EMPLOYMENT AGREEMENT

         This Employment Agreement is made and entered into as of the 10th day
of August, 2004, by and between EMAGEON INC., a Delaware corporation (the
"Company"), and NOEL D. GARTMAN, an individual resident of the State of Alabama
(the "Executive"), the terms and conditions of which are as follows:

SECTION 1.       EFFECTIVE DATE; TERM OF EMPLOYMENT

         (a)     The Company shall employ Executive as Executive Vice President
during the term of his employment, subject to the terms and conditions set forth
in this Employment Agreement, and Executive hereby accepts such employment.

         (b)     The effective date of this Employment Agreement (the "Effective
Date") shall be August 10, 2004.

         (c)     Unless extended under Section 1(d) below or unless earlier
terminated as provided herein, Executive's employment under this Employment
Agreement shall be for a rolling, twelve (12) month term (the "Term") commencing
on the Effective Date, and shall be deemed to automatically, without further
action by either the Company or Executive, extend each day for an additional
day, such that the remaining term of the Employment Agreement shall continue to
be twelve months; provided, however, that either party may, by written notice to
the other, cause this Employment Agreement to cease to extend automatically and,
upon such notice, the "Term" of this Employment Agreement shall be the twelve
months following the date of such notice. If no such notice to cease to extend
has been given and the Executive's employment is terminated by the Executive for
Good Reason or by the Company without Cause, for purposes of calculating the
Severance Period as defined in Section 5(c)(2) below, the remaining Term of this
Employment Agreement shall be deemed to be twelve months from the Executive's
Date of Termination.

         (d)     If a Change in Control (as defined in Section 4(g) below)
occurs prior to the effective date of a registration statement on Form S-1 for
the initial public offering of the common stock of the Company, then, as of the
date of such Change in Control, the Term shall automatically extend to be a
rolling, eighteen month period, subject to the renewal and other provisions of
Section 1(c) above after substituting "eighteen months" for "twelve months"
wherever such term appears in Section 1(c).

SECTION 2.      POSITION AND DUTIES AND RESPONSIBILITIES

         (a)    Position. Executive shall be an Executive Vice President of the
Company.

         (b)     Duties and Responsibilities. Executive's duties and
responsibilities shall be those normally associated with an executive officer's
position of executive vice president, plus any additional duties and
responsibilities that the Chief Executive Officer ("CEO") or Board of Directors
(the "Board") of the Company from time to time may


<PAGE>

assign orally or in writing to Executive. Executive shall report to the CEO and
shall have such powers as may be delegated to him by the CEO. Executive shall
undertake to perform all Executive's duties and responsibilities for the Company
in good faith and on a full-time basis and shall at all times act in the course
of Executive's employment under this Employment Agreement in the best interest
of the Company, provided that Executive may serve on corporate, civic,
educational or charitable boards or committees, if such service does not
materially conflict with or impair Executive's ability to discharge his
fiduciary and other responsibilities to the Company under this Employment
Agreement and applicable law.

SECTION 3.       COMPENSATION AND BENEFITS

         (a) Base Salary. Executive's initial base salary shall be One Hundred
Eighty-Five Thousand Dollars ($185,000) per year ("Base Salary"), which Base
Salary shall be payable in accordance with the Company's standard payroll
practices and policies for executive officers and shall be subject to such
withholdings as required by law or as otherwise permissible under such practices
or policies. The Base Salary shall be subject to periodic increases (but not
decreases) as determined by the Board.

         (b)     Annual Bonus and Other Incentive Compensation. During the Term,
Executive shall be eligible to receive an annual bonus based upon achieving
targeted financial objectives or other performance goals, in accordance with the
annual bonus plan established by the Board. Executive shall also be eligible to
participate in such other annual bonus and incentive compensation programs as
the Board shall make available to executive officers.

         (c) Employee Benefit Plans. Executive shall be entitled to participate
in the employee benefit plans, programs and policies (including health, life,
disability, dental and retirement plans) maintained by the Company that cover
executive officers in accordance with the terms and conditions of such plans,
programs and policies as in effect from time to time.

         (d)     Vacation. Executive shall be entitled to paid time off for
vacation, illness, holidays and personal reasons in accordance with the
Company's plans, policies and practices in effect from time to time for
executive officers, and any such paid vacation shall be taken at such time or
times so as not to materially and adversely interfere with the business of the
Company.

        (e)     Business Expenses. Executive shall have the right to be
promptly reimbursed for Executive's reasonable and appropriate business expenses
which Executive incurs in connection with the performance of Executive's duties
and responsibilities under this Employment Agreement in accordance with the
Company's expense reimbursement policies and procedures for its executive
officers.

         (f)     Directors' and Officers' Insurance. Effective as of the
Effective Date, the Company shall take all reasonable steps to ensure that
Executive has been provided with adequate coverage under a directors' and
officers' liability insurance policy.

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<PAGE>

SECTION 4.       TERMINATION OF EMPLOYMENT

         (a)     Death. Executive's employment shall terminate automatically
upon Executive's death.

         (b)     Disability. The Company shall have the right to terminate
Executive's employment on or after the date Executive incurs a Disability. The
term "Disability" as used in this Employment Agreement shall have the meaning
ascribed to such term in the Company's long-term disability plan covering the
Executive, or in the absence of such plan, a meaning consistent with Section
22(e)(3) of the Internal Revenue Code of 1986, as amended (the "Code"). The
existence of a Disability shall be determined by the Board in good faith.

