UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, DC 20549

FORM 10-Q

þ     QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES     EXCHANGE ACT OF 1934

For the quarterly period ended September 30, 2012

OR

¨     TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES     EXCHANGE ACT OF 1934

For the transition period from            to            

Commission file number: 001-33881

MEDASSETS, INC.

(Exact name of registrant as specified in its charter)

DELAWARE	51-0391128
(State or other jurisdiction of incorporation or organization)	(I.R.S. Employer Identification No.)
100 North Point Center East, Suite 200 Alpharetta, Georgia	30022
(Address of principal executive offices)	(Zip Code)

Registrant’s telephone number, including area code: (678) 323-2500

(Former name, former address and former fiscal year, if changed since last report)

N/A

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes      þ  No        ¨

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes        þ  No        ¨

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act (Check one):

Large accelerated filer  þ	Accelerated filer  ¨	Non-accelerated filer  ¨	Smaller reporting company  ¨
		(Do not check if a smaller       reporting company)

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).Yes    ¨  No    þ

As of October 24, 2012, the registrant had 59,056,342 shares of common stock, par value $0.01 per share, outstanding.

MEDASSETS, INC.

FORM 10-Q

INDEX

	Page
PART I. FINANCIAL INFORMATION
Item 1. Financial Statements (unaudited)
Condensed Consolidated Balance Sheets as of September 30, 2012 and December 31, 2011		3
Condensed Consolidated Statements of Operations and Comprehensive Income (Loss) for the three and nine months ended September 30, 2012 and 2011		4
Condensed Consolidated Statement of Stockholders’ Equity for the nine months ended September  30, 2012		5
Condensed Consolidated Statements of Cash Flows for the nine months ended September 30, 2012 and 2011		6
Notes to Condensed Consolidated Financial Statements		7
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations		19
Item 3. Quantitative and Qualitative Disclosures About Market Risk		34
Item 4. Controls and Procedures		35
PART II. OTHER INFORMATION
Item 1. Legal Proceedings		35
Item 1A. Risk Factors		35
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds		35
Item 3. Defaults Upon Senior Securities		35
Item 4. Mine Safety Disclosures		35
Item 5. Other Information		35
Item 6. Exhibits		36
Signatures		37

2

Part I. FINANCIAL INFORMATION

Item 1. Financial Statements

MedAssets, Inc.

Condensed Consolidated Balance Sheets

(In thousands, except share and per share amounts)

(Unaudited)

	September 30, 2012		December 31, 2011
ASSETS
Current assets
Cash and cash equivalents	$	8,234	$	62,947
Accounts receivable, net of allowances of $3,258 and $3,891 as of September 30, 2012 and December 31, 2011, respectively		94,884		104,039
Deferred tax asset, current portion		16,291		15,434
Prepaid expenses and other current assets		21,088		18,488
Total current assets		140,497		200,908
Property and equipment, net		119,909		101,471
Other long term assets
Goodwill		1,027,847		1,027,847
Intangible assets, net		347,703		403,371
Other		55,027		61,381
Other long term assets		1,430,577		1,492,599
Total assets	$	1,690,983	$	1,794,978
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities
Accounts payable	$	15,779	$	21,185
Accrued revenue share obligation and rebates		71,477		70,906
Accrued payroll and benefits		28,971		33,265
Other accrued expenses		22,870		17,811
Current portion of deferred revenue		51,179		48,459
Deferred purchase consideration (Note 3)		-		120,136
Current portion of notes payable		6,350		6,350
Current portion of finance obligation		228		213
Total current liabilities		196,854		318,325
Notes payable, less current portion		567,538		572,300
Bonds payable		325,000		325,000
Finance obligation, less current portion		9,108		9,287
Deferred revenue, less current portion		14,038		14,148
Deferred tax liability		130,263		129,635
Other long term liabilities		10,378		7,670
Total liabilities		1,253,179		1,376,365
Commitments and contingencies
Stockholders’ equity
Common stock, $0.01 par value, 150,000,000 shares authorized; 58,841,000 and 57,857,000 shares issued and outstanding as of September 30, 2012 and December 31, 2011, respectively		588		579
Additional paid-in capital		683,245		670,618
Accumulated other comprehensive loss (Note 12)		(4,982)		(4,061)
Accumulated deficit		(241,047)		(248,523)
Total stockholders’ equity		437,804		418,613
Total liabilities and stockholders’ equity	$	1,690,983	$	1,794,978

The accompanying notes are an integral part of these unaudited Condensed Consolidated Financial Statements.

