|   | x | ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
|--------|---|--------------------------------------------------------------------------------------|

|   | o | TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
|--------|---|------------------------------------------------------------------------------------------|

| Delaware                                                       |   | 39-1600938                             |
|----------------------------------------------------------------|--------|----------------------------------------|
| (State or other jurisdiction of incorporation or organization) |   | (I. R. S. Employer Identification No.) |

| Title of Each Class                     |   | Name of Each Exchange on Which Registered |
|-----------------------------------------|--------|-------------------------------------------|
| Common Stock, $0.01 par value per share |   | NASDAQ Global Market                      |

| Large accelerated filer o |   | Accelerated filer x |   | Non-accelerated filer o |   | Smaller reporting company o |
|---------------------------------|--------|---------------------------|--------|-------------------------------|--------|-----------------------------------|

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|   | • | to attract and retain talented executives by providing compensation that is in alignment with the compensation provided to executives at companies of comparable size and growth trajectory in the health care information technology industry, while maintaining compensation within levels that are consistent with our annual budget, financial objectives and operating performance; and |
|--------|---------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | • | to provide appropriate incentives for executives to work toward the achievement of our annual financial performance and business goals, based primarily on diluted earnings per share. |
|--------|---------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

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| Name andPrincipal Position                           |  Year  |   | Salary ($) |    |   | Bonus(1)($) |   |    | Stock Awards(2)($) |   |   | Option Awards(2)($) |   |   | Non EquityIncentive PlanCompensation(3)($) |    |   | All Other Compensation($) |   |    | Total($) |   |
|-----------------------------------------------------------|------------------|--------|------------|---------|--------|-------------|--------|---------|-------------------------|--------|--------|--------------------------|--------|--------|--------------------------------------------|---------|--------|--------------------------------|--------|---------|----------|--------|
| Justin C.                                                 | 2009             |   |       | 250,000 |   |        |   | 50,000  |                    |   |   | —                  |   |   |                                       | — |   |                           |   | — |     |   |   | 17,453 | (5) |   |   | 317,453 |   |
| Dearborn(4)                                               | 2008             |   |       | 143,109 |   |        |   | — |                    |   |   | —                  |   |   |                                       | 340,000 |   |                           |   | — |     |   |   | 7,018 | (5) |   |   | 490,127 |   |
| Chief Executive Officer                                   |             |   |       |    |   |        |   |    |                    |   |   |                     |   |   |                                       |    |   |                           |   |    |     |   |   |   |   |   |   |   |   |
|                                                      |             |   |       |    |   |        |   |    |                    |   |   |                     |   |   |                                       |    |   |                           |   |    |     |   |   |   |   |   |   |   |   |
| Steven M.                                                 | 2009             |   |       | 200,000 |   |        |   | — |                    |   |   | —                  |   |   |                                       | — |   |                           |   | — |     |   |   | 14,475 | (5) |   |   | 214,475 |   |
| Oreskovich(6)                                             | 2008             |   |       | 189,583 |   |        |   | — |                    |   |   | —                  |   |   |                                       | 82,000  |   |                           |   | — |     |   |   | 10,222 | (5) |   |   | 281,805 |   |
| Chief Financial Officer                                   | 2007             |   |       | 175,000 |   |        |   | 130,000 |                    |   |   | 80,000                   |   |   |                                       | 150,000 |   |                           |   | 5,469   |     |   |   | 9,514 | (5) |   |   | 549,983 |   |
| and Treasurer                                             |             |   |       |    |   |        |   |    |                    |   |   |                     |   |   |                                       |    |   |                           |   |    |     |   |   |   |   |   |   |   |   |
|                                                      |             |   |       |    |   |        |   |    |                    |   |   |                     |   |   |                                       |    |   |                           |   |    |     |   |   |   |   |   |   |   |   |
| Nancy J. Koenig(4)                                        | 2009             |   |       | 200,000 |   |        |   | — |                    |   |   | —                  |   |   |                                       | — |   |                           |   | — |     |   |   | 4,687 | (5) |   |   | 204,687 |   |
| Executive Vice                                            | 2008             |   |       | 114,487 |   |        |   | — |                    |   |   | —                  |   |   |                                       | 82,000  |   |                           |   | — |     |   |   | 2,236 | (5) |   |   | 198,723 |   |
| President — NorthAmerican Direct Sales              |             |   |       |    |   |        |   |    |                    |   |   |                     |   |   |                                       |    |   |                           |   |    |     |   |   |   |   |   |   |   |   |
|                                                      |             |   |       |    |   |        |   |    |                    |   |   |                     |   |   |                                       |    |   |                           |   |    |     |   |   |   |   |   |   |   |   |
| Antonia A. Wells(7)                                       | 2009             |   |       | 199,123 |   |        |   | — |                    |   |   | —                  |   |   |                                       | — |   |                           |   | — |     |   |   | 11,223 | (8) |   |   | 210,346 |   |
| Executive Vice                                            | 2008             |   |       | 160,474 |   |        |   | — |                    |   |   | —                  |   |   |                                       | 82,000  |   |                           |   | — |     |   |   | 5,975 | (8) |   |   | 248,449 |   |
| President — Research and Development                |             |   |       |    |   |        |   |    |                    |   |   |                     |   |   |                                       |    |   |                           |   |    |     |   |   |   |   |   |   |   |   |
|                                                      |             |   |       |    |   |        |   |    |                    |   |   |                     |   |   |                                       |    |   |                           |   |    |     |   |   |   |   |   |   |   |   |
| Ann G.                                                    | 2009             |   |       | 160,000 |   |        |   | — |                    |   |   | —                  |   |   |                                       | — |   |                           |   | — |     |   |   | 15,535 | (5) |   |   | 175,535 |   |
| Mayberry—French(9)                                  | 2008             |   |       | 60,288  |   |        |   | — |                    |   |   | —                  |   |   |                                       | 88,000  |   |                           |   | — |     |   |   | 4,882 | (5) |   |   | 153.170 |   |
| Vice President, General Counsel & Corporate Secretary |             |   |       |    |   |        |   |    |                    |   |   |                     |   |   |                                       |    |   |                           |   |    |     |   |   |   |   |   |   |   |   |

