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MedAssets Reports Third Quarter and Nine-Month 2009 Financial Results

Wed Oct 28, 2009 4:04pm EDT
http://www.businesswire.com/news/home/20091028006418/en

ATLANTA--(Business Wire)--
MedAssets, Inc. (NASDAQ: MDAS) today announced results for its third quarter and
nine-month period ended September 30, 2009, as summarized below:

                                                                                                                                                                      
   (In millions, except per share)                                        3Q-09                    3Q-08                    9 mos-09                   9 mos-08*      
   Net Revenue:                                                                                                                                                       
   Revenue Cycle Management                                               $     51.6              $     45.8              $      149.4              $      102.2  
   Spend Management                                                             30.8                    30.2                     96.2                      93.7   
   Total Net Revenue                                                            82.4                    76.0                     245.6                     196.0  
   Net Income                                                                   5.9                     3.7                      10.0                      4.8    
   Diluted earnings per share (EPS)                                             0.10                    0.07                     0.17                      0.09   
   Non-GAAP adjusted EBITDA                                                     28.5                    25.2                     75.4                      60.3   
   Non-GAAP cash diluted EPS                                              $     0.22              $     0.18              $      0.54               $      0.44   
   Weighted average shares - diluted                                            57.9                    56.1                     57.2                      51.0   
                                                                                                                                                                  
   * Column amounts may not add to total amount due to rounding                                                                                                                    
                                                                                                                                                                                   
                                                                                                                                                                                   


Net Revenue

Third Quarter

Total net revenue for the third quarter of 2009 increased 8.5% to $82.4 million
from $76.0 million in the third quarter of 2008. The Revenue Cycle Management
segment growth was driven primarily by increased demand for the Company`s
reimbursement and compliance technology tools, as well as growth from its
revenue cycle services and decision support capabilities. The Spend Management
segment experienced growth in its medical device consulting services as well as
its analytics solutions. 

Nine-month Period

Total net revenue for the nine-month period ended September 30, 2009 increased
25.3% to $245.6 million from $196.0 million in the first nine months of 2008.
Comparing period-over-period organic growth, the Company`s total net revenue for
the first nine months of 2009 increased 9.4% to $245.6 million from non-GAAP
acquisition-affected total net revenue of $224.5 million in the same period of
2008. 

Non-GAAP Adjusted EBITDA

Third Quarter

In the third quarter of 2009, non-GAAP total adjusted EBITDA was $28.5 million,
or 34.6% of total net revenue, a 13.3% increase over non-GAAP total adjusted
EBITDA of $25.2 million, or 33.2% of total net revenue, in the third quarter of
2008. 

Nine-month Period

For the nine-month period ended September 30, 2009, non-GAAP total adjusted
EBITDA increased 25.1% to $75.4 million, or 30.7% of total net revenue, versus
non-GAAP total adjusted EBITDA of $60.3 million, or 30.8% of total net revenue,
in the first nine months of 2008. 

Comparing period-over-period organic growth, the nine-month 2009 non-GAAP total
adjusted EBITDA of $75.4 million increased 7.1% from non-GAAP
acquisition-affected adjusted EBITDA of $70.4 million, or 31.3% of non-GAAP
acquisition-affected total net revenue, in the same period of 2008. 

Net Income and Earnings per Share

Third Quarter

Net income in the third quarter of 2009 was $5.9 million, or $0.10 per diluted
share, versus net income of $3.7 million, or $0.07 per diluted share, in the
third quarter of 2008. 

Non-GAAP cash EPS, which is defined as EPS excluding acquisition-related
intangible amortization, share-based compensation expense and non-recurring
expense items on a tax-adjusted basis, was $0.22 per diluted share in the third
quarter of 2009, compared to non-GAAP cash EPS of $0.18 per diluted share in the
third quarter of 2008. 

Nine-month Period

For the first nine months of 2009, net income was $10.0 million, or $0.17 per
diluted share, versus net income of $4.8 million, or $0.09 per diluted share, in
the first nine months of 2008. Non-GAAP cash EPS was $0.54 per diluted share in
the first nine months of 2009, compared to non-GAAP cash EPS of $0.44 per
diluted share in the same period of 2008. 

Cash Flow and Capital Resources

Net cash provided by operating activities in the first nine months of 2009 was
$40.0 million, compared to net cash provided by operating activities of $31.1
million in the first nine months of last year. During the third quarter of 2009,
the Company repaid $10.6 million of its long-term bank debt. The Company`s
balance sheet as of September 30, 2009 included $230.8 million in total bank
debt, which is leverage of approximately 2.2 times trailing 12-month non-GAAP
adjusted EBITDA. 