3

MedAssets, Inc.

Condensed Consolidated Statements of Operations and Comprehensive Income (Loss)

(Unaudited)

	Three Months Ended September 30,				Nine Months Ended September 30,
	2012		2011		2012		2011
	(In thousands, except per share amounts)
Revenue:
Administrative fees, net	$	68,641	$	62,635	$	200,752	$	179,032
Other service fees		94,800		80,923		275,589		242,459
Total net revenue		163,441		143,558		476,341		421,491
Operating expenses:
Cost of revenue (inclusive of certain amortization expense)		34,570		29,528		100,583		90,571
Product development expenses		7,217		6,771		20,777		19,646
Selling and marketing expenses		12,983		12,853		46,709		43,454
General and administrative expenses		55,167		53,196		165,577		149,107
Acquisition and integration-related expenses		1,535		3,742		4,812		22,713
Depreciation		7,721		5,507		21,416		16,414
Amortization of intangibles		17,840		20,228		55,251		60,700
Total operating expenses		137,033		131,825		415,125		402,605
Operating income		26,408		11,733		61,216		18,886
Other (expense) income:
Interest (expense)		(16,672)		(17,818)		(50,722)		(53,942)
Other income		114		2,490		449		2,770
Income (loss) before income taxes		9,850		(3,595)		10,943		(32,286)
Income tax expense (benefit)		4,386		(2,612)		3,467		(12,645)
Net income (loss)	$	5,464	$	(983)	$	7,476	$	(19,641)
Basic and diluted income (loss) per share:
Basic net income (loss) per share	$	0.09	$	(0.02)	$	0.13	$	(0.34)
Diluted net income (loss) per share	$	0.09	$	(0.02)	$	0.13	$	(0.34)
Weighted average shares—basic		57,693		57,410		57,239		57,334
Weighted average shares—diluted		59,513		57,410		58,896		57,334
Condensed Consolidated Statements of Comprehensive Income (Loss) for the Three and Nine Months Ended September 30, 2012 and 2011
Net income (loss)	$	5,464	$	(983)	$	7,476	$	(19,641)
Unrealized loss from hedging activities for the period		(284)		(4,407)		(1,442)		(6,160)
Income tax benefit related to hedging activities for the period		106		992		521		1,663
Comprehensive income (loss )	$	5,286	$	(4,398)	$	6,555	$	(24,138)

The accompanying notes are an integral part of these unaudited Condensed Consolidated Financial Statements.

4

MedAssets, Inc.

Condensed Consolidated Statement of Stockholders’ Equity (Unaudited)

Nine Months Ended September 30, 2012

	Common Stock				Additional Paid-In		Accumulated Other Comprehensive		Accumulated		Total Stockholders’
	Shares		Par Value		Capital		Loss		Deficit		Equity
	(In thousands)
Balances at December 31, 2011		57,857	$	579	$	670,618	$	(4,061)	$	(248,523)	$	418,613
Issuance of common stock from stock option and SSAR exercises and restricted stock issuances, net		1,046		10		5,235		-		-		5,245
Stock compensation expense		-		-		7,796		-		-		7,796
Excess tax benefit from equity award exercises, net		-		-		195		-		-		195
Repurchase of common stock		(62)		(1)		(599)		-		-		(600)
Unrealized loss from hedging activities		-		-		-		(921)		-		(921)
Net income								-		7,476		7,476
Balances at September 30, 2012		58,841	$	588	$	683,245	$	(4,982)	$	(241,047)	$	437,804

The accompanying notes are an integral part of these unaudited Condensed Consolidated Financial Statements.

5

MedAssets, Inc.