         (c)     Termination by the Company. The Company may terminate
Executive's employment at any time with or without Cause. The term "Cause" as
used in this Employment Agreement shall mean any of the following reasons:

                 (1)    Executive's willful and continued breach of his duties
         after written demand for performance has been made (other than any such
         failure resulting from incapacity due to physical or mental illness,
         and specifically excluding any failure by Executive, after reasonable
         efforts, to meet performance expectations);

                 (2)  Executive's willfully engaging in illegal conduct or gross
         misconduct that is demonstrably and materially injurious to the
         Company;

                 (3)  Executive's material breach of this Employment Agreement,
         any other material agreement with the Company, or any Company policy,
         where such breach proves to be demonstrably and materially injurious to
         the Company;

                 (4)  Executive's breach of any of the covenants contained in
         Section 7 of this Employment Agreement relating to confidentiality,
         non-solicitation or non-competition; or

                 (5)  Executive's conviction of a felony or a serious
         misdemeanor involving moral turpitude, theft or dishonesty.

         With respect to paragraphs (1), (2) and (3) above, Executive shall not
be deemed to have been involuntarily terminated for Cause unless and until there
shall have been delivered to him a copy of a resolution duly adopted by the
affirmative vote of not less than a majority of the entire membership of the
Board at a meeting of the Board (after reasonable notice to Executive and an
opportunity for him, together with his counsel, to be heard before the Board),
finding that, in the good faith opinion of the Board, Executive was guilty of
conduct set forth above in paragraphs (1), (2), or (3) and specifying the
particulars thereof in detail. For purposes of this Employment Agreement, no act
or failure to act by Executive shall be deemed to be "willful" unless done or
omitted to be done by Executive not in good faith and without reasonable belief
that Executive's action or omission was in the best interests of the Company.

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<PAGE>

         (d)     Termination by the Executive. The Executive shall have the
right to resign at any time, with or without Good Reason. The term "Good Reason"
shall mean the occurrence (without Executive's express written consent) of any
one of the following acts by the Company, or failures by the Company to act,
unless, in the case of any act or failure to act described below, such act or
failure to act is corrected by the Company prior to the Date of Termination
specified in the notice of termination given in respect thereof:

                  (1)   a material reduction in Executive's duties or
         responsibilities; provided, however, that the fact that Executive's
         employment after a Change in Control shall be with a non-publicly
         traded subsidiary of an entity resulting from or surviving the Change
         in Control, if that is the case, shall not of itself be deemed a
         material diminution in Executive's duties or responsibilities for
         purposes of this paragraph;

                  (2)   a reduction in Executive's Base Salary or target bonus;

                  (3)   the failure by the Company to maintain a benefit program
         (or to provide a substitute benefit program) that is material to
         Executive's overall compensation;

                  (4)   the relocation of Executive's office or the Company's
         headquarters from its location on the Effective Date to a location more
         than 35 miles away; or

                  (5)   the Company's material breach of any other provision of
         this Employment Agreement.

         Executive's right to terminate the Executive's employment for Good
Reason shall not be affected by the Executive's incapacity due to physical or
mental illness, except for a Disability as defined in Section 4(b) above.
Executive's continued employment shall not constitute consent to, or a waiver of
rights with respect to, any circumstance constituting Good Reason hereunder.

         Any claim of Good Reason shall be communicated by the Executive to the
Company in writing and shall specifically identify the factual details
concerning the event(s) giving rise to Executive's claim of Good Reason under
this Section 4(d). The Company shall have an opportunity to cure any claimed
event of Good Reason prior to the specified Date of Termination.

         (e)    Expiration of Term. Executive's employment shall automatically
terminate upon the expiration of the Term of this Employment Agreement.

         (f)    Date of Termination. Executive's Date of Termination shall be
the earliest to occur of (i) the date specified in the notice of termination
(which, unless otherwise required by this Employment Agreement, may be
immediate) as the date upon which Executive's employment with the Company is to
cease, (ii) the date of Executive's death, (iii) in the event of Executive's
Disability, the date determined by the Board, or (iii) the last day of the Term
of this Employment Agreement. In the case of termination by Executive for Good
Reason, the Date of Termination shall not be less than thirty (30)

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<PAGE>

days nor more than sixty (60) days from the date the notice of termination is
given. In the case of a voluntary termination by Executive without Good Reason,
the Date of Termination shall not be less than sixty (60) days from the date the
notice of termination is given, unless the Company specifies an earlier Date of
Termination.

