VITAL IMAGES INC
DEF 14A, 2000-04-20
ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES
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<PAGE>
                           SCHEDULE 14A INFORMATION

          Proxy Statement Pursuant to Section 14(a) of the Securities
                    Exchange Act of 1934 (Amendment No.  )

Filed by the Registrant [X]

Filed by a Party other than the Registrant [_]

Check the appropriate box:

[_]  Preliminary Proxy Statement         [_]  CONFIDENTIAL, FOR USE OF THE
                                              COMMISSION ONLY (AS PERMITTED BY
                                              RULE 14A-6(E)(2))

[X]  Definitive Proxy Statement

[_]  Definitive Additional Materials

[_]  Soliciting Material Pursuant to Section 240.14a-11(c) or Section 240.14a-12

                              VITAL IMAGES, INC.
- --------------------------------------------------------------------------------
               (Name of Registrant as Specified In Its Charter)


- --------------------------------------------------------------------------------
   (Name of Person(s) Filing Proxy Statement, if other than the Registrant)


Payment of Filing Fee (Check the appropriate box):

[X]  No fee required

[_]  Fee computed on table below per Exchange Act Rules 14a-6(i)(4) and 0-11.


     (1) Title of each class of securities to which transaction applies:

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     (2) Aggregate number of securities to which transaction applies:

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     (3) Per unit price or other underlying value of transaction computed
         pursuant to Exchange Act Rule 0-11 (Set forth the amount on which
         the filing fee is calculated and state how it was determined):

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     (4) Proposed maximum aggregate value of transaction:

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     (5) Total fee paid:

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[_]  Fee paid previously with preliminary materials.

[_]  Check box if any part of the fee is offset as provided by Exchange
     Act Rule 0-11(a)(2) and identify the filing for which the offsetting fee
     was paid previously. Identify the previous filing by registration statement
     number, or the Form or Schedule and the date of its filing.

     (1) Amount Previously Paid:

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     (2) Form, Schedule or Registration Statement No.:

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     (3) Filing Party:

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     (4) Date Filed:

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Notes:


<PAGE>

                               VITAL IMAGES, INC.
                        3300 Fernbrook Lane N., Suite 200
                            Plymouth, Minnesota 55447
                                 (612) 915-8000

                      -------------------------------------
                    NOTICE OF ANNUAL MEETING OF SHAREHOLDERS
                             TO BE HELD MAY 11, 2000
                      -------------------------------------


To the Shareholders of Vital Images, Inc.:

     NOTICE IS HEREBY GIVEN that the Annual Meeting of Shareholders of Vital
Images, Inc., a Minnesota corporation (the "Company"), will be held on Thursday,
May 11, 2000, at 3:30 p.m. (Minneapolis time), at the IDS Tower, 50th Floor, 80
South 8th Street, Minneapolis, Minnesota, for the following purposes:


     1.   To elect seven directors of the Company for the coming year.

     2.   To consider and act upon a proposal to amend the 1997 Stock Option and
          Incentive Plan to increase the number of shares reserved for issuance
          thereunder.

     3.   To consider and act upon a proposal to amend the 1997 Director Stock
          Option Plan to increase the number of shares subject to automatic
          option grants to non-employee directors.

     4.   To ratify the appointment of PricewaterhouseCoopers LLP as independent
          accountants for the year ending December 31, 2000.

     5.   To transact such other business as may properly come before the
          meeting or any adjournment thereof.

     Only holders of record of the Company's common stock at the close of
business on March 24, 2000 are entitled to notice of and to vote at the Annual
Meeting or any adjournment thereof. In the event there are not sufficient votes
for a quorum or to approve or ratify any of the foregoing proposals at the time
of the Annual Meeting, the Annual Meeting may be adjourned in order to permit
further solicitation of proxies by the Company.

     Each of you is invited to attend the Annual Meeting in person if possible.
Whether or not you plan to attend in person, please mark, date and sign the
enclosed proxy, and mail it promptly. A return envelope is enclosed for your
convenience.

                                       By Order of the Board of Directors

                                       /s/ Gregory S. Furness

                                       Gregory S. Furness, Secretary

April 21, 2000

- --------------------------------------------------------------------------------
             WHETHER OR NOT YOU EXPECT TO ATTEND THE ANNUAL MEETING,
         PLEASE SIGN THE PROXY AND RETURN IT IN THE ENCLOSED ENVELOPE.
- --------------------------------------------------------------------------------
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                          THIS PAGE INTENTIONALLY BLANK

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                               VITAL IMAGES, INC.
                        3300 Fernbrook Lane N., Suite 200
                            Plymouth, Minnesota 55447
                                 (612) 915-8000


                   -----------------------------------------
                                 PROXY STATEMENT
                   -----------------------------------------


                             SOLICITATION OF PROXIES

     The enclosed proxy is solicited by and on behalf of the Board of Directors
of Vital Images, Inc., a Minnesota corporation ("Vital Images" or the
"Company"), for use at the Annual Meeting of Shareholders (the "Annual Meeting")
to be held at the IDS Tower, 50th Floor, 80 South 8th Street, Minneapolis,
Minnesota, on Thursday, May 11, 2000, at 3:30 p.m. (Minneapolis time), and any
adjournment thereof. This Proxy Statement and the accompanying form of proxy are
being mailed to shareholders on or about April 21, 2000.

     The expense of the solicitation of proxies for the Annual Meeting,
including the cost of mailing, has been or will be borne by the Company.
Arrangements will be made with brokerage houses and other custodian nominees and
fiduciaries to send proxies and proxy materials to their principals, and the
Company will reimburse them for their expense in so doing. In addition to
solicitation by mail, proxies may be solicited by telephone, facsimile or
personally.

                         VOTING AND REVOCATION OF PROXY

     Only holders of record of the Company's common stock at the close of
business on March 24, 2000, the record date for the Annual Meeting, are entitled
to notice of and to vote at the Annual Meeting. On the record date, 6,736,004
shares of the Company's common stock were outstanding. Each share of common
stock entitles the holder thereof to one vote upon each matter to be presented
at the Annual Meeting.

     Each proxy returned to the Company will be voted in accordance with the
instructions indicated thereon. If no instructions are indicated, the shares
will be voted (i) FOR the election of the nominees for the Board of Directors
named in this Proxy Statement; (ii) FOR the approval of an amendment to the 1997
Stock Option and Incentive Plan to increase the number of shares reserved for
issuance thereunder; (iii) FOR the approval of an amendment to the 1997 Director
Stock Option Plan to increase the number of shares subject to automatic option
grants to non-employee directors; and (iv) FOR the ratification of the
appointment of PricewaterhouseCoopers LLP as independent accountants for the
year ending December 31, 2000. While the Board of Directors knows of no other
matters to be presented at the Annual Meeting or any adjournment thereof, all
proxies returned to the Company will be voted on any such matter in accordance
with the judgment of the proxy holders.

     Any proxy given pursuant to this solicitation may be revoked by the person
giving it at any time before it is voted. Proxies may be revoked by (a) giving
written notice of such revocation to the Secretary of the Company, (b) giving
another written proxy bearing a later date, or (c) attending the Annual Meeting
and voting in person (although attendance at the Annual Meeting will not in and
of itself constitute a revocation of a proxy).

     A quorum, consisting of a majority of the shares of common stock entitled
to vote at the Annual Meeting, must be present in person or by proxy before
action may be taken at the Annual Meeting. In general, the shareholders of the
Company may take action by the affirmative vote of the holders of the


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<PAGE>

greater of (i) a majority of the voting power of the shares present and entitled
to vote on a particular item of business, or (ii) a majority of the voting power
of the minimum number of shares entitled to vote that would constitute a quorum.
If an executed proxy is returned and the shareholder has abstained from voting
on any matter, the shares represented by such proxy will be considered present
at the meeting for purposes of determining a quorum and for purposes of
calculating the vote, but will not be considered to have been voted in favor of
such matter. If an executed proxy is returned by a broker holding shares in
"street name," which indicates that the broker does not have discretionary
authority as to certain shares to vote on one or more matters, such shares will
be considered present at the meeting for purposes of determining a quorum, but
will not be considered to be represented at the meeting for purposes of
calculating the vote with respect to such matter.

                            PROPOSALS OF SHAREHOLDERS

     Pursuant to Rule 14a-8 under the Securities Exchange Act of 1934, as
amended, any shareholder wishing to have a proposal considered for inclusion in
the Company's proxy solicitation material for the 2001 Annual Meeting of
Shareholders must set forth such proposal in writing and file it with the
Secretary of the Company no later than December 22, 2000. Further, pursuant to
Rule 14a-4, if a shareholder fails to notify the Company of a proposal before
March 6, 2001, such notice will be considered untimely and management proxies
may use their discretionary voting authority with respect to any such proposal.

                                 OTHER BUSINESS

     At the date of this Proxy Statement, management knows of no other business
that may properly come before the Annual Meeting. However, if any other matters
properly come before the meeting, the persons named in the enclosed form of
proxy will vote the proxies received in response to this solicitation in
accordance with their best judgment on such matters.

                              FINANCIAL INFORMATION

     The Company's 1999 Annual Report to Shareholders, including, but not
limited to, the balance sheets as of December 31, 1999 and 1998 and the related
statements of operations and cash flows for the three years ended December 31,
1999, accompanies these materials. A copy of the 1999 Annual Report to
Shareholders may be obtained without charge upon request to the Company. In
addition, the Company will provide without charge to any shareholder solicited
hereby, upon written request of such shareholder, a copy of its 1999 Annual
Report on Form 10-K filed with the Securities and Exchange Commission. Requests
should be directed to Investor Relations, Vital Images, Inc., 3300 Fernbrook
Lane N., Suite 200, Plymouth, Minnesota 55447.


                                       2
<PAGE>

                      BENEFICIAL OWNERSHIP OF COMMON STOCK

     The following table sets forth, as of February 29, 2000, certain
information regarding the beneficial ownership of shares of common stock of the
Company by (i) each person or entity who is known by the Company to own more
than 5% of the Company's common stock, (ii) each director or nominee for
director of the Company, (iii) each person listed in the Summary Compensation
Table and (iv) all directors, nominees and executive officers of the Company as
a group.


                                          Number of Shares          Percent of
Name and Address of Beneficial Owner   Beneficially Owned (1)    Outstanding (2)
- ------------------------------------   ----------------------    ---------------
Jess S. Morgan & Co., Inc.                  1,000,000(3)                13.86%
5750 Wilshire Boulevard
Suite 590
Los Angeles, CA  90036

Perkins Capital Management, Inc.               908,075(4)               13.03%
730 East Lake Street
Wayzata, MN 55391

Officers and Directors:
Douglas M. Pihl                                228,694(5)                3.30%
Albert Emola                                        --                   *
Vincent J. Argiro, Ph.D.                       401,990(6)                5.92%
James B. Hickey, Jr.                            22,500(7)                *
Richard W. Perkins                             116,000(8)                1.72%
Michael W. Vannier, M.D.                        21,000(9)                *
Sven A. Wehrwein                                20,500(10)               *
Steven P. Canakes                               26,000(11)               *
Gregory S. Furness                              94,700(12)               1.40%
Jay D. Miller                                   63,900(13)               *

All directors and executive officers         1,023,629(14)              14.09%
as a group (12 persons, including
those named above)

- ----------

*    Less than one percent.

(1)  Each person has sole voting and sole dispositive power with respect to all
     outstanding shares, except as noted.

(2)  Based on 6,715,954 shares outstanding as of February 29, 2000. Such number
     does not include 3,599,394 shares of common stock issuable upon exercise of
     stock options and warrants outstanding as of February 29, 2000. Each figure
     showing the percentage of outstanding shares owned beneficially has been
     calculated by treating as outstanding and owned the shares which could be
     purchased by the indicated person(s) within 60 days upon the exercise of
     existing stock options and warrants.

(3)  Includes 500,000 shares that Jess S. Morgan & Company has the right to
     acquire within 60 days upon the exercise of stock warrants.

(4)  Excludes shares beneficially owned by Mr. Perkins, a director of the
     Company and the controlling shareholder of Perkins Capital Management, Inc.
     ("PCM"), a registered investment advisor. Includes 253,500 shares that PCM
     has the right to acquire upon exercise of stock warrants. Of the 908,075
     shares held for the account of clients of PCM, for which beneficial
     ownership is disclaimed by PCM, PCM has sole investment power with regard
     to all such shares and sole


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<PAGE>

     voting power over 18,500 of such shares. Reflects information as of
     February 29, 2000, based on a Schedule 13G, dated March 10, 2000, filed by
     PCM with the Securities and Exchange Commission.

(5)  Includes 215,472 shares that Mr. Pihl has the right to acquire within 60
     days upon the exercise of stock options and warrants. Also includes 750
     shares held by Mr. Pihl's spouse.

(6)  Includes 69,830 shares that Dr. Argiro has the right to purchase within 60
     days upon the exercise of stock options. Excludes 109,550 shares held by
     Dr. Argiro's spouse. Dr. Argiro disclaims beneficial ownership of the
     shares held by his spouse.

(7)  Includes 17,500 shares that Mr. Hickey has the right to acquire within 60
     days upon exercise of stock options and warrants.

(8)  Includes 5,250 shares held by the Perkins Foundation and 77,250 shares held
     by various trusts of which Mr. Perkins is the sole trustee. Also includes
     33,500 shares Mr. Perkins has the right to purchase within 60 days upon the
     exercise of stock options and warrants. Excludes 908,075 shares of stock
     beneficially owned by PCM. Mr. Perkins disclaims beneficial ownership of
     the shares held by PCM.

(9)  Includes 18,000 shares that Dr. Vannier has the right to acquire within 60
     days upon the exercise of stock options and warrants.

(10) Includes 19,000 shares that Mr. Wehrwein has the right to acquire within 60
     days upon the exercise of stock options and warrants.

(11) Includes 26,000 shares that Mr. Canakes has the right to acquire within 60
     days upon exercise of stock options.

(12) Includes 68,700 shares that Mr. Furness has the right to acquire within 60
     days upon exercise of stock options and warrants.

(13) Includes 62,400 shares that Mr. Miller has the right to acquire within 60
     days upon exercise of stock options and warrants.

(14) Includes 548,802 shares that all directors and executive officers as a
     group have the right to acquire within 60 days upon the exercise of
     existing stock options and warrants.


                                       4
<PAGE>

                              ELECTION OF DIRECTORS
                                  (Proposal 1)

     The business and affairs of the Company are managed under the direction of
its Board of Directors. Directors of the Company are elected annually to serve
until the next annual meeting of shareholders or until their earlier
resignation, death or removal. The Board has nominated the seven individuals
named below to serve as directors of the Company, and the shareholders will be
asked at the Annual Meeting to elect such individuals. Unless authority is
withheld, all proxies received in response to this solicitation will be voted
FOR the election of the nominees named below. Each of the nominees named below
is now a director of the Company and has served continuously as a director since
the month and year indicated. All nominees have indicated a willingness to serve
if elected. If any nominee becomes unable to serve prior to the Annual Meeting,
the proxies received in response to this solicitation will be voted for a
replacement nominee selected in accordance with the best judgment of the proxy
holders named therein.

<TABLE>
<CAPTION>
                                                                                        Director
         Name                           Positions with the Company           Age          Since
- ---------------------------   ------------------------------------------     ----     -------------
<S>                           <C>                                            <C>     <C>
Douglas M. Pihl               Chairman of the Board                           60      May 1997
Albert Emola                  President, Chief Executive Officer and          49      December 1999
                              Director
Vincent J. Argiro, Ph.D.      Chief Technology Officer, Founder and           44      May 1997(1)
                              Director
James B. Hickey, Jr.          Director                                        46      May 1998
Richard W. Perkins            Director                                        69      May 1997(1)
Michael W. Vannier, M.D.      Director                                        51      December 1997
Sven A. Wehrwein              Director                                        49      May 1997
</TABLE>
- ----------
(1)  Dr. Argiro was previously Chairman of the Board from September 1988 to May
     1994, and Mr. Perkins was a director of the Company prior to May 12, 1997,
     when the Company was spun-off from Bio-Vascular, Inc.

Shareholder Approval

     The affirmative vote of a plurality of the shares of common stock of the
Company represented at the Annual Meeting either in person or by proxy, assuming
a quorum is present, is required for the election of directors.

     THE BOARD OF DIRECTORS RECOMMENDS THAT THE SHAREHOLDERS VOTE FOR THE
ELECTION OF THE NOMINEES FOR THE BOARD OF DIRECTORS AS SET FORTH IN PROPOSAL 1.


                                       5
<PAGE>

                        INFORMATION CONCERNING DIRECTORS,
                         NOMINEES AND EXECUTIVE OFFICERS

Directors and Nominees

     The following discussion sets forth certain information concerning the
individuals nominated by the Board of Directors to serve as directors of the
Company.

     Douglas M. Pihl has been a director of the Company since May 1997, its
Chairman of the Board since December 1997, and was its Chief Executive Officer
from February 1998 to December 1999. Since August 1996, Mr. Pihl has been a
private investor. From May 1992 to August 1996, Mr. Pihl was President, Chief
Executive Officer, and a Director of NetStar, Inc. Mr. Pihl has over 30 years of
experience in the computer industry with extensive responsibility in design,
product planning and management. From February 1989 to December 1990, Mr. Pihl
was Senior Vice President, Development for Apertus Technologies, Inc. (formerly
Lee Data Corporation). From December 1987 until February 1989, Mr. Pihl was an
independent consultant. Mr. Pihl was Senior Vice President-Development of Lee
Data Corporation ("Lee Data") from April 1979 until December 1987. Mr. Pihl
co-founded Lee Data in 1979 which then developed, manufactured and marketed
computer peripheral products. In addition to the Company, Mr. Pihl serves as a
director of Destron Fearing Corporation and Astrocom Corporation, both of which
are publicly-held companies, and as a director of RocketChips, Inc., which is a
privately-held company.

