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QuadraMed Corporation Announces Q3 2009 Results

Thu. November 05, 2009; Posted: 04:00 PM
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RESTON, Va., Nov 05, 2009 (BUSINESS WIRE) -- QDHC | Quote | Chart | News | PowerRating -- --Income from Operations of $2.0 Million

--Adjusted Non-GAAP EBITDA of $3.5 Million

QuadraMed Corporation (NASDAQ:QDHC) announced today that it will report net income of $1.5 million before preferred stock dividends for the three months ended September 30, 2009, compared to $2.5 million for the same period in 2008. For the nine months ended September 30, 2009, the Company had net income before preferred stock dividends of $3.8 million, compared to $4.6 million for the same period in 2008.

For the three months ended September 30, 2009, the Company had revenues of $35.8 million, gross margin of 59% and operating expenses of $19.3 million. These compare to revenues of $38.6 million, gross margin of 60% and operating expenses of $19.1 million for the same period in 2008. For the nine months ended September 30, 2009, the Company had revenues of $106.7 million, gross margin of 59% and operating expenses of $58.1 million. These compare to revenues of $111.9 million, gross margin of 58% and operating expenses of $57.9 million for the same period in 2008.

Income from operations was $2.0 million for the three months ended September 30, 2009, compared to $4.0 million for the three months ended September 30, 2008, and $5.0 million and $7.2 million for the nine-month periods ended September 30, 2009 and 2008, respectively. Adjusted Non-GAAP EBITDA (Earnings Before Interest, Taxes, Depreciation and Amortization, before stock-based compensation, severance and loss on sale of assets) was $3.5 million for the three months ended September 30, 2009, compared to $5.9 million for the same period in 2008. For the nine months ended September 30, 2009, the Company had adjusted Non-GAAP EBITDA of $11.4 million, compared to $14.9 million for the nine months ended September 30, 2008.

The three month and nine month periods ended September 30, 2008 included revenue of $1.5 million and $2.5 million respectively, related to contracts that were completed in periods prior to 2008. The costs related to these contracts were recognized in the periods of origin; consequently, the reported gross margins, net income and adjusted Non-GAAP EBITDA and other measures also include the $1.5 million and $2.5 million, respectively for the quarterly and year-to-date periods ended September 30, 2008. The nine-month period ended September 30, 2008 also includes a $1.1 million loss on the sale of the Company's Australia-based lab and radiology assets and the nine-month period ended September 30, 2009 included severance of $1.7 million associated with executive management changes. In addition to the above, the decreases in income from operations and Adjusted Non-GAAP EBITDA for the 2009 periods when compared to the corresponding 2008 periods were primarily driven by lower revenue and resultant gross margins in the 2009 periods.

The Company will also report net income attributable to common shareholders of $0.1 million, or $0.02 per basic and diluted share for the three months ended September 30, 2009, compared to net income attributable to common shareholders of $1.1 million, or $0.12 per basic and diluted share for the same period in 2008. The Company will also report a net loss attributable to common shareholders of $0.4 million, or $(0.05) per basic and diluted share for the nine months ended September 30, 2009, compared to net income attributable to common shareholders of $0.4 million, or $0.05 per basic and diluted share during the nine month period ended September 30, 2008.

Cash used in operations was $2.0 million for the three months ended September 30, 2009 compared to cash provided by operations of $2.4 million for the three months ended September 30, 2008; the difference between the three-month periods was due primarily to a decrease in net income during the 2009 period compared to 2008, and a decrease in working capital between periods. Cash used in operations was $3.7 million for the nine months ended September 30, 2009 compared to cash provided by operations of $14.5 million for the nine months ended September 30, 2008; the difference between nine-month periods was primarily attributable to the timing of payments related to our Veterans Health Administration contract and the payment of executive severance costs in 2009. Cash and investments decreased by $8.9 million during the nine months ended September 30, 2009 to $19.0 million, from $27.9 million at December 31, 2008. During October 2009, the Company invoiced the Department of Veterans Affairs for the $20.5 million annual license fee associated with the Task Order renewal for the Department of Veterans Affairs' 2010 fiscal year, and payment has been received in full for this license.