Condensed Consolidated Statements of Cash Flows

(Unaudited)

	Nine Months Ended September 30,
	2012		2011
	(In thousands)
Operating activities
Net income (loss)	$	7,476	$	(19,641)
Adjustments to reconcile income (loss) from continuing operations to net cash provided by operating activities:
Bad debt expense		485		781
Depreciation		22,769		17,231
Amortization of intangibles		55,668		61,117
Loss on sale of assets		370		116
Noncash stock compensation expense		7,796		2,945
Excess tax benefit from exercise of equity awards		(1,191)		(1,814)
Amortization of debt issuance costs		5,705		5,583
Noncash interest expense, net		392		2,974
Deferred income tax benefit		(441)		(17,203)
Changes in assets and liabilities, net of acquisitions:
Accounts receivable		8,670		4,191
Prepaid expenses and other assets		(2,600)		2,654
Other long-term assets		1,846		(4,215)
Accounts payable		(4,477)		(148)
Accrued revenue share obligation and rebates		572		8,832
Accrued payroll and benefits		(4,294)		1,518
Other accrued expenses		6,325		398
Deferred revenue		2,610		10,368
Cash provided by operating activities		107,681		75,687
Investing activities
Purchases of property, equipment and software		(11,779)		(7,592)
Capitalized software development costs		(31,045)		(18,847)
Cash used in investing activities		(42,824)		(26,439)
Financing activities
Borrowings from revolving credit facility		90,000		-
Repayment of notes payable		(94,763)		(54,763)
Repayment of finance obligations		(507)		(496)
Payment of deferred purchase consideration		(120,136)		-
Excess tax benefit from exercise of equity awards		1,191		1,814
Issuance of common stock, net of offering costs		5,245		1,796
Purchase of treasury shares		(600)		(781)
Cash used in financing activities		(119,570)		(52,430)
Net decrease in cash and cash equivalents		(54,713)		(3,182)
Cash and cash equivalents, beginning of period		62,947		46,836
Cash and cash equivalents, end of period	$	8,234	$	43,654

The accompanying notes are an integral part of these unaudited Condensed Consolidated Financial Statements.

6

MedAssets, Inc.

Notes to Condensed Consolidated Financial Statements (Unaudited)

(In thousands, except share and per share amounts)

Unless the context indicates otherwise, references in this Quarterly Report to “MedAssets,” the “Company,” “we,” “our” and “us” mean MedAssets, Inc., and its subsidiaries and predecessor entities.

1. BUSINESS DESCRIPTION AND BASIS OF PRESENTATION

We provide technology-enabled products and services which together deliver solutions designed to improve operating margin and cash flow for hospitals, health systems and other ancillary healthcare providers. Our client-specific solutions are designed to efficiently analyze detailed information across the spectrum of revenue cycle and spend management processes. Our solutions integrate with existing operations and enterprise software systems of our clients and provide financial improvement with minimal upfront costs or capital expenditures. Our operations and clients are primarily located throughout the United States and to a lesser extent, Canada.

The accompanying unaudited Condensed Consolidated Financial Statements, and Condensed Consolidated Balance Sheet as of December 31, 2011, derived from audited financial statements, have been prepared in accordance with accounting principles generally accepted in the United States (“GAAP”) for interim financial reporting and as required by Regulation S-X, Rule 10-01 of the U.S. Securities and Exchange Commission (“SEC”). Accordingly, certain information and footnote disclosures required for complete financial statements are not included herein. In the opinion of management, all adjustments, consisting of normal recurring adjustments, considered necessary for a fair presentation of the interim financial information have been included. When preparing financial statements in conformity with GAAP, we must make estimates and assumptions that affect the reported amounts of assets, liabilities, revenues, expenses and related disclosures at the date of the financial statements. Actual results could differ materially from those estimates. Operating results for the three and nine months ended September 30, 2012 are not necessarily indicative of the results that may be expected for any other interim period or for the fiscal year ending December 31, 2012.

The accompanying unaudited Condensed Consolidated Financial Statements and notes thereto should be read in conjunction with the audited Consolidated Financial Statements for the year ended December 31, 2011 included in our Form 10-K as filed with the SEC on February 28, 2012. These financial statements include the accounts of MedAssets, Inc. and our wholly owned subsidiaries. All significant intercompany accounts have been eliminated in consolidation.

Use of Estimates

The preparation of the financial statements and related disclosures in conformity with GAAP and pursuant to the rules and regulations of the SEC, requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results may differ materially from those estimates. We believe that the estimates, assumptions and judgments involved in revenue recognition, allowances for doubtful accounts and returns, product development costs, share-based payments, business combinations, impairment of goodwill, intangible assets and long-lived assets, and accounting for income taxes have the greatest potential impact on our condensed consolidated financial statements.