2009 Financial Guidance

The Company refined its 2009 financial guidance, as follows:

                                                                                           
    (In millions, except EPS)            12 Months ended 12/31/09                           
    Net Revenue:                         Updated                          Previous       
    Revenue Cycle Management             $ 206 - 209                      $ 210 - 216    
    Spend Management                     133 - 136                        134 - 140      
    Total Net Revenue                    341 - 345                        346 - 354      
    Diluted EPS                          0.31 - 0.37                      0.29 - 0.37    
    Non-GAAP adjusted EBITDA             110 - 114                        111 - 117      
    Non-GAAP cash diluted EPS            $ 0.78 - 0.84                    $ 0.76 - 0.84  


At September 30, 2009, the Company`s rolling 12-month non-GAAP contracted
revenue was an estimated $356.0 million ($222.4 million from the Revenue Cycle
Management segment and $133.6 million from the Spend Management segment). This
is a year-over-year increase of 19.5% on a consolidated basis, and a 7.1%
increase when compared to the rolling 12-month total of $332.4 million as of
June 30, 2009. 

Conference Call Information

Time/Date: 5:00 p.m. ET today, Wednesday, October 28, 2009 

Phone: 866-811-1812 (or 702-696-4559 international/local), conference code
33693258 

Webcast: http://ir.medassets.com, "Events & Presentations" page 

Replay: Webcast will be archived for at least 30 days, or call 800-642-1687
(conf code 33693258) 

The Company intends to file its Form 10-Q for the third quarter and nine-month
period ended September 30, 2009 with the Securities and Exchange Commission on
or before November 9, 2009, and this filing will contain additional information
about the Company`s results of operations. 

About MedAssets

MedAssets (NASDAQ: MDAS) partners with healthcare providers to improve their
financial strength by implementing spend management and revenue cycle solutions
that help control cost, improve margins and cash flow, increase regulatory
compliance, and optimize operational efficiency. MedAssets serves more than 125
health systems, 3,300 hospitals and 30,000 non-acute care healthcare providers.
For more information, go to www.medassets.com. 

Use of Non-GAAP Financial Information

In order to provide investors with greater insight, promote transparency and
allow for a more comprehensive understanding of the information used by
management in its financial and operational decision-making, the Company
supplements its consolidated financial statements presented on a GAAP basis with
non-GAAP financial information, including: gross fees; revenue share obligation;
EBITDA; adjusted EBITDA; cash diluted EPS; acquisition-affected net revenue;
acquisition-affected EBITDA; acquisition-affected adjusted EBITDA; and
contracted revenue.

Reconciliations of these non-GAAP measures to their most directly comparable
GAAP measures, where possible, are included in the accompanying financial
schedules. Also, see "Use of Non-GAAP Financial Measures" following these
financial schedules for more information.

Safe Harbor Statement

This Press Release contains statements that constitute forward-looking
statements within the meaning of the Securities Act of 1933 and the Securities
Exchange Act of 1934, as amended by the Private Securities Litigation Reform Act
of 1995. Forward-looking statements contained in this Press Release include the
intent, belief or current expectations of the Company and its management team
with respect to the Company`s future business operations that include, but are
not limited to:2009 projections, costs and revenue growth, margin and other
financial projections; contracted revenue forecasts; and the Company`s ability
to successfully integrate and capitalize on synergies associated with its past
acquisitions. Investors are cautioned that any such forward-looking statements
are not guarantees of future performance, and involve risks and uncertainties,
and that actual results may differ materially from those contemplated by such
forward-looking statements. Important factors currently known to management that
could cause actual results to differ materially from those contemplated by the
forward-looking statements in this Press Release include, but are not limited
to:failure to realize improvements in performance, efficiency and profitability;
failure to complete anticipated sales under negotiations; failure to
successfully implement revenue backlog; lack of revenue growth; client losses;
and adverse developments with respect to the operation or performance of the
Company`s business units or the market price of its common stock. Additional
factors that could cause actual results to differ materially from those
contemplated within this Press Release can also be found in the Company`s Risk
Factor disclosures in its Form 10-K for the year ended December 31, 2008filed
with the Securities and Exchange Commission and available at
http://ir.medassets.com. The Company disclaims any responsibility to update any
forward-looking statements.

 CONSOLIDATED STATEMENTS OF OPERATIONS                                                                                                                                                                                                                                                   
 (UNAUDITED)                                                                                                                                                                                                                                                                             
                                                                                                                                                                                                                                                                
 In 000s, except per share data                                                                   Three Months Ended                                                                      Nine Months Ended                                                             
                                                                                                  September 30,                                                                           September 30,                                                                 
                                                                                                       2009                             2008                % Change                 2009                            2008                % Change     
                                                                                                                                                                                                                                                                
 Revenue:                                                                                                                                                                                                                                                       
 Administrative fees, net                                                                         $    25,631                      $    25,663              -0.1      %          $   78,495                   $      78,355              0.2       %  
 Other service fees                                                                                    56,762                           50,309              12.8      %              167,091                         117,610             42.1      %  
                                                                                                                                                                                                                                                                
