company was served with a Complaint in Billingnetwork
Patent, Inc. v. athenahealth, Inc., alleging patent infringement. This lawsuit
is pending in the Federal District Court of Florida, Middle District (Case
Number 05-00205). The Company does not believe it is liable for patent
infringement. Billingnetwork Patent, Inc. has sued a number of other entities
including two public companies. The patent as written is not limited to the
health industry, but would include billing in a broad array of commercial
contexts. The Company selected counsel and filed a Motion to Dismiss. The
Company is awaiting further action by the Court.

                                       32

<PAGE>

                                    EXHIBIT D

                        CERTAIN AGREEMENTS OF THE PARTIES

-    Neither Party will take any action which would have the effect of causing
     the other to be in violation of any laws, decrees, rules, or regulations.

-    Each Party covenants and warrants to the other on a continuing basis that
     any payments or remuneration to it under this Agreement are for it's own
     account, and that except as appropriate to carry out its duties as set
     forth herein in a legal manner, it has no obligation to and will not,
     directly or indirectly, give, offer, pay, promise to pay, or authorize the
     payment of money or thing of value to any other person in connection with
     any transaction for which any payment or remuneration is to be made under
     this Agreement.

-    Each Party represents and warrants to the other on a continuing basis
     throughout the term that this Agreement is in effect that (1) neither it
     nor any of its agents is a provider, physician, or supplier as those terms
     are defined in the Social Security Act as amended from time to time, or any
     regulations promulgated thereunder; and, (2) neither it nor any of its
     agents is authorized to nor will they refer, steer, allocate, direct,
     solicit or otherwise arrange for any patient visit, health care, medical
     item or medical service with respect to any such provider, physician or
     supplier that is a customer of Athena or arrange for or make any request
     for such visit, care, item or service or any purchase order or lease with
     respect to such visit, care, item or service.

-    Each Party represents and warrants to the other that neither it nor any of
     its agents: has been excluded, disqualified or debarred from participating
     in any government program; is under sanction or conviction for any Medicaid
     or Medicare program offense; is the subject of any investigative or
     criminal, civil, administrative or qui tam proceeding with respect to any
     allegation of such an offense; or, is party to any settlement or corporate
     integrity agreement with respect to any allegation of such an offense. If
     at any time during the term that this Agreement is in effect, the status of
     the Party or any of its agents should change from the above with respect to
     exclusion, disqualification, debarment, sanction, conviction, proceeding,
     settlement or agreement, the Party will immediately notify the other in
     writing of such change.

-    Notwithstanding any provision to the contrary in this Agreement, no payment
     or remuneration under this Agreement will accrue, be paid or be accepted on
     account of sale of Athena's Services to any person or entity:

     -    That charges, bills or seeks reimbursement or payment on a cost basis
          from any third party payment program or payor for all or any part of
          such services;

     -    With which the PSS or any of its agents, employees, owners or
          principals or any of their family members, directly or indirectly has
          any relationship other than an arms-length relationship as a sales
          agent or sales representative for one or more vendors to the person or
          entity. Without limiting the foregoing, the following relationships on
          the part of PSS will prevent such payment or remuneration:

          -    Operation, management or control,

          -    Engagement as an administrator, consultant, purchasing agent,
               employee, officer, director, trustee, member of the governing
               body, or attorney-in-fact,

          -    Management of substantial activities or exercise of substantial
               commercial influence over business or personal affairs,

          -    A fiduciary duty or duty of fidelity in connection with general
               business affairs or in connection with purchase of services from
               Athena, or

          -    Permission or ability exercise purchasing discretion; or,

                                       33

<PAGE>

          -    If the offer, payment, receipt or solicitation of compensation to
               PSS under this Agreement with respect to the person or entity is
               in violation of any law or of any legal duty to the person or
               entity.

     -    The Parties will each exercise reasonable diligence to identify and
          avoid proposing or accepting Practices as PSS Leads any person or
          entity for which payment will not be made under this Agreement, and
          the Parties will reasonably cooperate to identify such person and
          entities in advance of any payment. If either Party learns that
          payment or remuneration has been made not as provided in this
          Agreement, it will promptly notify the other in writing, and the
          Parties will unwind the compensation and will cooperate in such other
          steps as are proper and appropriate to remedy any such situation.