Cash and Cash Equivalents

All of our highly liquid investments with original maturities of three months or less at the date of purchase are carried at cost which approximates fair value and are considered to be cash equivalents. Currently, our excess cash is voluntarily used to repay our swing-line credit facility, if any, on a daily basis and applied against our revolving credit facility on a routine basis when our swing-line credit facility is undrawn. Refer to Note 6 for additional information. In addition, we may periodically make voluntary repayments on our senior term loan facility. Cash and cash equivalents were $8,234 and $62,947 as of September 30, 2012 and December 31, 2011, respectively, and our revolver and swing-line balances were $90,000 and zero, respectively, as of such dates. In the event our cash balance is zero at the end of a period, any outstanding checks are recorded as accrued expenses. See Note 6 for immediately available cash under our revolving credit facility.

Additionally, we have a concentration of credit risk arising from cash deposits held in excess of federally insured amounts totaling $7,734 as of September 30, 2012.

2. RECENT ACCOUNTING PRONOUNCEMENTS

Intangibles — Goodwill and Other

In July 2012, the Financial Accounting Standards Board (“FASB”) issued an accounting standards update on testing indefinite-lived intangible assets for impairment. The update provides the option to first assess qualitative factors to determine whether it is more likely than not that an indefinite-lived intangible asset is impaired as a basis for determining whether it is necessary to perform a second, quantitative impairment test. If, based on the qualitative assessment of events or circumstances, an entity determines it is not more likely than not that the indefinite-lived intangible asset’s fair value is less than its carrying amount, then it would not be necessary to perform the quantitative impairment test. However, if an entity concludes otherwise, then the quantitative impairment test must also be performed to identify and measure any potential impairment amount. The update is effective for annual and interim impairment tests performed for fiscal years beginning after September 15, 2012.

In September 2011, the FASB issued an accounting standards update amending the guidance on the annual testing of goodwill for impairment. The update will allow companies to assess qualitative factors to determine if it is more-likely-than-not that goodwill might be impaired and whether it is necessary to perform the two-step goodwill impairment test required under current accounting standards. We adopted this update on January 1, 2012.

Comprehensive Income

In June 2011, the FASB issued an accounting standard update relating to comprehensive income. The update would require an entity to present the total of comprehensive income, the components of net income, and the components of other comprehensive income either in a single continuous statement of comprehensive income or in two separate but consecutive statements. The update eliminates the option to present the components of other comprehensive income as part of the statement of equity. We adopted this update on January 1, 2012.

Fair Value

In May 2011, the FASB issued an accounting standard update relating to fair value measurements and disclosures. The update provides a consistent definition of fair value and ensures that the fair value measurement and disclosure requirements are similar between GAAP and International Financial Reporting Standards. The update changes certain fair value measurement principles and enhances the disclosure requirements particularly for level 3 fair value measurements. We adopted this update on January 1, 2012.

7

MedAssets, Inc.

Notes to Condensed Consolidated Financial Statements (Unaudited) – (continued)

(In thousands, except share and per share amounts)

3. ACQUISITION

Broadlane Acquisition

In 2011, we finalized the acquisition purchase price and related purchase price allocation of Broadlane Intermediate Holdings, Inc. (“Broadlane”), formerly a wholly-owned subsidiary of Broadlane Holdings, LLC, which was acquired on November 16, 2010. In January 2012, the final adjusted deferred purchase consideration amount of $120,136 was paid to Broadlane Holdings, LLC.

4. RESTRUCTURING ACTIVITIES

During 2010, in connection with the Broadlane Acquisition, our management approved and initiated a plan to restructure our operations resulting in certain management, system and organizational changes within our SCM segment. During 2011, our management approved and initiated a plan to restructure our operations resulting in certain management changes within our RCM segment. During 2012, our management approved and initiated a plan to restructure our operations resulting in certain additional management changes within our RCM segment and our corporate segment. During the three months ended September 30, 2012 and 2011, we expensed restructuring and exit and integration related costs of approximately $1,535 and $3,742, respectively. During the nine months ended September 30, 2012 and 2011, we expensed restructuring and exit and integration related costs of approximately $4,812 and $22,713, respectively. These costs were attributable to management changes, restructuring activities of the acquired operations consisting of employee costs, system migration and standardization, facilities consolidation and other restructuring and integration costs. These costs are included within the acquisition and integration-related expenses line on the accompanying condensed consolidated statements of operations.