     Albert Emola has been a director of the Company since December 1999. Mr.
Emola was appointed President and Chief Executive Officer of Vital Images in
December 1999. From January 1999 until December 1999, Mr. Emola served as an
independent management consultant to start-up medical device companies. From
August 1994 to January 1999, Mr. Emola served as President and Chief Executive
Officer of Flexmedics Corporation, a designer and manufacturer of nitinol-based
medical products. From May 1991 until August 1994, Mr. Emola served as a
consultant to other start-up medical companies requiring broad-based strategic
direction and implementation. From November 1985 to May 1991, Mr. Emola also
served at St. Jude Medical, most recently as Vice President of Corporate
Development.

     Vincent J. Argiro, Ph.D. has been a director of the Company since May 1997.
Dr. Argiro, the Founder of the Company, was named Chief Technology Officer of
Vital Images in October 1995. From May 1994 to May 1997, Dr. Argiro served as a
Vice President of Bio-Vascular, the former parent company of Vital Images. Dr.
Argiro also served as a director of Bio-Vascular from May 1994 until March 1996.
Following the acquisition of the Company by Bio-Vascular in May 1994, Dr. Argiro
served as President of the Company until October 1995. Dr. Argiro, served as
Chairman of the Board of the Company from September 1988 until May 1994. From
1988 to 1990 and from September 1991 to June 1992, Dr. Argiro also served as
President of the Company.

     James B. Hickey, Jr., has been a director of the Company since May 1998.
Mr. Hickey served as President and Chief Executive Officer of Angeion
Corporation, a publicly-traded manufacturer of implantable cardioverter
defibrillators, from July 1998 until December 1999. Previously, Mr. Hickey
served as President and Chief Executive Officer of Aequitron Medical, Inc. from
1993 to 1997. In his earlier career, Mr. Hickey spent 15 years with Baxter
Healthcare/American Hospital Supply Corporation, where he was President of the
Respiratory Anesthesia Systems Division from 1989 to 1993, and before that, was
President of the Hospitex Division for three years. Currently, Mr. Hickey serves
as a director of Allied Healthcare Products, Inc. and Angeion Corporation, both
of which are publicly-held companies, as well as Pulmonetic Systems, Inc. and
The Merchant's Exchange of St. Louis, LLC.


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<PAGE>

     Richard W. Perkins has been a director of the Company since May 1997. Mr.
Perkins has served as President, Chief Executive Officer and a director of
Perkins Capital Management, Inc., an investment management firm, since 1984. Mr.
Perkins also serves on the board of directors of the following public companies:
Bio-Vascular, Inc., LifeCore Biomedical, Inc., Intelefilm Corporation, CNS,
Inc., Nortech Systems, Inc., Eagle Pacific Industries, Inc., Quantech Ltd., and
Harmony Holdings, Inc.

     Michael W. Vannier, M.D. has been a director of the Company since December
1997. Dr. Vannier is currently a Professor and the Head of the Department of
Radiology in the College of Medicine at the University of Iowa. From 1982 to
1997, Dr. Vannier was a staff radiologist at Barnes Jewish Hospital and St.
Louis Children's Hospital in St. Louis Missouri. Dr. Vannier was also the
Georgia Eminent Scholar in Medical Imaging at the Emory University School of
Medicine in Atlanta, Georgia from 1994 to 1996, and served as Vice-Chairman for
Research at the Mallinckrodt Institute of Radiology from 1992 to 1994. Dr.
Vannier also served as a Professor of Radiology at the Mallinckrodt Institute of
Radiology from 1989 to 1997, as an Assistant Professor of Radiology and Surgery
at the Washington University School of Medicine in St. Louis, Missouri from 1983
to 1997, and as an Affiliate Professor of System Science and Mathematics at the
Washington University College of Engineering in St. Louis, Missouri from 1984 to
1997.

     Sven A. Wehrwein has been a director of the Company since May 1997. From
December 1998 to February 1999, Mr. Wehrwein was the Chief Financial Officer of
Digi International Inc. From November 1997 to July 1998, Mr. Wehrwein was Chief
Financial Officer of the Center for Diagnostic Imaging. He served as Chief
Financial Officer of InStent Inc. from June 1995 to August 1996. InStent was
acquired by Medtronic, Inc. in June 1996. From time to time between January 1995
and the present, Mr. Wehrwein has acted as an independent financial consultant.
From July 1990 to December 1994, Mr. Wehrwein served as a Managing Director in
the Corporate Finance Department of Wessels, Arnold & Henderson, a
Minneapolis-based investment banking firm. Mr. Wehrwein is a Certified Public
Accountant. Mr. Wehrwein also serves as a director of Zamba Corporation, a
publicly-held company.

Board Committees and Actions

     During 1999, the Board of Directors met six times. The Board of Directors
has two standing committees, a Compensation Committee, which met once and took
action by written consent two times during 1999, and an Audit Committee, which
met once during 1999. With the exception of Michael W. Vannier who was unable to
attend the only meeting of the Compensation Committee, each director attended at
least 75% of the total number of meetings of the Board of Directors and of
committees on which the director served during 1999.

     The Compensation Committee reviews and makes recommendations to the Board
of Directors regarding salaries, compensation and benefits of executive officers
and senior management of the Company and administers the Company's 1997 Director
Stock Option Plan and 1997 Stock Option and Incentive Plan. In addition to the
meetings and actions of the Compensation Committee described above, the entire
Board of Directors discussed and reviewed compensation issues throughout the
year at its regular meetings. The current members of the Compensation Committee
are James B. Hickey, Jr. (Chairman), Michael W. Vannier, M.D. and Sven A.
Wehrwein.

     The Audit Committee reviews the internal and external financial reporting
of the Company and reviews the scope of the independent audit. The current
members of the Audit Committee are Sven A. Wehrwein (Chairman), James B. Hickey,
Jr. (elected February 24, 2000) and Richard W. Perkins.

     The Board of Directors does not have a nominating committee.


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<PAGE>

Director Compensation

     Effective January 1, 2000, non-employee directors will receive a $5,000
annual retainer, and the Chairman of the Board will receive a $6,000 annual
retainer. The non-employee directors of the Company currently receive a fee of
$500 for each meeting they attend, and in addition, each non-employee director
who is a member of a committee of the Board of Directors also receives $500 for
each committee meeting attended. In December 1999, the Company granted stock
options to purchase 2,500 shares of common stock each to Messrs. Hickey and
Wehrwein in connection with their efforts in recruiting a new Chief Executive
Officer and negotiating the terms of his employment. Under the 1997 Director
Stock Option Plan, non-employee directors of the Company also receive automatic
grants of stock options for 15,000 shares on their initial election or
appointment to the Board of Directors and on each third anniversary thereafter.
On February 24, 2000, the Board of Directors voted to increase the size of the
automatic option grants to current and future non-employee directors from 15,000
shares to 18,000 shares. See Amendment to 1997 Director Stock Option Plan to
Increase the Number of Shares Subject to the Automatic Option Grants to
Non-Employee Directors for a description of the 1997 Director Stock Option Plan.

Executive Officers

     The following discussion sets forth information about the executive
officers of the Company who are not directors.

<TABLE>
<CAPTION>
                                                                                          Officer
      Name                        Positions with the Company               Age             Since
- ------------------------   ------------------------------------------      ----            -----
<S>                        <C>                                             <C>         <C>
Steven P. Canakes          Vice President--Sales                             44        August 1998

Gregory S. Furness         Vice President--Finance, Chief Financial          45        February 1997
                           Officer, Treasurer and Secretary

David M. Frazee            Vice President--Engineering                       39        March 1999

Jay D. Miller              General Manager and Vice                          40        February 1997
                           President--Business Development

Robert C. Samec            Vice President--Regulatory Affairs and            47        October 1998
                           Quality Assurance
</TABLE>

     Steven P. Canakes was named Vice President--Sales in March 2000. Prior to
that Mr. Canakes was the Company's Vice President--U.S. Sales from August 1998
to March 2000 and its Director of U.S. Sales from March 1998 to August 1998.
From July 1996 to March 1998, Mr. Canakes was Vice President of Business
Development for MedManagement, LLC in Plymouth, Minnesota. From February 1994 to
July 1996, Mr. Canakes served as Vice President of Sales for Medintell Systems
and Value Health Corporation, a Medintell Systems Division. Prior to February
1994, Mr. Canakes was a CT Product Sales Manager for Picker International, Inc.

     Gregory S. Furness was named Vice President--Finance, Chief Financial
Officer, Treasurer and Secretary of Vital Images in February 1997. From December
1987 to December 1996, Mr. Furness served as Executive Vice President and Chief
Financial Officer of CAMAX Manufacturing Technologies, Inc., a computer-aided
manufacturing software developer, which was acquired by Structural Dynamics
Research Corporation in June 1996. Prior to December 1987, Mr. Furness was
employed as Vice President, Finance and Chief Financial Officer of Mizar, Inc.,
and as an audit manager at Deloitte and Touche LLP. Mr. Furness is a Certified
Public Accountant.


                                       8
<PAGE>

     David M. Frazee. Mr. Frazee was named Vice President--Engineering in March
1999. From July 1998 to March 1999, Mr. Frazee served as a Manager in the
Solution Strategies Practice of Whittman-Hart, Inc. From April 1997 to July
1998, Mr. Frazee was Director of Program Management and Internet Products at
LodgeNet Entertainment, Inc. From June 1982 to April 1997, Mr. Frazee held
several systems and software development and management positions at GE Medical
Systems, Inc., most recently as Manager of the Global Software Applications
Operation.

     Jay D. Miller was named General Manager and Vice President--Business
Development of Vital Images in August 1998, and served as the Company's Vice
President--Marketing and Business Development from February 1997 to August 1998.
From 1989 until his employment by Vital Images, Mr. Miller was employed by GE
Medical Systems, Inc. in positions of increasing responsibility in the marketing
area, including serving as product manager for MRI imaging products and
marketing manger for the cardiology market segment. Prior to 1989, Mr. Miller
was employed by Siemens Medical Systems in technical marketing.

     Robert C. Samec was named Vice President--Regulatory Affairs and Quality
Assurance in October, 1998. Mr. Samec served as Vice President,
Regulatory/Quality of ContiMed, Inc., a urologic device developer from October
1997 to October 1998. Prior to October 1997, Mr. Samec spent 15 years with
Aequitron Medical, Inc., a developer of portable respiratory devices, where he
was Vice President, Regulatory Affairs/Quality Assurance.

Compliance with Section 16(a)

     Section 16 of the Securities Exchange Act of 1934, as amended (the
"Exchange Act"), requires the Company's directors, executive officers, and any
persons holding more than 10% of the outstanding common stock of the Company to
file reports with the Securities and Exchange Commission concerning their
initial ownership of common stock and any subsequent changes in that ownership.
The Company believes that during 1999 the filing requirements were satisfied,
except as follows: Vincent J. Argiro filed a late report disclosing that his
wife exercised previously disclosed stock options for the purchase of 1,550
shares. In making this disclosure, the Company has relied solely on written
representations of its directors, executive officers and beneficial owners of
more than 10% of common stock and copies of the reports that they have filed
with the Securities and Exchange Commission.


                                       9
<PAGE>

Executive Compensation

     The following table sets forth certain information regarding compensation
earned by or awarded to (i) each person who served as the Company's Chief
Executive Officer during any part of the year ended December 31, 1999, and (ii)
the Company's four other most highly compensated executive officers whose annual
compensation was $100,000 or more for the year ended December 31, 1999
(collectively, the "Named Executive Officers").

                           SUMMARY COMPENSATION TABLE

<TABLE>
<CAPTION>

                                                                                   Long-Term
                                                                                Compensation
                                                                               ----------------
                                                                                    Awards
                                                   Annual Compensation(1)      ----------------
                                                  -----------------------      Shares Underlying        All Other
    Name and Principal Position         Year        Salary       Bonus(2)          Options (#)        Compensation
- --------------------------------        ----      ---------     ---------      -----------------      ------------
<S>                                     <C>       <C>           <C>            <C>                    <C>
Albert Emola                            1999            --            --           275,000                     --
   President and Chief Executive        1998            --            --                --                     --
   Officer (3)                          1997            --            --                --                     --

Douglas M. Pihl                         1999       $120,000           --                --                     --
   President and Chief Executive        1998        110,000           --           300,000                     --
   Officer (4)                          1997            --            --            15,000(5)                  --

Vincent J. Argiro, Ph.D.                1999       $120,000       $26,766           35,000                 $ 6,265(6)
   Chief Technology Officer and         1998        120,000        60,069           25,000                     --
   Founder                              1997        113,750        52,863           64,500                  25,380(7)

Steven P. Canakes                       1999       $120,000       $26,766           35,000                     --
   Vice President--Sales (8)            1998         97,308        63,821           50,000                     --
                                        1997            --            --               --                      --

Gregory S. Furness                      1999       $120,000       $26,766           35,000                     --
   Vice President--Finance, Chief       1998        120,000        60,069           25,000                     --
   Financial Officer, Treasurer and     1997        110,000        51,687           75,000                     --
   Secretary (9)

Jay D. Miller                           1999       $120,000       $26,766           35,000                     --
   General Manager and Vice             1998        120,000        60,137           50,000                     --
   President--Business                  1997        105,000        60,650           50,000                 $23,475(6)
   Development(10)
</TABLE>
- --------------------

(1)  On May 12, 1997 (the "Distribution Date"), Bio-Vascular, the former parent
     company of Vital Images, distributed all of the shares of common stock of
     Vital Images to its shareholders of record on May 5, 1997 (the
     "Distribution"). During fiscal 1997, compensation was paid indirectly by
     Bio-Vascular prior to the Distribution and directly by the Company
     following the Distribution.

(2)  The executive officers of the Company are eligible to earn annual cash
     bonuses tied to the level of achievement of annual performance targets.
     Bonuses are generally paid following the end of the year in which they are
     earned.

(3)  Mr. Emola was named President and Chief Executive Officer of the Company in
     December 1999.

(4)  Mr. Pihl served as President and Chief Executive Officer of the Company
     from February 1998 until December 1999.

(5)  Represents shares underlying a stock option granted to Mr. Pihl as a
     non-employee director of the Company prior to his appointment as the
     Company's President and Chief Executive Officer.

(6)  Represents payments for relocation expenses.


                                       10
<PAGE>

(7)  Compensation related to the release of restricted stock to Dr. Argiro.

(8)  Mr. Canakes has served as the Company's Vice President--Sales since March
     2000, its Vice President--U.S. Sales from August 1998 to March 2000 and as
     the Director of U.S. Sales from March 1998 to August 1998.

(9)  Mr. Furness has served as the Company's Vice President--Finance, Chief
     Financial Officer, Treasurer and Secretary since February 1997.

(10) Mr. Miller has served as General Manager and Vice President--Business
     Development since August 1998, and as Vice President-Marketing and Business
     Development from February 1997 to August 1998.

Retirement Savings Plan

     The Company maintains a profit sharing and savings plan (the "401(k) Plan")
under Section 401(k) of the Internal Revenue Code of 1986, as amended (the
"Code"), which allows employees to contribute up to 25% of their pre-tax income
to the 401(k) Plan. The 401(k) Plan includes a discretionary matching
contribution by the Company and provides that the Company may make an additional
discretionary contribution out of profits at the end of any year. The Company
did not make any discretionary contributions for the years ended December 31,
1999, 1998 and 1997.

Stock Options

     The Vital Images, Inc. 1997 Stock Option and Incentive Plan (the "1997
Plan") permits the granting of awards to employees, consultants and other
service providers in the form of incentive stock options, non-qualified stock
options, grants of restricted stock, performance units and stock bonuses. On
February 29, 2000, options for an aggregate of 1,080,033 shares were outstanding
under the 1997 Plan, and 258,326 shares were available for grant. On February
25, 1999, the Board of Directors voted to increase the number of shares reserved
for issuance under the 1997 Plan from 925,000 shares to 1,425,000 shares which
was approved by the shareholders at the 1999 Annual Meeting. Effective February
24, 2000, the Board of Directors voted to increase the number of shares reserved
for issuance under the 1997 Plan from 1,425,000 to 1,925,000 shares, subject to
the approval of the Company's shareholders on or before February 24, 2001.
Awards may be granted under the 1997 Plan through March 19, 2007. The 1997 Plan
may be terminated earlier by the Board of Directors in its sole discretion.

     The 1997 Plan is administered by the Compensation Committee of the Board of
Directors. The 1997 Plan gives broad powers to the Committee to administer and
interpret the plan, including the authority to select the individuals to be
granted awards and to prescribe the particular form and conditions of each award
granted. Awards are granted on the basis of various factors, including the
individual's capacity for contributing to the successful performance of the
Company, the nature of the operations for which the individual is responsible,
and the period for which the individual has served or will have served the
Company at the vesting of the award.

     The following table sets forth certain information regarding stock options
granted to the Named Executive Officers during the Company's 1999 fiscal year.


                                       11
<PAGE>

                        OPTION GRANTS IN LAST FISCAL YEAR

<TABLE>
<CAPTION>
                                                                                         Potential Realizable
                                            Individual Grants                              Value at Assumed
                      --------------------------------------------------------------
                                      Percent of                                          Annual Rates of Stock
                                         Total                 Market                    Price Appreciation for
                                    Options Granted Exercise  Price at                      Option Term (1)
                         Options    to Employees in  Price   Grant Date  Expiration    --------------------------
Name                   Granted (#)    Fiscal Year    ($/Sh)    ($/Sh)      Date         5% ($)         10% ($)
- ----                   -----------    -----------    ------    ------      ----         ------         -------
<S>                    <C>            <C>            <C>       <C>       <C>           <C>            <C>
Albert Emola(2)(3)        275,000        39.93%      $3.5625  $3.5625    12/28/07      $467,757       $1,120,360

Douglas M. Pihl                --           --           --       --           --            --               --

Vincent J. Argiro,
Ph.D.(2)                   35,000         5.08%      $4.7500  $4.7500    5/12/07      $  79,377       $  190,122

Steven P. Canakes(2)       35,000         5.08%      $4.7500  $4.7500    5/12/07      $  79,377       $  190,122

Gregory S. Furness(2)      35,000         5.08%      $4.7500  $4.7500    5/12/07      $  79,377       $  190,122

Jay D. Miller(2)           35,000         5.08%      $4.7500  $4.7500    5/12/07      $  79,377       $  190,122
</TABLE>
- ----------

(1)  Represents the potential realizable value of each grant of options assuming
     that the market price of the underlying common stock appreciates in value
     from its fair market value on the date of grant to the end of the option
     term at the indicated annual rates.

