QuadraMed Corporation Announces Q3 2009 Results

* Reuters is not responsible for the content in this press release.

Thu Nov 5, 2009 4:00pm EST

http://www.businesswire.com/news/home/20091105006375/en

Revenues of $35.8 Million

Income from Operations of $2.0 Million

Adjusted Non-GAAP EBITDA of $3.5 Million
RESTON, Va.--(Business Wire)--
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)                                                                                                                                                                       
                                                                                                                                                                                   
                                                                                                                                   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 $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 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.

QuadraMed Corporation
David L. Piazza
Investor Relations
703-742-5393
InvestorRelations@quadramed.com



Copyright Business Wire 2009

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