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For More Information, Contact:

Brian P. Callahan, Chief Financial Officer
(615) 261-1500
bcallahan@spheris.com

Lisa DeMoss
Director, Marketing and Communications
(615) 261-1716
ldemoss@spheris.com

For Immediate Release

Spheris Renews Transcription Agreement with VHA Inc.

FRANKLIN, Tenn. — January 13, 2009

Spheris announced today that it has renewed its agreement with VHA Inc., the national health care alliance, to provide VHA members with a full range of clinical documentation technologies and industry-leading outsource services.

Spheris has been a VHA contracted supplier for clinical documentation services since 2002. Under the terms of the new agreement, Spheris will be one of two VHA-preferred medical transcription providers through December 2011.

“Spheris has provided great value in outsourced transcription to our members for the last seven years,” said Amy Anthony, senior vice president for VHA's supply chain services. “In the face of economic uncertainty, it is now even more critical for our member hospitals to uncover cost savings in their operations. Today, Spheris is using technology - such as back-end speech recognition - to both drive down costs and provide new tools that help ensure a high level of quality and physician satisfaction.”

VHA delivers industry-leading supply chain management services and enables regional and national member networks to improve clinical and operational performance and drive sustainable results. VHA's 16 local offices serve more than 1,400 hospitals and 21,000 non-acute care healthcare organizations across the United States.

VHA members are now able to take advantage of Spheris' Clarity™ platform for medical transcription, which blends back-end speech understanding by M*Modal with Spheris' innovative workflow management solutions to offer advanced clinical documentation. Physicians can dictate and electronically approve completed reports using a host of devices, including PDAs and Smartphones.

“Technology is allowing Spheris to process medical reports more quickly, more accurately and more cost effectively, but the service component is equally as important,” said Tony James, chief operating officer at Spheris. “We are constantly improving the clinical documentation process through our extensive global resources of people, processes and technology.”

About Spheris Spheris is a leading provider of clinical documentation services and technology to health systems, hospitals and group practices throughout the U.S. Founded by physicians in 1993, Spheris employs a global network of medical language specialists for true 24-hour service, seven days a week, 365 days a year. The proprietary Spheris Clarity™ technology platform integrates the full range of clinical documentation software and hardware into one seamless, customizable system, including embedded speech recognition technologies. The Spheris solution is flexible and scalable to balance the needs of HIM directors, CFOs, IT directors and physicians with an emphasis on verifiable quality, turnaround time, security and pricing. Spheris' worldwide corporate headquarters is located in Franklin, Tenn. For more information, please visit www.spheris.com.