| (1) | For 2007, reflects a retention bonus of $105,000 for Mr. Oreskovich, and a discretionary bonus of $25,000 for Mr. Oreskovich. For 2009, reflects a discretionary bonus of $50,000 for Mr. Dearborn. |
|-----|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

| (2) | Our Named Executive Officers were not granted any stock or option awards in the fiscal year ended December 31, 2009. The dollar amounts for the awards represent the grant-date fair value calculated in accordance with Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) Topic 718 (“FASB ASC 718”) for each Named Executive Officer. Assumptions used in the calculation of these amounts are described in Note 9 to our audited financial statements for the fiscal year ended December 31, 2009 included in our Annual Report on Form 10–K filed with the Commission on March 12, 2010, as amended March 17, 2010 and April 30, 2010. |
|-----|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

----

| (3) | Represents the cash incentive award earned under our 2007 performance—based cash bonus plan. |
|-----|----------------------------------------------------------------------------------------------------|

| (4) | Mr. Dearborn and Ms. Koenig each began employment with us at the consummation of the Merrick transaction, effective June 4, 2008. |
|-----|-----------------------------------------------------------------------------------------------------------------------------------|

| (5) | For 2009, represents our matching contribution under our 401(k) employee retirement savings plan ($6,510 for Mr. Dearborn, $6,000 for Mr. Oreskovich, and $4,800 for Ms. Mayberry—French) and medical, dental, optical, long term disability and life insurance benefits ($10,943 for Mr. Dearborn, $8,475 for Mr. Oreskovich, $4,687 for Ms. Koenig, and $10,735 for Ms. Mayberry—French). For 2008, represents our matching contribution under our 401(k) employee retirement savings plan ($1,875 for Mr. Dearborn, $5,688 for Mr. Oreskovich, and $1,125 for Ms. Mayberry—French) and medical, dental, optical and life insurance benefits ($5,143 for Mr. Dearborn, $4,534 for Mr. Oreskovich, $2,236 for Ms. Koenig, and $3,757 for Ms. Mayberry—French). For 2007, represents our matching contribution under our 401(k) employee retirement savings plan ($5,250 for Mr. Oreskovich) and medical, dental, optical and life insurance benefits ($4,264 for Mr. Oreskovich). |
|-----|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

| (6) | At the consummation of the Merrick transaction effective June 4, 2008, Mr. Oreskovich was promoted to the position of Chief Financial Officer and Treasurer. Prior to that time, Mr. Oreskovich held the position of Vice President of Internal Audit. |
|-----|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