(2)  All options granted to such Named Executive Officers in 1999 vest and
     become exercisable as to 28% of the shares one year after the date of
     grant, and as to an additional 2% per month thereafter until fully vested
     and exercisable.

(3)  The options granted to Mr. Emola in 1999 consist of an option for 100,000
     shares granted under the Company 1997 Stock Option and Incentive Plan and
     an option for 175,000 shares which is not subject to the 1997 Plan.

     The following table sets forth certain information regarding the number and
value of unexercised stock options held by the Named Executive Officers as of
the end of the Company's 1999 fiscal year.

   AGGREGATED OPTION EXERCISES IN LAST FISCAL YEAR AND YEAR-END OPTION VALUES

<TABLE>
<CAPTION>
                                                                                           Value of Unexercised
                                                                Number of Unexercised      In-the-Money Options
                                Shares                         Options at Year-End (#)      at Year-End ($) (1)
                               Acquired           Value       -------------------------  -------------------------
Name                          on Exercise        Realized     Exercisable/Unexercisable  Exercisable/Unexercisable
- ----                          -----------        --------     -------------------------  -------------------------
<S>                           <C>                <C>          <C>                        <C>
Albert Emola                       -                -                    - / 275,000               - /  $275,000
Douglas M. Pihl                    -                -              215,000 / -              $604,531 /  -
Vincent J. Argiro, Ph.D.           -                -               62,670 /  72,330        $145,749 /  $  85,709
Steven P. Canakes                  -                -               23,000 /  62,000         $60,806 /  $  71,380
Gregory S. Furness                 -                -               59,700 /  75,300        $136,931 /  $  95,256
Jay D. Miller                      -                -               53,400 /  81,600        $129,488 /  $116,138
</TABLE>
- ----------

(1)  Based on the difference between the December 31, 1999 closing price of
     $4.5625 per share as reported on the OTC Electronic Bulletin Board and the
     exercise prices of the options.


                                       12
<PAGE>

Employee Stock Purchase Plan

     The Vital Images, Inc. 1997 Employee Stock Purchase Plan (the "Stock
Purchase Plan") was adopted by the Board of Directors on March 19, 1997 and by
Bio-Vascular as the sole shareholder of the Company on May 1, 1997. The Stock
Purchase Plan permits eligible employees to make voluntary contributions through
payroll deductions to be used to purchase common stock from the Company. The
Stock Purchase Plan consists of periodic offerings and the first such offering
began on July 1, 1997. Each offering under the Stock Purchase Plan is for a
period of three months (an "Offering Period"). An employee may elect to have up
to a maximum of 10% deducted from his or her regular salary for purposes of
purchasing up to 500 shares under the Stock Purchase Plan during each Offering
Period. The price at which the employee shares are purchased will be the lower
of (a) 85% of the closing price of the common stock of the Company on the day
that an Offering Period commences under the Stock Purchase Plan, or (b) 85% of
the closing price of the Company's common stock on the day that such Offering
Period terminates. With certain exceptions, all employees of the Company who
work at least 20 hours per week, including officers and directors who are
employees, are eligible to participate in the Stock Purchase Plan. The Stock
Purchase Plan provides for the issuance of up to 250,000 shares of common stock,
and is administered by the Board of Directors, or by the Compensation Committee.
Through December 31, 1999, 63,937 shares have been issued under the Stock
Purchase Plan.

Other Stock Option Plans

     Pursuant to an Employee Benefits Agreement between Vital Images and
Bio-Vascular, Vital Images and Bio-Vascular agreed to adjust each unexercised
option to purchase Bio-Vascular common stock outstanding as of the record date
for the Distribution ("Bio-Vascular Options") to reflect the Distribution (an
"Adjusted Bio-Vascular Option"), and each holder of a Bio-Vascular Option was
granted an option to purchase common stock of Vital Images in connection with
the Distribution (a "Vital Images Option"). The exercise price and number of
shares covered by each Adjusted Bio-Vascular Option, as well as the exercise
price and number of shares covered by each Vital Images Option, was determined
according to a formula provided in the Employee Benefits Agreement that was
based on the relative fair market trading values of Bio-Vascular common stock
and the Company's common stock during the first five trading days following the
date of the Distribution.

     In connection with the issuance of Vital Images Options with respect to
Bio-Vascular Options in existence on the date of the Distribution, the Company
adopted the 1995 Stock Incentive Adjustment Plan, the Incentive Stock Option
Adjustment Plan and the 1992 Director Stock Option Adjustment Plan. Each of
these plans is intended to mirror the provisions of a corresponding Bio-Vascular
option plan. As each Bio-Vascular option plan generally provides for the
termination of options following termination of employment, each of such mirror
plans was approved and adopted to provide that the Distribution will not cause a
termination of any employee of the Company for the purposes of such plans, and
that options held by employees of the Company following the Distribution will
remain exercisable following the Distribution, so long as such employees remain
employed by the Company or any subsidiary. Similar modifications to the existing
1990 Management Incentive Stock Option Plan and the 1992 Stock Option Plan were
also adopted by the Company with respect to Bio-Vascular employees. Awards of
options under these plans, as well as pursuant to certain non-plan award
agreements, were made in connection with the Distribution. It is intended that
the 1995 Stock Incentive Adjustment Plan, the Incentive Stock Option Adjustment
Plan and the 1992 Director Stock Option Adjustment Plan, as well as the 1992
Stock Option Plan and the 1990 Management Incentive Stock Option Plan, will not
be utilized to grant options to purchase common stock of the Company other than
in connection with the Distribution. In connection with the Distribution, Vital
Images granted 608,534 Vital Images Options.


                                       13
<PAGE>

Compensation Committee Interlocks and Insider Participation in
Compensation Decisions

     James B. Hickey, Jr., Michael W. Vannier, M.D. and Sven A. Wehrwein, each
of whom is a non-employee director of the Company, served as the members of the
Company's Compensation Committee in 1999. See "Report of the Compensation
Committee." Messrs. Argiro, Pihl and Emola, the only executive officers of the
Company who served on the Board of Directors in 1999, abstained from voting on
compensation matters affecting their compensation.

Employment Arrangements

     Emola Employment Agreement. The Company has entered into an Employment
Agreement with Albert Emola effective December 27, 1999, which sets forth the
terms of his employment as the Company's President and Chief Executive Officer.
The agreement provides for an annual base salary of $180,000. In addition, Mr.
Emola is eligible to receive bonuses as established by the Company's Board of
Directors under the Company's management incentive plan. The agreement also
provides for Mr. Emola's participation in the Company's fringe benefit plans and
programs in which other senior executive officers of the Company participate. If
the Company terminates Mr. Emola's employment without cause during the term of
his Employment Agreement, the Company is required to pay Mr. Emola a severance
payment equal to twelve month base salary at the time of termination.

     In connection with his employment, the Company granted Mr. Emola stock
options to purchase 275,000 shares of common stock of the Company. The stock
options have an exercise price of $3.5625 per share and vest as to 28% of the
shares beginning one year after the date of grant and 2% per month thereafter.
The options consist of an incentive stock option for 100,000 shares granted
under the Company's 1997 Stock Option and Incentive Plan and an option for
175,000 shares which is not subject to the 1997 Plan.

     The Company has entered into a change-in-control agreement with Mr. Emola
in order to provide for certain benefits upon a "change in control" of the
Company as defined in such agreement. If Mr. Emola's employment with the Company
is terminated for any reason other than death, cause, disability or retirement,
or if he terminates his employment with the Company for good reason, and the
termination occurs within twelve months following a change in control, or prior
to a change in control if his termination was a condition of the change in
control, Mr. Emola is entitled to receive a lump sum cash payment equal to his
average monthly salary multiplied by 24, as well as employee welfare benefits
then in effect for a period of 24 months following such termination.

     Pihl Employment Agreement. Pursuant to an employment agreement dated
February 1, 1998, Mr. Pihl received an annual salary of $120,000. In connection
with Mr. Pihl's employment, the Company granted him a non-qualified stock option
to purchase 300,000 shares of common stock of the Company, which vested as to
100,000 shares having an exercise price of $1.125 per share on February 24, 1998
and as to an additional 100,000 shares having an exercise price of $2.25 per
share on February 24, 1999. An additional 100,000 shares having an exercise
price of $4.50 per share, which were scheduled to vest on February 24, 2000,
expired in December upon the completion of Mr. Pihl's employment with the
Company. Mr. Pihl will be entitled to exercise the option to purchase 200,000
shares of the Company's common stock until the option's expiration date of
February 24, 2006.

Change in Control Agreements and Severance Arrangements

     The Company has entered into agreements with Vincent Argiro, Gregory
Furness and Jay Miller in order to provide for certain benefits upon a "change
in control" of the Company, as defined in such agreements. If each such
officer's employment with the Company is terminated for any reason other than
death, cause, disability or retirement, or if he terminates his employment with
the Company for good


                                       14
<PAGE>

reason, and the termination occurs within twelve months following a change in
control, or prior to a change in control if his termination was a condition of
the change in control, such officer would be entitled to a lump sum cash payment
equal to the officer's highest monthly compensation multiplied by 36, as well as
employee welfare benefits then in effect for a period of 36 months. The
agreements also incorporate standard confidentiality restrictions.

     The Company has severance arrangements with Messrs. Argiro, Furness and
Miller which provide that, except in the case of dismissal for cause, each such
officer is entitled to receive a severance payment equal to six months of his
monthly base salary. In addition, each officer is entitled to one additional
month of severance pay for each additional year of employment, starting with the
sixth year of employment. The maximum amount of severance payable to each
officer under such arrangement is capped at an amount equal to the base salary
for one year. The Company has also entered into a severance arrangement with
Steven Canakes which provides that, except in the case of termination for cause,
the Company will pay Mr. Canakes a severance payment equal to three months base
salary.


                                       15
<PAGE>

                      REPORT OF THE COMPENSATION COMMITTEE

     The Compensation Committee of the Board of Directors (the "Committee") is
composed of non-employee directors of the Company. The Committee is responsible
for assuring that compensation for executives is consistent with the Company's
compensation philosophy. The Committee also administers and makes grants under
the Company's 1997 Plan with respect to the Company's executive officers. James
B. Hickey, Jr., Michael W. Vannier, M.D. and Sven A. Wehrwein, each of whom is a
non-employee director of the Company, served as the members of the Company's
Compensation Committee in 1999.

     The Company's executive compensation program is based on a
pay-for-performance philosophy. Under the Company's program, an executive's
compensation consists of three components: base salary, an annual incentive
(bonus) payment and long-term incentives (stock options). Base salary is
determined by an assessment of the executive's sustained performance against his
or her individual job responsibilities, including the impact of such performance
on the business results of the Company. Payments under the Company's annual
incentive plan are tied to the level of achievement of annual performance
targets, including revenue, operating results and other performance targets
related to business functions under the executive's direction. Annual
performance targets are based upon the Company's annual strategic plan as
reviewed by the Board of Directors. An individual executive's annual incentive
opportunity is based upon a percentage of his or her base salary.

     The Company's long-term incentives are in the form of stock options. The
objectives of these awards are to advance the longer term interests of the
Company and its shareholders, complement incentives tied to annual performance
and align the interests of executives more closely with those of shareholders.
The Company also believes that the entrepreneurial character of its executives
makes the long-term incentives provided by its stock option program especially
significant in the motivation and retention of its executives. The number of
stock options awarded to an executive is based on the executive's position and
his or her performance in that position. The executive's right to the stock
options generally vests over a four-year period and each option is exercisable,
to the extent it has vested, over an eight-year period following its grant.

     On February 24, 2000, the entire Board of Directors approved the proposed
form of Employment Agreement between the Company and Mr. Albert Emola, the
Company's current President and Chief Executive Officer, which provides for an
annual base salary of $180,000, and entitles Mr. Emola to participate in the
Company's management incentive plan. Under the management incentive plan, Mr.
Emola may be entitled to receive annual bonus payments as recommended by the
Compensation Committee and approved by the entire Board of Directors. In
addition, Mr. Emola was granted stock options on December 28, 1999 for the
purchase of an aggregate of 275,000 shares of the Company's common stock at an
exercise price of $3.5625 per share. Such options vest as to 28% of the shares
beginning one year after the date of grant as to an additional 2% per month
thereafter. The Compensation Committee believes that the compensation
arrangements established for Mr. Emola are consistent with the philosophy and
objective described above.

     The Committee believes that the Company's executives are focused on the
attainment of a sustained high rate of growth and improving operating results
for the benefit of the Company and its shareholders, and that the Company's
compensation program, with its emphasis on performance-based and long-term
incentive compensation, serves to reinforce this focus.

By the Compensation Committee

James B. Hickey, Jr., Chairman
Michael W. Vannier, M.D.
Sven A. Wehrwein


                                       16
<PAGE>

                                PERFORMANCE GRAPH

     Since May 14, 1997, the Company's common stock has been traded on the OTC
Bulletin Board maintained by the National Association of Securities Dealers,
Inc. Prior to May 12, 1997, the Company was a wholly-owned subsidiary of
Bio-Vascular and there was no public market for the Company's common stock. The
following graph shows changes during the period from May 14, 1997 (the date on
which the Company's common stock was first traded on the OTC Bulletin Board) to
December 31, 1999, in the value of $100 invested in: (1) the Company's common
stock; (2) the CRSP Total Return Index for The Nasdaq Stock Market (US); and (3)
Nasdaq Non-Financial Stocks. The values of each investment as of the dates
indicated are based on share prices plus any dividends paid in cash, with the
dividends reinvested on the date they were paid. The calculations exclude
trading commissions and taxes.

                              [PERFORMANCE GRAPH]

<TABLE>
<CAPTION>

- -------------------------------- ---------- ------------ ----------- ----------- ------------- ------------ ------------
                                  5/14/97     6/30/97     12/31/97    6/30/98      12/31/98      6/30/99     12/31/99
- -------------------------------- ---------- ------------ ----------- ----------- ------------- ------------ ------------
<S>                              <C>        <C>          <C>          <C>        <C>           <C>           <C>
Vital Images, Inc.               $100.00    $  50.00     $  43.75     $106.25    $  60.42       $279.17      $152.08
- -------------------------------- ---------- ------------ ----------- ----------- ------------- ------------ ------------
CRSP Total Return Index for      $100.00    $108.21       $118.47     $142.46     $167.05       $204.87      $309.15
Nasdaq Stock Market (US)
- -------------------------------- ---------- ------------ ----------- ----------- ------------- ------------ ------------
Nasdaq Non-Financial Stocks      $100.00    $107.78       $114.18     $140.75     $167.64       $208.52      $330.67
- -------------------------------- ---------- ------------ ----------- ----------- ------------- ------------ ------------
</TABLE>


                                       17
<PAGE>

                   APPROVAL OF AMENDMENT TO 1997 STOCK OPTION
                 AND INCENTIVE PLAN TO INCREASE NUMBER OF SHARES
                        RESERVED FOR ISSUANCE THEREUNDER
                                  (Proposal 2)

     The Vital Images, Inc. 1997 Stock Option and Incentive Plan ("1997 Plan")
was adopted by the Board of Directors on March 19, 1997 and approved by
Bio-Vascular, the sole shareholder of the Company, on May 1, 1997. An aggregate
of 675,000 shares was reserved for issuance under the 1997 Plan at the time of
its adoption. On February 25, 1998 the Board of Directors voted to increase the
number of shares reserved for issuance under the 1997 Plan to 925,000 shares
which was approved by the shareholders at the 1998 Annual Meeting, and on
February 25, 1999, the Board of Directors voted to increase the number of shares
reserved for issuance under the 1997 Plan to 1,425,000 shares, which was
approved by the shareholders at the 1999 Annual Meeting. Effective February 24,
2000, the Board of Directors voted to increase the number of shares reserved for
issuance under the 1997 Plan to 1,925,000 shares, subject to the approval of the
Company's shareholders on or before February 24, 2001. The shareholders are
being asked to approve the amendment to the 1997 Plan to increase the number of
shares reserved for issuance thereunder at the Annual Meeting.

     The 1997 Plan is intended to assist the Company in hiring and retaining
well-qualified employees, consultants, and other service providers by allowing
them to participate in the ownership and growth of the Company through the grant
of incentive and non-statutory stock options ("Options"), awards of restricted
stock, performance units, stock bonuses or any combination thereof. Management
believes that the granting of Options and other awards will serve as partial
consideration for and give well-qualified employees, consultants, and other
service providers an additional inducement to remain in the service of the
Company and provide them with an increased incentive to work for the Company's
success. To enable the Company to continue to grant stock-based awards in
furtherance of the purposes and objectives of the 1997 Plan, the Board
recommends that the shareholders approve the proposed increase in the number of
shares reserved for issuance under the 1997 Plan.

     The principal features and effects of the 1997 Plan are discussed below.

Administration

     The 1997 Plan is administered by the Compensation Committee of the Board of
Directors, which determines when and which employees, consultants, and other
service providers will be granted Options and awards under the 1997 Plan.
Subject to the provisions of the 1997 Plan, the Compensation Committee also
determines the type, amount and terms of awards (including restrictions) and
makes all other determinations necessary or advisable for the administration of
the 1997 Plan. The determinations by the Compensation Committee are not required
to be made on a uniform basis and are final and conclusive.