As of September 30, 2012, the components of our restructuring plans are as follows:

— Employee-related costs — we reorganized our workforce and eliminated redundant or unneeded positions in connection with our SCM, RCM and corporate business operations. In connection with the workforce restructuring, we expect to incur severance, benefits and other employee-related costs in the range of $0 to $500 over the six months following September 30, 2012. During the three and nine months ended September 30, 2012, we expensed approximately $738 and $2,587, respectively, primarily related to severance, salaries relating to redundant positions, certain bonuses and other employee benefits in connection with these activities. As of September 30, 2012, we had approximately $1,762 included in current liabilities for these costs.

— System migration and standardization — we are integrating and standardizing certain software platforms of the combined SCM business operations. In connection with the system migration and standardization, we expect to incur costs in the range of approximately $2,100 to $3,100 over the six months following September 30, 2012. During the three and nine months ended September 30, 2012, we expensed approximately $787 and $2,175, respectively, primarily related to consulting and other third-party services in connection with these activities. As of September 30, 2012, we had approximately $196 included in current liabilities for these costs.

— Facilities consolidation — we are consolidating our SCM office space in areas where we have common or redundant locations. We expect to incur costs in the range of $0 to $525 over the six months following September 30, 2012 relating to ceasing to use certain facilities. During the three and nine months ended September 30, 2012, we expensed approximately $10 and $50, respectively, relating to exit costs associated with our office space consolidation. As of September 30, 2012, we had approximately $196 included in current liabilities for these costs.

— In addition, in November 2011, we entered into a new lease agreement for approximately 225,000 square feet of office space together with certain surface parking areas in Plano, Texas. The lease term commences on or around March 1, 2013 with an initial term of fifteen years plus an option to extend the lease term for up to ten years. In connection with this new lease agreement, we expect to incur estimated exit costs (inclusive of estimated sub-lease income) in the range of $4,500 and $5,500 to exit from our existing SCM and RCM leased facilities in Plano, Texas.

The following table summarizes the details of the Company’s restructuring activities during the nine months ended September 30, 2012:

	Employee-related costs		System migration and integration		Facility consolidation		Total
Restructuring Reserve
Accrued, December 31, 2011	$	2,908	$	216	$	1,946	$	5,070
Charges incurred		2,587		2,175		50		4,812
Cash payments		(3,733)		(2,195)		(1,800)		(7,728)
Accrued, September 30, 2012	$	1,762	$	196	$	196	$	2,154

5. DEFERRED REVENUE

Deferred revenue consists of unrecognized revenue related to advanced client billing or client payments received prior to revenue being realized and earned. Substantially all of our deferred revenue consists of: (i) deferred administrative fees, net; (ii) deferred service fees; (iii) deferred software and implementation fees; and (iv) other deferred fees, including receipts for our annual customer and vendor meeting prior to the event.

8

MedAssets, Inc.

Notes to Condensed Consolidated Financial Statements (Unaudited) – (continued)

(In thousands, except share and per share amounts)

The following table summarizes the deferred revenue categories and balances as of:

	September 30, 2012		December 31, 2011
Software and implementation fees	$	24,043	$	22,255
Service fees		27,635		26,641
Administrative fees		11,707		12,201
Other fees		1,832		1,510
Deferred revenue, total		65,217		62,607
Less: Deferred revenue, current portion		(51,179)		(48,459)
Deferred revenue, non-current portion	$	14,038	$	14,148

As of September 30, 2012 and December 31, 2011, deferred revenue included in our condensed consolidated balance sheets that was contingent upon meeting performance targets was $7,072 and $4,344, respectively. Advance billings on arrangements that include contingent performance targets are recorded in accounts receivable and deferred revenue when billed. Only certain contingent performance targets are billed in advance of meeting the target.