Software development expenses during the current quarter of $9.3 million, or 26% of revenue, compare to $8.3 million, or 22% of revenue in the 2008 quarter; the increase in software development expenses reflect the initiatives the Company announced in March with respect to, among other things, the certification of its software in order to assist customers in meeting the criteria for meaningful use of certified electronic health record technology as currently contemplated by the American Recovery and Reinvestment Act of 2009 (ARRA).

As previously announced, during the current quarter, the Company signed four new significant license agreements to install QCPR Clinical Information Systems at three hospital systems in the United States and one hospital system in Canada. Also on October 21, 2009, the Department of Veterans Affairs awarded the Company a Task Order contract under its existing Blanket Purchase Agreement (the "Task Order"). The Task Order has a stated value of approximately $24.1 million and includes (i) a renewal of the Department of Veterans Affairs term license for QuadraMed's Encoder and VIP software, and (ii) related training services for all Veterans Affairs Medical Centers nationwide for the government's fiscal year 2010.

"We are pleased with the extension of our relationship with the Department of Veterans Affairs and our four new QCPR agreements. However, the economic environment continues to provide a headwind for our performance," said Duncan W. James, QuadraMed's Chief Executive Officer. "We have increased our product development initiatives during 2009 to provide our customers with a platform to meet the criteria for meaningful use in order to maximize the benefits available to them from ARRA. In addition, we remain focused on our product roadmap so that we will be well positioned to provide solutions to our customers in 2010 and future years," added James.

Management will review these results in an investment community conference call at 5:00 PM Eastern (2:00 PM Pacific) on Thursday, November 5, 2009. To ensure fair dissemination of information, no inquiries of management should be made regarding QuadraMed's results until after the conference call. A brief question and answer period will follow management's presentation. The dial-in number for the conference call is 800-974-2159 domestic and 973-638-3397 international. Callers should dial in by 4:45 PM Eastern (1:45 PM Pacific) to register. The call will also be webcast live and available to the public via the Investor Relations section of QuadraMed's webpage at www.quadramed.com. Please note that the webcast is listen-only. Listeners should access the website at 4:45 PM Eastern (1:45 PM Pacific) to register and to download and install any necessary audio software. A digital recording of the conference will be available for replay two hours after the live call is completed. The replay will be available until midnight, November 14, 2009. Replay telephone numbers are 800-642-1687 or 706-645-9291; conference ID 39069333.

Attachments      Exhibit 1      Condensed Consolidated Balance Sheets (unaudited) as of September
                                30, 2009 and December 31, 2008
                 Exhibit 2      Condensed Consolidated Statements of Operations (unaudited) for the
                                Three Months Ended September 30, 2009 and 2008 and the Nine Months
                                Ended September 30, 2009 and 2008
                 Exhibit 3      Condensed Consolidated Statements of Cash Flows (unaudited) for the
                                Three Months Ended September 30, 2009 and 2008 and the Nine Months
                                Ended September 30, 2009 and 2008
                 Exhibit 4      Reconciliation of EBITDA and Non-GAAP Measurements (unaudited) for
                                the Three Months Ended September 30, 2009, June 30, 2009, March 31,
                                2009, December 31, 2008, September 30, 2008, June 30, 2008, March
                                31, 2008, and December 31, 2007.
                 Exhibit 5      Reconciliation of EBITDA and Non-GAAP Measurements (unaudited) for
                                the Nine Months Ended September 30, 2009 and September 30, 2008

About Adjusted EBITDA and other Non-GAAP Measurements

The Company's use and presentation of the terms EBITDA, Adjusted EBITDA and other Non-GAAP measurements included in this press release and Exhibits 4 and 5 hereto, and the reconciliations of those items to the most directly comparable GAAP financial measure with equal or greater prominence as the non-GAAP financial measures, have been prepared in direct response to questions from its investors and other interested parties. Although the Company has frequently discussed these reconciling items when they occur, both in its filings as well as in investment community conference calls that are open to the public at large, many inquiries are still made as to the nature of these items, and the impact of removing these items from the GAAP financial results. As a result, the Company believes it is important to provide these reconciliations, so that the requesting investors will not have to perform the arithmetic themselves and so that all interested parties will benefit from the disclosures and reconciliations, through a straightforward and unambiguous presentation. The Company believes that the use and presentation of the terms EBITDA, Adjusted EBITDA and the other non-GAAP financial measures is useful because it allows readers of its financial information to evaluate its performance for different periods on a more comparable basis by excluding items that are unique in nature such as non-cash compensation, or do not relate to the ongoing operation of its core business. The items presented in calculating Adjusted EBITDA and other Non-GAAP measurements represent specific events or items as follows (please see Exhibits 4 and 5 to this press release):