 Total net revenue                                                                                     82,393                           75,972              8.5       %              245,586                         195,965             25.3      %  
                                                                                                                                                                                                                                                                
 Operating expenses:                                                                                                                                                                                                                                            
 Cost of revenue                                                                                       21,472                           17,101                                        55,830                          36,252                            
 Product development expenses                                                                          4,156                            4,719                                         15,424                          11,027                            
 Selling and marketing expenses                                                                        10,038                           9,641                                         36,529                          32,096                            
 General and administrative expenses                                                                   23,039                           22,779                                        77,971                          66,054                            
 Depreciation                                                                                          3,125                            2,581                                         9,020                           7,051                             
 Amortization of intangibles                                                                           7,018                            7,324                                         21,029                          16,117                            
 Impairment of property and equipment, intangibles and in process research and development                                                                                                                                                                      
                                                                                                  -                                -                                              -                            2,079                                 
                                                                                                                                                                                                                                                                
 Total operating expenses                                                                              68,848                           64,145              7.3       %              215,803                         170,676             26.4      %  
                                                                                                                                                                                                                                                                
 Operating income                                                                                      13,545                           11,827              14.5      %              29,783                          25,289              17.8      %  
 Other income (expense):                                                                                                                                                                                                                                        
 Interest (expense )                                                                                   (4,259  )                        (5,803  )           -26.6     %              (14,015  )                      (15,120  )          -7.3      %  
 Other income (expense)                                                                                223                              228                                           404                             (2,101   )                        
                                                                                                                                                                                                                                                                
 Income before income taxes                                                                            9,509                            6,252                                         16,172                          8,068                             
 Income tax expense                                                                                    3,613                            2,566                                         6,196                           3,259                             
                                                                                                                                                                                                                                                                
 Net income                                                                                            5,896                            3,686               60.0      %              9,976                           4,809               107.4     %  
                                                                                                                                                                                                                                                                
 Basic net income per share                                                                            0.11                             0.07                                          0.18                            0.10                              
                                                                                                                                                                                                                                                                
 Diluted net income per share                                                                     $    0.10                        $    0.07                42.9      %          $   0.17                     $      0.09                88.9      %  
                                                                                                                                                                                                                                                                
 Weighted average shares - basic                                                                       54,792                           53,715                                        54,589                          48,493                            
 Weighted average shares - diluted                                                                     57,855                           56,136              3.1       %              57,223                          51,035              12.1      %  
                                                                                                                                                                                                                                                      
                                                                                                                                                                                                                                                      


 CONSOLIDATED BALANCE SHEETS                                                                                                                                         
                                                                                                                                                              
                                                                                                                                                              
                                                                                                  September 30,                    December 31,               
 In 000s, except shares                                                                                   2009                           2008             
                                                                                                  Unaudited                        Audited                    
                                                                                                                                                              
 ASSETS                                                                                                                                                       
 Current                                                                                                                                                      
 Cash and cash equivalents                                                                        $       4,675                  $       5,429            
 Accounts receivable, net of allowances of $1,898 and $2,247 as of                                                                                            
 September 30, 2009 and December 31, 2008                                                                                                                     
                                                                                                  55,638                         55,048            
 Deferred tax asset, current                                                                              13,780                         13,780           
 Prepaid expenses and other current assets                                                                7,476                          5,997            
                                                                                                                                                              
 Total current assets                                                                                     81,569                         80,254           
                                                                                                                                                              
 Property and equipment, net                                                                              53,123                         42,417           
 Other long term assets                                                                                                                                       
 Goodwill                                                                                                 511,861                        508,748          
 Intangible assets, net                                                                                   102,756                        124,340          
 Other                                                                                                    19,586                         18,101           
                                                                                                                                                              
 Other long term assets                                                                                   634,203                        651,189          
                                                                                                                                                              
 Total assets                                                                                     $       768,895                $       773,860          
                                                                                                                                                              
 LIABILITIES AND STOCKHOLDERS` EQUITY                                                                                                                         
 Current liabilities                                                                                                                                          
 Accounts payable                                                                                 $       6,954                  $       6,725            
 Accrued revenue share obligation and rebates                                                             24,700                         29,698           
 Accrued payroll and benefits                                                                             17,851                         21,837           
 Other accrued expenses                                                                                   7,846                          6,981            
 Deferred revenue, current portion                                                                        25,886                         24,280           
 Deferred purchase consideration                                                                          -                              19,361           
 Current portion of notes payable                                                                         2,499                          30,277           
 Current portion of finance obligation                                                                    159                            149              
                                                                                                                                                              
 Total current liabilities                                                                                85,895                         139,308          
                                                                                                                                                              
 Notes payable, less current portion                                                                      228,287                        215,349          
 Finance obligation, less current portion                                                                 9,737                          9,860            
 Deferred revenue, less current portion                                                                   5,483                          6,411            
 Deferred tax liability                                                                                   13,834                         15,817           
 Other long term liabilities                                                                              5,296                          4,176            
                                                                                                                                                              