6. NOTES AND BONDS PAYABLE

The balances of our notes and bonds payable are summarized as follows as of:

	September 30, 2012		December 31, 2011
Notes payable—senior	$	483,888	$	578,650
Revolving credit facility		90,000		-
Bonds payable		325,000		325,000
Total notes and bonds payable		898,888		903,650
Less: current portions		(6,350)		(6,350)
Total long-term notes and bonds payable	$	892,538	$	897,300

Notes Payable

As of September 30, 2012, our long-term notes payable consists of a senior term loan facility with an outstanding balance of $483,888 and a revolving credit facility with an outstanding balance of $90,000. We have classified the $90,000 outstanding balance on our revolving credit facility as a long term liability given the maturity date of November 15, 2015. No amounts were drawn on our swing line component, which resulted in approximately $59,000 of availability under our revolving credit facility inclusive of the swing line (after giving effect to $1,000 of outstanding but undrawn letters of credit on such date) as of September 30, 2012.

During the three and nine months ended September 30, 2012, we made scheduled principal payments of $1,587 and $4,763, respectively. In addition, during the three and nine months ended September 30, 2012, we made voluntary prepayments on our senior term loan facility from available free cash flow of $30,000 and $55,000, respectively.

We are charged a lower interest rate on any outstanding amount under our revolving credit facility as compared to our senior term loan facility and, therefore, during the three months ended September 30, 2012, we drew $35,000 on our revolving credit facility and made a voluntary prepayment our senior term loan facility. The applicable weighted average interest rates (inclusive of the applicable bank margin) on our senior term loan facility and revolving credit facility at September 30, 2012 were 5.25% and 3.98%, respectively.

We are a party to a credit agreement dated November 16, 2010, with Barclays Bank PLC and JP Morgan Securities LLC. The credit agreement contains certain customary negative covenants, including but not limited to, limitations on the incurrence of debt, limitations on liens, limitations on fundamental changes, limitations on asset sales and sale leasebacks, limitations on investments, limitations on dividends or distributions on, or redemptions of, equity interests, limitations on prepayments or redemptions of unsecured or subordinated debt, limitations on negative pledge clauses, limitations on transactions with affiliates and limitations on changes to the Company’s fiscal year. The credit agreement also includes certain maintenance covenants, including but not limited to, a maximum total leverage ratio of consolidated indebtedness to consolidated EBITDA and a minimum consolidated interest coverage ratio of consolidated EBITDA to consolidated cash interest expense (as defined in the credit agreement). The Company was in compliance with these covenants as of September 30, 2012.

We are also required to prepay our debt obligations based on an excess cash flow calculation for the applicable fiscal year which is determined in accordance with the terms of our credit agreement. Our current portion of notes payable does not include an amount with respect to any 2013 excess cash flow payment. We will reclassify a portion of our long-term notes payable to a current classification at such time that any 2013 excess cash flow payment becomes estimable. We will be required to make any necessary cash flow payment within the first quarter of 2013.

First Amendment to the Credit Agreement

On March 31, 2011, we entered into the first amendment to the credit agreement (the “First Amendment”). The First Amendment redefined the swing line lender as Bank of America, N.A. from Barclays Bank. In connection with the First Amendment, we executed an auto borrowing plan with Bank of America, N.A. This enabled the Company to reinstitute our cash management practice of voluntarily applying any excess cash to repay our swing line credit facility, if any, on a daily basis or against our revolving credit facility on a routine basis when our swing line credit facility is undrawn.

9

MedAssets, Inc.

Notes to Condensed Consolidated Financial Statements (Unaudited) – (continued)

(In thousands, except share and per share amounts)

Bonds Payable

In November 2010, we closed the offering of an aggregate principal amount of $325,000 of senior notes due 2018 (the “Notes”) in a private placement (the “Notes Offering”). In October 2011, our Notes were registered under the Securities Act of 1933, as amended. The Notes are guaranteed on a senior unsecured basis by each of our existing domestic subsidiaries and each of our future domestic restricted subsidiaries in each case that guarantees our obligations under the credit agreement. Each of the subsidiary guarantors is 100% owned by us; the guarantees by the subsidiary guarantors are full and unconditional; the guarantees by the subsidiary guarantors are joint and several; we have no independent assets or operations; and any subsidiaries of ours other than the subsidiary guarantors are minor. The Notes and the guarantees are senior unsecured obligations of the Company and the subsidiary guarantors, respectively.

