Item 7.01 Regulation FD.

In connection with the offering described below, Nuance Communications, Inc. ("Nuance") is announcing that it acquired Quadramed Quantim Corporation on September 28, 2012 pursuant to a Stock Purchase Agreement, dated as of August 27, 2012, by and among Nuance, Quadramed Holdings LLC and U.S. Bank as escrow agent. The aggregate consideration payable to the former shareholder of Quantim consisted of $230 million, which was paid at the closing in cash.

Item 8.01 Other Events.

On October 15, 2012, Nuance issued a press release announcing an offering of senior unsecured notes. A copy of the press release is attached hereto as Exhibit 99.1 and incorporated by reference herein.

Item 9.01 Financial Statements and Exhibits

(d) Exhibits

99.1 Press release of Nuance Communications, Inc. dated October 15, 2012

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