     Employees of the Company and any of its "Affiliates" (as such term is
defined in the 1997 Plan) are eligible for selection to receive Options
qualified as incentive stock options ("ISOs") under Section 422 of the Internal
Revenue Code of 1986, as amended (the "Code"). Employees, consultants and other
service providers of the Company or its Affiliates may be granted non-qualified
Options ("NQOs"), restricted stock awards, performance units or stock bonuses.

     The 1997 Plan will terminate on the earlier of the date on which the 1997
Plan is terminated by the Board of Directors of the Company or March 19, 2007.
Options or restricted stock awards outstanding at the termination of the 1997
Plan may continue to be exercised in accordance with their terms after such
termination. The 1997 Plan may be amended at any time by the Board of Directors.
However, without the approval of a majority of the Company's shareholders voting
at a meeting at which a quorum is present, no


                                       18
<PAGE>

such amendment may (i) materially increase the benefits accruing to participants
under the 1997 Plan; (ii) increase the number of shares available for issuance
or sale pursuant to the 1997 Plan (other than as permitted in certain
circumstances provided by the 1997 Plan); or (iii) materially modify the
requirements as to eligibility for participation in the 1997 Plan.

Shares Subject to 1997 Plan

     The 1997 Plan, as amended, provides that the total number of shares of the
Company's common stock that may be purchased pursuant to the exercise of Options
and issued in connection with other awards shall not exceed 1,925,000 shares,
subject to adjustment as provided in the 1997 Plan. The shareholders are being
asked to approve the amendment to the 1997 Plan to increase the number of shares
reserved for issuance thereunder from 1,425,000 to 1,925,000. The shares to be
issued upon the exercise of Options and awards granted under the 1997 Plan will
be currently authorized but unissued shares of common stock of the Company. The
number of shares of the Company's common stock available under the 1997 Plan,
the exercise price of an Option, or the value of an award, may be adjusted by
the Compensation Committee in its sole discretion upon any stock dividend or
split, recapitalization, reclassification, combination, exchange of shares, or
other similar corporate change, if the Compensation Committee determines that
such change necessarily or equitably requires such an adjustment.

Plan Awards

     Stock Options. Upon the grant of an Option, the Compensation Committee
fixes the number of shares of the Company's common stock that the optionee may
purchase upon exercise of the Option and the price at which the shares may be
purchased. With regard to ISOs, the exercise price cannot be less than the "fair
market value" of the common stock at the time the ISO is granted, or 110% of
such fair market value in certain cases. Further, the aggregate fair market
value of common stock (determined at the time the ISO is granted) subject to
ISOs granted to an employee under all the Company's option plans that become
exercisable for the first time by such employee during any calendar year may not
exceed $100,000. NQOs may be granted at less than the fair market value of the
common stock, but not less than 85% of fair market value. See "Federal Income
Tax Consequences." Each Option will be exercisable by the optionee only during
the term fixed by the Compensation Committee, with such term ending not later
than ten years after the date of grant (in the case of ISOs). Payment for shares
upon exercise of any Option may be made in cash, in shares of the Company's
common stock having an aggregate fair market value on the date of exercise which
is not less than the exercise price of the Option, or by a combination of cash
and such shares, as the Compensation Committee may determine.

     Options granted under the 1997 Plan are non-transferable except to the
extent permitted by the agreement evidencing such Option. However, no ISO will
be transferable by any optionee other than by will or the laws of descent and
distribution. If, pursuant to the agreement evidencing any Option, such Option
remains exercisable after the optionee's death, it may be exercised to the
extent permitted by such agreement by the personal representative of the
optionee's estate or by any person who acquired the right to exercise such
option by bequest, inheritance, or otherwise, by reason of the optionee's death.

     Restricted Stock Awards. Restricted stock awards granted pursuant to the
1997 Plan entitle the holder to receive shares of the Company's common stock,
which will be subject to forfeiture to the Company if specified conditions are
not satisfied. The Compensation Committee may establish a period (the
"Restricted Period") at the time a restricted stock award is granted during
which the holder will not be permitted to sell, transfer, pledge, encumber, or
assign the shares of the Company common stock subject to the award. During the
Restricted Period, the holder of shares subject to the restricted stock award
shall have all of the rights of a shareholder of the Company with respect to
such shares, including the right to vote the shares and to receive any dividends
and other distributions with respect to the shares. Except to the extent


                                       19
<PAGE>

otherwise provided in the restricted stock agreement governing each restricted
stock award, all shares of the Company's common stock then subject to any
restriction will be forfeited to the Company without further obligation of the
Company to the holder thereof, and all rights of the holder with respect to such
shares will terminate, if the holder ceases to provide services to the Company
or its Affiliates as an employee, consultant or other service provider.

     Performance Units. Performance units may entitle the recipient to receive a
payment from the Company, in the form of stock, cash or a combination of both,
upon the achievement of established performance or other goals. A recipient may
be granted one or more performance units under the 1997 Plan, and such
performance units will be subject to such terms and conditions, consistent with
the other provisions of the 1997 Plan, as may be determined by the Compensation
Committee in its sole discretion.

     Stock Bonus. A stock bonus entitles a recipient to receive an award of
common stock of the Company. Stock bonuses will be subject to such terms and
conditions, consistent with the other provisions of the 1997 Plan, as may be
determined by the Compensation Committee. The Compensation Committee may impose
such restrictions on the assignment or transfer of a stock bonus as it deems
appropriate.

Immediate Acceleration of Awards

     The 1997 Plan provides that, notwithstanding any other provisions contained
in the 1997 Plan or the agreement evidencing any Option or restricted stock
award thereunder, the restrictions on all shares of restricted stock shall lapse
immediately, and all outstanding Options will become exercisable immediately, if
any of the following events occur: (i) the sale, lease, exchange or other
transfer of substantially all of the assets of the Company; (ii) the liquidation
or dissolution of the Company; (iii) certain mergers or consolidations of the
Company which result in a reduction in the voting power of the current
shareholders of the Company; (iv) any person becomes the beneficial owner of
more than 20% of the Company's Common Stock without the advance approval of the
incumbent directors or more than 50% of the voting power of the Company's
outstanding stock without regard to consent by the incumbent directors; (v) the
incumbent directors cease for any reason to constitute at least a majority of
the Board; or (vi) any other change in control of the Company of a nature that
would be required to be reported pursuant to Section 13 or 15(d) of the Exchange
Act.

Federal Income Tax Consequences

     The following description is a general summary of the current federal
income tax provisions relating to the grant and exercise of ISOs and NQOs under
the 1997 Plan, the grant of other awards thereunder, and the sale of shares of
common stock acquired upon exercise of Options or under a restricted stock
award, performance unit or stock bonus. The provisions summarized below are
subject to changes in federal income tax laws and regulations, and the effects
of such provisions may vary with individual circumstances.

     Incentive Stock Options. ISOs granted under the 1997 Plan are intended to
be "incentive stock options" as defined by Section 422 of the Code. Under
present law, the recipient of an ISO will not realize taxable income upon the
grant or the exercise of an ISO; and the Company will not receive an income tax
deduction at either such time. Generally, if an optionee exercises an ISO at any
time prior to three months after termination of the optionee's employment and
does not sell the shares acquired upon exercise of an ISO within later of either
(i) two years after the grant of the ISO or (ii) one year after the date of
exercise of the ISO, the gain upon a subsequent sale of the shares will be taxed
as long-term capital gain. If the optionee does not satisfy these requirements,
the optionee generally will recognize ordinary income in an amount equal to the
difference between the exercise price paid in connection with exercise of the
ISO and the fair market value of the shares acquired as of the date of exercise
of the ISO, and will recognize capital


                                       20
<PAGE>

gain on the difference between the sale price of the shares and the fair market
value of the shares as of the date of exercise. In such event, the Company would
be entitled to a corresponding income tax deduction equal to the amount
recognized as ordinary income by the optionee.

     Upon the exercise of an ISO, the excess of the stock's fair market value on
the date of exercise over the exercise price will be included in the optionee's
alternative minimum taxable income ("AMTI") and may result in the imposition of
a tax on such AMTI. Liability for the alternative minimum tax is complex and
depends upon an individual's overall tax situation.

     Non-Qualified Stock Options. Generally, upon the grant of an NQO, neither
the Company nor the optionee will experience any tax consequences. Upon exercise
of an NQO granted under the 1997 Option Plan, or upon the exercise of an Option
initially intended to be an ISO that does not qualify for the tax treatment
described above, the optionee will realize ordinary income in an amount equal to
the excess of the fair market value of the shares of common stock received over
the exercise price paid by the optionee with respect to such shares. The amount
recognized as ordinary income by the optionee will increase the optionee's basis
in the stock acquired pursuant to the exercise of the NQO. The Company will be
allowed a federal income tax deduction for the amount recognized as ordinary
income by the optionee upon the optionee's exercise of the NQO. Upon a
subsequent sale of the stock, the optionee will recognize short-term or
long-term gain or loss depending upon the holding period for the stock and upon
the stock's subsequent appreciation or depreciation in value.

     Restricted Stock Awards. A participant who receives an award of restricted
stock under the 1997 Plan generally will recognize ordinary income at the time
at which the restrictions on such shares (the "Restrictions") lapse, in an
amount equal to the excess of (i) the fair market value of such shares at the
time the Restrictions lapse, over (ii) the price, if any, paid for such shares.
If the participant makes an election with respect to such shares under Section
83(b) of the Code, not later than 30 days after the date shares are transferred
to the participant pursuant to such award, the participant will recognize
ordinary income at the time of transfer in an amount equal to the excess of (i)
the fair market value of the shares covered by the award (determined without
regard to any restriction other than a restriction which by its terms will never
lapse) at the time of such transfer over (ii) the price, if any, paid for such
shares. If, subsequent to the lapse of Restrictions on his or her shares, the
participant sells such shares, the difference, if any, between the amount
realized from such sale and the tax basis of such shares to the holder will be
taxed as long-term or short-term capital gain or loss, depending on whether the
participant's holding period for such shares exceeds the applicable holding
period at the time of sale and provided that the participant holds such shares
as a capital asset at such time.

     Performance Units. A recipient of a performance unit normally will not
recognize taxable income at the time the performance unit is granted.
Thereafter, the recipient will recognize ordinary income as his or her rights
under the performance unit vest, and he or she receives a payment of the
economic value of a vested performance unit in the form of cash, common stock,
or any combination thereof. The amount of such ordinary income will be equal to
the amount of cash received, the market value of common stock received, or a
combination thereof. Upon a subsequent sale of any common stock received, the
change in the value of the common stock would be treated as a capital gain or
loss. The Company or its appropriate subsidiary will generally be allowed an
income tax deduction equal to the ordinary income recognized by the recipient.

     Stock Bonus. A recipient of a stock bonus normally will recognize ordinary
income at the date of the Award equal to the value of the stock received, unless
rights to all or part of the stock are not immediately vested or are subject to
restrictions. Upon a subsequent sale of the common stock, the change in the
value of the common stock would be treated as capital gain or loss. The Company
or its appropriate subsidiary will generally be allowed an income tax deduction
equal to the ordinary income


                                       21
<PAGE>

recognized by the recipient.

Shareholder Approval

     The affirmative vote of a majority of the shares of common stock of the
Company represented at the Annual Meeting either in person or by proxy, assuming
a quorum is present, is required to approve the amendment to the 1997 Plan
increasing the number of shares reserved for issuance thereunder from 1,425,000
to 1,925,000.

     THE BOARD OF DIRECTORS RECOMMENDS THAT THE SHAREHOLDERS VOTE FOR APPROVAL
OF THE AMENDMENT TO THE 1997 STOCK OPTION AND INCENTIVE PLAN AS SET FORTH IN
PROPOSAL 2.


                     APPROVAL OF AMENDMENT TO 1997 DIRECTOR
                          STOCK OPTION PLAN TO INCREASE
                       THE NUMBER OF SHARES SUBJECT TO THE
                AUTOMATIC OPTION GRANTS TO NON-EMPLOYEE DIRECTORS
                                  (Proposal 3)

     The Vital Images, Inc. 1997 Director Stock Option Plan ("Director Plan")
was adopted by the Board of Directors on March 19, 1997 and approved by the sole
shareholder of the Company on May 1, 1997. An aggregate of 75,000 shares was
reserved for issuance under the Director Plan at the time of its adoption.
Effective February 24, 1998, the Board of Directors voted to increase the number
of shares reserved for issuance under the Director Plan to 105,000 shares, and
the Shareholders approved the amendment at the 1998 Annual Meeting. Effective
February 25, 1999, the Board of Directors voted to increase the number of shares
reserved for issuance under the Director Plan to 210,000 shares, and the
Shareholders approved the amendment at the 1999 Annual Meeting. Effective
February 24, 2000, the Board of Directors voted to increase the number of shares
included in the automatic option grants to current and future non-employee
directors upon their initial election or appointment to the Board of Directors
and each third anniversary thereafter from 15,000 shares to 18,000 shares. The
proposed amendment is subject to the approval of the Company's shareholders on
or before February 24, 2001. The shareholders are being asked to approve the
amendment to the Director Plan to increase the size of the automatic option
grant to current and future non-employee directors from 15,000 shares to 18,000
shares.

     The Director Plan is intended to assist the Company in attracting,
motivating and retaining well-qualified individuals to serve as directors of the
Company. Management believes that the granting of options will serve as partial
consideration for and give well-qualified directors an additional inducement to
remain in the service of the Company and provide them with an increased
incentive to work for the Company's success. Under the current Director Plan,
the Company grants each newly-elected or -appointed non-employee director an
initial option to purchase 15,000 shares of common stock and an additional
option to purchase 15,000 shares of common stock on the third anniversary of the
initial option grant and on each successive third anniversary thereafter,
provided that the Director was a non-employee director on such date. To enable
the Company to increase the amount of the automatic option grants in furtherance
of the purposes and objectives of the Director Plan, the Board recommends that
the shareholders approve the proposed increase of the automatic option grants
under the Director Plan.

     The principal features and effects of the current Director Plan are
discussed below.

Administration and Eligibility

     The Board of Directors of the Company has full authority to administer the
Director Plan, including authority to interpret and construe any provisions of
the Director Plan and any stock options granted


                                       22
<PAGE>

thereunder. Notwithstanding the authority of the Board of Directors to
administer the Plan, certain grants of stock options under the Director Plan and
the amounts and terms of the options so granted will be automatically determined
under the Director Plan. As such, the Board of Directors will have no authority
to determine the grant or terms of such automatic options.

     The only persons eligible to receive options under the Director Plan are
members of the Board of Directors of the Company. The only persons eligible to
receive automatic grants of options under the Director Plan are those Directors
of the Company who are not also employees of the Company ("Non-Employee
Directors").

     The Director Plan will terminate on the earlier of the date on which the
Director Plan is terminated by the Board of Directors of the Company or March
19, 2007. Option rights outstanding at the termination of the Director Plan may
continue to be exercised in accordance with their terms after such termination.
The Director Plan may be amended at any time by the Board of Directors. However,
without the approval of a majority of the Company's shareholders voting at a
meeting at which a quorum is present, no such amendment may (i) materially
increase the benefits accruing to participants under the Director Plan; (ii)
increase the number of shares available for issuance or sale pursuant to the
Director Plan (other than as permitted in certain circumstances provided by the
Director Plan); or (iii) materially modify the requirements as to eligibility
for participation in the Director Plan.

Shares Subject to the Director Plan

     The Director Plan, as amended, provides that the total number of shares of
the Company's common stock that may be purchased pursuant to the exercise of
options shall not exceed 210,000 shares, subject to adjustment as provided in
the Director Plan. The shares to be issued upon the exercise of Options and
restricted stock awards granted under the Director Plan will be currently
authorized but unissued shares of common stock of the Company. The number of
shares of the Company's common stock available under the Director Plan or the
exercise price of an option may be adjusted by the Board of Directors in its
sole discretion upon any stock dividend or split, recapitalization,
reclassification, combination, exchange of shares, or other similar corporate
change, if the Board of Directors determines that such change necessarily or
equitably requires such an adjustment.

Plan Awards

     Under the Director Plan, eligible individuals may receive discretionary or
automatic grants of options to purchase shares of common stock of the Company.
Each option granted under the Director Plan is evidenced by a written agreement
between the Company and the recipient of the option. Such agreements may not be
identical for all individuals to whom options are granted, and the terms and
conditions of such agreements may be modified with the consent of persons to
whom the option was granted. The Director Plan permits the granting of ISOs
meeting the requirements of Section 422 of the Code and NQOs that do not meet
the requirements of Section 422.

     Options granted under the Director Plan are non-transferable except to the
extent permitted by the agreement evidencing such option. However, no option
will be transferable by any optionee other than by will or the laws of descent
and distribution. If, pursuant to the agreement evidencing any option, such
option remains exercisable after the optionee's death, it may be exercised to
the extent permitted by such agreement by the personal representative of the
optionee's estate or by any person who acquired the right to exercise such
option by bequest, inheritance, or otherwise, by reason of the optionee's death.
If an optionee's term as a director of the Company shall terminate for any
reason, any Option then held by the optionee, to the extent then exercisable
under the applicable option agreement, shall remain exercisable after the
termination of the optionee's director status for a period of ninety (90) days
(but in no event beyond eight years from the date of grant of the option).


                                       23
<PAGE>

     Automatic Option Grants. The Director Plan provides Non-employee Directors
of the Company (each an "Eligible Director") with automatic grants of stock
options, and allows the Board of Directors to make additional discretionary
option grants to any or all directors. Currently, each eligible Director is
automatically granted an initial option to purchase 15,000 shares on the date of
his or her initial election or appointment to the Board of Directors (in each
case, an "Initial Grant"). On the third anniversary date of the date of the
Initial Grant to each Eligible Director and on each successive third anniversary
thereafter, such Eligible Director currently will automatically receive an
option under the Director Plan to purchase an additional 15,000 shares of the
Company's common stock. All options automatically granted under the Director
Plan will expire eight (8) years after the date of grant. The exercise price per
share for each option granted under the Director Plan (with the exception noted
above) will be equal to 100% of the "fair market value" of a share of the
Company's common stock on the date such option is granted. Options automatically
granted under the Director Plan vest and become exercisable as to one-third of
the option shares on the first, second and third December 31 following the date
of grant. Payment for the exercise price of options granted under the Director
Plan may be made in cash, or in the discretion of the Board of Directors, by
delivery of shares of common stock of the Company having an aggregate fair
market value on the date of exercise which is not less than the exercise price
of the option, or by a combination thereof. The Director Plan also permits the
Board of Directors to make discretionary grants of stock options to one or more
Directors in addition to the automatic option grants described above. The
shareholders are being asked to approve an amendment to the Director Plan to
increase the size of the Initial Grant and successive automatic grants from
15,000 shares to 18,000 shares.