| (7) | At the consummation of the Merrick transaction effective June 4, 2008, Ms. Wells was promoted to the position of President, Merge OEM. Prior to that time, Ms. Wells held the position of Vice President, Customer Operations of our Cedara business division. |
|-----|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

| (8) | For 2009, represents our contribution of $5,931 under our Deferred Profit Sharing Plan (“DPSP”) for Canadian employees and the payment of $5,292 in medical, dental, optical and life insurance and related costs for the benefit of Ms. Wells. For 2008, represents our contribution of $2,207 under our Deferred Profit Sharing Plan (“DPSP”) for Canadian employees and the payment of $3,768 in medical, dental, optical and life insurance and related costs for the benefit of Ms. Wells. |
|-----|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

| (9) | Ms. Mayberry—French began her employment with us effective August 4, 2008. |
|-----|----------------------------------------------------------------------------------|

----

|                         |   |                                                             |    |   | OPTION AWARDS                                                      |   |    |                   | STOCK AWARDS |                 |
|------------------------------|--------|------------------------------------------------------------------|---------|--------|--------------------------------------------------------------------|--------|---------|------------------------|--------------|----------------------|
| Name                         |   | Number ofSecuritiesUnderlyingUnexercised Options (#) Exercisable |    |   | Number ofSecuritiesUnderlyingUnexercised Options (#) Unexercisable |   |    | OptionExercisePrice($) |         | OptionExpirationDate |   | Number of Shares orUnits of Stock ThatHave Not Vested(#)(1) |   |   | Market Value ofShares or Units ofStock That Have NotVested($)(2) |   |
| Justin C. Dearborn           |   |                                                             | 100,000 |   |                                                               |   | 300,000 |                   |         |                 | 0.68 |   | 06/03/2014 |   |   |   |   |   |   |
|                         |   |                                                             | 50,000  |   |                                                               |   | 150,000 |                   |         |                 | 1.47 |   | 08/18/2014 |   |   |   |   |   |   |
| Steven M. Oreskovich         |   |                                                             | 20,000  |   |                                                               |   | — |                   |         |                 | 15.00 |   | 04/01/2010 |   |   | 53,333 |   |   |   | 179,199 |   |
|                         |   |                                                             | 5,000   |   |                                                               |   | — |                   |         |                 | 12.96 |   | 07/16/2010 |   |   |   |   |   |   |   |   |
|                         |   |                                                             | 35,000  |   |                                                               |   | — |                   |         |                 | 17.50 |   | 05/31/2011 |   |   |   |   |   |   |   |   |
|                         |   |                                                             | 100,000 |   |                                                               |   | — |                   |         |                 | 8.05 |   | 09/05/2012 |   |   |   |   |   |   |   |   |
|                         |   |                                                             | 30,000  |   |                                                               |   | 30,000  |                   |         |                 | 4.99 |   | 04/02/2013 |   |   |   |   |   |   |   |   |
|                         |   |                                                             | 50,000  |   |                                                               |   | 150,000 |                   |         |                 | 0.68 |   | 06/03/2014 |   |   |   |   |   |   |   |   |
| Nancy J. Koenig              |   |                                                             | 50,000  |   |                                                               |   | 150,000 |                   |         |                 | 0.68 |   | 06/03/2014 |   |   |   |   |   |   |   |   |
| Antonia A. Wells             |   |                                                             | 25,000  |   |                                                               |   | — |                   |         |                 | 17.50 |   | 05/31/2011 |   |   | 53,333 |   |   |   | 179,199 |   |
|                         |   |                                                             | 10,000  |   |                                                               |   | — |                   |         |                 | 17.82 |   | 10/19/2011 |   |   |   |   |   |   |   |   |
|                         |   |                                                             | 18,750  |   |                                                               |   | 6,250   |                   |         |                 | 6.34 |   | 11/16/2012 |   |   |   |   |   |   |   |   |
|                         |   |                                                             | 17,500  |   |                                                               |   | 17,500  |                   |         |                 | 4.99 |   | 04/02/2013 |   |   |   |   |   |   |   |   |
|                         |   |                                                             | 50,000  |   |                                                               |   | 150,000 |                   |         |                 | 0.68 |   | 06/03/2014 |   |   |   |   |   |   |   |   |
| Ann G. Mayberry—French |   |                                                             | 25,000  |   |                                                               |   | 75,000  |                   |         |                 | 1.47 |   | 08/18/2014 |   |   |   |   |   |   |   |   |

