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QuadraMed Corporation Announces Q3 2008 Results



Reston, VA — November 6, 2008 —

RESTON, Va.--(BUSINESS WIRE)--Nov. 6, 2008--QuadraMed Corporation (NASDAQ: QDHC) announced today that it will report net income of $2.5 million before preferred stock dividends for the three months ended September 30, 2008, compared to $1.5 million for the same period in 2007. For the nine months ended September 30, 2008, the Company had net income before preferred stock dividends of $4.6 million, compared to $6.3 million for the nine months ended September 30, 2007.

The Company began recording deferred income tax expense at its statutory effective tax rate during the fourth quarter of 2007; therefore, where there was non-cash deferred income tax expense included in the three and nine month periods ended September 30, 2008, there was no comparable deferred income tax expense in the corresponding 2007 periods. Income before income taxes was $4.1 million for the three months ended September 30, 2008, compared to $1.6 million for the same period in 2007. For the nine months ended September 30, 2008, the Company had income before income taxes of $7.5 million, compared to $6.7 million for the nine months ended September 30, 2007. In addition, included in the nine month period ended September 30, 2008 was a $1.1 million loss on the sale of the Company's Australia-based lab and radiology assets, as well as severance costs of $0.7 million. No amounts of this nature were recorded in the corresponding 2007 periods.

The Company recorded revenue of $38.6 million for the quarter ended September 30, 2008, compared to $32.9 million for the same period last year, an increase of 17.3%. For the nine months ended September 30, 2008, revenue increased 16.0% to $111.9 million, from $96.5 million for the comparable 2007 period. The majority of the increase in revenue between periods was attributable to the addition of the acquired QCPR product to the Company's portfolio, resulting from the integration of the Computerized Patient Record (CPR) business assets during the fourth quarter of 2007.

Income from operations was $4.0 million and $1.0 million for the three month periods ended September 30, 2008 and 2007, and $7.2 million and $4.4 million for the nine month periods ended September 30, 2008 and 2007, respectively. Adjusted Non-GAAP EBITDA (Earnings Before Interest, Taxes, Depreciation and Amortization, adjusted for stock based compensation, severance and loss on the sale of assets) was $5.9 million for the three months ended September 30, 2008, compared to adjusted Non-GAAP EBITDA of $2.6 million for the same period in 2007. For the nine months ended September 30, 2008, the Company had adjusted Non-GAAP EBITDA of $14.9 million, compared to $10.1 million for the nine months ended September 30, 2007. The increases in income from operations and Non-GAAP adjusted EBITDA for the 2008 periods, when compared to the corresponding 2007 periods, were due to the stronger amounts of gross margin on revenue which increased primarily due to the addition of the acquired QCPR product to the Company's portfolio.

The Company also reported net income to common shareholders of $1.1 million, or $0.12 income per basic and diluted share for the three months ended September 30, 2008, and net income to common shareholders of $0.4 million, or $0.05 per basic and diluted share for the nine months ended September 30, 2008. This is compared to a net loss to common shareholders of $(0.5) million, or loss per share of $(0.06) basic and diluted, and net income to common shareholders of $1.7 million, or income per share of $0.19 basic and $0.18 diluted for the corresponding periods in 2007. The primary reasons for the decline in earnings per share for the 2008 nine month period were the aforementioned severance and loss on the sale of assets ($0.12 per share), as well as the recording of deferred income tax expense during 2008 at the Company's effective rate ($0.28 per share), where there were no such expenses in the 2007 periods.

Included in the quarter and nine month period ended September 30, 2008 is revenue of $1.5 million and $2.1 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 margin, net income and adjusted Non-GAAP EBITDA and other measures also include the $1.5 million and $2.1 million for the quarter and nine month period respectively. Were these revenues not recorded in the current periods, revenue which was reported as $38.6 million for the quarter and $111.9 million for the nine month period would have been $37.1 million and $109.8 million respectively; gross margin which was reported as 60% for the quarter and 58% for the nine month period would have been 58% and 57% respectively; net income which was reported as $2.5 million for the quarter and $4.6 million for the nine month period would have been $1.6 million and $3.3 million respectively; adjusted Non-GAAP EBITDA as presented on Exhibits 4 and 5 of this press release as $5.9 million or 15% of revenue for the quarter and $14.9 million or 13% of revenue for the nine month period would have been $4.4 million or 12% of revenue and $12.8 million or 12% of revenue respectively.