     Discretionary Option Grants. Upon the discretionary grant of an option, the
Board of Directors fixes the number of shares of the Company's common stock that
the optionee may purchase upon exercise of the option and the price at which the
shares may be purchased. The exercise price of such options cannot be less than
the "fair market value" of the common stock at the time the option is granted.
Each Option will be exercisable by the optionee only during the term fixed by
the Compensation Committee, with such term ending not later than eight years
after the date of grant (ten years in the case of ISOs). Upon exercise of any
Option, payment for shares as to which the Option is exercised may be made in
cash, in shares of the Company's common stock having an aggregate fair market
value on the date of exercise which is not less than the exercise price of the
Option, or by a combination of cash and such shares, as the Compensation
Committee may determine.

Immediate Acceleration of Awards

     The Director Plan provides that, notwithstanding any other provisions
contained in the Director Plan or the agreement evidencing any Option or
restricted stock award thereunder, the restrictions on all shares of restricted
stock shall lapse immediately, and all outstanding Options will become
exercisable immediately, if any of the following events occur: (i) the sale,
lease, exchange or other transfer of substantially all of the assets of the
Company; (ii) the liquidation or dissolution of the Company; (iii) certain
mergers or consolidations of the Company which result in a reduction in the
voting power of the current shareholders of the Company; (iv) any person becomes
the beneficial owner of more than 20% of the Company's common stock without the
advance approval of the incumbent directors or more than 50% of the voting power
of the Company's outstanding stock without regard to consent by the incumbent
directors; (v) the incumbent directors cease for any reason to constitute at
least a majority of the Board; or (vi) any other change in control of the
Company of a nature that would be required to be reported pursuant to Section 13
or 15(d) of the Exchange Act.


                                       24
<PAGE>

Federal Income Tax Consequences

     See "Approval of Amendment to 1997 Stock Option and Incentive Plan to
Increase Number of Shares Reserved for Issuance Thereunder (Proposal 2) -
Federal Income Tax Consequences" for a description and general summary of the
current federal income tax provisions relating to the grant and exercise of ISOs
and NQOs under the Director Plan and the sale of shares of common stock acquired
upon exercise of options. The provisions summarized therein are subject to
changes in federal income tax laws and regulations, and the effects of such
provisions may vary with individual circumstances.

Shareholder Approval

     The affirmative vote of a majority of the shares of common stock of the
Company represented at the Annual Meeting either in person or by proxy, assuming
a quorum is present, is required to approve the amendment to the Director Plan
increasing the automatic option grants to non-employee directors.

     THE BOARD OF DIRECTORS RECOMMENDS THAT THE SHAREHOLDERS VOTE FOR APPROVAL
OF THE AMENDMENT TO THE 1997 DIRECTOR STOCK OPTION PLAN AS SET FORTH IN PROPOSAL
3.


                         RATIFICATION OF THE APPOINTMENT
                           OF INDEPENDENT ACCOUNTANTS
                                  (Proposal 4)

     The Board of Directors has appointed the firm of PricewaterhouseCoopers LLP
as independent accountants for the year ending December 31, 2000. A
representative of PricewaterhouseCoopers LLP will be present at the Annual
Meeting, will have an opportunity to make a statement if he desires to do so and
will be available to respond to appropriate questions from shareholders.


     All proxies received in response to this solicitation will be voted in
favor of the ratification of the appointment of the independent accountants,
unless other instructions are indicated thereon.

Shareholder Approval

     The affirmative vote of a majority of the shares of common stock of the
Company represented at the Annual Meeting either in person or by proxy, assuming
a quorum is present, is required to ratify the appointment of
PricewaterhouseCoopers LLP as independent accountants for the Company for the
year ending December 31, 2000.

     THE BOARD OF DIRECTORS RECOMMENDS THAT THE SHAREHOLDERS VOTE FOR THE
RATIFICATION OF THE APPOINTMENT OF PRICEWATERHOUSECOOPERS LLP AS INDEPENDENT
ACCOUNTANTS AS SET FORTH IN PROPOSAL 4.


                                       By Order of the Board of Directors

                                       /s/ Gregory S. Furness

                                       Gregory S. Furness, Secretary

April 21, 2000


                                       25
<PAGE>

                               VITAL IMAGES, INC.
                      1997 STOCK OPTION AND INCENTIVE PLAN


     Section 1. Purpose of Plan. The purpose of the Vital Images, Inc. 1997
Stock Option and Incentive Plan (the "Plan") is to advance the interests of
Vital Images, Inc. (the "Company") and its shareholders by enabling the Company
and its Subsidiaries to attract and retain persons of ability to perform
services for the Company and its Subsidiaries by providing an incentive to such
individuals through equity participation in the Company and by rewarding such
individuals who contribute to the achievement by the Company of its economic
objectives.

     Section 2. Definitions. The following terms will have the meanings set
forth below, unless the context clearly otherwise requires:

          (a) "Board" means the Board of Directors of the Company.

          (b) "Broker Exercise Notice" means a written notice pursuant to which
     a Participant, upon exercise of an Option, irrevocably instructs a broker
     or dealer to sell a sufficient number of shares or loan a sufficient amount
     of money to pay all or a portion of the exercise price of the Option and/or
     any related withholding tax obligations and remit such sums to the Company
     and directs the Company to deliver stock certificates to be issued upon
     such exercise directly to such broker or dealer.

          (c) "Change in Control" means an event described in Section 12(a) of
     the Plan.

          (d) "Code" means the Internal Revenue Code of 1986, as amended.

          (e) "Committee" means the group of individuals administering the Plan,
     as provided in Section 3 of the Plan.

          (f) "Common Stock" means the common stock of the Company, par value
     $.01 per share, or the number and kind of shares of stock or other
     securities into which such Common Stock may be changed in accordance with
     Section 4(c) of the Plan.

          (g) "Disability" means the disability of the Participant such as would
     entitle the Participant to receive disability income benefits pursuant to
     the long-term disability plan of the Company or Subsidiary then covering
     the Participant or, if no such plan exists or is applicable to the
     Participant, the permanent and total disability of the Participant within
     the meaning of Section 22(e)(3) of the Code.

          (h) "Eligible Recipients" means all employees of the Company or any
     Subsidiary and any directors, consultants and independent contractors of
     the Company or any Subsidiary.

          (i) "Exchange Act" means the Securities Exchange Act of 1934, as
     amended.

          (j) "Fair Market Value" means, with respect to the Common Stock, the
     following:
<PAGE>

               (i) if the Common Stock is listed or admitted to unlisted trading
          privileges on any national securities exchange or is not so listed or
          admitted but transactions in the Common Stock are reported on the
          Nasdaq National Market or on the Nasdaq SmallCap Market, the closing
          price of the Common Stock on such exchange or reported by the Nasdaq
          National Market or the Nasdaq SmallCap Market as of such date (or, if
          no shares were traded on such day, as of the next preceding day on
          which there was such a trade).

               (ii) if the Common Stock is not so listed or admitted to unlisted
          trading privileges or reported on the Nasdaq National Market or the
          Nasdaq SmallCap Market, and bid and asked prices therefor in the
          over-the-counter market are reported by the National Quotation Bureau,
          Inc. (or any comparable reporting service), the mean of the closing
          bid and asked prices as of such date, as so reported by the National
          Quotation Bureau, Inc. (or such comparable reporting service).

               (iii) if the Common Stock is not so listed or admitted to
          unlisted trading privileges, or reported on the Nasdaq National
          Market, and such bid and asked prices are not so reported, such price
          as the Committee determines in good faith in the exercise of its
          reasonable discretion. The Committee shall not be required to obtain
          an appraisal within six months of the adoption of the Plan. The
          Committee's determination as to the current value of the Common Stock
          shall be final, conclusive and binding for all purposes and on all
          persons, including, without limitation, the Company, the shareholders
          of the Company, the Participants and their respective
          successors-in-interest. No member of the Board of the Committee shall
          be liable for any determination regarding current value of the Common
          Stock that is made in good faith.

          (k) "Incentive Award" means an Option, Restricted Stock Award,
     Performance Unit or Stock Bonus granted to an Eligible Recipient pursuant
     to the Plan.

          (l) "Incentive Stock Option" means a right to purchase Common Stock
     granted to an Eligible Recipient pursuant to Section 6 of the Plan that
     qualifies as an "incentive stock option" within the meaning of Section 422
     of the Code.

          (m) "Non-Statutory Stock Option" means a right to purchase Common
     Stock granted to an Eligible Recipient pursuant to Section 6 of the Plan
     that does not qualify as an Incentive Stock Option.

          (n) "Option" means an Incentive Stock Option or a Non-Statutory Stock
     Option.

          (o) "Participant" means an Eligible Recipient who receives one or more
     Incentive Awards under the Plan.

          (p) "Performance Unit" means a right granted to an Eligible Recipient
     pursuant to Section 8 of the Plan to receive a payment from the Company, in
     the form of stock, cash or


                                       2
<PAGE>

     a combination of both, upon the achievement of established performance or
     other goals.

          (q) "Previously Acquired Shares" means shares of Common Stock that are
     already owned by the Participant or, with respect to any Incentive Award,
     that are to be issued upon the grant, exercise or vesting of such Incentive
     Award.

          (r) "Restricted Stock Award" means an award of Common Stock granted to
     an Eligible Recipient pursuant to Section 7 of the Plan that is subject to
     the restrictions on transferability and the risk of forfeiture imposed by
     the provisions of such Section 7.

          (s) "Retirement" means termination of employment or service pursuant
     to and in accordance with the regular (or, if approved by the Board for
     purposes of the Plan, early) retirement/pension plan or practice of the
     Company or Subsidiary then covering the Participant, provided that if the
     Participant is not covered by any such plan or practice, the Participant
     will be deemed to be covered by the Company's plan or practice for purposes
     of this determination.

          (s) "Securities Act" means the Securities Act of 1933, as amended.

          (u) "Stock Bonus" means an award of Common Stock granted to an
     Eligible Recipient pursuant to Section 9 of the Plan.

          (v) "Subsidiary" means any entity that is directly or indirectly
     controlled by the Company or any entity in which the Company has a
     significant equity interest, as determined by the Committee.

          (w) "Tax Date" means the date any withholding tax obligation arises
     under the Code for a Participant with respect to an Incentive Award.

     Section 3. Plan Administration.

          (a) The Committee. So long as the Company has a class of its equity
     securities registered under Section 12 of the Exchange Act, the Plan will
     be administered by (i) the Board or (ii) a committee (the "Committee")
     consisting solely of not less than two members of the Board who are not
     employees of the Company (for purposes of this Plan and with respect to the
     administration of this Plan, references hereinafter to the Committee shall
     mean either the Committee, or if the Board has not appointed a Committee,
     the Board.) To the extent consistent with corporate law, the Committee may
     delegate to any officers of the Company the duties, power and authority of
     the Committee under the Plan pursuant to such conditions or limitations as
     the Committee may establish; provided, however, that only the Committee may
     exercise such duties, power and authority with respect to Eligible
     Recipients who are subject to Section 16 of the Exchange Act. Each
     determination, interpretation or other action made or taken by the
     Committee pursuant to the provisions of the Plan will be conclusive and
     binding for all purposes and on all persons, and no member of the Committee
     will be liable for any action or determination made in good faith with
     respect to the Plan or any Incentive Award granted under the Plan.


                                       3
<PAGE>

          (b) Authority of the Committee.

               (i) In accordance with and subject to the provisions of the Plan,
          the Committee will have the authority to determine all provisions of
          Incentive Awards as the Committee may deem necessary or desirable and
          as consistent with the terms of the Plan, including, without
          limitation, the following: (A) the Eligible Recipients to be selected
          as Participants; (B) the nature and extent of the Incentive Awards to
          be made to each Participant (including the number of shares of Common
          Stock to be subject to each Incentive Award, any exercise price, the
          manner in which Incentive Awards will vest or become exercisable and
          whether Incentive Awards will be granted in tandem with other
          Incentive Awards) and the form of written agreement, if any,
          evidencing such Incentive Award; (C) the time or times when Incentive
          Awards will be granted; (D) the duration of each Incentive Award; and
          (E) the restrictions and other conditions to which the payment or
          vesting of Incentive Awards may be subject. In addition, the Committee
          will have the authority under the Plan in its sole discretion to pay
          the economic value of any Incentive Award in the form of cash, Common
          Stock or any combination of both.

               (ii) The Committee will have the authority under the Plan to
          amend or modify the terms of any outstanding Incentive Award in any
          manner, including, without limitation, the authority to modify the
          number of shares or other terms and conditions of an Incentive Award,
          extend the term of an Incentive Award, accelerate the exercisability
          or vesting or otherwise terminate any restrictions relating to an
          Incentive Award, accept the surrender of any outstanding Incentive
          Award or, to the extent not previously exercised or vested, authorize
          the grant of new Incentive Awards in substitution for surrendered
          Incentive Awards; provided, however that the amended or modified terms
          are permitted by the Plan as then in effect and that any Participant
          adversely affected by such amended or modified terms has consented to
          such amendment or modification. No amendment or modification to an
          Incentive Award, however, whether pursuant to this Section 3(b) or any
          other provisions of the Plan, will be deemed to be a regrant of such
          Incentive Award for purposes of this Plan.

               (iii) In the event of (A) any reorganization, merger,
          consolidation, recapitalization, liquidation, reclassification, stock
          dividend, stock split, combination of shares, rights offering,
          extraordinary dividend or divestiture (including a spin-off) or any
          other change in corporate structure or shares, (B) any purchase,
          acquisition, sale or disposition of a significant amount of assets or
          a significant business, (C) any change in accounting principles or
          practices, or (D) any other similar change, in each case with respect
          to the Company or any other entity whose performance is relevant to
          the grant or vesting of an Incentive Award, the Committee (or, if the
          Company is not the surviving corporation in any such transaction, the
          board of directors of the surviving corporation) may, without the
          consent of any affected Participant, amend or modify the vesting
          criteria of any outstanding Incentive Award that is based in whole or
          in part on the financial


                                       4
<PAGE>

          performance of the Company (or any Subsidiary or division thereof) or
          such other entity so as equitably to reflect such event, with the
          desired result that the criteria for evaluating such financial
          performance of the Company or such other entity will be substantially
          the same (in the sole discretion of the Committee or the board of
          directors of the surviving corporation) following such event as prior
          to such event; provided, however, that the amended or modified terms
          are permitted by the Plan as then in effect.

     Section 4. Shares Available for Issuance.

          (a) Maximum Number of Shares Available. Subject to adjustment as
     provided in Section 4(c) of the Plan, the maximum number of shares of
     Common Stock that will be available for issuance under the Plan will be
     675,000 shares of Common Stock.

          (b) Accounting for Incentive Awards. Shares of Common Stock that are
     issued under the Plan or that are subject to outstanding Incentive Awards
     will be applied to reduce the maximum number of shares of Common Stock
     remaining available for issuance under the Plan. Any shares of Common Stock
     that are subject to an Incentive Award that lapses, expires, is forfeited
     or for any reason is terminated unexercised or unvested and any shares of
     Common Stock that are subject to an Incentive Award that is settled or paid
     in cash or any form other than shares of Common Stock will automatically
     again become available for issuance under the Plan. Any shares of Common
     Stock that constitute the forfeited portion of a Restricted Stock Award,
     however, will not become available for further issuance under the Plan.

          (c) Adjustments to Shares and Incentive Awards. In the event of any
     reorganization, merger, consolidation, recapitalization, liquidation,
     reclassification, stock dividend, stock split, combination of shares,
     rights offering, divestiture or extraordinary dividend (including a
     spin-off) or any other change in the corporate structure or shares of the
     Company, the Committee (or, if the Company is not the surviving corporation
     in any such transaction, the board of directors of the surviving
     corporation) will make appropriate adjustment (which determination will be
     conclusive) as to the number and kind of securities available for issuance
     under the Plan and, in order to prevent dilution or enlargement of the
     rights of Participants, the number, kind and, where applicable, exercise
     price of securities subject to outstanding Incentive Awards.

     Section 5. Participation. Participants in the Plan will be those Eligible
Recipients who, in the judgment of the Committee, have contributed, are
contributing or are expected to contribute to the achievement of economic
objectives of the Company or its Subsidiaries. Eligible Recipients may be
granted from time to time one or more Incentive Awards, singly or in combination
or in tandem with other Incentive Awards, as may be determined by the Committee
in its sole discretion. Incentive Awards will be deemed to be granted as of the
date specified in the grant resolution of the Committee, which date will be the
date of any related agreement with the Participant.

     Section 6. Options.


                                       5
<PAGE>

          (a) Grant. An Eligible Recipient may be granted one or more Options
     under the Plan, and such Options will be subject to such terms and
     conditions, consistent with the other provisions of the Plan, as may be
     determined by the Committee in its sole discretion. The Committee may
     designate whether an Option is to be considered an Incentive Stock Option
     or a Non-Statutory Stock Option. To the extent that any Incentive Stock
     Option granted under the Plan ceases for any reason to qualify as an
     "incentive stock option" for purposes of Section 422 of the Code, such
     Incentive Stock Option will continue to be outstanding for purposes of the
     Plan but will thereafter be deemed to be a Non-Statutory Stock Option.