-- Cash Severance -- costs associated with payments to former executive officers of the Company in the three-month periods ended June 30, 2009 and March 31, 2009, and restructuring and downsizing of the Company's employee base during the three-month periods ended March 31, 2008, June 30, 2008 and December 31, 2008;

-- Non-cash Compensation -- the costs of employee stock options and restricted stock; the three-month periods ended June 30, 2009 and March 31, 2009 include $0.2 million and $0.3 million, respectively, related to the acceleration of employee stock option expense to former executive officers of the Company upon their respective resignations from the Company;

-- Tax benefit, Net -- the amount recorded in the three-month period ended December 31, 2007 resulting from the release of a portion of the reserve against the Company's deferred tax assets, net of deferred income tax expense recorded in the period;

-- Strategic Initiatives -- the expenses recorded in connection with merger and acquisition activities during the three-month period ended December 31, 2007;

-- Employment Matters -- the cost of the Company's review of wage/hour classifications for certain employees during the three-month period ended December 31, 2007;

-- Loss on Sale of Assets -- a one-time loss for accounting purposes recorded in connection with the Company's April 2008 sale of its Australia-based lab and radiology business, with operations in Australia, New Zealand and the United Kingdom.

About QuadraMed Corporation

QuadraMed(R) -- (NASDAQ:QDHC) is a leading provider of healthcare technologies and services that help turn quality care into positive financial outcomes. QuadraMed provides innovative solutions that streamline processes, ensure compliance and help healthcare professionals deliver quality patient care. Behind the Company's products and services is a staff of 600 professionals whose experience and dedication have earned QuadraMed the trust and loyalty of clients at over 2,000 healthcare provider facilities. For more information about QuadraMed, visit http://www.quadramed.com.

Cautionary Statement on Risks Associated with QuadraMed Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 that are subject to risks and uncertainties. The words "believe," "expect," "target," "goal," "project," "anticipate," "predict," "intend," "plan," "estimate," "may," "will," "should," "could" and similar expressions and their negatives are intended to identify such statements. Forward-looking statements are not guarantees of future performance, anticipated trends or growth in businesses, or other characterizations of future events or circumstances and are to be interpreted only as of the date on which they are made. QuadraMed undertakes no obligation to update or revise any forward-looking statement. You should not place undue reliance on these forward-looking statements. Our actual results could differ materially from those anticipated in these forward-looking statements for many reasons, including the risks faced by QuadraMed described in documents filed with the Securities and Exchange Commission ("SEC") from time to time. QuadraMed's SEC filings can be accessed through the Investor Relations section of our website, www.quadramed.com, or through the SEC's EDGAR Database at www.sec.gov (QuadraMed has EDGAR CIK No. 0001018833).

QuadraMed is a registered trademark of QuadraMed Corporation. All other trademarks are the property of their respective holders.

