Dear Shareholders,

I am very happy now to be able to start this letter by expressing my thanks to our 2,800 employees who are inspired by our ideas, convictions and ultimately by our overall vision. We pursued and reached our goals again in 2009 among the difficult times in the global economy. Also, I would like to thank our customers for their faithfulness, cooperation and for sharing and often enriching our vision. Not least, I would like to thank you, our shareholders, for making share price development and the related success of our company possible.

Let me highlight some of the events in 2009 that were groundbreaking for CompuGROUP: We achieved our all-important entrance into the US market by acquiring majority holdings in NOTEWORTHY medical systems, Inc. We were also able to strengthen our presence in Italy. We acquired the remaining interests in FimeSan SpA-, and we acquired S.M.I. s.r.l and Microcos-mos Multimedia S.r.l. and integrated these companies into the CompuGROUP. In Austria, we strengthened our position in the area of office-based physicians and consolidated these activities under the roof of CompuGroup österreich GmbH to our customers' advantage. This resulted in considerable increases in efficiency and a stronger brand appearance. By the end of the year, we were able to successfully conclude negotiations on the acquisition of majority holdings in INNOMED Gesellschaft für medizinische Softwareanwendungen GmbH, Wiener Neudorf, a supplier of doctor information systems, increasing our market share in the ambulatory and hospital sector over 50 percent in Austria.

In Northern Europe, we experienced a similar positive development in our activities. Last year, we were able to succesfully conclude the integration of Scandinavian Profdoc Group acquired in 2008, and release considerable synergies.

All this has contributed to a turnover of almost EUR 300 (293.4) million and earnings before interest, tax, depreciation and amortisation (EBITDA) of approximately EUR 60 (59.2) million. A record result. Moreover, we are looking forward to the continued expansion of our success from which our CompuGROUP has grown in the past six years on average by around 27 percent per year, through consistent focus on the healthcare market and from our stable contract basis with around 330,000 medical customers. Last but not least, our acquisition strategy has made us a global leader in medical information technology (MIT).

The sources of our organic growth are various. Many of our regional markets are still in the process of development - and we are part of it. In particular, the developed markets undergo constant changes and advances. They all have in common that they depend on the controlling power of intelligent software already operated in the computers of health service providers. The United States is an excellent example. There, a gigantic program has been initiated to support the development of a comprehensive use of intelligent medical software, the so-called 'Stimulus Package' of the Obama Program with a volume of around USD 20 billion, distributed over the next five years.

Today, we are 330,000 times in places that others would like to reach: In the work-places and thus in the perception of physicians and treatment teams all over the world, which place their trust in us - every day.

Also in 2009, we decidedly came much closer to our vision. For the first time, several independent studies demonstrated that our software enabled Medical Decision Support Systems (MDSS) make an impact. CompuGROUP's in-house physicians developed a medical decision support program against one of the largest threats to industrial societies, Diabetes mellitus, Approximately 10,000 patients in Germany subscribe to it and initial examination results have proven that patients live longer than with standard care and at the same time the program provides significant cost savings. Overall, the annual savings potential through the use of our technologies alone in the statutory health insurance sector in Germany is expected to exceed EUR 20 billion.

Being part of the objective to create 'more health' at a 'lower cost' by means of our supporting systems is our vision through which we as CompuGROUP already have initiated the next phase of our growth strategy. We would like to enable every legitimate participant to gain accurate access to all relevant medical information in all health systems - anywhere and anytime, and with maximum security of technical exemption from seizure. We are responsible for it. This is the only way of making extensive, intelligent networking and optimum use of medical progress available to the benefit for all patients.

We at CompuGROUP Holding AG would like to contribute to it.

In this sense, I wish you, our shareholders and customers, our partners and employees an exciting and successful 2010!

Sincerely yours,

Frank Gotthardt

CEO