         (g)     Change in Control. For purposes of this Employment Agreement, a
"Change in Control" shall mean any of the following events:

                  (1)    individuals who, on the Effective Date, constitute the
         Board of Directors of the Company (the "Incumbent Directors") cease for
         any reason to constitute at least a majority of such Board, provided
         that any person becoming a director after the Effective Date and whose
         election or nomination for election was approved by a vote of at least
         a majority of the Incumbent Directors then on the Board shall be an
         Incumbent Director; provided, however, that no individual initially
         elected or nominated as a director of the Company as a result of an
         actual or threatened election contest with respect to the election or
         removal of directors ("Election Contest") or other actual or threatened
         solicitation of proxies or consents by or on behalf of any "person"
         (such term for purposes of this Section 6 being as defined in Section
         3(a)(9) of the Securities Exchange Act of 1934 (the "Exchange Act") and
         as used in Section 13(d)(3) and 14(d)(2) of the Exchange Act) other
         than the Board ("Proxy Contest"), including by reason of any agreement
         intended to avoid or settle any Election Contest or Proxy Contest,
         shall be deemed an Incumbent Director; or

                  (2)    any person is or becomes a "beneficial owner" (as
         defined in Rule 13d-3 under the Exchange Act), directly or indirectly,
         of either (i) 50% or more of the then-outstanding shares of common
         stock of the Company ("Company Common Stock") or (ii) securities of the
         Company representing 50% or more of the combined voting power of the
         Company's then outstanding securities eligible to vote for the election
         of directors (the "Company Voting Securities"); provided, however, that
         for purposes of this paragraph (2), the following acquisitions of
         Company Common Stock or Company Voting Securities shall not constitute
         a Change of Control: (A) an acquisition directly from the Company, (B)
         an acquisition by the Company or a subsidiary of the Company, (C) an
         acquisition by any employee benefit plan (or related trust) sponsored
         or maintained by the Company or any subsidiary of the Company, or (D)
         an acquisition pursuant to a Non-Qualifying Transaction (as defined in
         paragraph (3) below); or

                  (3)    the consummation of a recapitalization, reorganization,
         merger, consolidation, statutory share exchange or similar form of
         transaction involving the Company or a subsidiary of the Company (a
         "Reorganization"), or the sale or other disposition of all or
         substantially all of the Company's assets (a "Sale") or the acquisition
         of assets or stock of another entity (an "Acquisition"), unless
         immediately following such Reorganization, Sale or Acquisition: (A) all
         or substantially all of the individuals and entities who were the
         beneficial owners, respectively, of the outstanding Company Common
         Stock and outstanding Company Voting Securities immediately prior to
         such Reorganization, Sale or

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<PAGE>

         Acquisition beneficially own, directly or indirectly, more than 50% of,
         respectively, the then outstanding shares of common stock and the
         combined voting power of the then outstanding voting securities
         entitled to vote generally in the election of directors, as the case
         may be, of the entity resulting from or surviving such Reorganization,
         Sale or Acquisition (including, without limitation, an entity which as
         a result of such transaction owns the Company or all or substantially
         all of the Company's assets or stock either directly or through one or
         more subsidiary entities, the "Surviving Entity") in substantially the
         same proportions as their ownership, immediately prior to such
         Reorganization, Sale or Acquisition, of the outstanding Company Common
         Stock and the outstanding Company Voting Securities, as the case may
         be, and (B) no person (other than (x) the Company or any subsidiary of
         the Company, (y) the Surviving Entity or its ultimate parent entity, or
         (z) any employee benefit plan (or related trust) sponsored or
         maintained by any of the foregoing) is the beneficial owner, directly
         or indirectly, of 50% or more of the total common stock or 50% or more
         of the total voting power of the outstanding voting securities eligible
         to elect directors of the Surviving Entity, and (C) at least a majority
         of the members of the board of directors of the Surviving Entity were
         Incumbent Directors at the time of the Board's approval of the
         execution of the initial agreement providing for such Reorganization,
         Sale or Acquisition (any Reorganization, Sale or Acquisition which
         satisfies all of the criteria specified in (A), (B) and (C) above shall
         be deemed to be a "Non-Qualifying Transaction"); or

                  (4) approval by the stockholders of the Company of a complete
         liquidation or dissolution of the Company.

SECTION 5.       OBLIGATIONS OF THE COMPANY UPON TERMINATION

         (a)     Termination for Death, Disability, Cause or Expiration of Term.
If Executive's employment terminates because of the Executive's death or
Disability or the expiration of the Term of this Employment Agreement, or if the
Company terminates the Executive's employment for Cause, the Company's only
obligation under this Employment Agreement shall be to pay Executive, or, if
Executive dies, Executive's estate, any earned but unpaid sales commissions and
Base Salary then in effect under Section 3(a), through Executive's Date of
Termination; provided that Executive shall have such rights under the Company's
benefit plans as are provided in such plans.

         (b)     Executive's Voluntary Termination Without Good Reason. If the
Executive resigns his employment without Good Reason, the Company's only
obligation under this Employment Agreement shall be to pay Executive any earned
but unpaid sales commissions and Base Salary then in effect under Section 3(a),
through Executive's Date of Termination; provided that Executive shall have such
rights under the Company's benefit plans as are provided in such plans.

         (c) Termination by Company Without Cause; Termination by Executive For
Good Reason. If the Company terminates Executive's employment other than for
Cause, death or Disability or if Executive resigns for Good Reason, the Company
shall (in lieu of

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<PAGE>

any severance benefits under any Company severance program) pay or provide to
Executive compensation and benefits as follows:

                  (1)    Executive will continue to receive his Base Salary as
         then in effect through his Date of Termination, and shall be paid on
         the Date of Termination any previously unpaid sales commissions earned
         through the day before the Date of Termination.