 Total liabilities                                                                                        348,532                        390,921          
                                                                                                                                                              
 Stockholders` equity                                                                                                                                         
 Common stock, $0.01 par value, 150,000,000 shares authorized; 56,488,000 and 53,917,000                                                                      
 shares issued and outstanding as of September 30, 2009 and December 31, 2008, respectively                                                                   
                                                                                                  565                            539               
 Additional paid in capital                                                                               632,631                        605,340          
 Accumulated other comprehensive loss                                                                     (1,957    )                    (2,088    )      
 Accumulated deficit                                                                                      (210,876  )                    (220,852  )      
                                                                                                                                                              
 Total stockholders` equity                                                                               420,363                        382,939          
                                                                                                                                                              
 Total liabilities and stockholders` equity                                                       $       768,895                $       773,860          
                                                                                                                                                          
                                                                                                                                                          


 CONSOLIDATED STATEMENTS OF CASH FLOWS                                                                                                                                                   
 (UNAUDITED)                                                                                                                                                                             
                                                                                                                   Nine Months Ended                                                  
 In 000s                                                                                                           September 30,                        September 30,             
                                                                                                                          2009                               2008             
                                                                                                                                                                                  
                                                                                                                                                                                  
 Operating activities:                                                                                                                                                            
 Net income                                                                                                        $      9,976                       $      4,809            
                                                                                                                                                                                  
 Adjustments to reconcile net income from continuing operations to net cash provided by operating activities:                                                                     
 Bad debt expense                                                                                                         3,823                              1,457            
 Depreciation                                                                                                             10,858                             7,359            
 Amortization of intangibles                                                                                              21,585                             16,806           
 Loss (gain) on sale of assets                                                                                            147                                (119      )      
 Non-cash stock compensation expense                                                                                      12,911                             6,591            
 Excess tax benefit from exercise of stock options                                                                        (6,073   )                         (1,697    )      
 Amortization of debt issuance costs                                                                                      1,382                              895              
 Noncash interest expense, net                                                                                            1,049                              906              
 Deferred income tax (benefit) expense                                                                                    (36      )                         937              
 Impairment of intangibles                                                                                                -                                  2,079            
                                                                                                                                                                                  
 Changes in assets and liabilities                                                                                        (15,671  )                         (8,918    )      
                                                                                                                                                                                  
 Cash provided by operating activities                                                                                    39,951                             31,105           
                                                                                                                                                                                  
 Investing activities:                                                                                                                                                            
 Purchases of property, equipment, and software                                                                           (9,233   )                         (3,891    )      
 Capitalized software development costs                                                                                   (12,268  )                         (8,378    )      
 Acquisitions, net of cash acquired                                                                                       (18,275  )                         (209,423  )      
                                                                                                                                                                                  
 Cash used in investing activities                                                                                        (39,776  )                         (221,692  )      
                                                                                                                                                                                  
 Financing activities:                                                                                                                                                            
 Proceeds from notes payable                                                                                              71,797                             142,629          
 Repayment of notes payable and capital lease obligations                                                                 (86,638  )                         (85,615   )      
 Repayment of finance obligation                                                                                          (494     )                         (483      )      
 Debt issuance costs                                                                                                      -                                  (6,167    )      
 Interest accrued on note receivable from stockholders                                                                    -                                  (18       )      
 Payment on note receivable from stockholders                                                                             -                                  69               
 Excess tax benefit from exercise of stock options                                                                        6,073                              1,697            
 Issuance of common stock, net of offering costs                                                                          8,333                              1,523            
                                                                                                                                                                                  
 Cash (used in) provided by financing activities                                                                          (929     )                         53,635           
                                                                                                                                                                                  
 Net decrease in cash and cash equivalents                                                                                (754     )                         (136,952  )      
 Cash and cash equivalents, beginning of period                                                                           5,429                              136,952          
                                                                                                                                                                                  
 Cash and cash equivalents, end of period                                                                          $      4,675                       $      -                
                                                                                                                                                                              
                                                                                                                                                                              


 SUPPLEMENTAL SEGMENT REPORTING                                                                                                                                       
                                                                                                                                                              
 RECONCILIATION OF SELECTED NON-GAAP MEASURES TO GAAP MEASURES                                                                                                        
 (UNAUDITED)                                                                                                                                                          
                                                                                                                                                              
 In 000s                                              Three Months Ended September 30,                                                                            
                                                            2009                                            2008                            % Change     
 Net revenue                                                                                                                                                  
 Revenue Cycle Management ("RCM")                     $     51,635                                    $     45,791                          12.8      %  
 Spend Management                                           30,758                                          30,181                          1.9       %  
                                                                                                                                                              
 Total net revenue                                          82,393                                          75,972                          8.5       %  
                                                                                                                                                              