          (b) Exercise Price. The per share price to be paid by a Participant
     upon exercise of an Option will be determined by the Committee in its
     discretion at the time of the Option grant, provided that (i) such price
     will not be less than 100% of the Fair Market Value of one share of Common
     Stock on the date of grant with respect to an Incentive Stock Option (110%
     of the Fair Market Value if, at the time the Incentive Stock Option is
     granted, the Participant owns, directly or indirectly, more than 10% of the
     total combined voting power of all classes of stock of the Company or any
     parent or subsidiary corporation of the Company), and (ii) such price will
     not be less than 85% of the Fair Market Value of one share of Common Stock
     on the date of grant with respect to a Non-Statutory Stock Option.

          (c) Exercisability and Duration. An Option will become exercisable at
     such times and in such installments as may be determined by the Committee
     in its sole discretion at the time of grant; provided, however, that no
     Option may be exercisable after 10 years from its date of grant.

          (d) Payment of Exercise Price. The total purchase price of the shares
     to be purchased upon exercise of an Option will be paid entirely in cash
     (including check, bank draft or money order); provided, however, that the
     Committee, in its sole discretion and upon terms and conditions established
     by the Committee, may allow such payments to be made, in whole or in part,
     by tender of a Broker Exercise Notice, Previously Acquired Shares, a
     promissory note (on terms acceptable to the Committee in its sole
     discretion) or by a combination of such methods.

          (e) Manner of Exercise. An Option may be exercised by a Participant in
     whole or in part from time to time, subject to the conditions contained in
     the Plan and in the agreement evidencing such Option, by delivery in
     person, by facsimile or electronic transmission or through the mail of
     written notice of exercise to the Company (Attention: Secretary) at its
     principal executive office in Minneapolis, Minnesota and by paying in full
     the total exercise price for the shares of Common Stock to be purchased in
     accordance with Section 6(d) of the Plan.

     Section 7. Restricted Stock Awards.

          (a) Grant. An Eligible Recipient may be granted one or more Restricted
     Stock Awards under the Plan, and such Restricted Stock Awards will be
     subject to such terms and conditions, consistent with the other provisions
     of the Plan, as may be determined by the


                                       6
<PAGE>

     Committee in its sole discretion. The Committee may impose such
     restrictions or conditions, not inconsistent with the provisions of the
     Plan, to the vesting of such Restricted Stock Awards as it deems
     appropriate, including, without limitation, that the Participant remain in
     the continuous employ or service of the Company or a Subsidiary for a
     certain period or that the Participant or the Company (or any Subsidiary or
     division thereof) satisfy certain performance goals or criteria.

          (b) Rights as a Shareholder; Transferability. Except as provided in
     Sections 7(a), 7(c) and 12(c) of the Plan, a Participant will have all
     voting, dividend, liquidation and other rights with respect to shares of
     Common Stock issued to the Participant as a Restricted Stock Award under
     this Section 7 upon the Participant becoming the holder of record of such
     shares as if such Participant were a holder of record of shares of
     unrestricted Common Stock.

          (c) Dividends and Distributions. Unless the Committee determines
     otherwise in its sole discretion (either in the agreement evidencing the
     Restricted Stock Award at the time of grant or at any time after the grant
     of the Restricted Stock Award), any dividends or distributions (including
     regular quarterly cash dividends) paid with respect to shares of Common
     Stock subject to the unvested portion of a Restricted Stock Award will be
     subject to the same restrictions as the shares to which such dividends or
     distributions relate. In the event the Committee determines not to pay such
     dividends or distributions currently, the Committee will determine in its
     sole discretion whether any interest will be paid on such dividends or
     distributions. In addition, the Committee in its sole discretion may
     require such dividends and distributions to be reinvested (and in such case
     the Participants consent to such reinvestment) in shares of Common Stock
     that will be subject to the same restrictions as the shares to which such
     dividends or distributions relate.

          (d) Enforcement of Restrictions. To enforce the restrictions referred
     to in this Section 7, the Committee may place a legend on the stock
     certificates referring to such restrictions and may require the
     Participant, until the restrictions have lapsed, to keep the stock
     certificates, together with duly endorsed stock powers, in the custody of
     the Company or its transfer agent or to maintain evidence of stock
     ownership, together with duly endorsed stock powers, in a certificateless
     book-entry stock account with the Company's transfer agent.

     Section 8. Performance Units. An Eligible Recipient may be granted one or
more Performance Units under the Plan, and such Performance Units will be
subject to such terms and conditions, consistent with the other provisions of
the Plan, as may be determined by the Committee in its sole discretion. The
Committee may impose such restrictions or conditions, not inconsistent with the
provisions of the Plan, to the vesting of such Performance Units as it deems
appropriate, including, without limitation, that the Participant remain in the
continuous employ or service of the Company or any Subsidiary for a certain
period or that the Participant or the Company (or any Subsidiary or division
thereof) satisfy certain performance goals or criteria. The Committee will have
the sole discretion either to determine the form in which payment of the
economic value of vested Performance Units will be made to the Participant
(i.e., cash, Common Stock or any combination thereof) or to consent to or
disapprove the election by the Participant of


                                       7
<PAGE>

the form of such payment.

     Section 9. Stock Bonuses. An Eligible Recipient may be granted one or more
Stock Bonuses under the Plan, and such Stock Bonuses will be subject to such
terms and conditions, consistent with the other provisions of the Plan, as may
be determined by the Committee. The Participant will have all voting, dividend,
liquidation and other rights with respect to the shares of Common Stock issued
to a Participant as a Stock Bonus under this Section 9 upon the Participant
becoming the holder of record of such shares; provided, however, that the
Committee may impose such restrictions on the assignment or transfer of a Stock
Bonus as it deems appropriate.

     Section 10. Effect of Termination of Employment or Other Service.

          (a) Termination Due to Death, Disability or Retirement. In the event a
     Participant's employment or other service with the Company and all
     Subsidiaries is terminated by reason of death, Disability or Retirement:

               (i) All outstanding Options then held by the Participant will
          become immediately exercisable in full and will remain exercisable for
          a period of one year (three months in the case of Retirement) after
          such termination (but in no event after the expiration date of any
          such Option);

               (ii) All Restricted Stock Awards then held by the Participant
          will become fully vested; and

               (iii) All Performance Units and Stock Bonuses then held by the
          Participant will vest and/or continue to vest in the manner determined
          by the Committee and set forth in the agreement evidencing such
          Performance Units or Stock Bonuses.

          (b) Termination for Reasons Other than Death, Disability or
     Retirement.

               (i) In the event a Participant's employment or other service is
          terminated with the Company and all Subsidiaries for any reason other
          than death, Disability or Retirement, or a Participant is in the
          employ or service of a Subsidiary and the Subsidiary ceases to be a
          Subsidiary of the Company (unless the Participant continues in the
          employ or service of the Company or another Subsidiary), all rights of
          the Participant under the Plan and any agreements evidencing an
          Incentive Award will immediately terminate without notice of any kind,
          and no Options then held by the Participant will thereafter be
          exercisable, all Restricted Stock Awards then held by the Participant
          that have not vested will be terminated and forfeited, and all
          Performance Units and Stock Bonuses then held by the Participant will
          vest and/or continue to vest in the manner determined by the Committee
          and set forth in the agreement evidencing such Performance Units or
          Stock Bonuses; provided, however, that if such termination is due to
          any reason other than termination by the Company or any Subsidiary for
          "cause," all outstanding Options then held by such Participant will
          remain exercisable to the extent exercisable as of such termination
          for a period of three months after such termination (but in no event
          after the


                                       8
<PAGE>

          expiration date of any such Option).

               (ii) For purposes of this Section 10(b), "cause" (as determined
          by the Committee) will be as defined in any employment or other
          agreement or policy applicable to the Participant or, if no such
          agreement or policy exists, will mean (A) dishonesty, fraud,
          misrepresentation, embezzlement or deliberate injury or attempted
          injury, in each case related to the Company or any Subsidiary, (B) any
          unlawful or criminal activity of a serious nature, (C) any intentional
          and deliberate breach of a duty or duties that, individually or in the
          aggregate, are material in relation to the Participant's overall
          duties, or (D) any material breach of any employment, service,
          confidentiality or noncompete agreement entered into with the Company
          or any Subsidiary.

          (c) Modification of Rights Upon Termination. Notwithstanding the other
     provisions of this Section 10, upon a Participant's termination of
     employment or other service with the Company and all Subsidiaries, the
     Committee may, in its sole discretion (which may be exercised at any time
     on or after the date of grant, including following such termination), cause
     Options (or any part thereof) then held by such Participant to become or
     continue to become exercisable and/or remain exercisable following such
     termination of employment or service and Restricted Stock Awards,
     Performance Units and Stock Bonuses then held by such Participant to vest
     and/or continue to vest or become free of transfer restrictions, as the
     case may be, following such termination of employment or service, in each
     case in the manner determined by the Committee; provided, however, that no
     Option may remain exercisable beyond its expiration date.

          (d) Breach of Confidentiality or Noncompete Agreements.
     Notwithstanding anything in the Plan to the contrary, in the event that a
     Participant materially breaches the terms of any confidentiality or
     noncompete agreement entered into with the Company or any Subsidiary,
     whether such breach occurs before or after termination of such
     Participant's employment or other service with the Company or any
     Subsidiary, the Committee in its sole discretion may immediately terminate
     all rights of the Participant under the Plan and any agreements evidencing
     an Incentive Award then held by the Participant without notice of any kind.

          (e) Date of Termination of Employment or Other Service. Unless the
     Committee otherwise determines in its sole discretion, a Participant's
     employment or other service will, for purposes of the Plan, be deemed to
     have terminated on the date recorded on the personnel or other records of
     the Company or the Subsidiary for which the Participant provides employment
     or other service, as determined by the Committee in its sole discretion
     based upon such records.

     Section 11. Payment of Withholding Taxes.

          (a) General Rules. The Company is entitled to (i) withhold and deduct
     from future wages of the Participant (or from other amounts that may be due
     and owing to the Participant from the Company or a Subsidiary), or make
     other arrangements for the


                                       9
<PAGE>

     collection of, all legally required amounts necessary to satisfy any and
     all federal, state and local withholding and employment-related tax
     requirements attributable to an Incentive Award, including, without
     limitation, the grant, exercise or vesting of, or payment of dividends with
     respect to, an Incentive Award or a disqualifying disposition of stock
     received upon exercise of an Incentive Stock Option, or (ii) require the
     Participant promptly to remit the amount of such withholding to the Company
     before taking any action, including issuing any shares of Common Stock,
     with respect to an Incentive Award.

          (b) Special Rules. The Committee may, in its sole discretion and upon
     terms and conditions established by the Committee, permit or require a
     Participant to satisfy, in whole or in part, any withholding or
     employment-related tax obligation described in Section 11(a) of the Plan by
     electing to tender Previously Acquired Shares, a Broker Exercise Notice or
     a promissory note (on terms acceptable to the Committee in its sole
     discretion), or by a combination of such methods.

     Section 12. Change in Control.

          (a) Change in Control. For purposes of this Section 12, a "Change in
     Control" of the Company will mean the following:

               (i) the sale, lease, exchange or other transfer, directly or
          indirectly, of substantially all of the assets of the Company (in one
          transaction or in a series of related transactions) to a person or
          entity that is not controlled by the Company,

               (ii) the approval by the shareholders of the Company of any plan
          or proposal for the liquidation or dissolution of the Company;

               (iii) a merger or consolidation to which the Company is a party
          if the shareholders of the Company immediately prior to effective date
          of such merger or consolidation have "beneficial ownership" (as
          defined in Rule 13d-3 under the Exchange Act), immediately following
          the effective date of such merger or consolidation, of securities of
          the surviving corporation representing (A) more than 50%, but not more
          than 80%, of the combined voting power of the surviving corporation's
          then outstanding securities ordinarily having the right to vote at
          elections of directors, unless such merger or consolidation has been
          approved in advance by the Incumbent Directors (as defined in Section
          12(b) below), or (B) 50% or less of the combined voting power of the
          surviving corporation's then outstanding securities ordinarily having
          the right to vote at elections of directors (regardless of any
          approval by the Incumbent Directors);

               (iv) any person becomes after the effective date of the Plan the
          "beneficial owner" (as defined in Rule 13d-3 under the Exchange Act),
          directly or indirectly, of (A) 20% or more, but not 50% or more, of
          the combined voting power of the Company's outstanding securities
          ordinarily having the right to vote at elections of


                                       10
<PAGE>

          directors, unless the transaction resulting in such ownership has been
          approved in advance by the Incumbent Directors, or (B) 50% or more of
          the combined voting power of the Company's outstanding securities
          ordinarily having the right to vote at elections of directors
          (regardless of any approval by the Incumbent Directors);

               (v) the Incumbent Directors cease for any reason to constitute at
          least a majority of the Board; or

               (vi) any other change in control of the Company of a nature that
          would be required to be reported pursuant to Section 13 or 15(d) of
          the Exchange Act, whether or not the Company is then subject to such
          reporting requirements.

          (b) Incumbent Directors. For purposes of this Section 12, "Incumbent
     Directors" of the Company will mean any individuals who are members of the
     Board on the effective date of the Plan and any individual who subsequently
     becomes a member of the Board whose election, or nomination for election by
     the Company's shareholders, was approved by a vote of at least a majority
     of the Incumbent Directors (either by specific vote or by approval of the
     Company's proxy statement in which such individual is named as a nominee
     for director without objection to such nomination).

          (c) Acceleration of Vesting. Without limiting the authority of the
     Committee under Section 3(b) of the Plan, if a Change in Control of the
     Company occurs, then, unless otherwise provided by the Committee in its
     sole discretion either in an agreement evidencing an Incentive Award at the
     time of grant or at any time after the grant of an Incentive Award, (i) all
     Options will become immediately exercisable in full and will remain
     exercisable for the remainder of their terms, regardless of whether the
     Participants to whom such Options have been granted remain in the employ or
     service of the Company or any Subsidiary; (ii) all outstanding Restricted
     Stock Awards will become immediately fully vested; and (iii) all
     Performance Units and Stock Bonuses then held by the Participant will vest
     and/or continue to vest in the manner determined by the Committee and set
     forth in the agreement evidencing such Performance Unit or Stock Bonuses.

          (d) Cash Payment for Options. If a Change in Control of the Company
     occurs, then the Committee, if approved by the Committee in its sole
     discretion either in an agreement evidencing an Incentive Award at the time
     of grant or at any time after the grant of an Incentive Award, and without
     the consent of any Participant effected thereby, may determine that some or
     all Participants holding outstanding Options will receive, with respect to
     some or all of the shares of Common Stock subject to such Options, as of
     the effective date of any such Change in Control of the Company, cash in an
     amount equal to the excess of the Fair Market Value of such shares
     immediately prior to the effective date of such Change in Control of the
     Company over the exercise price per share of such Options.



                                       11
<PAGE>

          (e) Limitation on Change in Control Payments.  Notwithstanding
     anything in Section 12(c) or 12(d) of the Plan to the contrary, if, with
     respect to a Participant, the acceleration of the vesting of an Incentive
     Award as provided in Section 12(c) or the payment of cash in exchange for
     all or part of an Incentive Award as provided in Section 12(d) (which
     acceleration or payment could be deemed a "payment" within the meaning of
     Section 280G(b)(2) of the Code), together with any other "payments" which
     such Participant has the right to receive from the Company or any
     corporation that is a member of an "affiliated group" (as defined in
     Section 1504(a) of the Code without regard to Section 1504(b) of the Code)
     of which the Company is a member, would constitute a "parachute payment"
     (as defined in Section 280G(b)(2) of the Code), then the "payments" to
     such Participant pursuant to Section 12(c) or 12(d) of the Plan will be
     reduced to the largest amount as will result in no portion of such
     "payments" being subject to the excise tax imposed by Section 4999 of the
     Code; provided, however, that if a Participant is subject to a separate
     agreement with the Company or a Subsidiary that expressly addresses the
     potential application of Sections 280G or 4999 of the Code (including,
     without limitation, that "payments" under such agreement or otherwise will
     not be reduced or that the Participant will have the discretion to
     determine which "payments" will be reduced), then the limitations of this
     Section 12(e) will not apply, and any "payments" to a Participant pursuant
     to Section 12(c) or 12(d) of the Plan will be treated as "payments"
     arising under such separate agreement.

     Section 13. Rights of Eligible Recipients and Participants;
Transferability.

          (a) Employment or Service. Nothing in the Plan will interfere with or
     limit in any way the right of the Company or any Subsidiary to terminate
     the employment or service of any Eligible Recipient or Participant at any
     time, nor confer upon any Eligible Recipient or Participant any right to
     continue in the employ or service of the Company or any Subsidiary.

          (b) Rights as a Shareholder. As a holder of Incentive Awards (other
     than Restricted Stock Awards and Stock Bonuses), a Participant will have no
     rights as a shareholder unless and until such Incentive Awards are
     exercised for, or paid in the form of, shares of Common Stock and the
     Participant becomes the holder of record of such shares. Except as
     otherwise provided in the Plan, no adjustment will be made for dividends or
     distributions with respect to such Incentive Awards as to which there is a
     record date preceding the date the Participant becomes the holder of record
     of such shares, except as the Committee may determine in its discretion.

          (c) Restrictions on Transfer. Except pursuant to testamentary will or
     the laws of descent and distribution or as otherwise expressly permitted by
     the Plan, no right or interest of any Participant in an Incentive Award
     prior to the exercise or vesting of such Incentive Award will be assignable
     or transferable, or subjected to any lien, during the lifetime of the
     Participant, either voluntarily or involuntarily, directly or indirectly,
     by operation of law or


                                       12
<PAGE>

     otherwise. A Participant will, however, be entitled to designate a
     beneficiary to receive an Incentive Award upon such Participant's death,
     and in the event of a Participant's death, payment of any amounts due under
     the Plan will be made to, and exercise of any Options (to the extent
     permitted pursuant to Section 10 of the Plan) may be made by, the
     Participant's legal representatives, heirs and legatees.