| (1) | One hundred percent (100%) of the restricted stock will vest on November 24, 2010. |
|-----|------------------------------------------------------------------------------------|

| (2) | Reflects the value as calculated using the closing market price of our Common Stock as of the last trading day in fiscal year 2009, December 31, 2009 ($3.36). |
|-----|----------------------------------------------------------------------------------------------------------------------------------------------------------------|

|                              |   | NO CHANGE IN CONTROL |    |   | UPON CHANGE IN CONTROL |   |
|-----------------------------------|--------|----------------------|---------|--------|------------------------|--------|
|                              |   | Payments upon        |    |   |                   |   |   |   |   |   | Payments upon |   |   |   |   |   |   |   |
|                              |   | Termination without  |    |   | Payments upon          |   |   | Payments upon |   |   | Termination without |   |   | Payments upon |   |   | Payments upon |   |
|                              |   | Cause / Resignation  |    |   | Termination for        |   |   | Death |   |   | Cause / Resignation |   |   | Termination for |   |   | Death |   |
| Name                              |   | for Good Reason ($)  |    |   | Cause ($)              |   |   | or Disability ($) |   |   | for Good Reason ($) |   |   | Cause ($) |   |   | or Disability ($) |   |
| Justin C. Dearborn                |   | $                    | 250,000 | (1)    |                   | $      | 0 |   |   | $ | 0 |   |   | $ | 250,000 | (1) |   | $ | 0 |   |   | $ | 0 |   |
| Steven M. Oreskovich              |   | $                    | 379,199 | (1)(2) |                   | $      | 0 |   |   | $ | 179,199 | (2) |   | $ | 379,199 | (1)(2) |   | $ | 0 |   |   | $ | 179,199 | (2) |
| Nancy J. Koenig                   |   | $                    | 200,000 | (1)    |                   | $      | 0 |   |   | $ | 0 |   |   | $ | 200,000 | (1) |   | $ | 0 |   |   | $ | 0 |   |
| Antonia A. Wells                  |   | $                    | 378,322 | (1)(2) |                   | $      | 0 |   |   | $ | 179,199 | (2) |   | $ | 378,322 | (1)(2) |   | $ | 0 |   |   | $ | 179,199 | (2) |
| Ann G. Mayberry– French (3) |   | $                    | 0       |   |                   | $      | 0 |   |   | $ | 0 |   |   | $ | 0 |   |   | $ | 0 |   |   | $ | 0 |   |

| (1) | On July 3, 2008, we entered into letter agreements with Mr. Dearborn, Ms. Koenig, Mr. Oreskovich and Ms. Wells that provide for twelve (12) months’ base salary as severance upon a termination other than for cause and other than due to the executive officer’s death or disability, conditioned on the executive officer’s execution of a release agreement. |
|-----|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

----

| (2) | Mr. Oreskovich’s and Ms. Wells’ restricted stock awards provide for the lapse of the restrictions and full vesting upon: (a) the termination of the executive officer’s employment by us without cause or by the employee for good reason (as defined in the agreement), (b) the termination of the executive officer’s employment due to disability, (c) the involuntary termination of the executive officer’s employment or resignation for good reason within 365 days after a change in control, or (d) the sale by us of the business unit with respect to which the Named Executive Officer primarily performs services. Amounts included with respect to restricted stock represent the market value of unvested restricted stock based on the closing trading price ($3.36) of Merge Healthcare’s common stock at December 31, 2009 (the last trading day of fiscal 2009). |
|-----|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

| (3) | Ms. Mayberry-French does not have a letter agreement with the Company. |
|-----|------------------------------------------------------------------------|

