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Exhibit 99.1

LOGO

FOR IMMEDIATE RELEASE

CONTACT:

Investor Relations

703-742-5393

InvestorRelations@quadramed.com

QUADRAMED CORPORATION ANNOUNCES Q3 2009 RESULTS

Revenues of $35.8 Million

Income from Operations of $2.0 Million

Adjusted Non-GAAP EBITDA of $3.5 Million

RESTON, VA – (November 5, 2009) — 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® – (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)

 

ASSETS    September 30,
2009
    December 31,
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 $1,402 and $1,052, respectively

     27,384        20,843   

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 other receivable of $919, respectively

     4,330        4,485   

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 amortization of $19,169 and $17,732, respectively

     3,556        3,895   

Goodwill

     35,632        35,632   

Other amortizable intangible assets, net of accumulated amortization of $30,932 and $29,305, respectively

     7,760        9,387   

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 issued and outstanding, respectively

     96,144        96,144   

Common stock, $0.01 par, 30,000 shares authorized; 9,471 and 9,451 shares issued and 8,307 and 8,287 outstanding, respectively

     95        95   

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 1 to Press Release Dated November 5, 2009


Exhibit 2

QUADRAMED CORPORATION

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(in thousands, except per share amounts)

(unaudited)

 

     Three months ended,
September 30,
    Nine months ended,
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 2 to Press Release Dated November 5, 2009


Exhibit 3

QUADRAMED CORPORATION

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands)

(unaudited)

 

     Three months ended
September 30,
    Nine months ended
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 3 to Press Release Dated November 5, 2009


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 4 to Press Release Dated November 5, 2009


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.

Exhibit 5 to Press Release Dated November 5, 2009