Cash provided by operating activities was $2.8 million for the quarter ended September 30, 2008, compared to $4.0 million for the same period last year, and for the nine months ended September 30, 2008, cash provided by operating activities was $15.0 million, compared to cash from operations of $17.8 million for the comparable 2007 period. Overall, cash, cash equivalents and investments increased to $23.8 million at September 30, 2008, from $23.2 million at June 30, 2008 and from $17.5 million at December 31, 2007. This $6.3 million increase since year-end occurred despite the Company's use of $3.7 million to repurchase its own common stock during the period.

"We are continuing to successfully perform against our internal forecasts for revenues, earnings, and product development through the third quarter of this year. We have also reported the signing of several significant QCPR deals during the quarter. However, given the uncertainty in the financial markets, and their uncertain effect on our sector, we now expect our 2008 revenue to be at the lower end of our previously announced range," said Keith B. Hagen, QuadraMed's President and Chief Executive Officer.

Management will review these results in an investment community conference call at 5:00 PM Eastern (2:00 PM Pacific) on Thursday, November 6, 2008. 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 888-300-2324 domestic and 719-325-2452 international. Callers should dial in by 4:45 PM Eastern (1:45 PM Pacific) to register. The call will also be webcast live and is 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. The webcast replay will be available shortly after the live call is completed and will be available until November 14, 2008. Replay telephone numbers are 719-457-0820 or 888-203-1112; the replay passcode is 7408235.


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

The Company's use and presentation of the terms EBITDA, Adjusted Non-GAAP EBITDA and other Non-GAAP Measurements included in this press release and Exhibits 4 and 5 attached 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 Non-GAAP 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 Non-GAAP EBITDA and other Non-GAAP reconciliations represent specific events or items as follows (please see Exhibits 4 and 5 to this press release):


    --  Cash Severance - costs associated with restructuring and
        downsizing of the Company's employee base during the
        three-month periods ended March 31, 2008, and in connection
        with the sale of the Company's Australian-based lab and
        radiology assets in April 2008 (see Loss on Sale of Assets);

    --  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;

    --  Non-Cash Compensation - the costs of employee stock options
        and restricted stock;

    --  Tax Benefit, Net - the amount recorded during the three months
        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
        periods ended June 30, 2007 and December 31, 2007;

    --  Employment Matters - the cost of the Company's review of
        wage/hour classifications for certain employees during the
        three-month periods ended December 31, 2007 and September 30,
        2007.

    About QuadraMed Corporation

QuadraMed Corporation advances the success of healthcare organizations through IT solutions that leverage quality care into positive financial outcomes. QuadraMed provides real world solutions that help healthcare professionals deliver outstanding patient care efficiently and cost effectively. 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 by QuadraMed that are subject to risks and uncertainties. The words "believe," "expect," "anticipate," "intend," "plan," "estimate," "may," "should," "could," and similar expressions are intended to identify such statements. Forward-looking statements are not guarantees of future performance 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 except as required by law. QuadraMed advises investors that it discusses risk factors and uncertainties that could cause QuadraMed's actual results to differ from forward-looking statements in its periodic reports filed with the Securities and Exchange Commission ("SEC"). 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 Affinity and Care-based Revenue Cycle are registered trademarks of QuadraMed Corporation. QuadraMed Corporation's trademark: "Quality Care. Financial Health" is pending registration. 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                       2008           2007
                                          -------------  -------------

Current assets
   Cash and cash equivalents              $     15,410   $      7,119
   Short-term investments                        5,210          9,169
   Accounts receivable, net of allowance
    for doubtful accounts of $1,088 and
    $1,449, respectively                        20,402         26,088
   Unbilled receivables                          9,679          5,183
   Deferred contract expenses                    5,608          6,060
   Prepaid expenses and other current
    assets, net of allowance of $919 and
    $1,229, respectively                         4,880          5,367
   Deferred tax asset, net of valuation
    allowance                                    7,376          7,376
                                          -------------  -------------
      Total current assets                      68,565         66,362