|             |   |   Option Awards(1)                   |    |     |                                      |
|-----------------------|--------|-------------------------------------------|---------|---------------|-------------------------------------------|
| Name                  |   | Number of SecuritiesUnderlying Options(#) |    |          | Exercise Price ofOption Awards($ / Share) |   |  Expiration Date  |   | Aggregate Number ofSecuritiesUnderlying Options(#) |   |
| Dennis Brown          |   |                                      | 5,000   |          |                                      |   | 9.78 |   | 05/21/2013 |   |   | 295,000 |   |
|                  |   |                                      | 10,000  |          |                                      |   | 16.19 |   | 05/20/2014 |   |   |   |   |
|                  |   |                                      | 15,000  |          |                                      |   | 17.50 |   | 06/01/2015 |   |   |   |   |
|                  |   |                                      | 15,000  |          |                                      |   | 6.59 |   | 12/27/2016 |   |   |   |   |
|                  |   |                                      | 10,000  |          |                                      |   | 5.52 |   | 01/30/2017 |   |   |   |   |
|                  |   |                                      | 15,000  |          |                                      |   | 6.01 |   | 05/10/2017 |   |   |   |   |
|                  |   |                                      | 225,000 | (2)           |                                      |   | 1.47 |   | 08/18/2018 |   |   |   |   |
| Michael W. Ferro, Jr. |   |                                      | 400,000 | (3)           |                                      |   | 0.57 |   | 11/19/2018 |   |   | 400,000 |   |
| Gregg G. Hartemayer   |   |                                      | 225,000 | (2)           |                                      |   | 1.47 |   | 08/18/2018 |   |   | 225,000 |   |
| Richard A. Reck       |   |                                      | 411     |          |                                      |   | 7.46 |   | 04/23/2013 |   |   | 285,411 |   |
|                  |   |                                      | 5,000   |          |                                      |   | 9.78 |   | 05/21/2013 |   |   |   |   |
|                  |   |                                      | 10,000  |          |                                      |   | 16.19 |   | 05/20/2014 |   |   |   |   |
|                  |   |                                      | 15,000  |          |                                      |   | 17.50 |   | 06/01/2015 |   |   |   |   |
|                  |   |                                      | 15,000  |          |                                      |   | 6.59 |   | 12/27/2016 |   |   |   |   |
|                  |   |                                      | 15,000  |          |                                      |   | 6.01 |   | 05/10/2017 |   |   |   |   |
|                  |   |                                      | 225,000 | (2)           |                                      |   | 1.47 |   | 08/18/2018 |   |   |   |   |
| Neele E. Stearns, Jr. |   |                                      | 300,000 | (4)           |                                      |   | 1.47 |   | 08/18/2018 |   |   | 300,000 |   |

| (1) | All options are fully vested and exercisable, with the exception of the options granted on August 19, 2008 with an August 18, 2018 expiration date, and the options granted on November 20, 2008 with a November 19, 2018 expiration date, which options vest and are exercisable as noted below. |
|-----|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

| (2) | Options vest in sixteen (16) equal quarterly increments of 14,062.5 shares, with the first increment vesting on the date of grant, August 19, 2008, with subsequent increments vesting on November 30, February 28, May 31 and August 31 thereafter. |
|-----|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

| (3) | Options vest in sixteen (16) equal quarterly increments of 25,000 shares, with the first increment vesting on the date of grant, November 20, 2008, with subsequent increments vesting on February 28, May 31, August 31 and November 30 thereafter. |
|-----|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

| (4) | Options vest in sixteen (16) equal quarterly increments of 18,750 shares, with the first increment vesting on the date of grant, August 19, 2008, with subsequent increments vesting on November 30, February 28, May 31 and August 31 thereafter. |
|-----|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

