Fenwick & West Represents IDX Systems Corporation in Acquisition of RealTimeImage, Ltd.

April 28, 2005

Fenwick & West LLP represented its client IDX Systems Corporation (NASDAQ: IDXC) in its recently announced acquisition of privately-held RealTimeImage, Ltd. (RTI). RTI, a Tel Aviv, Israel-based company with offices in San Bruno, CA, is a leading provider of web-based imaging products and services for healthcare, addressing the needs for radiology, orthopedics and cardiology. The transaction, valued at approximately $15.5 million, is subject to regulatory approvals and closing conditions and is expected to close during the second quarter of 2005.

The Fenwick & West transaction team consisted of partners Lynda Twomey, Stuart Meyer, Stephen Gillespie and Brian Hoffman, and associates Brian Hicks, Khang Tran, Chris Joslyn and Blake Martell.

About Fenwick & West

Fenwick & West provides comprehensive legal services to high technology and life sciences clients of national and international prominence. The firm was ranked by MergerMarket as the #1 U.S. Legal Advisor for Technology Industry M&A in 2004.