                  (2)    Executive shall receive, no later than 30 days after
         Executive's Date of Termination, a lump sum payment equal to (i)
         Executive's monthly Base Salary plus 1/12 of Executive's target annual
         bonus for the year in which Executive's Date of Termination occurs,
         calculated as if all target financial and other performance goals were
         attained, multiplied by (ii) the number of months in the Severance
         Period. The "Severance Period" shall be the period commencing on the
         Date of Termination and extending the greater of twelve (12) months or
         the remaining Term of the Employment Agreement.

                  The lump sum payment under this paragraph (2) shall not alter
         the amounts Executive is entitled to receive under the benefit plans
         described in paragraph (3) below. Benefits under such plans shall be
         determined as if Executive had continued to receive his Base Salary
         over the applicable Severance Period rather than in a lump sum.

                  (3)    The group health and dental care (including any
         executive medical plan) and group term life insurance benefits
         coverages provided to Executive at his Date of Termination shall be
         continued at the same level as for active executives and in the same
         manner as if his employment under this Employment Agreement had not
         terminated, beginning on the Date of Termination and continuing for the
         Severance Period. Any additional coverages Executive had at
         termination, including dependent coverage, will also be continued for
         such period on the same terms, to the extent permitted by the
         applicable policies or contracts. Any costs Executive was paying for
         such coverages at the time of termination shall be paid by Executive by
         separate check payable to the Company each month in advance. If the
         terms of any benefit plan referred to in this paragraph (3), or the
         laws applicable to such plan do not permit continued participation by
         Executive, then the Company will arrange for other coverage(s)
         satisfactory to Executive at the Company's expense which provides
         substantially similar benefits or, at Executive's election, will pay
         Executive a lump sum amount equal to the costs of such coverage(s) for
         the applicable Severance Period.

                  For purposes of any individual executive life insurance policy
         (or policies) maintained by the Company for Executive, the Company
         shall continue to pay the premiums for such policy or policies during
         the Severance Period.

                  (4)    Except as expressly provided herein, all other fringe
         benefits provided to Executive as an active employee of the Company
         (e.g., long-term disability, AD&D, etc.), shall cease on his Date of
         Termination (except to the

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<PAGE>

         extent Executive has already qualified for benefits under any
         such program), provided that any conversion or extension rights
         applicable to such benefits shall be made available to Executive at his
         Date of Termination or when such coverages otherwise cease.

         (d)     Full Settlement; No Obligation to Mitigate. The Company's
obligation to make the payments provided for in this Employment Agreement and
otherwise to perform its obligations hereunder shall not be affected by any
set-off, counterclaim, recoupment, defense or other claim, right or action which
the Company may have against Executive or others. In no event shall Executive be
obligated to seek other employment or take any other action by way of mitigation
of the amounts payable to Executive under any of the provisions of this
Employment Agreement and, except as explicitly provided herein, such amounts
shall not be reduced whether or not Executive obtains other employment.

SECTION 6.      CERTAIN ADDITIONAL PAYMENTS BY THE COMPANY.

         (a)    Anything in this Employment Agreement to the contrary
notwithstanding and except as set forth below, in the event it shall be
determined that any payment or distribution by the Company to or for the benefit
of Executive (whether paid or payable or distributed or distributable pursuant
to the terms of this Employment Agreement or otherwise, but determined without
regard to any additional payments required under this Section 6) (a "Payment")
would be subject to the excise tax imposed by Section 4999 of the Internal
Revenue Code of 1986, as amended (the "Code") or any interest or penalties are
incurred by Executive with respect to such excise tax (such excise tax, together
with any such interest and penalties, are hereinafter collectively referred to
as the "Excise Tax"), then Executive shall be entitled to receive an additional
payment (a "Gross-Up Payment") in an amount such that after payment by Executive
of all taxes (including any interest or penalties imposed with respect to such
taxes), including, without limitation, any income taxes (and any interest and
penalties imposed with respect thereto) and Excise Tax imposed upon the Gross-Up
Payment, Executive retains an amount of the Gross-Up Payment equal to the Excise
Tax imposed upon the Payments.

         (b)     Subject to the provisions of Section 6(c), all determinations
required to be made under this Section 6, including whether and when a Gross-Up
Payment is required and the amount of such Gross-Up Payment and the assumptions
to be used in arriving at such determination, shall be made by a certified
public accounting firm selected by Executive (other than the Company's regular
accounting firm) and reasonably acceptable to the Company (the "Accounting
Firm") which shall provide detailed supporting calculations both to the Company
and Executive within 15 business days of the receipt of notice from Executive
that there has been a Payment, or such earlier time as is reasonably requested
by the Company. All fees and expenses of the Accounting Firm shall be borne
solely by the Company. Any Gross-Up Payment, as determined pursuant to this
Section 6, shall be paid by the Company to Executive within five days of the
receipt of the Accounting Firm's determination. Any determination by the

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Accounting Firm shall be binding upon the Company and Executive. As a result of
the uncertainty in the application of Section 4999 of the Code at the time of
the initial determination by the Accounting Firm hereunder, it is possible that
Gross-Up Payments which will not have been made by the Company should have been
made ("Underpayment"), consistent with the calculations required to be made
hereunder. In the event that the Company exhausts its remedies pursuant to
Section 6(c) and Executive thereafter is required to make a payment of any
Excise Tax, the Accounting Firm shall determine the amount of the Underpayment
that has occurred and any such Underpayment shall be promptly paid by the
Company to or for the benefit of Executive.