                                                                                                                                                              
 Non-GAAP Adjusted EBITDA                                                          % margin                                      % margin                     
 Revenue Cycle Management                             $     17,964               34.8   %            $     14,003           30.6   %      28.3      %  
 Spend Management                                           15,710               51.1   %                  15,207           50.4   %      3.3       %  
 Corporate                                                  (5,126   )                                      (4,009   )                      27.9      %  
                                                                                                                                                              
 Total non-GAAP Adjusted EBITDA                       $     28,548               34.6   %            $     25,201           33.2   %      13.3      %  
                                                                                                                                                              
                                                                                                                                                              
                                                      Nine Months Ended September 30,                                                                             
                                                            2009                                            2008                            % Change     
 Net revenue                                                                                                                                                  
 Revenue Cycle Management ("RCM")                     $     149,425                                   $     102,218                         46.2      %  
 Spend Management                                           96,161                                          93,747                          2.6       %  
                                                                                                                                                              
 Total net revenue                                          245,586                                         195,965                         25.3      %  
 Non-GAAP acquisition-related RCM adjustments a             -                                               28,540                                        
                                                                                                                                                              
 Total non-GAAP acquisition-affected net revenue      $     245,586                                   $     224,505                         9.4       %  
                                                                                                                                                              
                                                                                                                                                              
 Non-GAAP Adjusted EBITDA                                                          % margin                                      % margin                     
 Revenue Cycle Management                             $     44,785               30.0   %            $     26,043           25.5   %      72.0      %  
 Spend Management                                           46,135               48.0   %                  46,547           49.7   %      -0.9      %  
 Corporate                                                  (15,529  )                                      (12,323  )                      26.0      %  
                                                                                                                                                              
 Total non-GAAP Adjusted EBITDA                       $     75,391               30.7   %            $     60,267           30.8   %      25.1      %  
 Non-GAAP acquisition-related RCM adjustments a             -                                               10,103                                        
                                                                                                                                                              
 Total non-GAAP acquisition-affected Adjusted EBITDA  $     75,391               30.7   %            $     70,370           31.3   %      7.1       %  
                                                                                                                                                              
                                                                                                                                                              
                                                                                                                                                              
 (a) Acquisition-related RCM adjustments include the historical results of Accuro's operations from January 1, 2008 through June 2, 2008 (the date of acquisition), inclusive of certain purchase accounting adjustments. 
                                                                                                                                                              
 See "Use of Non-GAAP Financial Measures" following financial schedules for more information on non-GAAP measures.                                                    
                                                                                                                                                                      
                                                                                                                                                                      


 SUPPLEMENTAL REVENUE REPORTING                                                                                                       
                                                                                                                             
 RECONCILIATION OF GROSS FEES (A NON-GAAP MEASURE) TO NET REVENUE                                                                     
 (UNAUDITED)                                                                                                                          
                                                                                                                             
 In 000s                                             Three Months Ended                                                          
                                                     September 30,                                                               
 ACTUAL                                                  2009                                 2008                       
                                                                                                                             
 Non-GAAP gross administrative fees                  $   39,222                           $   39,867                     
 Other service fees                                      56,762                               50,309                     
 Non-GAAP gross fees                                     95,984           RSO %               90,176         RSO %       
 Non-GAAP revenue share obligation (RSO)                 (13,591  )       34.7  %            (14,204  )     35.6  %    
 Net revenue                                         $   82,393                           $   75,972                     
                                                                                                                             
                                                                                                                             
                                                     Nine Months Ended                                                           
                                                     September 30,                                                               
 ACTUAL                                                  2009                                 2008                       
                                                                                                                             
 Non-GAAP gross administrative fees                  $   119,498                          $   117,634                    
 Other service fees                                      167,091                              117,610                    
 Non-GAAP gross fees                                     286,589          RSO %               235,244        RSO %       
 Non-GAAP revenue share obligation (RSO)                 (41,003  )       34.3  %            (39,279  )     33.4  %    
 Net revenue                                         $   245,586                          $   195,965                    
                                                                                                                             
                                                                                                                             
 NON-GAAP ACQUISITION-AFFECTED RESULTS                                                                                       
                                                                                                                             
 Non-GAAP gross administrative fees                                                         $   117,634                    
 Other service fees                                                                             117,610                    
 Non-GAAP acquisition-related RCM adjustments b                                                 28,540                     
 Non-GAAP gross fees b                                                                          263,784        RSO %       
 Non-GAAP revenue share obligation                                                              (39,279  )     33.4  %    
 Net revenue b                                                                              $   224,505                    
                                                                                                                             
                                                                                                                             
                                                                                                                             
 (b) Non-GAAP, acquisition-affected adjustments include the historical results of Accuro's operations from January 1, 2008 through June 2, 2008 (the date of acquisition), inclusive of certain purchase accounting adjustments. 
                                                                                                                                      