Exhibit 1
QUADRAMED CORPORATION
CONDENSED CONSOLIDATED BALANCE SHEETS
(in thousands, except per share amounts)
(unaudited)
                                                                    September 30,     December 31,
ASSETS                                                              2009              2008
Current assets
Cash and cash equivalents                                           $      7,879      $      20,649
Short-term investments                                                     7,650             4,213
Accounts receivable, net of allowance for doubtful accounts of             27,384            20,843
$1,402 and $1,052, respectively
Unbilled receivables                                                       6,817             6,177
Deferred contract expenses                                                 5,678             5,005
Prepaid royalty expenses                                                   1,094             7,831
Prepaid expenses and other current assets, net of allowance on             4,330             4,485
other receivable of $919, respectively
Deferred tax asset, net of valuation allowance                             6,241             6,240
Total current assets                                                       67,073            75,443
Restricted cash                                                            1,522             1,444
Long-term investments                                                      3,506             3,043
Property and equipment, net of accumulated depreciation and                3,556             3,895
amortization of $19,169 and $17,732, respectively
Goodwill                                                                   35,632            35,632
Other amortizable intangible assets, net of accumulated                    7,760             9,387
amortization of $30,932 and $29,305, respectively
Other long-term assets                                                     2,831             2,829
Deferred tax asset, net of valuation allowance                             48,009            47,921
Total assets                                                        $      169,889    $      179,594
LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities
Accounts payable and accrued expenses                               $      5,794      $      4,705
Accrued payroll and related benefits                                       5,221             7,228
Accrued exit cost of facility closing                                      346               888
Income tax payable                                                         2,079             688
Other accrued liabilities                                                  3,491             4,721
Dividends payable                                                          1,375             1,375
Deferred revenue                                                           43,004            53,190
Total current liabilities                                                  61,310            72,795
Other long-term liabilities                                                1,458             1,834
Total liabilities                                                          62,768            74,629
Commitments and Contingencies
Stockholders' equity
Preferred stock, $0.01 par, 5,000 shares authorized, 4,000 shares          96,144            96,144
issued and outstanding, respectively
Common stock, $0.01 par, 30,000 shares authorized; 9,471 and 9,451         95                95
shares issued and 8,307 and 8,287 outstanding, respectively
Shares held in treasury, 1,164, respectively                               (9,031)           (9,031)
Additional paid-in-capital                                                 317,868           316,027
Accumulated other comprehensive loss                                       (987)             (1,675)
Accumulated deficit                                                        (296,968)         (296,595)
Total stockholders' equity                                                 107,121           104,965
Total liabilities and stockholders' equity                          $      169,889    $      179,594
Exhibit 2
QUADRAMED CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(in thousands, except per share amounts)
(unaudited)
                                                                      Three months ended,       Nine months ended,
                                                                      September 30,             September 30,
                                                                      2009         2008         2009         2008
Revenue
Services                                                              $   5,803    $   5,930    $   16,441   $   17,102
Maintenance                                                               16,849       18,205       49,349       51,734
Installation and other                                                    3,064        3,153        9,133        9,614
Services and other revenue                                                25,716       27,288       74,923       78,450
Term licenses                                                             8,500        8,099        25,925       23,651
Perpetual licenses                                                        1,446        3,127        5,454        9,260
License revenue                                                           9,946        11,226       31,379       32,911
Hardware                                                                  140          75           387          505
Total revenue                                                             35,802       38,589       106,689      111,866
Cost of revenue
Cost of services and other revenue                                        10,502       11,487       31,615       34,324
Royalties and other                                                       3,592        3,671        10,944       11,365
Amortization of acquired technology and capitalized software              219          245          676          756
Cost of license revenue                                                   3,811        3,916        11,620       12,121
Cost of hardware revenue                                                  217          64           361          328
Total cost of revenue                                                     14,530       15,467       43,596       46,773
Gross margin                                                              21,272       23,122       63,093       65,093
Operating expense
General and administration                                                4,876        5,027        16,619       14,907
Software development                                                      9,316        8,328        25,937       25,362
Sales and marketing                                                       4,247        4,968        13,117       14,105
Loss on sale of assets                                                    -            46           -            1,161
Amortization of intangible assets and depreciation                        856          761          2,387        2,400
Total operating expenses                                                  19,295       19,130       58,060       57,935
Income from operations                                                    1,977        3,992        5,033        7,158
Other income (expense)
Interest expense, includes non-cash charges of $14, $18 and $47, $54      (16)         (26)         (51)         (99)
Interest income                                                           58           136          179          460
Other income, net                                                         160          1            268          9
Other income, net                                                         202          111          396          370
Income from operations before income taxes                            $   2,179    $   4,103    $   5,429    $   7,528
Provision for income taxes                                                (669)        (1,634)      (1,677)      (2,963)
Net Income                                                                1,510        2,469        3,752        4,565
Preferred stock dividends declared                                        (1,375)      (1,375)      (4,125)      (4,125)
Net income (loss) attributable to common shareholders                 $   135      $   1,094    $   (373)    $   440
Income (loss) per share
Basic                                                                 $   0.02     $   0.12     $   (0.05)   $   0.05
