X0202 4 2005-12-15 0 0001121439 EMAGEON INC EMAG 0001316461 Jett Charles A JR 1200 CORPORATE DRIVE SUITE 200 BIRMINGHAM AL 35242 1 1 0 0 Chief Executive Officer Common Stock 2005-12-15 4 G 0 23000 0.00 D 192128 D Prepaid Variable Forward Contract (right to sell) 2005-12-15 4 J 0 1 A Common Stock 175000 0 D The reporting person entered into a prepaid variable forward contract with an unaffiliated counterparty on December 15, 2005. The counterparty paid the reporting person $2,386,529.52 at the time of execution of the contract. The "valuation date" under the contract is February 14, 2007, and it settles three business days after the valuation date. If on the valuation date, the closing price of a share of Emageon common stock (the "closing price") is: (a) less than or equal to $16.097, the reporting person will deliver to the counterparty 175,000 shares of Emageon common stock on the settlement date; (b) greater than $22.5358, the reporting person will deliver to the counterparty on the settlement date a number of shares equal to $2,816,975 divided by the closing price; or (continued in Footnote 2) (c) equal to or greater than $22.5358, the reporting person will deliver to the counterparty on the settlement date a number of shares equal to 175,000 multiplied by a fraction, the numerator of which is $16.097 plus the amount by which the closing price exceeds $22.5358, and the denominator of which is the closing price. The reporting person has the option to settle the contract in cash for an amount equal to the closing price multiplied by the number of shares the reporting person would otherwise be obligated to deliver in accordance with the preceding sentence. /s/ Pamela B. Fetterolf, Attorney-in-Fact for Charles A. Jett 2005-12-19