   Restricted cash                               1,556          2,389
   Long-term investments                         3,218          1,197
   Property and equipment, net of
    accumulated depreciation and
    amortization of $22,723, and $22,855,
    respectively                                 3,166          3,778
   Goodwill                                     35,632         33,942
   Other amortizable intangible assets,
    net of accumulated amortization of
    $29,110 and $31,119, respectively           10,177         11,768
   Other long-term assets                        3,043          3,182
   Deferred tax asset, net of valuation
    allowance                                   49,729         49,758
                                          -------------  -------------
      Total assets                        $    175,086   $    172,376
                                          =============  =============

  LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities
   Accounts payable and accrued expenses  $      5,477   $      4,910
   Accrued payroll and related benefits          5,997          9,602
   Accrued exit cost of facility closing           872          1,178
   Other accrued liabilities                     6,908          7,537
   Dividends payable                             1,375          1,375
   Deferred revenue                             44,733         36,111
                                          -------------  -------------
      Total current liabilities                 65,362         60,713

   Accrued exit cost of facility closing           227            888
   Other long-term liabilities                   1,883          2,722
                                          -------------  -------------
      Total liabilities                         67,472         64,323

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; 9,451 and 9,178 shares
    issued and 8,954 and 9,057
    outstanding, respectively                       99            459
   Shares held in treasury, 497 and 121,
    respectively                                (4,020)          (292)
   Additional paid-in-capital                  314,183        310,557
   Accumulated other comprehensive loss           (504)           (80)
   Accumulated deficit                        (298,288)      (298,735)
                                          -------------  -------------
      Total stockholders' equity               107,614        108,053
                                          -------------  -------------
      Total liabilities and stockholders'
       equity                             $    175,086   $    172,376
                                          =============  =============



                                                             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,
                           --------------------- ---------------------
                              2008       2007       2008       2007
                           ---------- ---------- ---------- ----------
Revenue
   Services                $   5,930  $   4,348  $  17,102  $  12,887
   Maintenance                18,205     14,115     51,734     42,274
   Installation and other      3,153      3,081      9,614      8,323
                           ---------- ---------- ---------- ----------
      Services and other
       revenue                27,288     21,544     78,450     63,484
   Term licenses               8,099      8,485     23,651     22,093
   Perpetual licenses          3,127      2,455      9,260      7,036
                           ---------- ---------- ---------- ----------
      License revenue         11,226     10,940     32,911     29,129
   Hardware                       75        424        505      3,863
                           ---------- ---------- ---------- ----------
         Total revenue        38,589     32,908    111,866     96,476
                           ---------- ---------- ---------- ----------

Cost of revenue
   Cost of services and
    other revenue             11,487      9,722     34,324     25,434
   Royalties and other         3,671      4,237     11,365     11,273
   Amortization of
    acquired technology
    and capitalized
    software                     245          -        756        825
                           ---------- ---------- ---------- ----------
      Cost of license
       revenue                 3,916      4,237     12,121     12,098
   Cost of hardware
    revenue                       64        146        328      3,533
                           ---------- ---------- ---------- ----------
         Total cost of
          revenue             15,467     14,105     46,773     41,065
                           ---------- ---------- ---------- ----------
         Gross margin         23,122     18,803     65,093     55,411
                           ---------- ---------- ---------- ----------

Operating expense
   General and
    administration             5,027      4,464     14,907     12,916
   Software development        8,328      8,144     25,362     23,218
   Sales and marketing         4,968      4,536     14,105     12,345
   Loss on sale of assets         46          -      1,161          -
   Amortization of
    intangible assets and
    depreciation                 761        707      2,400      2,505
                           ---------- ---------- ---------- ----------
         Total operating
          expenses            19,130     17,851     57,935     50,984
                           ---------- ---------- ---------- ----------
Income from operations         3,992        952      7,158      4,427
                           ---------- ---------- ---------- ----------

Other income (expense)
   Interest expense,
    includes non-cash
    charges of $18, $20
    and $54, $104                (26)       (24)       (99)      (107)
   Interest income               136        699        460      1,916
   Other income, net               1         17          9        503
                           ---------- ---------- ---------- ----------
         Other income, net       111        692        370      2,312
                           ---------- ---------- ---------- ----------