         (c)     Executive shall notify the Company in writing of any claim by
the Internal Revenue Service that, if successful, would require the payment by
the Company of a Gross-Up Payment (or an additional Gross-Up Payment). Such
notification shall be given as soon as practicable but no later than ten
business days after Executive is informed in writing of such claim and shall
apprise the Company of the nature of such claim and the date on which such claim
is requested to be paid. Executive shall not pay such claim prior to the
expiration of the 30-day period following the date on which he gives such notice
to the Company (or such shorter period ending on the date that any payment of
taxes with respect to such claim is due). If the Company notifies Executive in
writing prior to the expiration of such period that it desires to contest such
claim, Executive shall:

                  (1)   give the Company any information reasonably requested by
         the Company relating to such claim,

                  (2)   take such action in connection with contesting such
claim as the Company shall reasonably request in writing from time to time,
including, without limitation, accepting legal representation with respect to
such claim by an attorney reasonably selected by the Company,

                  (3)    cooperate with the Company in good faith in order
         effectively to contest such claim, and

                  (4)    permit the Company to participate in any proceedings
         relating to such claim;

         provided, however, that the Company shall bear and pay directly all
costs and expenses (including additional interest and penalties) incurred in
connection with such contest and shall indemnify and hold Executive harmless, on
an after-tax basis, for any Excise Tax or income tax (including interest and
penalties with respect thereto) imposed as a result of such representation and
payment of costs and expenses. Without limitation of the foregoing provisions of
this Section 6(c), the Company shall control all proceedings taken in connection
with such contest (to the extent applicable to the Excise Tax and the Gross-Up
Payment) and, at its sole option, may pursue or forgo any and all administrative
appeals, proceedings, hearings and conferences with the taxing authority in
respect of such claim and may, at its sole option, either direct Executive to
pay the tax claimed and sue for a refund or contest the claim in any permissible
manner, and Executive agrees to prosecute such contest to a determination before
any administrative tribunal, in a court of initial jurisdiction and in one or
more appellate courts, as the

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<PAGE>

Company shall determine; provided, however, that if the Company directs
Executive to pay such claim and sue for a refund, the Company shall, if
permitted by law, advance the amount of such payment to Executive, on an
interest-free basis and shall indemnify and hold Executive harmless, on an
after-tax basis, from any Excise Tax or income tax (including interest or
penalties with respect thereto) imposed with respect to such advance or with
respect to any imputed income with respect to such advance; and further provided
that any extension of the statute of limitations relating to payment of taxes
for the taxable year of Executive with respect to which such contested amount is
claimed to be due is limited solely to such contested amount. Furthermore, the
Company's control of the contest shall be limited to issues with respect to
which a Gross-Up Payment would be payable hereunder and Executive shall be
entitled to settle or contest, as the case may be, any other issue raised by the
Internal Revenue Service or any other taxing authority.

         (d)    If, after the receipt by Executive of an amount advanced by the
Company pursuant to Section 6(c), Executive becomes entitled to receive any
refund with respect to such claim, Executive shall (subject to the Company's
complying with the requirements of Section 6(c) promptly pay to the Company the
amount of such refund (together with any interest paid or credited thereon after
taxes applicable thereto). If, after the receipt by Executive of an amount
advanced by the Company pursuant to Section 6(c), a determination is made that
Executive shall not be entitled to any refund with respect to such claim and the
Company does not notify Executive in writing of its intent to contest such
denial of refund prior to the expiration of 30 days after such determination,
then such advance shall be forgiven and shall not be required to be repaid and
the amount of such advance shall offset, to the extent thereof, the amount of
Gross-Up Payment required to be paid.

SECTION 7.       COVENANTS BY EXECUTIVE.

         (a)     General. Executive and the Company understand and agree that
the purpose of the provisions of this Section 7 is to protect legitimate
business interests of the Company, as more fully described below, and is not
intended in an unreasonable manner to impair or infringe upon Executive's right
to work or earn a living after termination or expiration of this Employment
Agreement. Executive hereby acknowledges that Executive has received and will
continue to receive good and valuable consideration for the restrictions set
forth in this Section 7 in the form of the compensation and benefits provided
for herein as well as other consideration. Therefore, Executive shall be subject
to the restrictions set forth in this Section 7.

         (b)     Definitions. The following capitalized terms used in this
Section 7 shall have the meanings assigned to them below, which definitions
shall apply to both the singular and plural forms of such terms:

                  (1)    "Competitive Services" means the business of providing
         intelligent visual medical systems, and providing enterprise-level
         information technology solutions for the clinical analysis and
         management of digital medical images. A "Company Competitor" is a
         Person that sells, licenses or otherwise offers Competitive Services to
         its customers, clients or end users.

                                       10
<PAGE>

         (2)     "Person" means any individual or any corporation, partnership,
joint venture, limited liability company, association or other entity or
enterprise.

         (3)     "Principal or Representative" means a principal, owner,
partner, stockholder, joint venturer, investor, lender, member, trustee,
director, advisor, officer, manager, employee, agent, representative or
consultant.

         (4)     "Protected Customers" mean customers of the Company within the
United States or prospective customers of the Company within the United States
that have been actively solicited by the Company. After Executive's Date of
Termination, Protected Customers shall include only those customers and
prospective customers of the Company with whom Executive had material contact
during his employment with the Company (with "material contact" meaning direct
personal contact or direct supervisory contact with other employees or personnel
of the Company who in turn had direct personal contact with the prospective
customers), or about whom Executive learned or had ready access to Confidential
Information, during the one year period immediately prior to the Date of
Termination of the Executive.