     -    Neither Party will claim payment in any form, directly or indirectly,
          from any third party payment program or payor for all or any part of
          any activity or for the cost of all or any part of any activity
          covered under this Agreement, nor will either party shift the
          financial burden of this Agreement to the extent that any cost
          reimbursement is claimed from any third party payment program or payor
          by either of them or to the extent that either party believes that any
          cost reimbursement is claimed or may be claimed by any third party
          from any third party payment program or payor.

     -    PSS will not solicit, receive, offer or pay anything of value,
          directly or indirectly, to or from any person or entity in connection
          with entry by such person or entity into any contract with Athena,
          continuation of any contract with Athena, or acceptance of services or
          items from Athena; and PSS will not condition, withhold, or threaten
          to withhold anything of value to any person or entity in connection
          with entry or consideration of entry by such person or entity into any
          contract with Athena, continuation of any contract with Athena or
          acceptance of services or items from Athena.

     -    PSS will make such disclosures to Practices and obtain such consents,
          authorizations and agreements (including but not limited to any
          business associate agreements as necessary) with respect to Practices
          as are required by law in light of its relationships with those
          Practices and its activities and obligations and rights in connection
          with this Agreement.

NO FRANCHISE OR DISTRIBUTORSHIP: The Parties agree that nothing in this
Agreement or PSS' or Athena's performance under it will constitute PSS a
franchisee or participant in any business opportunity of or with Athena under
any applicable federal or state law.

                                       34

<PAGE>

                                    EXHIBIT E

                  INVENTORY MANAGEMENT SYSTEM DEVELOPMENT GOALS

PHASE I:

     Link to the existing myPSS.com & SmartScan Basic Functionality from the
     Athena Platform.

-    Customers will be able to login to mypss.com from within an Athenahealth
     frame-set.

PHASE II:

     Integration of the PSS SmartScan Intermediate

     -    Will include an athena CPT Billing code reconciliation routine

     -    to the PSS inventory valuation

     -    Integration of PSS SmarScan intermediate to Physician GL Systems

PHASE III:

     PSS and athenahealth will co-develop an integrated inventory management
     platform for the tracking, ordering, and replenishment of medical supplies
     within the physician office

     -    Development of an integrated athenahealth inventory management module.
          To run on the athenahealth platform (Billing Integration).

     Development of a real time athenahealth inventory management process that
     is integrated into the procedure / usage capture during the patient
     clinical work-flows. (EMR Integration).

                                       35

<PAGE>

                                    EXHIBIT F

                             SUBSTANTIAL COMPETITORS

                                       36
<PAGE>

                             Agreement of Amendment

      This Agreement of Amendment (the "Amendment") amends the terms of the
"AMENDED AND RESTATED MARKETING AND SALES AGREEMENT" entered between the Parties
hereto (the "Agreement"). Except as explicitly amended herein, the Agreement is
confirmed; and, it shall remain in full force and effect under its terms as
herein amended. Whereas the Parties desire to amend the Agreement in certain
respects as set forth below; now, therefore, in consideration of the obligations
set forth below and for other good and valuable consideration, the receipt and
sufficiency of which each Party hereby acknowledges, the Parties hereby agree to
amend the terms of the Agreement as follows:

   1. Exhibit A to the Agreement is hereby deleted in its entirety and replaced
by the new version of Exhibit A attached to this Amendment.

      IN WITNESS WHEREOF, the Parties have executed this Agreement to be
executed by their duly authorized representatives.

athenahealth, Inc.,                     WORLDMED SHARED SERVICES, INC.
a Delaware corporation                  d/b/a PSS WORLD MEDICAL SHARED
                                        SERVICES, INC.,
By:  /s/ Carl Byers                     a Florida corporation
   ----------------------------

Printed: Carl Byers                     By: /s/ John Sasen
                                            -----------------------------
Its: CFO                                Printed:  John Sasen

                                        Its: EUP/CMO
                                             ----------------------------
                                                                  6-22-07

                                       1
<PAGE>

Confidential Materials omitted and filed separately with the Securities and
Exchange Commission. Asterisks denote omissions.