Income from operations
 before income taxes       $   4,103  $   1,644  $   7,528  $   6,739
   Provision for income
    taxes                     (1,634)      (142)    (2,963)      (413)
                           ---------- ---------- ---------- ----------
Net Income                     2,469      1,502      4,565      6,326
   Preferred stock
    accretion, dividend
    premium, and dividend
    declared                  (1,375)    (2,024)    (4,125)    (4,657)
                           ---------- ---------- ---------- ----------

Net income (loss)
 attributable to common
 shareholders              $   1,094  $    (522) $     440  $   1,669
                           ========== ========== ========== ==========

Income (loss) per share
   Basic                   $    0.12  $   (0.06) $    0.05  $    0.19
   Diluted                 $    0.12  $   (0.06) $    0.05  $    0.18

Weighted average shares
 outstanding
   Basic                       8,931      8,769      8,930      8,776
   Diluted                     8,962      8,769      8,963      9,464



                                                             Exhibit 3

                        QUADRAMED CORPORATION
           CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
                            (in thousands)
                             (unaudited)


                            Three months ended     Nine months ended
                               September 30,         September 30,
                           --------------------- ---------------------
                              2008       2007       2008       2007
                           ---------- ---------- ---------- ----------
Cash flows from operating
 activities
   Net income              $   2,469  $   1,502  $   4,565  $   6,326
   Adjustments to
    reconcile net income
    to net cash provided
    by operating
    activities:
      Depreciation and
       amortization            1,006        707      3,157      3,331
      Deferred
       compensation
       amortization               85         95        273        287
      Dividend discount
       amortization                -          2          -         50
      Stock-based
       compensation              805        807      2,445      1,546
      Provision for bad
       debts                      34          -        164        181
      Loss on sale of
       assets                     46          -      1,161          -
      Other                       18         57        (16)       (32)

   Changes in operating
    assets and
    liabilities:
      Accounts receivable     (1,835)     1,650     (3,861)     4,798
      Prepaid expenses and
       other                   3,583       (249)     1,247      2,935
      Accounts payable and
       accrued liabilities     2,695      3,465     (5,294)    (1,035)
      Deferred revenue        (6,081)    (4,013)    11,155       (539)
                           ---------- ---------- ---------- ----------
         Cash provided by
          operating
          activities           2,825      4,023     14,996     17,848

Cash flows from investing
 activities
   Decrease (increase) in
    restricted cash              173         56        833        (38)
   Purchases of available-
    for-sale securities         (190)   (13,278)    (4,220)   (46,691)
   Proceeds from sale of
    available-for-sale
    securities                   190     23,608      6,049     44,224
   Payment of acquisition
    costs                        (10)         -        (56)         -
   Purchases of property
    and equipment               (575)      (933)    (1,418)    (1,471)
   Cash paid in the
    acquisition of the
    Computerized Patient
    Record business                -    (33,674)         -    (33,674)
   Proceeds from sale of
    assets                         -          -        106          -
                           ---------- ---------- ---------- ----------
      Cash (used in)
       provided by
       investing
       activities               (412)   (24,221)     1,294    (37,650)

Cash flows from financing
 activities
   Payment of preferred
    stock dividends           (1,375)    (1,375)    (4,125)    (4,253)
   Proceeds from issuance
    of common stock and
    other                        395        759        545      2,194
   Repurchase of common
    stock                          -          -     (3,727)         -
                           ---------- ---------- ---------- ----------
      Cash used in
       financing
       activities               (980)      (616)    (7,307)    (2,059)

Effect of exchange rate
 changes on cash                (626)        71       (692)        (6)

Net increase (decrease) in
 cash and cash equivalents       807    (20,743)     8,291    (21,867)

Cash and cash equivalents,
 beginning of period          14,603     31,472      7,119     32,596
                           ---------- ---------- ---------- ----------

Cash and cash equivalents,
 end of period             $  15,410  $  10,729  $  15,410  $  10,729
                           ========== ========== ========== ==========


                                                             Exhibit 4

                        QUADRAMED CORPORATION
          RECONCILIATION OF EBITDA AND NON-GAAP MEASUREMENTS
                            (in thousands)
                             (unaudited)