 See "Use of Non-GAAP Financial Measures" following financial schedules for more information on non-GAAP measures.                    
                                                                                                                                      
                                                                                                                                      


 SUPPLEMENTAL REPORTING OF ADJUSTED EBITDA                                                                                                                                                                                                   
                                                                                                                                                                                                                                    
 RECONCILIATION OF SELECTED NON-GAAP MEASURES TO GAAP MEASURES                                                                                                                                                                               
 (UNAUDITED)                                                                                                                                                                                                                                 
                                                                                                                                                                                                                                    
 In 000s                                                                Three Months Ended                                                                              Nine Months Ended                                               
                                                                        September 30,                                                                                   September 30,                                                   
 ACTUAL RESULTS                                                                   2009                                    2008                                              2009                               2008         
                                                                                                                                                                                                                                    
 Net Income                                                             $         5,896                         $         3,686                                   $         9,976                         $    4,809        
                                                                                                                                                                                                                                    
 Depreciation                                                                     3,125                                   2,581                                             9,020                              7,051        
 Amortization of intangibles                                                      7,018                                   7,324                                             21,029                             16,117       
 Amortization of intangibles (included in cost of revenue)                        801                                     233                                               2,391                              995          
 Interest expense, net                                                            4,255                                   5,761                                             13,994                             13,715       
 Income tax expense                                                               3,613                                   2,566                                             6,196                              3,259        
                                                                                                                                                                                                                                    
 Non-GAAP EBITDA                                                                  24,708                                  22,151                                            62,606                             45,946       
                                                                                                                                                                                                                                    
 Impairment of intangibles                                                        -                                       -                                                 -                                  2,079        
 Share-based compensation                                                         3,951                                   2,452                                             12,911                             6,591        
 Rental income from capitalized building lease                                    (110      )                             (109      )                                       (329      )                        (329    )    
 Purchase accounting adjustments                                                  (1        )                             707                                               203                                2,066        
 Interest rate swap cancellation                                                  -                                       -                                                 -                                  3,914        
                                                                                                                                                                                                                                    
 Non-GAAP Adjusted EBITDA                                               $         28,548                        $         25,201                                  $         75,391                        $    60,267       
                                                                                                                                                                                                                                    
                                                                                                                                                                                                                                    
 NON-GAAP ACQUISITION-AFFECTED RESULTS                                                                                                                                                                                              
                                                                                                                                                                                                                                    
 Net Income                                                                                                                                                           $         9,976                         $    4,809        
 Non-GAAP acquisition-related net income                                                                                                                                        -                                  (1,674  )    
                                                                                                                                                                                                                                    
 Non-GAAP acquisition-affected net income                                                                                                                                       9,976                              3,135        
                                                                                                                                                                                                                                    
 Depreciation c                                                                                                                                                                 9,020                              7,673        
 Amortization of intangibles c                                                                                                                                                  21,029                             22,321       
 Amortization of intangibles (included in cost of revenue) c                                                                                                                    2,391                              995          
 Interest expense, net c                                                                                                                                                        13,994                             18,004       
 Income tax expense c                                                                                                                                                           6,196                              2,226        
                                                                                                                                                                                                                                    
 Non-GAAP acquisition-affected EBITDA                                                                                                                                           62,606                             54,354       
                                                                                                                                                                                                                                    
 Impairment of intangibles                                                                                                                                                      -                                  2,079        
 Share-based compensation c                                                                                                                                                     12,911                             7,108        
 Rental income from capitalized building lease                                                                                                                                  (329      )                        (329    )    
 Purchase accounting adjustments c                                                                                                                                              203                                3,244        
 Interest rate swap cancellation                                                                                                                                                -                                  3,914        
                                                                                                                                                                                                                                    
 Non-GAAP acquisition-affected Adjusted EBITDA                                                                                                                        $         75,391                        $    70,370       
                                                                                                                                                                                                                                    
                                                                                                                                                                                                                                    
                                                                                                                                                                                                                                    
                                                                                                                                                                                                                                    
 (c) Non-GAAP, acquisition-affected adjustments include the historical results of Accuro's operations from January 1, 2008 through June 2, 2008 (the date of acquisition), inclusive of certain purchase accounting adjustments.             
                                                                                                                                                                                                                                    
 See "Use of Non-GAAP Financial Measures" following financial schedules for more information on non-GAAP measures.                                                                                                                          
                                                                                                                                                                                                                                            
                                                                                                                                                                                                                                            


 SUPPLEMENTAL EARNINGS PER SHARE REPORTING                                                                                                                                                     
                                                                                                                                                                                  
 RECONCILIATION OF SELECTED NON-GAAP MEASURES TO GAAP MEASURES                                                                                                                                 
 (UNAUDITED)                                                                                                                                                                                   
                                                                                                                                                                                  
