Question-and-Answer Session
Operator
(Operator instructions) Your first question comes from Michael Cherney with Deutsche Bank; please go ahead with your question.
Michael Cherney – Deutsche Bank
With regards to the rolling on backlog, obviously you got to show tremendous growth here with this quarter being compared to the last couple, obviously St. Barnabas is one aspect of this that really kind of help supplement the growth, but outside of that, could you talk a little bit about the trends you are seeing, going back to John’s original comment about health care reform? With the guys who are signing up contracts, is there any specific tools they are looking for to prepare themselves in anticipation of healthcare reforms come sooner, rather than later?
Robert Borchert
So Michael, I will start to tell you honestly by letting you know, give you a little more color on what in the last couple of quarters, our revenue cycles that had been the specific tools that got a lot of traction, as we alluded in the call, certainly our claims management and contract management tools are charge master tools, certainly our revenue cycle services, on the spend side, it has certainly been our technology and medical device consulting and once we had Sutter from about six quarters ago implemented and now becomes operational we only use that in our sales force to gain contraction there, so it had some early success there.
Operator
Your next question comes from Larry Marsh with Barclays Capital; please go ahead with your question.
Larry Marsh – Barclays Capital
Thanks and good afternoon, just a couple of things and it seems like the real message for this year has been the kind of the expansion of your target market, with more transformational deals, more to broader base relationships. You have also communicated that some of that does not neatly show up in revenues and earnings as you talked about St. Barnabas. So I guess questions around that, can you elaborate a little bit on the St. Barnabas relationship, the decision to push back the implementation, is just kind of being safe and sort of thinking about how you are going to start that relationship, or is there anything else specific to the situation there that would have pushed you back a little bit?
It sounds like you are as confident as you been certainly a couple of months ago, in terms of how that can impact your business? So let me ask you that first and I will follow up.
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