         (5)     "Restricted Period" means the period of time beginning on the
Effective Date and ending on the later of the date that is (a) twelve months
after Executive's Date of Termination or (b) the last day of the Severance
Period (as such term is defined in Section 5(c)(2)).

(c)      The Company's Property.


         (1)    Upon the termination of Executive's employment for any reason
or, if earlier, upon the Company's request, Executive shall promptly return all
"Property" which had been entrusted or made available to Executive by the
Company.

         (2)     The term "Property" means all records, files, memoranda,
reports, price lists, customer lists, drawings, plans, sketches, keys, codes,
computer hardware and software and other property of any kind or description
prepared, used or possessed by Executive during Executive's employment by the
Company and, if applicable, any of its affiliates (and any duplicates of any
such property) together with any and all information, ideas, concepts,
discoveries, and inventions and the like conceived, made, developed or acquired
at any time by Executive individually or, with others during Executive's
employment which relate to the Company business, products or services.

(d)      Trade Secrets.


         (1)     Executive agrees that Executive will hold in a fiduciary
capacity for the benefit of the Company, and any of its affiliates, and will not
directly or indirectly use or disclose, any "Trade Secret" that Executive may
have acquired during the term of Executive's employment by the Company or any of
its affiliates for so long as such information remains a Trade Secret.

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<PAGE>

         (2)     The term "Trade Secret" means information, including, but not
limited to, technical or nontechnical data, formulas, patterns, compilations,
programs, devices, methods, techniques, drawings, processes, financial data,
financial plans, product plans, or a list of actual or potential customers or
suppliers that (a) derives economic value, actual or potential, from not being
generally known to, and not being generally readily ascertainable by proper
means by any other person who can obtain economic value from its disclosure or
use and (b) is the subject of reasonable efforts by the Company and any of its
affiliates to maintain its secrecy.

         (3)     This Section 7(d) and Section 7(e) are intended to provide
rights to the Company which are in addition to, and not in lieu of, those rights
the Company has under the common law or applicable statutes for the protection
of Trade Secrets. Any provision under applicable trade secret law that provides
the Company with more liberal or generous protection of its Trade Secrets shall
prevail over any narrower protection afforded by this Agreement.

(e)      Confidential Information.


         (1)     Executive, while employed under this Employment Agreement and
thereafter during the Restricted Period, shall hold in a fiduciary capacity for
the benefit of the Company and any of its affiliates, and shall not directly or
indirectly use or disclose, any "Confidential Information" that Executive may
have acquired (whether or not developed or compiled by Executive and whether or
not Executive is authorized to have access to such information) during the term
of, and in the course of, or as a result of Executive's employment by the
Company or any of its affiliates. Notwithstanding anything to the contrary in
this Agreement, the foregoing durational limitation shall not apply to any
Confidential Information that constitutes a "Trade Secret" and Executive's
obligation to hold in confidence and not use such Trade Secret Confidential
Information shall continue for as long as the information retains its status as
a Trade Secret.

         (2)    The term "Confidential Information" means any secret,
confidential or proprietary information possessed by the Company or any of its
affiliates relating to their business, including, without limitation, Trade
Secrets, customer lists, details of client or consultant contracts, current and
anticipated customer requirements, pricing policies, price lists, market
studies, business plans, operational methods, marketing plans or strategies,
legal advice and communications with the Company's counsel, product development
techniques or flaws, computer software programs (including object code and
source code), data and documentation data, base technologies, systems,
structures and architectures, inventions and ideas, past current and planned
research and development, compilations, devices, methods, techniques, processes,
financial information and data, business acquisition plans and new personal
acquisition plans (not otherwise included in the definition of a Trade Secret
under this Employment Agreement) that has not become generally available to the
public by the act of one who has the right to disclose such information without
violating any right of the Company or

                                       12
<PAGE>

         any of its affiliates. Confidential Information may include, but not be
         limited to, future business plans, licensing strategies, advertising
         campaigns, information regarding customers, executives and independent
         contractors and the terms and conditions of this Employment Agreement.

         (f)     Non-Solicitation of Employees. Executive (i) while employed
under this Employment Agreement shall not, either directly or indirectly,
solicit or attempt to induce any other officer, employee or independent
contractor of the Company or any of its affiliates to terminate his or her
employment or other relationship with the Company or any of its affiliates and
shall not assist any other person or entity in such a solicitation (regardless
of whether any such officer, employee or independent contractor would commit a
breach of contract by terminating his employment), and (ii) during that part of
the Restricted Period following Executive's Date of Termination, shall not,
either directly or indirectly, solicit or attempt to induce any other officer,
employee or independent contractor of the Company or any of its affiliates with
whom Executive had contact, knowledge of, or association in the course of
Executive's employment with the Company or any of its affiliates as the case may
be, during the twelve month period immediately preceding the beginning of the
Restricted Period, to terminate his or her employment or other relationship with
the Company or any of its affiliates and shall not assist any other person or
entity in such a solicitation (regardless of whether any such officer, employee
or independent contractor would commit a breach of contract by terminating his
employment).