                                                                         Three Months Ended                                             Nine Months Ended                               
 Per share data                                                          September 30,                                                  September 30,                                   
                                                                              2009                   2008                              2009                         2008    
                                                                                                                                                                                  
 Diluted EPS attributable to common stockholders                         $    0.10              $    0.07                         $    0.17                    $    0.09    
                                                                                                                                                                                  
 Non-cash, tax-adjusted acquisition-related intangible amortization           0.08                   0.08                              0.23                         0.20    
                                                                                                                                                                                  
 Non-cash, tax-adjusted share-based compensation                              0.04                   0.03                              0.14                         0.08    
                                                                                                                                                                                  
 Tax-adjusted interest rate swap cancellation                                 -                      -                                 -                            0.05    
                                                                                                                                                                                  
 Non-cash, tax-adjusted impairment of intangibles                             -                      -                                 -                            0.02    
                                                                                                                                                                                  
 Non-GAAP cash diluted EPS                                               $    0.22              $    0.18                         $    0.54                    $    0.44    
                                                                                                                                                                                  
 Weighted average shares - diluted (in 000s)                                  57,855                 56,136                            57,223                       51,035  
                                                                                                                                                                                  
                                                                                                                                                                                  
 SUPPLEMENTAL 2009 ADJUSTED EBITDA GUIDANCE                                                                                                                                                    
                                                                                                                                                                                  
 RECONCILIATION OF SELECTED NON-GAAP MEASURES TO GAAP MEASURES                                                                                                                                 
 (UNAUDITED)                                                                                                                                                                                   
                                                                                                                                                                                  
                                                                                                 Guidance Range for                                                                   
                                                                                                 Twelve Months Ending                                                                 
 In 000s                                                                                         December 31,                                                                         
                                                                                                 2009                                                                                
                                                                                                 (Low)                               (High)                                       
                                                                                                                                                                                  
 Net Income                                                                                      $    18,100                       $    21,200                                
                                                                                                                                                                                  
 Depreciation                                                                                         12,700                            12,300                                
 Amortization of intangibles                                                                          28,000                            28,000                                
 Amortization of intangibles (included in cost of revenue)                                            3,200                             3,200                                 
 Interest expense, net                                                                                18,200                            17,800                                
 Income tax expense                                                                                   12,200                            14,300                                
                                                                                                                                                                                  
 Non-GAAP EBITDA                                                                                      92,400                            96,800                                
                                                                                                                                                                                  
 Share-based compensation                                                                             17,500                            17,100                                
 Rental income from capitalized building lease                                                        (400     )                        (400     )                            
 Purchase accounting adjustments                                                                      500                               500                                   
                                                                                                                                                                                  
 Non-GAAP adjusted EBITDA                                                                        $    110,000                      $    114,000                               
                                                                                                                                                                                  
                                                                                                                                                                                  
 SUPPLEMENTAL 2009 EARNINGS PER SHARE GUIDANCE                                                                                                                                                 
                                                                                                                                                                                  
 RECONCILIATION OF SELECTED NON-GAAP MEASURES TO GAAP MEASURES                                                                                                                                 
 (UNAUDITED)                                                                                                                                                                                   
                                                                                                                                                                                  
                                                                                                 Guidance Range for                                                                   
                                                                                                 Twelve Months Ending                                                                 
                                                                                                 December 31,                                                                         
 In 000s, except per share data                                                                  2009                                                                                
                                                                                                 (Low)                               (High)                                       
                                                                                                                                                                                  
 Net Income                                                                                      $    18,100                       $    21,200                                
                                                                                                                                                                                  
 Diluted EPS                                                                                          0.31                              0.37                                  
 Non-cash, tax-adjusted acquisition-related intangible amortization                                   0.29                              0.29                                  
                                                                                                                                                                                  
 Non-cash, tax-adjusted share-based compensation                                                      0.18                              0.18                                  
                                                                                                                                                                                  
 Non-GAAP cash diluted EPS                                                                       $    0.78                         $    0.84                                  
                                                                                                                                                                                  
                                                                                                                                                                                  
 Fully diluted weighted average shares outstanding                                                    57,400                            57,400                                
                                                                                                                                                                                  
                                                                                                                                                                                  
                                                                                                                                                                                  
                                                                                                                                                                                  
 See "Use of Non-GAAP Financial Measures" following financial schedules for more information on non-GAAP measures.                                                                             
                                                                                                                                                                                               
                                                                                                                                                                                               


 Use of Non-GAAP Financial Measures 
     
 In order to provide investors with greater insight, promote transparency and allow for a more comprehensive understanding of the information used by management and the board of directors in their financial and operational decision-making, the Company supplements its consolidated condensed financial statements presented on a GAAP basis with the following non-GAAP financial information: gross fees, revenue share obligation, EBITDA, adjusted EBITDA; cash diluted EPS; acquisition-affected net revenue, 
 acquisition-affected adjusted EBITDA and contracted revenue. 
     