          (d) Non-Exclusivity of the Plan. Nothing contained in the Plan is
     intended to modify or rescind any previously approved compensation plans or
     programs of the Company or create any limitations on the power or authority
     of the Board to adopt such additional or other compensation arrangements as
     the Board may deem necessary or desirable.

     Section 14. Securities Law and Other Restrictions. Notwithstanding any
other provision of the Plan or any agreements entered into pursuant to the Plan,
the Company will not be required to issue any shares of Common Stock under this
Plan, and a Participant may not sell, assign, transfer or otherwise dispose of
shares of Common Stock issued pursuant to Incentive Awards granted under the
Plan, unless (i) there is in effect with respect to such shares a registration
statement under the Securities Act and any applicable state securities laws or
an exemption from such registration under the Securities Act and applicable
state securities laws, and (ii) there has been obtained any other consent,
approval or permit from any other regulatory body which the Committee, in its
sole discretion, deems necessary or advisable. The Company may condition such
issuance, sale or transfer upon the receipt of any representations or agreements
from the parties involved, and the placement of any legends on certificates
representing shares of Common Stock, as may be deemed necessary or advisable by
the Company in order to comply with such securities law or other restrictions.

     Section 15. Plan Amendment, Modification and Termination. The Board may
suspend or terminate the Plan or any portion thereof at any time, and may amend
the Plan from time to time in such respects as the Board may deem advisable in
order that Incentive Awards under the Plan will conform to any change in
applicable laws or regulations or in any other respect the Board may deem to be
in the best interests of the Company; provided, however, that no amendments to
the Plan will be effective without approval of the stockholders of the Company
if stockholder approval of the amendment is then required under the Exchange
Act, Section 422 of the Code or the rules of any stock exchange or Nasdaq. No
termination, suspension or amendment of the Plan may adversely affect any
outstanding Incentive Award without the consent of the affected Participant;
provided, however, that this sentence will not impair the right of the Committee
to take whatever action it deems appropriate under Sections 4(c) and 12 of the
Plan.

     Section 16. Effective Date and Duration of the Plan. The Plan was adopted
by the Board on March 19, 1997 and by the sole shareholder of the Company on May
1, 1997, and is effective as of the consummation of the distribution of the
Company's Common Stock by Bio-Vascular, Inc. ("Bio-Vascular") to the shareholder
of Bio-Vascular. The Plan will terminate at midnight on March 19, 2007, and may
be terminated prior to such time to by Board action, and no Incentive Award will
be granted after such termination. Incentive Awards outstanding upon termination
of the Plan may continue to be exercised, or become free of restrictions, in
accordance with their terms.

                                       13
<PAGE>

     Section 17. Miscellaneous.

          (a) Governing Law. The validity, construction, interpretation,
     administration and effect of the Plan and any rules, regulations and
     actions relating to the Plan will be governed by and construed exclusively
     in accordance with the laws of the State of Minnesota.

          (b) Successors and Assigns. The Plan will be binding upon and inure to
     the benefit of the successors and permitted assigns of the Company and the
     Participants.


                                       14
<PAGE>

                             FIRST AMENDMENT TO THE
                               VITAL IMAGES, INC.
                      1997 STOCK OPTION AND INCENTIVE PLAN

     The Vital Images, Inc. 1997 Stock Option and Incentive Plan (the "Plan")
was adopted by the Board of Directors of Vital Images, Inc. (the "Company") and
approved by the sole shareholder of the Company in 1997, and is now in full
force and effect. This Amendment is adopted in order to amend the Plan with
respect to the number of shares of capital stock which may be granted under the
Plan.

          A. Amendment. Section 4(a) of the Plan is hereby amended to read as
     follows:

               (a) Maximum Number of Shares Available. Subject to adjustment as
          provided in Section 4(c) of the Plan, the maximum number of shares of
          Common Stock that will be available for issuance under the Plan will
          be 925,000 shares of Common Stock.

          B. Effective Date. This Amendment shall be effective as of February
     24, 1998, and shall be subject to the approval by the shareholders of the
     Company at the next Annual or Special Meeting of Shareholders.


                                       15
<PAGE>

                             SECOND AMENDMENT TO THE
                               VITAL IMAGES, INC.
                      1997 STOCK OPTION AND INCENTIVE PLAN

     The Vital Images, Inc. 1997 Stock Option and Incentive Plan (the "Plan")
was adopted by the Board of Directors of Vital Images, Inc. (the "Company") and
approved by the sole shareholder of the Company in 1997, was amended in 1998 to
increase the number of shares available for issuance to 925,000 and is now in
full force and effect. This Amendment is adopted in order to amend the Plan with
respect to the number of shares of capital stock which may be granted under the
Plan.

          A. Amendment. Section 4(a) of the Plan is hereby amended to read as
     follows:

               (a) Maximum Number of Shares Available. Subject to adjustment as
          provided in Section 4(c) of the Plan, the maximum number of shares of
          Common Stock that will be available for issuance under the Plan will
          be 1,425,000 shares of Common Stock.

          B. Effective Date. This Amendment shall be effective as of February
     25, 1999, and shall be subject to the approval by the shareholders of the
     Company at the next Annual or Special Meeting of Shareholders.


                                       16
<PAGE>

                             THIRD AMENDMENT TO THE
                               VITAL IMAGES, INC.
                      1997 STOCK OPTION AND INCENTIVE PLAN

     The Vital Images, Inc. 1997 Stock Option and Incentive Plan (the "Plan")
was adopted by the Board of Directors of Vital Images, Inc. (the "Company") and
approved by the sole shareholder of the Company in 1997, was amended in 1998
increase the number of shares available for issuance to 925,000, was amended in
1999 to increase the number of shares available for issuance to 1,425,000, and
is now in full force and effect. This Amendment is adopted in order to amend the
Plan with respect to the number of shares of capital stock which may be granted
under the Plan.

          A. Amendment. Section 4(a) of the Plan is hereby amended to read as
     follows:

               (a) Maximum Number of Shares Available. Subject to adjustment as
          provided in Section 4(c) of the Plan, the maximum number of shares of
          Common Stock that will be available for issuance under the Plan will
          be 1,925,000 shares of Common Stock.

          B. Effective Date. This Amendment shall be effective as of February
     24, 2000, and shall be subject to the approval by the shareholders of the
     Company at the next Annual or Special Meeting of Shareholders.


                                       17
<PAGE>

                               VITAL IMAGES, INC.
                         1997 DIRECTOR STOCK OPTION PLAN

     Section 1. Purpose of Plan. The purpose of the Vital Images, Inc. 1997
Director Stock Option Plan (the "Plan") is to advance the interests of Vital
Images, Inc. (the "Company") and its shareholders by enabling the Company to
attract and retain persons of ability to serve as directors of the Company and
by providing an incentive to such individuals through equity participation in
the Company.

     Section 2. Definitions. The following terms will have the meanings set
forth below, unless the context clearly otherwise requires:

          (a) "Board" means the Board of Directors of the Company.

          (b) "Broker Exercise Notice" means a written notice pursuant to which
     an Option Holder, upon exercise of an Option, irrevocably instructs a
     broker or dealer to sell a sufficient number of shares or loan a sufficient
     amount of money to pay all or a portion of the exercise price of the Option
     and/or any related withholding tax obligations and remit such sums to the
     Company and directs the Company to deliver stock certificates to be issued
     upon such exercise directly to such broker or dealer.

          (c) "Change in Control" means an event described in Section 7(a) of
     the Plan.

          (d) "Code" means the Internal Revenue Code of 1986, as amended.

          (e) "Common Stock" means the common stock of the Company, par value
     $.01 per share, or the number and kind of shares of stock or other
     securities into which such Common Stock may be changed in accordance with
     Section 4(c) of the Plan.

          (f) "Continuous Status as a Director" shall mean the absence of any
     interruption or termination of service as a Director. Continuous Status as
     a Director shall not be considered as interrupted in the case of sick
     leave, military leave, or any other leave of absence approved by the Board.

          (g) "Director" shall mean a member of the Board of Directors of the
     Company.

          (h) "Disability" means the permanent and total disability of the
     Participant within the meaning of Section 22(e)(3) of the Code.

          (i) "Distribution Date" means the effective date of the distribution
     of the Company's outstanding common stock to the shareholders of
     Bio-Vascular, Inc.

          (j) "Employee" means any person, including officers and Directors,
     employed by the Company or any Subsidiary. The payment of director's fees
     by the Company shall not be sufficient to constitute employment by the
     Company.


                                       1
<PAGE>

          (k) "Exchange Act" means the Securities Exchange Act of 1934, as
     amended.

          (l) "Fair Market Value" means, with respect to the Common Stock, the
     following:

               (i) if the Common Stock is listed or admitted to unlisted trading
          privileges on any national securities exchange or is not so listed or
          admitted but transactions in the Common Stock are reported on the
          Nasdaq National Market or Nasdaq SmallCap Market, the closing price of
          the Common Stock on such exchange or reported by the Nasdaq National
          Market or Nasdaq SmallCap Market as of such date (or, if no shares
          were traded on such day, as of the next preceding day on which there
          was such a trade).

               (ii) if the Common Stock is not so listed or admitted to unlisted
          trading privileges or reported on the Nasdaq National Market or the
          Nasdaq SmallCap Market, and bid and asked prices therefor in the
          over-the-counter market are reported by the the National Quotation
          Bureau, Inc. (or any comparable reporting service), the mean of the
          closing bid and asked prices as of such date, as so reported by the
          National Quotation Bureau, Inc. (or such comparable reporting
          service).

               (iii) if the Common Stock is not so listed or admitted to
          unlisted trading privileges, or reported on the Nasdaq National Market
          or Nasdaq SmallCap Market, and such bid and asked prices are not so
          reported, such price as the Committee determines in good faith in the
          exercise of its reasonable discretion.

          (m) "Non-employee Director" means a Director who is not an Employee of
     the Company.

          (n) "Option" means an Option granted pursuant to the Plan.

          (o) "Option Stock" shall mean the Common Stock subject to an Option.

          (p) "Option Holder" shall mean a Director who receives an Option under
     this Plan.

          (q) "Previously Acquired Shares" means shares of Common Stock that are
     already owned by the Option Holder or, with respect to any Option, that are
     to be issued upon the exercise of such Option.

          (r) "Securities Act" means the Securities Act of 1933, as amended.

          (s) "Subsidiary" means any entity that is directly or indirectly
     controlled by the Company or any entity in which the Company has a
     significant equity interest, as determined by the Board.


                                       2
<PAGE>

     Section 3. Plan Administration.

          (a) The Administration by the Board. The Plan will be administered by
     the Board of Directors of the Company. Each determination, interpretation
     or other action made or taken by the Board pursuant to the provisions of
     the Plan will be conclusive and binding for all purposes and on all
     persons, and no member of the Board will be liable for any action or
     determination made in good faith with respect to the Plan or any Option
     granted under the Plan.

          (b) Authority of the Board.

               (i) In accordance with and subject to the provisions of the Plan,
          the Board will have the authority to determine all provisions of
          Options (except for Options granted pursuant to Section 5(a)) as the
          Board may deem necessary or desirable and as consistent with the terms
          of the Plan, including, without limitation, the following: (A) the
          Directors to be granted Options; (B) the nature and extent of the
          Options to be made to each Option Holder (including the number of
          shares of Common Stock to be subject to each Option, any exercise
          price, the manner in which Options will vest or become exercisable and
          whether Options will be granted in tandem with other Options) and the
          form of written agreement, if any, evidencing such Option; (C) the
          time or times when Options will be granted; (D) the duration of each
          Option; and (E) the restrictions and other conditions to which the
          payment or vesting of Options may be subject.

               (ii) The Board will have the authority under the Plan to amend or
          modify the terms of any outstanding Option in any manner, including,
          without limitation, the authority to modify the number of shares or
          other terms and conditions of an Option, extend the term of an Option,
          accelerate the exercisability or vesting or otherwise terminate any
          restrictions relating to an Option, accept the surrender of any
          outstanding Option or, to the extent not previously exercised or
          vested, authorize the grant of new Options in substitution for
          surrendered Options; provided, however that the amended or modified
          terms are permitted by the Plan as then in effect and that any Option
          Holder adversely affected by such amended or modified terms has
          consented to such amendment or modification. No amendment or
          modification to an Option, however, whether pursuant to this Section
          3(b) or any other provisions of the Plan, will be deemed to be a
          regrant of such Option for purposes of this Plan.

     Section 4. Shares Available for Issuance.

          (a) Maximum Number of Shares Available. Subject to adjustment as
     provided in Section 4(c) of the Plan, the maximum number of shares of
     Common Stock that will be available for issuance under the Plan will be
     75,000 shares of Common Stock.


                                       3
<PAGE>

          (b) Accounting for Options. Shares of Common Stock that are issued
     under the Plan or that are subject to outstanding Options will be applied
     to reduce the maximum number of shares of Common Stock remaining available
     for issuance under the Plan. Any shares of Common Stock that are subject to
     an Option that lapses, expires, is forfeited or for any reason is
     terminated unexercised or unvested and any shares of Common Stock that are
     subject to an Option that is settled or paid in cash or any form other than
     shares of Common Stock will automatically again become available for
     issuance under the Plan.

          (c) Adjustments to Shares and Option Awards. In the event of any
     reorganization, merger, consolidation, recapitalization, liquidation,
     reclassification, stock dividend, stock split, combination of shares,
     rights offering, divestiture or extraordinary dividend (including a
     spin-off) or any other change in the corporate structure or shares of the
     Company, the Board (or, if the Company is not the surviving corporation in
     any such transaction, the board of directors of the surviving corporation)
     will make appropriate adjustment (which determination will be conclusive)
     as to the number and kind of securities available for issuance under the
     Plan and, in order to prevent dilution or enlargement of the rights of
     Option Holders, the number, kind and, where applicable, exercise price of
     securities subject to outstanding Options.

     Section 5. Automatic Grants of Options to Non-employee Directors.

          (a) Automatic Option Grants. Under the Plan, each Non-employee
     Director will automatically be granted Options to purchase shares of Common
     Stock as follows:

               (i) Initial Option Grants. Each current and future Non-employee
          Director will be granted an initial Option (the "Initial Grant") as
          follows:

                    A. Current Non-Employee Directors. Each person appointed to
               serve as a Non-employee Director effective as of the Distribution
               Date shall automatically be granted an Option on such date to
               purchase 15,000 shares of Common Stock.

                    B. Future Non-Employee Directors. Each person who is first
               elected or appointed to serve as a Non-employee Director after
               the Distribution Date will automatically be granted an Option on
               the date of his or her initial election or appointment to the
               Company's Board of Directors to purchase 15,000 shares of Common
               Stock.

               (ii) Additional Option Grants. Each Non-employee Director will
          automatically be granted an additional Option to purchase shares of
          Common Stock as follows:

                    A. On the third anniversary date of the Initial Grant to a
               Non-employee Director under the Plan, such Non-employee Director
               will automatically be granted an additional Option to purchase
               15,000 shares of


                                       4
<PAGE>

               Common Stock (the "Second Option"); provided such person is a
               Non-employee Director on such date.

                    B. Thereafter, on the third anniversary of the Second
               Option, and on each successive third anniversary thereof, such
               Non-employee Director will automatically be granted an additional
               Option to purchase 15,000 shares of Common Stock; provided such
               person is a Non-employee Director on such date.

               (iii) Notwithstanding the provisions of this Section 5(a), in the
          event that a grant would cause the number of shares subject to
          outstanding Options held by Directors plus shares of Common Stock
          previously purchased upon exercise of Options by Directors to exceed
          the number of shares set forth in Section 4(a), then each such
          automatic grant shall be for that number of shares determined by
          dividing the total number of shares remaining available for grant by
          the number of Directors on an automatic grant date. Any further grants
          shall then be deferred until such time, if any, as additional shares
          of Common Stock become available for grant under the Plan through
          action of the shareholders to increase the number of shares which may
          be issued under the Plan or through cancellation or expiration of
          Options previously granted hereunder.

               (iv) Vesting, Exercisability and Expiration. All Options granted
          under Section 5(a) shall vest and become exercisable in cumulative
          installments with respect to one-third of such Option on the first,
          second and third December 31 following the date of grant of such
          option. All Options granted under this Section 5(a) shall expire eight
          (8) years after the date of grant.

               (v) Exercise Price. The exercise price of Options granted under
          the Plan shall be 100% of the fair market value of one share of Common
          Stock on the date of grant.

          (b) Discretionary Grants. In addition to the Options granted pursuant
     to Section 5(a), a Director may be granted one or more Options under the
     Plan, and such Options will be subject to such terms and conditions,
     consistent with the other provisions of the Plan, as may be determined by
     the Board in its sole discretion.

               (i) Exercise Price. The per share price to be paid by an Option
          Holder upon exercise of an Option granted pursuant to this Section
          5(b) will be determined by the Board in its discretion at the time of
          the Option grant, provided that (i) such price will not be less than
          100% of the Fair Market Value of one share of Common Stock on the date
          of grant.

               (ii) Exercisability and Duration. An Option granted pursuant to
          this Section 5(b) will become exercisable at such times and in such
          installments as may be determined by the Board in its sole discretion
          at the time of grant; provided,


                                       5
<PAGE>

          however, that no Option may be exercisable after eight (8) years from
          its date of grant.

          (c) Payment of Exercise Price. The total purchase price of the shares
     to be purchased upon exercise of an Option will be paid entirely in cash
     (including check, bank draft or money order); provided, however, that the
     Board, in its sole discretion and upon terms and conditions established by
     the Board, may allow such payments to be made, in whole or in part, by
     tender of a Broker Exercise Notice, Previously Acquired Shares, a
     promissory note (on terms acceptable to the Board in its sole discretion)
     or by a combination of such methods.