                         For the Three Month Periods Ended
              --------------------------------------------------------
              9/30/08 6/30/08 3/31/08 12/31/07 9/30/07 6/30/07 3/31/07
              ------- ------- ------- -------- ------- ------- -------


EBITDA
 (Earnings
 Before
 Interest,
 Taxes,
 Depreciation
 and
 Amortization)
--------------

Net income, as
 reported      $2,469  $1,787    $309  $56,674  $1,502  $2,200  $2,624

Adjustments to
 Net Income
 for EBITDA
Interest
 Expense           26      42      31       20      24      33      50
Interest
 Income         (136)   (158)   (166)    (364)   (699)   (644)   (573)
(Provision)
 benefit for
 Income Taxes   1,634   1,151     178 (52,821)     142     162     109
Depreciation
 and
 Amortization   1,091   1,159   1,180    1,323     802   1,326   1,490
              ------- ------- ------- -------- ------- ------- -------
Subtotal Non-
 GAAP
 Adjustments
 for EBITDA     2,615   2,194   1,223 (51,842)     269     877   1,076

              ------- ------- ------- -------- ------- ------- -------
EBITDA         $5,084  $3,981  $1,532   $4,832  $1,771  $3,077  $3,700
              ======= ======= ======= ======== ======= ======= =======
EBITDA % to
 Revenue        13.2%   10.5%    4.3%    11.8%    5.4%    9.0%   12.7%

Non-GAAP
 Adjustments
 to EBITDA
Non-cash
 Compensation     805     841     799      928     807     356     383
Cash Severance      -     161     561        -       -       -       -
Loss on Sale
 of Assets          -   1,115       -        -       -       -       -
              ------- ------- ------- -------- ------- ------- -------
Subtotal Non-
 GAAP
 Adjustments
 to EBITDA        805   2,117   1,360      928     807     356     383

              ------- ------- ------- -------- ------- ------- -------
Adjusted Non-
 GAAP EBITDA   $5,889  $6,098  $2,892   $5,760  $2,578  $3,433  $4,083
              ======= ======= ======= ======== ======= ======= =======
Adjusted Non-
 GAAP EBITDA %
 to Revenue     15.3%   16.1%    8.2%    14.1%    7.8%   10.0%   14.0%


Non-GAAP Net
 Income before
 Preferred
 Stock
 Accretion
--------------

Net income, as
 reported      $2,469  $1,787    $309  $56,674  $1,502  $2,200  $2,624

Non-GAAP
 adjustments
 to Net income
Non-cash
 Compensation     805     841     799      928     807     356     383
Cash Severance      -     161     561        -       -       -       -
Strategic
 Initiatives        -       -       -       57       -     412       -
Tax benefit,
 Net                -       -       - (52,898)       -       -       -
Employment
 Matters            -       -       -    (374)   1,544       -       -
Loss on Sale
 of Assets          -   1,115       -        -       -       -       -
              ------- ------- ------- -------- ------- ------- -------
Subtotal Non-
 GAAP
 adjustments      805   2,117   1,360 (52,287)   2,351     768     383

              ------- ------- ------- -------- ------- ------- -------
Non-GAAP Net
 income        $3,274  $3,904  $1,669   $4,387  $3,853  $2,968  $3,007
              ======= ======= ======= ======== ======= ======= =======

Other
 Information
--------------

Revenue       $38,589 $37,986 $35,291  $40,874 $32,908 $34,362 $29,206
Costs of
 Revenue      $15,467 $15,760 $15,546  $16,167 $14,105 $15,991 $10,969
              ------- ------- ------- -------- ------- ------- -------
Gross Margin  $23,122 $22,226 $19,745  $24,707 $18,803 $18,371 $18,237
              ======= ======= ======= ======== ======= ======= =======
Gross Margin %    60%     59%     56%      60%     57%     53%     62%

    About Adjusted Non-GAAP EBITDA and other Non-GAAP Measurements

The Company's use and presentation of the terms EBITDA, Adjusted Non-GAAP EBITDA and other Non-GAAP Measurements included in this press release and on Exhibits 4 and 5 thereto, 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 Non-GAAP 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 Non-GAAP EBITDA and other Non-GAAP reconciliations represent specific events or items as follows:



    --  Cash Severance -- costs associated with restructuring and
        downsizing of the Company's employee base during the
        three-month periods ended March 31, 2008, and in connection
        with the sale of the Company's lab and radiology assets in
        April 2008 (see Loss on Sale of Assets);

    --  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;

    --  Non-cash Compensation - the costs of employee stock options
        and restricted stock;

    --  Tax benefit, Net - the amount recorded during the three months
        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
        periods ended June 30, 2007 and December 31, 2007;

    --  Employment Matters - the cost of the Company's review of
        wage/hour classifications for certain employees during the
        three-month periods ended December 31, 2007 and September 30,
        2007.


                                                             Exhibit 5

                        QUADRAMED CORPORATION
          Reconciliation of EBITDA and Non-GAAP Measurements
                            (in thousands)
                             (unaudited)


                                           For the Nine Months Ended
                                          ----------------------------
                                            9/30/2008      9/30/2007
                                          -------------  -------------


EBITDA (Earnings Before Interest, Taxes,
 Depreciation and Amortization)
-----------------------------------------

Net income, as reported                   $      4,565   $      6,326

Adjustments to Net Income for EBITDA
Interest Expense                                    99            107
Interest Income                                   (460)        (1,916)
Provision for Income Taxes                       2,963            413
Depreciation and Amortization                    3,430          3,618
                                          -------------  -------------
Subtotal Non-GAAP Adjustments for EBITDA         6,032          2,222

                                          -------------  -------------
EBITDA                                    $     10,597   $      8,548
                                          =============  =============
EBITDA % to Revenue                                9.5%           8.9%

Non-GAAP Adjustments to EBITDA
Non-cash Compensation                            2,445          1,546
Cash Severance                                     722              -
Loss on Sale of Assets                           1,115              -
                                          -------------  -------------
Subtotal Non-GAAP Adjustments to EBITDA          4,282          1,546

                                          -------------  -------------
Adjusted Non-GAAP EBITDA                  $     14,879   $     10,094
                                          =============  =============
Adjusted Non-GAAP EBITDA % to Revenue             13.3%          10.5%


Non-GAAP Net Income before Preferred
 Stock Accretion
-----------------------------------------

Net income, as reported                   $      4,565   $      6,326

Non-GAAP adjustments to Net income
Non-cash Compensation                            2,445          1,546
Cash Severance                                     722              -
Strategic Initiatives                                -            412
Tax benefit, Net                                     -              -
Employment Matters                                   -          1,544
Loss on Sale of Assets                           1,115              -
                                          -------------  -------------
Subtotal Non-GAAP adjustments                    4,282          3,502

                                          -------------  -------------
Non-GAAP net income                       $      8,847   $      9,828
                                          =============  =============

Other Information
-----------------------------------------

Revenue                                   $    111,866   $     96,476
Costs of Revenue                          $     46,773   $     41,065
                                          -------------  -------------
Gross Margin                              $     65,093   $     55,411
                                          =============  =============
Gross Margin %                                      58%            57%

  About Adjusted Non-GAAP EBITDA and other Non-GAAP Measurements

The Company's use and presentation of the terms EBITDA, Adjusted Non-GAAP EBITDA and other Non-GAAP Measurements included in this press release and on Exhibits 4 and 5 thereto, 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 Non-GAAP 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 Non-GAAP EBITDA and other Non-GAAP reconciliations represent specific events or items as follows:



    --  Cash Severance -- costs associated with restructuring and
        downsizing of the Company's employee base during the
        three-month period ended March 31, 2008, and in connection
        with the sale of the Company's lab and radiology assets in
        April 2008 (see Loss on Sale of Assets);

    --  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;

    --  Non-cash Compensation - the costs of employee stock options
        and restricted stock;

    --  Strategic Initiatives - the expenses recorded in connection
        with merger and acquisition activities during the three-month
        periods ended June 30, 2007 and December 31, 2007;

    --  Employment Matters - the cost of the Company's review of
        wage/hour classifications for certain employees during the
        three-month periods ended December 31, 2007 and September 30,
        2007.


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

SOURCE: QuadraMed Corporation

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