Nuance Closes Acquisition of Vocada

BURLINGTON, Mass., November 5, 2007 – Nuance Communications, Inc. (NASDAQ: NUAN), the world’s leading supplier of speech solutions, today announced it has closed the acquisition of Vocada, Inc, a leading provider of critical test result management solutions.

The combination of Nuance and Vocada will broaden the capabilities of the Dictaphone® Healthcare solutions, extend the company’s domain expertise within diagnostic specialties (including radiology, lab, pathology and cardiology) and accelerate revenue growth through software as a service (SaaS) offerings. In addition, these offerings will help healthcare provider organizations comply with industry mandates associated with the time in which critical test results are identified, documented and communicated.

In connection with the acquisition of Vocada and in accordance with NASDAQ Marketplace Rule 4350, Nuance will grant 280,899 shares of its common stock, in the form of stand-alone restricted stock units, as an inducement that is material to 20 individuals entering into employment arrangements with Nuance. The restricted stock units will be granted upon the approval of the Compensation Committee of Nuance’s Board of Directors. 140,415 of the restricted stock units vest over a three year period and 140,472 of the restricted stock units vest over a three year period, subject to the achievement of certain performance-based objectives.

About Vocada Inc.

The Vocada critical test result management solution is the only enterprise solution for communicating critical test results from hospital diagnostic departments to ordering clinicians. Using a patented, hosted system, Veriphy™ automates and verifies communication of critical test results in a real-time, assured and trackable solution, simultaneously enhancing patient safety and boosting clinical staff productivity.

About Nuance Communications, Inc.

Nuance Communications, Inc. (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.

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

SAFE HARBOR FOR FORWARD-LOOKING STATEMENTS
Statements in this document regarding Nuance’s acquisition of Vocada, the product portfolio of the combined company and the market for those products, the acceleration of revenue growth through software as a service offerings, future opportunities for the combined company, and any other statements about Nuance or Vocada managements’ future expectations, beliefs, goals, plans or prospects constitute forward looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Any statements that are not statements of historical fact (including statements containing the words “believes,” “plans,” “anticipates,” “expects,” estimates and similar expressions) should also be considered to be forward looking statements. There are a number of important factors that could cause actual results or events to differ materially from those indicated by such forward looking statements, including: the ability of Nuance to successfully integrate the product and service offerings of the combined company, the ability to retain Vocada’s partners and customers, and the other factors described in Nuance’s Annual Report on Form 10 K/A for the year ended September 30, 2006. Nuance disclaims any intention or obligation to update any forward looking statements as a result of developments occurring after the date of this document.