This report presents the Real World Testing Results for the Thrive Provider EHR product conducted by CPSI for the 2023 calendar year. Under the ONC Health IT Certification Program, health IT developers are mandated to perform annual testing to ensure compliance with certification criteria. The report outlines the testing methods utilized, which include adoption rates, summative testing, and interactive testing, aimed at capturing the real-world utilization of certified capabilities. Metrics collected include the number of Continuity of Care Documents (CCDs) created, sent, and received, demonstrating successful interoperability in various healthcare settings. Additionally, it details changes made to the original testing plan and the rationale behind these adjustments. The findings confirm that certified capabilities are effectively deployed across different care settings, showcasing ongoing compliance with previously established certification criteria. Overall, the continuous use of certified Health IT throughout the reporting period illustrates the success of these technologies in operational practice.