RIDGEFIELD, CT, July 27, 2004 AMICAS, Inc., the Web-based picture archiving and communications systems (PACS) company, a wholly owned subsidiary of VitalWorks Inc. (NASDAQ:VWKS), signed twelve new customers, most with multiple facilities, for implementation of its diagnostic image and information management system during the second quarter, ending June 30, 2004. The results represent a record in number of new customers and total number of contracted sites in a single operating quarter.

The 37 new sites include seven hospitals, representing three hospital entities, 15 sites representing four radiology group entities, and 15 outpatient diagnostic centers, representing five multi-center imaging center entities. Five out of the twelve unique customers have contracted to utilize RadConnect RIS, VitalWorks’ Web-based radiology information system integrated with AMICAS Vision Series™ Web-based PACS. The second quarter contracts also include three hospitals that utilize MEDITECH’s health care information system. These hospitals will utilize AMICAS’ integration with MEDITECH products to transform their radiology practice from a film-based operation to a digital practice.

Among the new second quarter customers are:

• Quincy Medical Center, located in Quincy, Massachusetts. Quincy Medical Center is a 282-bed community teaching hospital. AMICAS Vision Series PACS will be used to support the medical center’s 375+ physicians
• Madison Radiology, headquartered in Madison, Wisconsin. This 22-radiologist group provides imaging services in six counties at nine area hospitals and at over ten clinics. Madison Radiology is the largest independent radiology group in South Central Wisconsin
• A nationwide provider of radiology services which serves over 1,000 customers including imaging centers, university hospitals, community medical centers, clinics, and physician groups.

"Our products and services continue to deliver unique value to each of the three segments of our market", said AMICAS president and chief executive officer, Hamid Tabatabaie. "We view it as our responsibility to build products and services that reflect the nature of our customers’ business model, workflow, and priorities. Hospital-based radiology practices function differently from large radiology groups who in turn have distinct requirements compared to those of multi-facility and centrally-owned imaging centers. Our products and services aspire to reflect a keen understanding of our markets, and it is truly gratifying to have our company strategy be rewarded by such a diverse group of new customers."

In addition to having been rated as the #1 PACS in the KLAS Top 20 Mid-Year Report Card as announced last month (www.healthcomputing.com), AMICAS has also received the Frost & Sullivan Competitive Strategy Leadership Award during the quarter. This award is presented each year to a company whose competitive strategy has yielded significant gains in market share during the research period. As noted in the North American Turnkey Picture Archiving and Communications Systems Report (June 2004), Frost & Sullivan stated, "The acquisition of AMICAS by VitalWorks, in 2003, has fortified AMICAS by providing it with financial backing, broader customer access, and the complementary products required to become a highly competitive PACS company. Frost & Sullivan recognizes the masterful execution of this strategy by presenting it with the Competitive Strategy Leadership Award."

About AMICAS, Inc.
Established in 1995, AMICAS provides Web-based, software-only medical and diagnostic image management solutions. AMICAS conceived the software architecture of The Vision Series, combining PACS functionality into a centralized, standards-based and manageable platform. AMICAS continues to craft scalable, feature-rich solutions to meet the workflow, integration and care needs of all institutions, filling the performance and scalability void left by legacy approaches. AMICAS promotes solutions that leverage the cost efficiencies of a technology-forward design that responds to emerging technologies. Purposely selecting a vendor-neutral hardware approach, AMICAS’ value proposition affords clients an average two to three year ROI – half that of traditional solutions.

AMICAS’ demonstrated leadership is evident in a diverse customer base encompassing more than 260 facilities, processing more than six million exams per year. AMICAS solutions are implemented at renowned institutions, including New York-Presbyterian Healthcare System, the University of Chicago Hospitals and Massachusetts General Hospital for enterprise distribution of images; and Rush North Shore Medical Center, Blanchard Valley Health Association and Nassau University Medical Center for end-to-end PACS. AMICAS is a wholly owned subsidiary of VitalWorks Inc. (NASDAQ: VWKS), a leading provider of information management technology and services targeted to healthcare practices and organizations throughout the United States. Additional information about AMICAS can be found at www.amicas.com. Additional information about VitalWorks can be found at http://www.vitalworks.com.

Safe Harbor Statement
Except for the historical information herein, the matters discussed in this release include forward-looking statements. The forward-looking statements contained in this release include statements about future financial and operating results and the proposed acquisition. When used in this press release, the words: believes, intends, anticipates, expects, and similar expressions are intended to identify forward-looking statements. Such forward-looking statements are subject to a number of risks, assumptions and uncertainties that could cause actual results to differ materially from those projected in such forward-looking statements. These risks, assumptions and uncertainties include: the risk that VitalWorks and AMICAS’ businesses and/or products will not be integrated successfully, the risk that AMICAS’ businesses relationship with its customers will not be successful; the failure by the companies to retain key employees, integrity of the intellectual property of AMICAS, continued compliance of all government laws, rules and regulations for all applicable products, the failure by the company to complete and deliver products and services within currently estimated time frames and budgets, the inability to achieve revenues from combined lines of products, economic and political conditions in the United States and abroad and other risks affecting VitalWorks’ businesses generally and as set forth in VitalWorks’ most recent filings with the Securities and Exchange Commission. All forward-looking statements in this press release are qualified by these cautionary statements and are made only as of the date of this press release. VitalWorks and AMICAS are under no obligation to (and expressly disclaim any such obligation to) update or alter their forward-looking statements whether as a result of new information, future events or otherwise.