Philadelphia, PA, AHIMA Booth #724 – October 9, 2007 – Nuance Communications, Inc. (NASDAQ: NUAN), a leading provider of speech solutions, today announced a marked increase in new customer wins for its subsidiary, Focus Infomatics, Inc., the premier provider of transcription and speech recognition editing services for medical facilities. Healthcare organizations are rapidly embracing the unmatched levels of accuracy, reliability, scalability and flexibility offered by the unique combination of Nuance’s speech technology and Focus Infomatics’ award winning outsourced transcription services. The recent momentum is also seen as a response to the growing trend toward “smart-sourcing”, which takes advantage of a highly efficient mix of in- and outsourced resources for improved turnaround times and reduced costs, while maintaining uncompromised quality.

Since Nuance’s acquisition of Focus Infomatics in March 2007, Dictaphone customers have benefited from the combined offering of speech recognition, a Web-based editing platform and highly-optimized, off-shore operational facilities. Together Nuance and Focus Infomatics are proud to announce the following market momentum:

Award Winning Levels of Personalized Customer Care and Satisfaction –
- Named as one of Inc. Magazine’s 5,000 “Fastest Growing Companies” and “Top Companies in Health.”
- Ranked #1 within the Outsourced Transcription category of the 2007 KLAS Enterprises “Top 20: 2007 Mid-Year Report Card.” (see more information below)

Strong, Continued Market Adoption – Tripling its rate of new customer wins since becoming a subsidiary of Nuance, Focus Infomatics is one of the most respected and fastest growing transcription services organizations in the industry, serving some of the U.S.’s leading healthcare organizations.

Significant Off-Shore Facilities Expansion – Focus Infomatics is committed to accommodating increasing transcription volumes and has significantly increased capacity for transcription and editing service delivery, with more than 9 current locations in India, including new branches in Bangalore, Chennai, Dehli and Hyderabad.

“We could not be more pleased with the way speech recognition has dramatically driven down our transcription costs and improved turnaround times,” said Lynne Yaeger of Guthrie Health. “We have found that for us, transcription, even with superior technology in place, still comes down to interpersonal relationships, primarily with the manager assigned to our Guthrie account. Focus’ impeccable service with established protocols to achieve the highest accuracy and quality, combined with their extensive resources, means that they meet their projected typed lines and their quality standards of 98 percent accuracy.”

Focus Infomatics’ proven technology and services portfolio has ensured the most efficient, cost-effective and scalable Internet delivery of automated transcription services without compromising the highest standards of quality and turnaround time. Focus Infomatics’ offshore resources keep transcription service costs in line while delivering unmatched quality.

“We are thrilled with the uptake we have seen since the acquisition – with Focus as a part of the Nuance family, we have nearly tripled our new customer wins,” said Anirudh Baheti, CEO of Focus Infomatics. “The industry is clearly moving toward smart-sourcing models which use a highly optimized mix of in- and outsourced services to contain costs while ensuring high quality and rapid turn-around amid fluctuating transcription demand. Now as part of Nuance, we offer an unbeatable one-two punch of best in class services and cutting-edge technology, and the reaction from the industry has been exceptional.”

The KLAS Mid-Year Report Card is a summary of healthcare industry IT product performance collected over a 13 month period ending May 15, 2007. If you have questions about the KLAS 2007 Mid-Year Report or if you would like to purchase a copy, visit the KLAS website at www.healthcomputing.com.

Focus Infomatics

Focus Infomatics, a healthcare transcription solutions company with operation in India and the United States, has been successfully providing transcription services to the healthcare industry since 1999. Focus now serves more than 100 medical facilities across the United States.

Nuance’s Dictaphone Healthcare Solutions

Nuance’s Dictaphone Healthcare Solutions Division provides comprehensive dictation and transcription solutions and services that improve the way patient data is captured, processed and used changing the way people process and work with medical information. Through the integration of speech recognition and natural language processing within existing health information management workflow, Nuance’s Dictaphone Healthcare Solutions offerings help healthcare organizations save money and improve patient care by improving the turn around time, accuracy and usability of their medical documentation. For more information, please visit Nuance.com/Dictaphone.

Nuance Communications, Inc.

Nuance (NASDAQ: NUAN) is a leading provider of speech and imaging solutions for businesses and consumers around the world. Its technologies, applications and services make the user experience more compelling by transforming the way people interact with information and how they create, share and use documents. Every day, millions of users and thousands of businesses experience Nuance's proven applications. For more information, please visit www.nuance.com.

Nuance, the Nuance logo, Focus and Dictaphone are trademarks or registered trademarks of Nuance Communications, Inc. or its affiliates in the United States and/or other countries. All other company names or product names may be the trademarks of their respective owners.