         (g)    Non-Solicitation of Customers. Executive understands and agrees
that the relationship between the Company and each of its "Protected Customers"
constitutes a valuable asset of the Company and may not be converted to
Executive's own use and that any such actions by Executive would constitute a
material breach of this Employment Agreement as well as a breach of Executive's
duties of loyalty to the Company as a senior executive officer. Accordingly,
Executive hereby agrees that, during the Restricted Period, Executive shall not,
without the prior written consent of the Company, directly or indirectly, on
Executive's own behalf or as a Principal or Representative of any Person,
solicit or attempt to solicit a Protected Customer for the purpose of providing
or selling or having a Company Competitor provide Competitive Services to the
Protected Customer.

         (h)    Non-Competition. During the Term and during the Restricted
Period, Executive shall not, without the Company's express prior written
consent, directly or indirectly, on Executive's own behalf or as a Principal or
Representative of any Person other than the Company or an affiliate of the
Company provide services to, invest in, lend funds to, advise, consult with,
represent, be employed by or contract with a Company Competitor where such
relationship involves substantial similarity to one or more material aspects of
Executive's relationship with Company and where it could reasonably be concluded
that such relationship is adverse to the legitimate business interests of the
Company or Executive's contractual commitments to and corporate duties of
loyalty to the Company (a "Competing Position"). After Executive's Date of
Termination, the foregoing restrictions shall apply only to affiliations or
relationships with a Company Competitor whose primary business location is in
the continental United States. The


                                       13
<PAGE>

parties acknowledge that the Company's business extends throughout and beyond
the continental United States and that as an Executive Vice President of the
Company, Executive can be deemed to be providing services to the Company and
serving the Company throughout this entire geographic area. Nothing in the
foregoing covenants shall prevent or limit Executive from owning a passive
interest of not more than one percent (1%) of the equity of a Company Competitor
if the equity is listed and traded on the New York Stock Exchange or NASDAQ
provided that neither such ownership nor any contract or other right gives
Executive control of the entity in which Executive owns equity.

         (i)     Non-Disparagement. The Executive agrees not to make false,
misleading or disparaging statements regarding the Company, its management
(including individual executives or managers) or practices, and agrees not to
take any action that disrupts or impairs the Company's normal, ongoing business
operations, or that harms the Company's reputation with its employees,
customers, suppliers, or the public. Executive understands that the foregoing
provision does not apply on occasions when Executive is subpoenaed or ordered by
a court or other governmental authority to testify or give evidence and must, of
course, respond truthfully, or to conduct otherwise protected by the
Sarbanes-Oxley Act.

         (j)    Reasonable and Continuing Obligations. Executive agrees that
Executive's obligations under this Section 7 are obligations which will continue
beyond the date Executive's employment terminates and that such obligations are
reasonable and necessary to protect the Company's legitimate business interests.
The Company in addition shall have the right to take such other action as the
Company deems necessary or appropriate to compel compliance with the provisions
of this Section 7.

         (k)    Remedy for Breach. Executive agrees that the remedies at law of
the Company for any actual or threatened breach by Executive of the covenants in
this Section 7 would be inadequate and that the Company shall be entitled to
seek specific performance of the covenants in this Section 7, including entry of
an ex-parte , temporary restraining order in state or federal court, preliminary
and permanent injunctive relief against activities in violation of this Section
7, or both, or other appropriate judicial remedy, writ or order, in addition to
any damages and legal expenses which the Company may be legally entitled to
recover. Executive acknowledges and agrees that the covenants in this Section 7
shall be construed as agreements independent of any other provision of this or
any other agreement between the Company and Executive, and that the existence of
any claim or cause of action by Executive against the Company, whether
predicated upon this Employment Agreement or any other agreement, shall not
constitute a defense to the enforcement by the Company of such covenants.

         (l)     Severability of Covenants. Executive acknowledges and agrees
that the Restrictive Covenants are reasonable and valid in time and scope and in
all other respects. The covenants set forth in this Employment Agreement shall
be considered and construed as separate and independent covenants. Should any
part or provision of any covenant be held invalid, void or unenforceable, such
invalidity, voidness or unenforceability shall not render invalid, void or
unenforceable any other part or

                                       14
<PAGE>

provision of this Employment Agreement. If any portion of the foregoing
provisions is found to be invalid or unenforceable because its duration, the
territory, the definition of activities or the definition of information covered
is considered to be invalid or unreasonable in scope, the invalid or
unreasonable term shall be redefined, or a new enforceable term provided, such
that the intent of the Company and Executive in agreeing to the provisions of
this Employment Agreement will not be impaired and the provision in question
shall be enforceable to the fullest extent of the applicable laws.

         (m)     Reformation. The parties hereunder agree that it is their
intention that the provisions of this Section 7 be enforced in accordance with
their terms to the maximum extent possible under applicable law. The parties
further agree that, in the event any tribunal of competent jurisdiction shall
find that any provision hereof is not enforceable in accordance with its terms,
the tribunal shall reform these covenants such that they shall be enforceable to
the maximum extent permissible at law.