 These non-GAAP financial measures may have limitations as analytical tools and should not be considered in isolation or as a substitute for analysis of the Company`s results as reported under GAAP. The Company compensates for such limitations by relying primarily on the Company`s GAAP results and using non-GAAP financial measures only supplementally. Where possible, the Company provides reconciliations of non-GAAP financial measures to the most directly comparable GAAP measures. Investors are encouraged to 
 carefully review those reconciliations. In addition, because these non-GAAP measures are not measures of financial performance under GAAP and are susceptible to varying calculations, these measures, as defined by the Company, may differ from and may not be comparable to similarly titled measures used by other companies. 
     
 Gross fees include all administrative fees the Company receives pursuant to its vendor contracts and all other fees the Company receives from customers. The Company's revenue share obligation represents the portion of the administrative fees the Company is contractually obligated to share with certain of its GPO customers. Total net revenue (a GAAP measure) reflects the Company's gross fees net of its revenue share obligation. These non-GAAP measures assist management and the board of directors and may be 
 helpful to investors in analyzing the Company's growth in its Spend Management segment given that administrative fees constitute a material portion of the Company's revenue and are paid to the Company by over 1,200 vendors contracted by its GPO, and that the Company's revenue share obligation constitutes a significant outlay to certain of its GPO customers. 
     
 The Company defines: EBITDA as net income (loss) before net interest expense, income tax expense (benefit), depreciation and amortization; adjusted EBITDA as net income (loss) before net interest expense, income tax expense (benefit), depreciation and amortization and other non-recurring, non-cash or non-operating items; and adjusted diluted EPS as earnings per share excluding non-cash acquisition-related intangible amortization and non-recurring expense items on a tax-adjusted basis. EBITDA, adjusted 
 EBITDA and adjusted diluted EPS are used by the Company to facilitate a comparison of its operating performance on a consistent basis from period to period and provides for a more complete understanding of factors and trends affecting our business. These measures assist management and the board of directors and may be useful to investors in comparing the Company's operating performance consistently over time as it removes the impact of its capital structure (primarily interest charges and amortization of 
 debt issuance costs), asset base (primarily depreciation and amortization) and items outside the control of the management team (taxes), as well as other non-cash (purchase accounting adjustments and imputed rental income) and non-recurring items, from the Company`s operational results. Adjusted EBITDA also removes the impact of non-cash share-based compensation expense. EBITDA, adjusted EBITDA and adjusted diluted EPS are not measures of liquidity under GAAP, or otherwise, and are not alternatives to cash 
 flow from continuing operating activities. 
     
 The Company defines cash diluted EPS as earnings per share excluding non-cash acquisition-related intangible amortization and non-recurring expense items on a tax-adjusted basis and non-cash tax-adjusted shared-based compensation expense. Cash diluted EPS is not a measure of liquidity under GAAP, or otherwise, and is not an alternative to cash flow from continuing operating activities. Cash diluted EPS growth is used by the Company as the financial performance metric tied to the vesting of certain equity 
 awards granted pursuant to the Company`s Long-Term Performance Incentive Plan.  Use of this measure for this purpose allows management and the board of directors to analyze the Company`s operating performance on a consistent basis by removing the impact of certain non-cash and non-recurring items from our operations, and by rewarding organic growth and accretive business transactions.  As a significant portion of senior management`s incentive based compensation is based on the achievement of certain cash 
 diluted EPS growth over time, investors may find such information useful. 
     
 Acquisition-affected results include the activity of Accuro prior to the Company`s actual ownership.  The Accuro acquisition was consummated on June 2, 2008. These results assume the acquisition of Accuro occurred on January 1, 2008. Acquisition-affected net revenue and adjusted EBITDA are used by management and the board of directors to better understand the extent of growth of the Revenue Cycle Management segment.  Given the significant impact that this transaction had on the Company during the fiscal 
 year ended December 31, 2008 and the nine months ended September 30, 2009, the Company believes such acquisition-affected measures may be useful and meaningful to investors in their analysis of such growth. Non-GAAP acquisition-affected measures are for illustrative and informational purposes only and are not intended to represent or be indicative of what the Company's results of operations would have been if this transaction had occurred at the beginning of 2008. These measures also should not be 
 considered representative of the Company's future results of operations. 
     
 Contracted revenue is a forward-looking operating measure used by management and the board of directors to better understand revenue growth trends within the Company's business segments as it reflects the Company`s current estimate of contractually committed revenue to be generated under existing customer contracts in the forward 12-month period.  Such information may be useful to investors in their analysis of the Company's revenue growth trends. A reconciliation to the most directly comparable GAAP 
 measure cannot be performed without unreasonable effort. 


mdas/F

MedAssets, Inc.
Robert P. Borchert, 678-248-8194
VP, Investor Relations
rborchert@medassets.com

Copyright Business Wire 2009



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