UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

x

Rule 13d-1(b)

o

Rule 13d-1(c)

o

Rule 13d-1(d)

CUSIP No. 66986W108

1.

Names of Reporting Persons
Geneva Investment Management of Chicago, LLC  

2.

Check the Appropriate Box if a Member of a Group (See Instructions)
Not Applicable

(a)

o

(b)

o

3.

SEC Use Only

4.

Citizenship or Place of Organization
Delaware

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With

5.

Sole Voting Power
1,495,421

6.

Shared Voting Power
978,621

7.

Sole Dispositive Power
1,495,421

8.

Shared Dispositive Power
978,621

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
2,474,042

10.

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  o
Not Applicable

11.

Percent of Class Represented by Amount in Row (9)
10.7%

12.

Type of Reporting Person (See Instructions)
IA

Item 1.

(a)

Name of Issuer
NovaMed, Inc.

(b)

Address of Issuer’s Principal Executive Offices
980 North Michigan Avenue, Suite 1620

Chicago, Illinois 60611

Item 2.

(a)

Name of Person Filing
Geneva Investment Management of Chicago, LLC (“Geneva”)

(b)

Address of Principal Business Office or, if none, Residence
Geneva is located at:

181 West Madison Street, Suite 3575

Chicago, Illinois 60602

(c)

Citizenship
Geneva is a Delaware limited liability company.

(d)

Title of Class of Securities
Common Stock

(e)

CUSIP Number
66986W108

Item 3.

If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:

(a)

o

Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o);

(b)

o

Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c);

(c)

o

Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c);

(d)

o

Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8);

(e)

x

Geneva is an investment adviser registered under section 203 of the Investment Advisers Act of 1940.

(f)

o

An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F);

(g)

o

A parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G);

(h)

o

A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);

(i)

o

A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3);

(j)

o

A non-U.S. institution in accordance with § 240.13d–1(b)(1)(ii)(J);

(k)

o

Group, in accordance with § 240.13d–1(b)(1)(ii)(K). If filing as a non-U.S. institution in accordance with § 240.13d–1(b)(1)(ii)(J), please specify the type of institution:____________________________

Item 4.

Ownership

Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.

(a)

Amount beneficially owned:   

2,474,042

(b)

Percent of class:   

10.7% (based on 23,147,275 shares outstanding as of December 31, 2009)

(c)

Number of shares as to which the person has:

(i)

Sole power to vote or to direct the vote   

1,495,421

(ii)

Shared power to vote or to direct the vote    

978,621

(iii)

Sole power to dispose or to direct the disposition of   

1,495,421

(iv)

Shared power to dispose or to direct the disposition of   

978,621

Item 5.

Ownership of Five Percent or Less of a Class

If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following   o.

Not Applicable

Item 6.

Ownership of More than Five Percent on Behalf of Another Person

The shares reported herein have been acquired on behalf of discretionary clients of Geneva.  Persons other than Geneva are entitled to receive all dividends from, and proceeds from the sale of, those shares.  None of those persons, to the knowledge of Geneva, has an economic interest in more than 5% of the class.

Item 7.

Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person

Not Applicable

Item 8.

Identification and Classification of Members of the Group

Not Applicable

Item 9.

Notice of Dissolution of Group

Not Applicable

Item 10.

Certification

By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired and are held in the ordinary course of business and were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.

GENEVA INVESTMENT MANAGEMENT OF CHICAGO, LLC

February 12, 2010

Date

By /s/ Thomas W. Ulrich

Signature

Thomas W. Ulrich

Principal

Name/Title