SECTION 8.      MISCELLANEOUS

         (a)    Non-Exclusivity of Rights. Nothing in this Employment Agreement
shall prevent or limit Executive's continuing or future participation in any
employee benefit plan, program, policy or practice provided by the Company and
for which Executive may qualify, except as specifically provided herein. Amounts
which are vested benefits or which Executive is otherwise entitled to receive
under any employee benefit plan, policy, practice or program of the Company, its
subsidiaries or any of its affiliated companies at or subsequent to the Date of
Termination (other than severance benefits) shall be payable in accordance with
such plan, policy, practice or program except as explicitly modified by this
Employment Agreement.

         (b)     Notices. Notices and all other communications shall be in
writing and shall be deemed to have been duly given when personally delivered or
when mailed by United States registered or certified mail. Notices to the
Company shall be sent to: Emageon Inc., 1200 Corporate Drive, Suite 400,
Birmingham, Alabama 35242. Attention: Corporate Secretary. Notices and
communications to Executive shall be sent to the address Executive most recently
provided to the Company.

         (c)     No Waiver. No failure by either the Company or Executive at any
time to give notice of any breach by the other of, or to require compliance
with, any condition or provision of this Employment Agreement shall be deemed a
waiver of any provisions or conditions of this Employment Agreement.

         (d)    Alabama Law. This Employment Agreement shall be governed by
Alabama law without reference to the choice of law principles thereof.

         (e)     Assignment. This Employment Agreement shall be binding upon and
inure to the benefit of the Company and any successor to all or substantially
all of the business or assets of the Company. The Company may assign this
Employment Agreement to any affiliate or successor, and no such assignment shall
be treated as a termination of Executive's employment under this Employment
Agreement. Executive's

                                       15
<PAGE>

rights and obligations under this Employment Agreement are personal and shall
not be assigned or transferred.

         (f)     Other Agreements. This Employment Agreement supercedes,
replaces and merges any and all previous agreements and understandings regarding
all the terms and conditions of Executive's employment relationship with the
Company, and this Employment Agreement constitutes the entire agreement between
the Company and Executive with respect to such terms and conditions.

         (g)     Amendment. No amendment to this Employment Agreement shall be
effective unless it is in writing and signed by the Company and by
Executive.

         (h)     Invalidity. If any part of this Employment Agreement is held by
a court of competent jurisdiction to be invalid or otherwise unenforceable, the
remaining part shall be unaffected and shall continue in full force and effect,
and the invalid or otherwise unenforceable part shall be deemed not to be part
of this Employment Agreement.

         (i)      Disputes; Legal Fees; Indemnification.


                  (1)    Disputes - All claims by Executive for compensation and
         benefits under this Employment Agreement shall be in writing and shall
         be directed to and be determined by the Board. Any denial by the Board
         of a claim for benefits under this Employment Agreement shall be
         provided in writing to Executive within 30 days of such decision and
         shall set forth the specific reasons for the denial and the specific
         provisions of this Employment Agreement relied upon. The Board shall
         afford a reasonable opportunity to Executive for a review of its
         decision denying a claim and shall further allow Executive to appeal in
         writing to the Board a decision of the Board within sixty (60) days
         after notification by the Board that Executive's claim has been denied.
         To the extent permitted by applicable law, any further dispute or
         controversy arising under or in connection with this Employment
         Agreement shall be settled exclusively by arbitration in Birmingham,
         Alabama, in accordance with the commercial arbitration rules of the
         American Arbitration Association then in effect. Judgment may be
         entered on the arbitrator's award in any court having jurisdiction.

                  (2)   Legal Fees. If Executive terminates his employment for
         Good Reason or if the Company involuntarily terminates Executive
         without Cause, then, in the event Executive incurs legal fees and other
         expenses in seeking to obtain or to enforce any rights or benefits
         provided by this Employment Agreement and is successful, in whole or in
         any significant part, in obtaining or enforcing any such rights or
         benefits through settlement, mediation, arbitration or otherwise, the
         Company shall promptly pay Executive's reasonable legal fees and
         expenses and related costs incurred in enforcing this Employment
         Agreement including, without limitation, attorneys fees and expenses,
         experts fees and expenses, investigative fees, and travel expenses.
         Except to the extent provided in the preceding sentence, each party
         shall pay its own legal fees and other expenses associated with any
         dispute under this Employment Agreement.

                                       16
<PAGE>

                  (3)   Indemnification. During the Term of this Employment
         Agreement and after Executive's termination, the Company shall
         indemnify Executive and hold Executive harmless from and against any
         claim, loss or cause of action arising from or out of Executive's
         performance as an officer, director or employee of the Company or any
         of its subsidiaries or other affiliates or in any other capacity,
         including any fiduciary capacity, in which Executive serves at the
         Company's request, in each case to the maximum extent permitted by law
         and under the Company's Articles of Incorporation and By-Laws (the
         "Governing Documents"), provided that in no event shall the protection
         afforded to Executive hereunder be less than that afforded under the
         Governing Documents as in effect on the date of this Employment
         Agreement except for changes mandated by law.

         IN WITNESS WHEREOF, the Company and Executive have executed this
Employment Agreement as of the date first above written to be effective on the
Effective Date.


                                                        EMAGEON INC.


                                                        By:  /s/ Charles Jett
                                                             ----------------
                                                             Name: Charles Jett
                                                             Title: CEO



                                                        EXECUTIVE



                                                        /s/ Noel D. Gartman
                                                        -------------------
                                                        NOEL D. GARTMAN


                                       17

Source: OneCLE Business Contracts.