The Notes were issued pursuant to an indenture dated as of November 16, 2010 (the “Indenture”) among the Company, its subsidiary guarantors and Wells Fargo Bank, N.A., as trustee. Pursuant to the Indenture, the Notes will mature on November 15, 2018 and bear 8% annual interest. Interest on the Notes is payable semi-annually in arrears on May 15 and November 15 of each year, beginning on May 15, 2011.

The Indenture contains certain customary negative covenants, including but not limited to, limitations on the incurrence of debt, limitations on liens, limitations on consolidations or mergers, limitations on asset sales, limitations on certain restricted payments and limitations on transactions with affiliates. The Indenture does not contain any significant restrictions on the ability of the Company or any subsidiary guarantor to obtain funds from the Company or any other subsidiary guarantor by dividend or loan. The Indenture also contains customary events of default. The Company was in compliance with these covenants as of September 30, 2012.

The Company has the option to redeem all or part of the Notes as follows: (i) at any time prior to November 15, 2013, the Company may at its option redeem up to 35% of the aggregate original principal amount of Notes issued; and (ii) on or after November 15, 2014, the Company may at its option, redeem all or a part of the Notes after the required notification procedures have been performed, at the following redemption prices:

Year	Percentage
2014		104%
2015		102%
2016 and thereafter		100%

The Notes also contain a redemption feature that would require the repurchase of 101% of the aggregate principal amount plus accrued and unpaid interest at the option of the holders upon a change in control.

As of September 30, 2012, the Company’s 8% senior notes due 2018 were trading at approximately 108.4% of par value (Level 1).

As of September 30, 2012, we had approximately $32,968 of debt issuance costs related to our credit agreement and Notes which will be amortized into interest expense generally using the effective interest method until the maturity date. For the three months ended September 30, 2012 and 2011, we recognized approximately $1,914 and $1,859, respectively, in interest expense related to the amortization of debt issuance costs. For the nine months ended September 30, 2012 and 2011, we recognized approximately $5,705 and $5,583, respectively, in interest expense related to the amortization of debt issuance costs.

The following table summarizes our stated debt maturities and scheduled principal repayments as of September 30, 2012:

Year	Term Loan		Revolving Credit Facility		Senior Unsecured Notes		Total
2012	$	1,588	$	-	$	-	$	1,588	(1)
2013		6,350		-		-		6,350
2014		6,350		-		-		6,350
2015		6,350		90,000		-		96,350
2016		463,250		-		-		463,250
Thereafter		-		-		325,000		325,000
	$	483,888	$	90,000	$	325,000	$	898,888

(1) Represents the remaining quarterly principal payments due during the fiscal year ending December 31, 2012.

Total interest paid on our notes and bonds payable during the nine months ended September 30, 2012 and 2011 was approximately $37,563 and $40,305, respectively.

7. COMMITMENTS AND CONTINGENCIES

Performance Targets

In the ordinary course of contracting with our clients, we may agree to make some or all of our fees contingent upon the client’s achievement of financial improvement targets from the use of our services and software. These contingent fees are not recognized as revenue until the client confirms achievement of the performance targets. We generally receive client acceptance as and when the performance targets are achieved. If we invoice contingent fees prior to client confirmation that a performance target has been achieved, we record invoiced contingent fees as deferred revenue on our condensed consolidated balance sheet. Often, recognition of this revenue occurs in periods subsequent to the recognition of the associated costs.

Legal Proceedings

From time to time, we become involved in legal proceedings arising in the ordinary course of business. As of September 30, 2012, we are not presently involved in any legal proceedings, the outcome of which, if determined adversely to us, would have a material adverse affect on our business, operating results or financial condition.

10

MedAssets, Inc.

Notes to Condensed Consolidated Financial Statements (Unaudited) – (continued)

(In thousands, except share and per share amounts)

Insurance Settlement

During the three months ended September 30, 2011, we received an insurance settlement of $2,340 relating to a 2006 litigation matter that was covered under an insurance policy in effect at the time. We recorded the insurance settlement in other income in the Condensed Consolidated Statements of Operations for the three and nine months ended September 30, 2011 as certain initial costs related to this matter were expensed in other expense in our Consolidated Statement of Operations in the applicable prior period.