Diluted                                                               $   0.02     $   0.12     $   (0.05)   $   0.05
Weighted average shares outstanding
Basic                                                                     8,300        8,931        8,296        8,930
Diluted   8,324   8,962   8,296   8,963
Exhibit 3
QUADRAMED CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands)
(unaudited)
                                                                    Three months ended        Nine months ended
                                                                    September 30,             September 30,
                                                                    2009         2008         2009          2008
Cash flows from operating activities
Net income                                                          $   1,510    $   2,469    $   3,752     $   4,565
Adjustments to reconcile net income to net cash (used in) provided
by operating activities:
Depreciation and amortization                                           1,075        1,006        3,063         3,156
Deferred compensation amortization                                      -            85           -             273
Stock-based compensation                                                295          805          1,740         2,445
Provision for bad debts                                                 322          34           894           164
Provision for income taxes                                              669          1,634        1,677         2,963
Loss on sale of assets                                                  -            46           -             1,161
Changes in operating assets and liabilities:
Accounts receivable                                                     (4,776)      (1,835)      (8,075)       (3,861)
Prepaid expenses and other                                              2,515        3,271        5,889         866
Accounts payable and accrued liabilities                                (704)        960          (2,425)       (8,355)
Deferred revenue                                                        (2,951)      (6,081)      (10,186)      11,155
Cash (used in) provided by operating activities                         (2,045)      2,394        (3,671)       14,532
Cash flows from investing activities
Decrease (increase) in restricted cash                                  6            173          (78)          833
Purchases of available-for-sale securities                              (8,161)      (190)        (15,837)      (4,220)
Proceeds from sale of available-for-sale securities                     9,210        190          11,734        6,049
Payment of acquisition costs                                            -            (10)         -             (56)
Purchases of property and equipment                                     (588)        (577)        (1,097)       (1,420)
Proceeds from sale of assets                                            -            -            -             106
Cash provided by (used in) investing activities                         467          (414)        (5,278)       1,292
Cash flows from financing activities
Payment of preferred stock dividends                                    (1,375)      (1,375)      (4,125)       (4,125)
Proceeds from issuance of common stock and other                        53           395          101           544
Repurchase of common stock                                              -            -            -             (3,728)
Cash used in financing activities                                       (1,322)      (980)        (4,024)       (7,309)
Effect of exchange rate changes on cash                                 26           (193)        203           (224)
Net (decrease) increase in cash and cash equivalents                    (2,874)      807          (12,770)      8,291
Cash and cash equivalents, beginning of period                          10,753       14,603       20,649        7,119
Cash and cash equivalents, end of period                            $   7,879    $   15,410   $   7,879     $   15,410
Exhibit 4
QUADRAMED CORPORATION
Reconciliation of EBITDA and Non-GAAP Measurements
(in thousands, except percentages)
(unaudited)
                                                 For the Three Month Periods Ended
                                                 9/30/2009     6/30/2009     3/31/2009     12/31/2008 9/30/08      6/30/08      3/31/08      12/31/07
EBITDA (Earnings Before
Interest, Taxes, Depreciation and Amortization)
Net income, as reported                          $1,510        $1,045        $1,197        $2,600     $2,469       $1,787       $309         $56,674
Adjustments to Net Income for EBITDA
Interest Expense                                 16            16            19            23         26           42           31           20
Interest Income                                  (58     )     (70     )     (51     )     (114    )  (136    )    (158    )    (166    )    (364    )
Provision (benefit) for Income Taxes             669           426           582           1,061      1,634        1,151        178          (52,821 )
Depreciation and Amortization                    1,075         1,009         979           983        1,091        1,159        1,180        1,323
Subtotal Non-GAAP Adjustments for EBITDA         1,702         1,381         1,529         1,953      2,615        2,194        1,223        (51,842 )
EBITDA                                           $3,212        $2,426        $2,726        $4,553     $5,084       $3,981       $1,532       $4,832
EBITDA % to Revenue                              9.0     %     6.8     %     7.8     %     11.8    %  13.2    %    10.5    %    4.3     %    11.8    %
Non-GAAP Adjustments to EBITDA
Non-cash Compensation                            295           598           847           410        805          841          799          928
Severance                                        10            300           982           11         -            161          561          -
Loss on Sale of Assets                           -             -             -             (333    )  -            1,115        -            -
Subtotal Non-GAAP Adjustments to EBITDA          305           898           1,829         88         805          2,117        1,360        928
Adjusted Non-GAAP EBITDA                         $3,517        $3,324        $4,555        $4,641     $5,889       $6,098       $2,892       $5,760
Adjusted Non-GAAP EBITDA % to Revenue            9.8     %     9.3     %     13.0    %     12.0    %  15.3    %    16.1    %    8.2     %    14.1    %
Non-GAAP Net Income before
Preferred Stock Accretion
Net income, as reported                          $1,510        $1,045        $1,197        $2,600     $2,469       $1,787       $309         $56,674
Non-GAAP adjustments to Net income
Non-cash Compensation                            295           598           847           410        805          841          799          928
Cash Severance                                   10            300           982           11         -            161          561          -
Strategic Initiatives                            -             -             -             -          -            -            -            57
Tax benefit, Net                                 -             -             -             -          -            -            -            (52,898 )
Employment Matters                               -             -             -             -          -            -            -            (374    )
Loss on Sale of Assets                           -             -             -             (333    )  -            1,115        -            -
Subtotal Non-GAAP adjustments                    305           898           1,829         88         805          2,117        1,360        (52,287 )
Non-GAAP Net income                              $1,815        $1,943        $3,026        $2,688     $3,274       $3,904       $1,669       $4,387
Other Information
Revenue                                          $35,802       $35,768       $35,119       $38,569    $38,589      $37,986      $35,291      $40,874
Costs of Revenue                                 $14,530       $14,575       $14,491       $16,050    $15,467      $15,760      $15,546      $16,167
Gross Margin                                     $21,272       $21,193       $20,628       $22,519    $23,122      $22,226      $19,745      $24,707
Gross Margin %                                   59      %     59      %     59      %     58      %  60      %    59      %    56      %    60      %