                                    EXHIBIT A

                                   COMMISSIONS

1. Commission Rates. If Athena enters an Initial Sale by countersigning a PSS
Order for provision of Revenue Cycle Services and/or Clinical Cycle Services
with a PSS Lead within eighteen months after the PSS Lead first becomes a PSS
Lead, then Athena will pay a commission to PSS at the rates set forth below:

Commission Rates:

|-------------------------|-------------------------|---------------------|
|                         |       Initial           |     Subsequent      |
|                         |   Commission Payment    | Commission Payments |
|-------------------------|-------------------------|---------------------|
| PSS Commission Payment  | *% (based on *% of each |                     |
|                         | PSS Order's Estimated   |                     |
|                         | Contract Value)         |         *%          |
|-------------------------|-------------------------|---------------------|

2. Accrual of Commissions. The commissions shall accrue as follows with respect
to each PSS Order and shall be payable pursuant to Section 7 of the Agreement:

   a. Initial Commission Payment:

      -     In the month following the date on which Athena countersigns a PSS
            Order for provision of Services to an PSS/Athena Customer, Athena
            will pay *% of *% of the Year 1 Estimated Contract Value for such
            PSS Order as calculated in the applicable Athenahealth Services
            Agreement. 15 months after the Go-Live Date, Athena will compare the
            Year 1 Estimated Contract Value to the actual Revenue received
            during the 12 month period preceding such 15 month anniversary of
            the Go-Live Date. If the actual Revenue during such period was lower
            than the *% of the Year 1 Estimated Contract Value, then Athena
            shall reduce the next commission payment due to PSS by such
            difference multiplied by *%. If the actual Revenue during such
            period was higher than *% of the Year 1 Estimated Contract Value,
            then Athena shall increase the next commission payment due to PSS by
            such difference multiplied by *%.

   b. Subsequent Commission Payments:

      -     Beginning on the PSS Order's "Go-Live Date" as such term is defined
            in the applicable Athenahealth Services Agreement subsequent
            commission payments, will be paid on a monthly basis and will be
            *% of the actual monthly Revenue to Athena.

      For purposes of this Exhibit, (i) "Revenue" shall mean net collections
      that have been irrevocably paid by a PSS/Athena Customer to Athena in cash
      in consideration for the provision of Services, and (ii) "Year 1" means
      the 12 month period beginning on a PSS/Athena Customer's Go-Live Date.

                                       2
<PAGE>

Confidential Materials omitted and filed separately with the Securities and
Exchange Commission. Asterisks denote omissions.

3. "Deal Assist" Commissions shall be equal to *% of *% of the Year 1
Estimated Contract Value of any executed contract for Athena's services that is
not a PSS Order but with respect to which PSS has rendered assistance as
described in Section 11.2 hereof. Such amount shall be paid in the month
following the Go Live Date of such Order. 15 months after the Go-Live Date of
such PSS/Athena Customer, Athena will compare the Year 1 Estimated Contract
Value to the actual Revenue received during the 12 month period preceding such
15 month anniversary of the Go-Live Date. If the actual Revenue during such
period was lower than *% of the Year 1 Estimated Contract Value, then Athena
shall reduce the next overall commission payment (including commission payments
made under Sections 2 and 3 of this Exhibit) due to PSS by such difference
multiplied by *%. If the actual Revenue during such period was higher than *%
of the Year 1 Estimated Contract Value, then Athena shall increase the next
overall commission payment due to PSS by such difference multiplied by *%.

4. Credit. If a PSS/Athena Customer's Athenahealth Services Agreement is
terminated prior to the applicable "Go-Live Date", then Athena will credit the
amount of any Initial Commission Payment made to PSS with respect to such
PSS/Athena Customer against the next payable commissions accrued hereunder,
until the amount of the initial commission for such PSS Order payment is offset
in full.

                                       3

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