----

| 2.1   |   | Agreement and Plan of Merger, dated as of May 30, 2009, by and among Registrant, Merge Acquisition Corp., a wholly owned subsidiary of Registrant, and etrials Worldwide, Inc. (A)                                                          |
|-------|--------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 2.2   |   | Agreement and Plan of Merger, dated as of August 7, 2009, by and among Registrant, Merge Acquisition Corporation, a wholly owned subsidiary of Registrant, Confirma, Inc. and John L. Brooks (B)                                            |
| 3.1   |   | Certificate of Incorporation as filed on October 14, 2008, and Certificate of Merger as filed on December 3, 2008 and effective on December 5, 2008 (C)                                                                                     |
| 3.2   |   | Bylaws of Registrant (C)                                                                                                                                                                                                                    |
| 10.1  |   | Registration Rights Agreement, dated June 4, 2008, by and between Registrant and Merrick RIS, LLC (D)                                                                                                                                       |
| 10.2  |   | Securities Purchase Agreement, dated May 21, 2008, by and among Registrant, the subsidiaries listed on the Schedule of Subsidiaries attached thereto, and Merrick RIS, LLC (E)                                                              |
| 10.3  |   | Employment Letter Agreement between the Registrant and Justin C. Dearborn entered into as of June 4, 2008 (F)*                                                                                                                              |
| 10.4  |   | Employment Letter Agreement between the Registrant and Steven M. Oreskovich entered into as of June 4, 2008 (F)*                                                                                                                            |
| 10.5  |   | Employment Letter Agreement between the Registrant and Nancy J. Koenig entered into as of June 4, 2008 (F)*                                                                                                                                 |
| 10.6  |   | Employment Letter Agreement between the Registrant and Antonia Wells entered into as of June 4, 2008 (F)*                                                                                                                                   |
| 10.7  |   | Amendment dated July 1, 2008 to that certain Securities Purchase Agreement, dated May 21, 2008, by and among the Registrant, certain of its subsidiaries and Merrick RIS, LLC (G)                                                           |
| 10.8  |   | Consulting Agreement, effective as of January 1, 2009, by and between Registrant and Merrick RIS, LLC (C)                                                                                                                                   |
| 10.9  |   | 1996 Stock Option Plan for Employees of Registrant dated May 13, 1996(H), as amended and restated in its entirety as of September 1, 2003 (I)*                                                                                              |
| 10.10 |   | 1998 Stock Option Plan for Directors (J)*                                                                                                                                                                                                   |
| 10.11 |   | 2000 Employee Stock Purchase Plan of Registrant effective July 1, 2000 (K)*                                                                                                                                                                 |
| 10.12 |   | 2003 Stock Option Plan of Registrant dated June 24, 2003, and effective July 17, 2003 (I)*                                                                                                                                                  |
| 10.13 |   | 2005 Equity Incentive Plan adopted March 4, 2005, and effective May 24, 2005 (L)*                                                                                                                                                           |
| 10.14 |   | Amendment effective as of January 1, 2010 to that certain Consulting Agreement, effective as of January 1, 2009, by and among the Registrant and Merrick RIS, LLC                                                                                |
| 10.15 |   | Value Added Reseller Agreement dated March 31, 2009 between a subsidiary of the Registrant and Merrick Healthcare Solutions, LLC d/b/a Olivia Greets                                                                                             |
| 10.16 |   | Olivia Greets Standard Reseller Agreement dated March 12, 2010 between the Registrant and Merrick Healthcare Solutions, LLC d/b/a Olivia Greets                                                                                                  |
| 10.17 |   | Senior Secured Term Note, dated June 4, 2008, between Registrant and Merrick RIC, LLC (D)                                                                                                                                                        |
| 14.1  |   | Code of Ethics (C)                                                                                                                                                                                                                          |
| 14.2  |   | Whistleblower Policy (C)                                                                                                                                                                                                                    |
| 21    |   | Subsidiaries of Registrant †                                                                                                                                                                                                               |
| 23.1  |   | Consent of Independent Registered Public Accounting Firm – BDO Seidman, LLP †                                                                                                                                                        |
| 23.2  |   | Consent of Independent Registered Public Accounting Firm – KPMG LLP †                                                                                                                                                                |
| 31.1  |   | Certificate of Chief Executive Officer (principal executive officer) Pursuant to Rule 13a-14(a) under the Securities Exchange Act of 1934                                                                                                        |
| 31.2  |   | Certificate of Chief Financial Officer (principal accounting officer) Pursuant to Rule 13a-14(a) under the Securities Exchange Act of 1934                                                                                                       |
| 32    |   | Certificate of Chief Executive Officer (principal executive officer) and Chief Financial Officer (principal accounting officer) Pursuant to Section 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 |