About Adjusted EBITDA and other Non-GAAP Measurements

The Company's use and presentation of the terms EBITDA, Adjusted EBITDA and other Non-GAAP measurements included in this press release and Exhibits 4 and 5 hereto, and the reconciliations of those items to the most directly comparable GAAP financial measure with equal or greater prominence as the non-GAAP financial measures, have been prepared in direct response to questions from its investors and other interested parties. Although the Company has frequently discussed these reconciling items when they occur, both in its filings as well as in investment community conference calls that are open to the public at large, many inquiries are still made as to the nature of these items, and the impact of removing these items from the GAAP financial results. As a result, the Company believes it is important to provide these reconciliations, so that the requesting investors will not have to perform the arithmetic themselves and so that all interested parties will benefit from the disclosures and reconciliations, through a straightforward and unambiguous presentation. The Company believes that the use and presentation of the terms EBITDA, Adjusted EBITDA and the other non-GAAP financial measures is useful because it allows readers of its financial information to evaluate its performance for different periods on a more comparable basis by excluding items that are unique in nature such as non-cash compensation, or do not relate to the ongoing operation of its core business. The items presented in calculating Adjusted EBITDA and other Non-GAAP measurements represent specific events or items as follows:

-- Cash Severance -- costs associated with payments to former executive officers of the Company in the three-month periods ended June 30, 2009 and March 31, 2009, and restructuring and downsizing of the Company's employee base during the three-month periods ended March 31, 2008, June 30, 2008 and December 31, 2008;

-- Non-cash Compensation -- the costs of employee stock options and restricted stock; the three month periods ended June 30, 2009 and March 31, 2009 include $0.2 million and $0.3 million, respectively, related to the acceleration of employee stock option expense to former executive officers of the Company upon their respective resignations from the Company;

-- Tax benefit, Net -- the amount recorded in the three-month period ended December 31, 2007 resulting from the release of a portion of the reserve against the Company's deferred tax assets, net of deferred income tax expense recorded in the period;

-- Strategic Initiatives -- the expenses recorded in connection with merger and acquisition activities during the three-month period ended December 31, 2007;

-- Employment Matters -- the cost of the Company's review of wage/hour classifications for certain employees during the three-month period ended December 31, 2007;

-- Loss on Sale of Assets -- a one-time loss for accounting purposes recorded in connection with the Company's April 2008 sale of its Australia-based lab and radiology business, with operations in Australia, New Zealand and the United Kingdom.