          (d) Manner of Exercise. An Option may be exercised by an Option Holder
     in whole or in part from time to time, subject to the conditions contained
     in the Plan and in the agreement evidencing such Option, by delivery in
     person, by facsimile or electronic transmission or through the mail of
     written notice of exercise to the Company (Attention: Chief Financial
     Officer) at its principal executive office in Minneapolis, Minnesota and by
     paying in full the total exercise price for the shares of Common Stock to
     be purchased in accordance with Section 5(c) of the Plan.

     Section 6. Effect of Termination of Service as a Director.

          (a) Termination of Status as a Director. If a Director ceases to serve
     as a Director, he may, but only within ninety (90) days after the date he
     ceases to be a Director of the Company, exercise his Option to the extent
     that he was entitled to exercise it at the date of such termination. To the
     extent that he was not entitled to exercise an Option at the date of such
     termination, or if he does not exercise such Option (which he was entitled
     to exercise) within the time specified herein, the Option shall terminate.

          (b) Disability of Option Holder. Notwithstanding the provisions of
     Section 6(a) above, in the event a Director is unable to continue his
     service as a Director with the Company as a result of his total and
     permanent disability (as defined in Section 22(e)(3) of the Internal
     Revenue Code), he may, buy only within ninety (90) days from the date of
     termination of such service, exercise his Option to the extent he was
     entitled to exercise it at the date of such termination. To the extent that
     he was not entitled to exercise the Option at the date of termination, or
     if he does not exercise such Option (which he was entitled to exercise)
     within the time specified herein, the Option shall terminate.

          (c) Death of Option Holder. In the event of the death of an Option
     Holder:

               (i) during the term of the Option when such Option Holder was, at
          the time of his death, a Director of the Company and who shall have
          been in Continuous Status as a Director since the date of grant of the
          Option, the Option may be exercised, at any time within one year
          following the date of death, by the Option Holder's estate or by a
          person who acquired the right to exercise the Option by


                                       6
<PAGE>

          bequest or inheritance, but only to the extent of the right to
          exercise that existed at the date of death.

               (ii) within ninety (90) days after the termination of Continuous
          Status as a Director, the Option may be exercised, at any time within
          ninety (90) days following the date of death, by the Option Holder's
          estate or by a person who acquired the right to exercise the Option by
          bequest or inheritance, but only to the extent of the right to
          exercise that had accrued at the date of termination.

     Section 7. Change in Control.

          (a) Change in Control. For purposes of this Section 7, a "Change in
     Control" of the Company will mean the following:

               (i) the sale, lease, exchange or other transfer, directly or
          indirectly, of substantially all of the assets of the Company (in one
          transaction or in a series of related transactions) to a person or
          entity that is not controlled by the Company,

               (ii) the approval by the shareholders of the Company of any plan
          or proposal for the liquidation or dissolution of the Company;

               (iii) a merger or consolidation to which the Company is a party
          if the shareholders of the Company immediately prior to effective date
          of such merger or consolidation have "beneficial ownership" (as
          defined in Rule 13d-3 under the Exchange Act), immediately following
          the effective date of such merger or consolidation, of securities of
          the surviving corporation representing (A) more than 50%, but not more
          than 80%, of the combined voting power of the surviving corporation's
          then outstanding securities ordinarily having the right to vote at
          elections of directors, unless such merger or consolidation has been
          approved in advance by the Incumbent Directors (as defined in Section
          7(b) below), or (B) 50% or less of the combined voting power of the
          surviving corporation's then outstanding securities ordinarily having
          the right to vote at elections of directors (regardless of any
          approval by the Incumbent Directors);

               (iv) any person becomes after the effective date of the Plan the
          "beneficial owner" (as defined in Rule 13d-3 under the Exchange Act),
          directly or indirectly, of (A) 20% or more, but not 50% or more, of
          the combined voting power of the Company's outstanding securities
          ordinarily having the right to vote at elections of directors, unless
          the transaction resulting in such ownership has been approved in
          advance by the Incumbent Directors, or (B) 50% or more of the combined
          voting power of the Company's outstanding securities ordinarily having
          the right to vote at elections of directors (regardless of any
          approval by the Incumbent Directors);

               (v) the Incumbent Directors cease for any reason to constitute at
          least a majority of the Board; or


                                       7
<PAGE>

               (vi) any other change in control of the Company of a nature that
          would be required to be reported pursuant to Section 13 or 15(d) of
          the Exchange Act, whether or not the Company is then subject to such
          reporting requirements.

          (b) Incumbent Directors. For purposes of this Section 7, "Incumbent
     Directors" of the Company will mean any individuals who are members of the
     Board on the effective date of the Plan and any individual who subsequently
     becomes a member of the Board whose election, or nomination for election by
     the Company's shareholders, was approved by a vote of at least a majority
     of the Incumbent Directors (either by specific vote or by approval of the
     Company's proxy statement in which such individual is named as a nominee
     for director without objection to such nomination).

          (c) Acceleration of Vesting. Without limiting the authority of the
     Board under Section 3(b) of the Plan, if a Change in Control of the Company
     occurs, then, unless otherwise provided by the Board in its sole discretion
     either in an agreement evidencing an Option at the time of grant or at any
     time after the grant of an Option, all Options will become immediately
     exercisable in full and will remain exercisable for the remainder of their
     terms, regardless of whether the Option Holders to whom such Options have
     been granted remain in the employ or service of the Company or any
     Subsidiary.

          (d) Cash Payment for Options. If a Change in Control of the Company
     occurs, then the Board, if approved by the Board in its sole discretion
     either in an agreement evidencing an Option at the time of grant or at any
     time after the grant of an Option, and without the consent of any Option
     Holder effected thereby, may determine that some or all Option Holders
     holding outstanding Options will receive, with respect to some or all of
     the shares of Common Stock subject to such Options, as of the effective
     date of any such Change in Control of the Company, cash in an amount equal
     to the excess of the Fair Market Value of such shares immediately prior to
     the effective date of such Change in Control of the Company over the
     exercise price per share of such Options.

          (e) Limitation on Change in Control Payments. Notwithstanding anything
     in Section 7(c) or 7(d) of the Plan to the contrary, if, with respect to an
     Option Holder, the acceleration of the vesting of an Option as provided in
     Section 7(c) or the payment of cash in exchange for all or part of an
     Option as provided in Section 7(d) (which acceleration or payment could be
     deemed a "payment" within the meaning of Section 280G(b)(2) of the Code),
     together with any other "payments" which such Option Holder has the right
     to receive from the Company or any corporation that is a member of an
     "affiliated group" (as defined in Section 1504(a) of the Code without
     regard to Section 1504(b) of the Code) of which the Company is a member,
     would constitute a "parachute payment" (as defined in Section 280G(b)(2) of
     the Code), then the "payments" to such Option Holder pursuant to Section
     7(c) or 7(d) of the Plan will be reduced to the largest amount as will
     result in no portion of such "payments" being subject to the excise tax
     imposed by Section 4999 of the Code; provided, however, that if a Option
     Holder is subject to a separate agreement with the Company or a Subsidiary
     that expressly


                                       8
<PAGE>

     addresses the potential application of Sections 280G or 4999 of the Code
     (including, without limitation, that "payments" under such agreement or
     otherwise will not be reduced or that the Option Holder will have the
     discretion to determine which "payments" will be reduced), then the
     limitations of this Section 7(e) will not apply, and any "payments" to a
     Option Holder pursuant to Section 7(c) or 7(d) of the Plan will be treated
     as "payments" arising under such separate agreement.

     Section 8. Rights of Option Holders; Transferability.

          (a) Service as a Director. Nothing in the Plan will interfere with or
     limit in any way the right of the Company to terminate the directorship of
     any Director at any time, nor confer upon any Director any right to
     continue to serve as a director of the Company.

          (b) Rights as a Shareholder. As a holder of Options an Option Holder
     will have no rights as a shareholder unless and until such Options are
     exercised for, or paid in the form of, shares of Common Stock and the
     Option Holder becomes the holder of record of such shares. Except as
     otherwise provided in the Plan, no adjustment will be made for dividends or
     distributions with respect to such Options as to which there is a record
     date preceding the date the Option Holder becomes the holder of record of
     such shares, except as the Board may determine in its discretion.

          (c) Restrictions on Transfer. Options granted under this Plan shall
     not be assignable or transferable during the lifetime of the Director,
     either voluntarily or involuntarily. Options shall be exercisable during a
     Director's lifetime only by such Director. In the event of the death of a
     Director, such Option may be transferred by will or the laws of descent and
     distribution and may only be exercised by the executors or administrators
     of such Director's estate or by the person or persons to whom such
     Director's rights under the Option shall pass by the Director's will or the
     laws of descent and distribution.

     Section 9. Securities Law and Other Restrictions. Notwithstanding any other
provision of the Plan or any agreements entered into pursuant to the Plan, the
Company will not be required to issue any shares of Common Stock under this
Plan, and an Option Holder may not sell, assign, transfer or otherwise dispose
of shares of Common Stock issued pursuant to Options granted under the Plan,
unless (i) there is in effect with respect to such shares a registration
statement under the Securities Act and any applicable state securities laws or
an exemption from such registration under the Securities Act and applicable
state securities laws, and (ii) there has been obtained any other consent,
approval or permit from any other regulatory body which the Board, in its sole
discretion, deems necessary or advisable. The Company may condition such
issuance, sale or transfer upon the receipt of any representations or agreements
from the parties involved, and the placement of any legends on certificates
representing shares of Common Stock, as may be deemed necessary or advisable by
the Company in order to comply with such securities law or other restrictions.

     Section 10. Plan Amendment, Modification and Termination. The Board may
suspend or terminate the Plan or any portion thereof at any time, and may amend
the Plan from time to time


                                       9
<PAGE>

in such respects as the Board may deem advisable in order that Options under the
Plan will conform to any change in applicable laws or regulations or in any
other respect the Board may deem to be in the best interests of the Company;
provided, however, that no amendments to the Plan will be effective without
approval of the stockholders of the Company if stockholder approval of the
amendment is then required under the Exchange Act or the rules of any stock
exchange or Nasdaq. No termination, suspension or amendment of the Plan may
adversely affect any outstanding Option without the consent of the affected
Option Holder; provided, however, that this sentence will not impair the right
of the Board to take whatever action it deems appropriate under Sections 4(c)
and 7 of the Plan.

     Section 11. Effective Date and Duration of the Plan. The Plan was adopted
by the Board on March 19, 1997 and by the sole shareholder of the Company on May
1, 1997, and is effective as of the Distribution Date. The Plan will terminate
at midnight on March 19, 2007, and may be terminated prior to such time to by
Board action, and no Option will be granted after such termination. Options
outstanding upon termination of the Plan may continue to be exercised, or become
free of restrictions, in accordance with their terms.

     Section 12. Miscellaneous.

          (a) Governing Law. The validity, construction, interpretation,
     administration and effect of the Plan and any rules, regulations and
     actions relating to the Plan will be governed by and construed exclusively
     in accordance with the laws of the State of Minnesota.

          (b) Successors and Assigns. The Plan will be binding upon and inure to
     the benefit of the successors and permitted assigns of the Company and the
     Option Holders.


                                       10
<PAGE>

                             FIRST AMENDMENT TO THE
                               VITAL IMAGES, INC.
                         1997 DIRECTOR STOCK OPTION PLAN

     The Vital Images, Inc. 1997 Director Stock Option Plan (the "Plan") was
adopted by the Board of Directors of Vital Images, Inc. (the "Company") and
approved by the sole shareholder of the Company in 1997, and is now in full
force and effect. This Amendment is adopted in order to amend the Plan with
respect to the number of shares of capital stock which may be granted under the
Plan.

          A. Amendment. Section 4(a) of the Plan is hereby amended to read as
     follows:

               (a) Maximum Number of Shares Available. Subject to adjustment as
          provided in Section 4(c) of the Plan, the maximum number of shares of
          Common Stock that will be available for issuance under the Plan will
          be 105,000 shares of Common Stock.

          B. Effective Date. This Amendment shall be effective as of February
     24, 1998, and shall be subject to the approval by the shareholders of the
     Company at the next Annual or Special Meeting of Shareholders.


                                       11
<PAGE>

                             SECOND AMENDMENT TO THE
                               VITAL IMAGES, INC.
                         1997 DIRECTOR STOCK OPTION PLAN

     The Vital Images, Inc. 1997 Director Stock Option Plan (the "Plan") was
adopted by the Board of Directors of Vital Images, Inc. (the "Company") and
approved by the sole shareholder of the Company in 1997, was amended in 1998 to
increase the number of shares available for issuance to 105,000 and is now in
full force and effect. This Amendment is adopted in order to amend the Plan with
respect to the number of shares of capital stock which may be granted under the
Plan.

          A. Amendment. Section 4(a) of the Plan is hereby amended to read as
     follows:

               (a) Maximum Number of Shares Available. Subject to adjustment as
          provided in Section 4(c) of the Plan, the maximum number of shares of
          Common Stock that will be available for issuance under the Plan will
          be 210,000 shares of Common Stock.

          B. Effective Date. This Amendment shall be effective as of February
     25, 1999, and shall be subject to the approval by the shareholders of the
     Company at the next Annual or Special Meeting of Shareholders.


                                       12
<PAGE>

                             THIRD AMENDMENT TO THE
                               VITAL IMAGES, INC.
                         1997 DIRECTOR STOCK OPTION PLAN

     The Vital Images, Inc. 1997 Director Stock Option Plan (the "Plan") was
adopted by the Board of Directors of Vital Images, Inc. (the "Company") and
approved by the sole shareholder of the Company in 1997, was amended in 1998 to
increase the number of shares available for issuance to 105,000, was amended in
1999 to increase the number of shares available for issuance to 210,000 and is
now in full force and effect. This Amendment is adopted in order to amend the
Plan with respect to the automatic option grants to Non-employee Directors.

          A. Amendment to Section 5(a)(i)(B). Section 5(a)(i)(B) of the Plan is
     hereby amended to read as follows:

          "(B) Future Non-Employee Directors. Each person who is first elected
          or appointed to serve as a Non-employee Director after the
          Distribution Date will automatically be granted an Option on the date
          of his or her initial election or appointment to the Company's Board
          of Directors to purchase 18,000 shares of Common Stock."

          B. Amendment to Section 5(a)(ii)(A). Section 5(a)(ii)(A) of the Plan
     is hereby amended to read as follows:

          "(A) On the third anniversary date of the Initial Grant to a
          Non-employee Director under the Plan, such Non-employee Director will
          automatically be granted an additional Option to purchase 18,000
          shares of Common Stock (the "Second Option"); provided such person is
          a Non-employee Director on such date."

          C. Amendment to Section 5(a)(ii)(B). Section 5(a)(ii)(B) of the Plan
     is hereby amended to read as follows:

          "(B) Thereafter, on the third anniversary of the Second Option, and on
          each successive third anniversary thereof, such Non-employee Director
          will automatically be granted an additional Option to purchase 18,000
          shares of Common Stock; provided such person is a Non-employee
          Director on such date."

          D. Effective Date. This Amendment shall be effective as of February
     24, 2000, and shall be subject to the approval by the shareholders of the
     Company at the next Annual or Special Meeting of Shareholders.


                                       13
<PAGE>

PROXY

                              VITAL IMAGES, INC.

                    PROXY SOLICITED BY BOARD OF DIRECTORS
               For Annual Meeting of Shareholders May 11, 2000

The undersigned, revoking all prior proxies, hereby appoints Albert Emola and
Gregory S. Furness, or either of them, as proxy or proxies, with full power of
substitution and revocation, to vote all shares of common stock of Vital
Images, Inc. (the "Company") of record in the name of the undersigned at the
close of business on March 24, 2000, at the Annual Meeting of Shareholders to
be held on Thursday, May 11, 2000, or at any adjournment thereof, upon the
following matters:

                        (To be Signed on Reverse Side)

                                                                  -----------
                                                                  SEE REVERSE
                                                                     SIDE
                                                                  -----------

<PAGE>

- --------  Please mark your
   X      votes as in
- --------  this example.



                   FOR all nominees listed            WITHHELD AUTHORITY
                    except (as marked to                to vote for all
                     the contrary below)                nominees listed

1. ELECTION OF               [_]                              [_]
   DIRECTORS.

                                                Nominees:
                                            Vincent J. Argiro
                                            Albert Emola
                                            James B. Hickey, Jr.
                                            Richard W. Perkins
                                            Douglas M. Pihl
                                            Michael W. Vannier
                                            Sven A. Wehrwein

(Instructions: to withhold authority to vote for any individual nominee write
that nominee's name in the space provided below.)

- -----------------------------------------------------------------------------

2. Approval of amendment to the 1997 Stock Option and Incentive Plan to increase
   the number of shares reserved for issuance thereunder.

                           FOR     AGAINST     ABSTAIN
                           [_]       [_]         [_]

3. Approval of amendment to the 1997 Director Stock Option Plan to increase the
   number of shares subject to automatic option grants to non-employee
   directors.

                           FOR     AGAINST     ABSTAIN
                           [_]       [_]         [_]

4. Ratification of appointment of PricewaterhouseCoopers LLP as independent
   accountants for the year ending December 31, 2000.

                           FOR     AGAINST     ABSTAIN
                           [_]       [_]         [_]

5. In their discretion the proxies are authorized to vote upon such matters as
   may properly come before the meeting.

This proxy when properly executed will be voted in the manner directed herein
by the undersigned shareholder. If no direction is made, this proxy will be
voted FOR Proposals 1, 2, 3 and 4. The Board of Directors recommends a vote FOR
Proposals 1, 2, 3 and 4.

                              Dated:_____________________________________, 2000


                              _________________________________________________
                                            Signature of Shareholder

                              _________________________________________________
                              Signature of Joint Shareholder (if held jointly).

                              PLEASE MARK, SIGN, DATE AND RETURN THE PROXY CARD
                                     PROMPTLY USING THE ENCLOSED ENVELOPE.


PLEASE DATE AND SIGN exactly as your name(s) appears above indicating, where
proper, official position or representative capacity in which you are signing.
When signing as executor, administrator, trustee or guardian, give full title
as such; when shares have been issued in names of two or more persons, all
should sign.



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