| (A)     |   | Incorporated by reference from the Registrant’s Current Report on Form 8-K dated May 30, 2009.                                                                                                                                     |
|---------|--------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| (B)     |   | Incorporated by reference from the Registrant’s Current Report on Form 8-K dated August 7, 2009.                                                                                                                                   |
| (C)     |   | Incorporated by reference from the Registrant’s Annual Report on Form 10-K for the fiscal year ended December 31, 2008.                                                                                                            |
| (D)     |   | Incorporated by reference from the Registrant’s Current Report on Form 8-K dated June 6, 2008.                                                                                                                                     |
| (E)     |   | Incorporated by reference from the Registrant’s Current Report on Form 8-K dated May 22, 2008.                                                                                                                                     |
| (F)     |   | Incorporated by reference from the Registrant’s Current Report on Form 8-K dated July 15, 2008.                                                                                                                                    |
| (G)     |   | Incorporated by reference from the Registrant’s Current Report on Form 8-K dated July 7, 2008.                                                                                                                                     |
| (H)     |   | Incorporated by reference from Registration Statement on Form SB-2 (No. 333-39111) effective January 29, 1998.                                                                                                                           |
| (I)     |   | Incorporated by reference from the Registrant’s Quarterly Report on Form 10-Q for the three and nine months ended September 30, 2003.                                                                                              |
| (J)     |   | Incorporated by reference from the Registrant’s Annual Report on Form 10-KSB for the fiscal year ended December 31, 1997.                                                                                                          |
| (K)     |   | Incorporated by reference from the Registrant’s Proxy Statement for Annual Meeting of Shareholders dated May 8, 2000.                                                                                                              |
| (L)     |   | Incorporated by reference from the Registrant’s Registration Statement on Form S-8 (No. 333-125386) effective June 1, 2005.                                                                                                        |
| *       |   | Management contract or compensatory plan or arrangement required to be filed as an exhibit to this Annual Report on Form 10-K.                                                                                                           |
| † |   | These Exhibits were previously filed with the Registrant’s Form 10−K (File No. 001-33006) for the year ended December 31, 2009, filed on March 12, 2010, as previously amended by Amendment No. 1 and Amendment No. 2.  |

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|            |   | MERGE HEALTHCARE INCORPORATED             |
|-----------------|--------|-------------------------------------------|
|            |   |                                      |
|            |   |                                      |
| August 26, 2010 |   | /s/ Justin C. Dearborn                    |
|            |   | By:  Justin C. Dearborn         |
|            |   | Title:  Chief Executive Officer |
|            |   |                                      |
| August 26, 2010 |   | /s/ Steven M. Oreskovich                  |
|            |   | By:  Steven M. Oreskovich       |
|            |   | Title:  Chief Financial Officer |
|            |   |                                      |
|            |   |                                      |
|            |   |                                      |

| August 26, 2010 |   | /s/ Michael W. Ferro, Jr.                                                                                           |
|-----------------|--------|---------------------------------------------------------------------------------------------------------------------|
|            |   | By:  Michael W. Ferro, Jr.                                                                                |
|            |   | Chairman of the Board                                                                                               |
|            |   |                                                                                                                |
| August 26, 2010 |   | /s/ Dennis Brown                                                                                                    |
|            |   | By:  Dennis Brown                                                                                         |
|            |   | Director                                                                                                            |
|            |   |                                                                                                                |
| August 26, 2010 |   | /s/ Justin C. Dearborn                                                                                              |
|            |   | By:  Justin C. Dearborn                                                                                   |
|            |   | Chief Executive Officer and Director                                                                                |
|            |   | (principal executive officer)                                                                                       |
|            |   |                                                                                                                |
| August 26, 2010 |   | /s/ Steven M. Oreskovich                                                                                            |
|            |   | By:  Steven M. Oreskovich                                                                                 |
|            |   | Title:  Chief Financial Officer                                                                           |
|            |   | (principal financial officer         and principal accounting officer) |
|            |   |                                                                                                                |
| August 26, 2010 |   | /s/ Gregg G. Hartemayer                                                                                             |
|            |   | By:  Gregg G. Hartemayer                                                                                  |
|            |   | Director                                                                                                            |
|            |   |                                                                                                                |
| August 26, 2010 |   | /s/ Richard A. Reck                                                                                                 |
|            |   | By:  Richard A. Reck                                                                                      |
|            |   | Director                                                                                                            |
|            |   |                                                                                                                |
| August 26, 2010 |   | /s/ Neele E. Stearns, Jr.                                                                                           |
|            |   | By:  Neele E. Stearns, Jr.                                                                                |
|            |   | Director                                                                                                            |
|            |   |                                                                                                                |
| August 26, 2010 |   | /s/ Jeff Surges                                                                                                     |
|            |   | By:  Jeff Surges                                                                                          |
|            |   | Director                                                                                                            |
|            |   |                                                                                                                |