HIMSS 2009, CHICAGO, IL — April 6, 2009 — Nuance Communications, Inc. (NASDAQ: NUAN), a leading supplier of speech solutions, will be at booth 1448 at the Healthcare Information and Management Systems Society (HIMSS) 2009 annual conference, held at McCormick Place in Chicago this week. At the show Nuance will:

Announce significant customer momentum, highlighting more than 25 leading healthcare facilities;
Launch its Dragon Medical EHR Certification Program;
Issue survey results from 1,255 physicians who use speech recognition as part of their electronic clinical documentation process; and,
Preview version 8 of its Enterprise Workstation.

As evidence of growth related to Nuance’s healthcare solutions, significant customers include (listed by product category):

Background Speech Recognition: Altru Health System (Ohio), Children’s Hospital of Dayton (Ohio), North Memorial Health (Minnesota), Trinity Health System (Michigan)
Real-time Speech Recognition: Health Partners (Minnesota), Kaiser Permanente (Colorado), Nationwide Children’s (Ohio), West Virginia University (West Virginia)
Closed-Loop Radiology Solutions: HealthOne (Colorado), Miami VA Healthcare System (Florida), Moffitt Healthcare System (Florida), Saint Joseph’s Hospital and Medical Center (Arizona), Saint Thomas and Baptist Hospitals (Tennessee), Triad Imaging (North Carolina), North Memorial Medical Center (Minnesota), Lahey Clinic (Massachusetts)
Critical Test Results Management: Lakes Regional (Texas), North Memorial Medical Center (Minnesota), University of Mississippi (Mississippi)
Focus Infomatics Speech Editing Services: Dartmouth-Hitchcock Medical Center, Great Falls Clinic (Montana), North Texas Division of HCA hospitals and Universal Health Services (Texas)

In addition to all of Nuance’s healthcare solutions on display at booth 1448, the following in-booth presentations will be hosted by customer industry leaders; schedules are available at the booth:

Yale New Haven Hospital:

Critical Test Result Management: How IT Can Help Pass the Test (Results)

Fallon Clinic:

Evaluation of Dragon Medical with an Ambulatory EMR: Results of an Impact Study

Forrest General Hospital:

Increasing Productivity, Decreasing Costs, and Growing Volume with Background Speech Recognition

Tri-City Emergency Medical Group:

Dragon Medical and Template-based Electronic Physician Documentation: Achieving Optimum Provider Productivity

Miami Valley Health/Wright State:

Harnessing the Dragon - Infuse Life Back Into Your EMR

Jackson Purchase Medical Associates:

Significantly Enhance Your Practice with Dragon Medical While Fully Leveraging Your EHR

For information regarding all of Nuance’s announcements at HIMSS, please visit the Nuance healthcare newsroom. Additionally, Nuance will be presenting as part of the following educational sessions while at HIMSS:

Sharing the Wealth to Cut Costs: Data and Decision Support for Imaging Utilization Management
Monday, April 6, 9:45 AM - 10:45 AM

Vic Panza, Vice President of Imaging Utilization Solutions, Nuance Healthcare

Speech-Driven EMRs: The Next Generation of the Manila Folder
Tuesday, April 7, 1:00 PM - 2:00 PM

Brian Zimmerman, MD, Emergency Room Physician, Miami Valley Hospital
Robert Walker, MD, AMEDD MAPS MEDCOM Chief Clinical Consultant Europe Regional Medical Command AHLTA Consultant Chief, USAEUR Executive Medicine Program, United States Army Medical Department Activity

Closed-loop Critical Test Result Management: How IT Can Help Pass the Test
E-Session, Room S 101 and South Level 4

Thomas White. Vice President, CTRM division, Nuance Communications
Michael Matthews, Director of Clinical Information Systems, Dept. of Diagnostic Radiology, Yale New Haven Hospital

Nuance’s Healthcare Business

Nuance’s healthcare portfolio of proven, speech-enabled clinical documentation and communication solutions enable healthcare provider organizations to improve financial performance, enhance patient care, and increase patient safety. With more than 3,000 healthcare customers worldwide, Nuance has the experience and solutions that meet the individual needs of any size healthcare provider organization.

About Nuance Communications, Inc.

Nuance 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 and professional services. For more information, please visit: www.nuance.com.

Nuance, the Nuance logo and Dragon 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.

The statements in this press release, relating to future plans or future events or services, are forward-looking statements which are subject to specific risks and uncertainties. These could involve particular market trends, competition factors and other risks described in the documents submitted to the US Securities and Exchange Commission. The actual results, events and services may vary significantly from the forecasts. The reader is warned not to rely on these forward-looking statements without reservation, since these are simply reflections of the current situation.