Exhibit 5
QUADRAMED CORPORATION
Reconciliation of EBITDA and Non-GAAP Measurements
(in thousands, except percentages)
(unaudited)
                                                 For the Nine Months Ended
                                                 9/30/2009   9/30/2008
EBITDA (Earnings Before
Interest, Taxes, Depreciation and Amortization)
Net income, as reported                          $3,752      $4,565
Adjustments to Net Income for EBITDA
Interest Expense                                 51          99
Interest Income                                  (179     )  (460     )
Provision for Income Taxes                       1,677       2,963
Depreciation and Amortization                    3,063       3,430
Subtotal Non-GAAP Adjustments for EBITDA         4,612       6,032
EBITDA                                           $8,364      $10,597
EBITDA % to Revenue                              7.8      %  9.5      %
Non-GAAP Adjustments to EBITDA
Non-cash Compensation                            1,740       2,445
Cash Severance                                   1,292       722
Loss on Sale of Assets                           -           1,115
Subtotal Non-GAAP Adjustments to EBITDA          3,032       4,282
Adjusted Non-GAAP EBITDA                         $11,396     $14,879
Adjusted Non-GAAP EBITDA % to Revenue            10.7     %  13.3     %
Non-GAAP Net Income before
Preferred Stock Accretion
Net income, as reported                          $3,752      $4,565
Non-GAAP adjustments to Net income
Non-cash Compensation                            1,740       2,445
Cash Severance                                   1,292       722
Loss on Sale of Assets                           -           1,115
Subtotal Non-GAAP adjustments                    3,032       4,282
Non-GAAP net income                              $6,784      $8,847
Other Information
Revenue                                          $106,689    $111,866
Costs of Revenue                                 $43,596     $46,773
Gross Margin                                     $63,093     $65,093
Gross Margin %                                   59       %  58       %

About Adjusted EBITDA and other Non-GAAP Measurements

The Company's use and presentation of the terms EBITDA, Adjusted EBITDA and other Non-GAAP measurements included in this press release and Exhibits 4 and 5 hereto, and the reconciliations of those items to the most directly comparable GAAP financial measure with equal or greater prominence as the non-GAAP financial measures, have been prepared in direct response to questions from its investors and other interested parties. Although the Company has frequently discussed these reconciling items when they occur, both in its filings as well as in investment community conference calls that are open to the public at large, many inquiries are still made as to the nature of these items, and the impact of removing these items from the GAAP financial results. As a result, the Company believes it is important to provide these reconciliations, so that the requesting investors will not have to perform the arithmetic themselves and so that all interested parties will benefit from the disclosures and reconciliations, through a straightforward and unambiguous presentation. The Company believes that the use and presentation of the terms EBITDA, Adjusted EBITDA and the other non-GAAP financial measures is useful because it allows readers of its financial information to evaluate its performance for different periods on a more comparable basis by excluding items that are unique in nature such as non-cash compensation, or do not relate to the ongoing operation of its core business. The items presented in calculating Adjusted EBITDA and other Non-GAAP measurements represent specific events or items as follows:

-- Cash Severance -- costs associated with payments to former executive officers of the Company in the three-month periods ended June 30, 2009 and March 31, 2009, and restructuring and downsizing of the Company's employee base during the three-month periods ended March 31, 2008, June 30, 2008 and December 31, 2008;

-- Non-cash Compensation -- the costs of employee stock options and restricted stock; the three month periods ended June 30, 2009 and March 31, 2009 include $0.2 million and $0.3 million, respectively, related to the acceleration of employee stock option expense to former executive officers of the Company upon their respective resignations from the Company;

-- Tax benefit, Net -- the amount recorded in the three-month period ended December 31, 2007 resulting from the release of a portion of the reserve against the Company's deferred tax assets, net of deferred income tax expense recorded in the period;

-- Strategic Initiatives -- the expenses recorded in connection with merger and acquisition activities during the three-month period ended December 31, 2007;

-- Employment Matters -- the cost of the Company's review of wage/hour classifications for certain employees during the three-month period ended December 31, 2007;

-- Loss on Sale of Assets -- a one-time loss for accounting purposes recorded in connection with the Company's April 2008 sale of its Australia-based lab and radiology business, with operations in Australia, New Zealand and the United Kingdom.

SOURCE: QuadraMed Corporation

QuadraMed Corporation 
David L. Piazza 
Investor Relations 
703-742-5393 
InvestorRelations@quadramed.com
For full details for QDHC click here.

    


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