8. STOCKHOLDERS’ EQUITY AND SHARE-BASED COMPENSATION

Common Stock

During the nine months ended September 30, 2012, we issued approximately 703,000 shares of common stock in connection with employee stock option and stock-settled stock appreciation right (or “SSAR”) exercises for aggregate exercise proceeds of $5,245.

Repurchase of Common Stock

On August 23, 2011, our Board of Directors authorized a share repurchase program of up to $25,000 of our common stock. The following table shows the amount and cost of shares of common stock we repurchased for the nine months ended September 30, 2012 under the share repurchase program. The repurchased shares have not been retired and constitute authorized but unissued shares. During the three months ended September 30, 2012, we did not repurchase any shares of common stock and our share repurchase program expired.

	Three months ended September 30,				Nine months ended September 30,
	2012		2011		2012		2011
Number of shares repurchased		-		94,747		62,334		94,747
Cost of shares repurchased(1)	$	-	$	979	$	600	$	979

(1) Our share repurchase program requires a three-day cash settlement period with our broker. We made purchases during the last two days of September 2011 amounting to 20,000 shares totaling $198, which were settled in October 2011.

Share-Based Compensation

As of September 30, 2012, we had restricted common stock, SSARs and common stock option equity awards outstanding under three share-based compensation plans. As of September 30, 2012, we had approximately 2,545,000 shares reserved (inclusive of equity award forfeitures) and available for grant under the 2008 MedAssets, Inc. Long-Term Performance Incentive Plan.

The total share-based compensation expense related to equity awards was $2,781 and $2,123 for the three months ended September 30, 2012 and 2011, respectively. The total income tax benefit recognized in the condensed consolidated statement of operations for share-based compensation arrangements related to equity awards was $1,033 and $801 for the three months ended September 30, 2012 and 2011, respectively.

The total share-based compensation expense related to equity awards was $7,796 and $2,945 for the nine months ended September 30, 2012 and 2011, respectively. The total income tax benefit recognized in the condensed consolidated statement of operations for share-based compensation arrangements related to equity awards was $2,895 and $1,116 for the nine months ended September 30, 2012 and 2011, respectively. There were no capitalized share-based compensation expenses during the three and nine months ended September 30, 2012.

Total share-based compensation expense (inclusive of restricted common stock, SSARs and common stock options) for the three and nine months ended September 30, 2012 and 2011 as reflected in our condensed consolidated statements of operations is as follows:

	Three Months Ended September 30,				Nine Months Ended September 30,
	2012		2011		2012		2011
Cost of revenue	$	672	$	459	$	1,535	$	1,053
Product development		34		97		123		177
Selling and marketing		282		492		1,069		242
General and administrative		1,793		1,075		5,069		1,473
Total share-based compensation expense	$	2,781	$	2,123	$	7,796	$	2,945	(1)

(1) During the three months ended June 30, 2011, we reversed approximately $6,537 of share-based compensation expense because we did not achieve specific performance criteria relating to certain performance-based restricted stock grants and SSAR grants.

Equity Award Expense Attribution

For service-based equity awards with graded-vesting, compensation cost is recognized using an accelerated method over the vesting or service period and is net of estimated forfeitures. For service-based equity awards with cliff-vesting, compensation cost is recognized using a straight-line method over the vesting or service period and is net of estimated forfeitures. For performance-based equity awards, compensation cost is recognized using a straight-line method over the vesting or performance period and is adjusted each reporting period in which a change in performance achievement is determined and is net of estimated forfeitures. We evaluate the probability of performance achievement each reporting period and, if necessary, adjust share-based compensation expense based on expected performance achievement.

11

MedAssets, Inc.

Notes to Condensed Consolidated Financial Statements (Unaudited) – (continued)

(In thousands, except share and per share amounts)

Employee Stock Purchase Plan

In 2010, we established the MedAssets, Inc. Employee Stock Purchase Plan (the “Plan”). Under the Plan, eligible employees may purchase shares of our common stock at a discounted price through payroll deductions. The price per share of the common stock sold to participating employees will be 95% of the fair market value of our common stock on the applicable purchase date. The Plan requires that all stock purchased be held by participants for a period of 18 months from the purchase date. A total of 500,000 shares of our common stock are authorized for purchase under the Plan. For the nine months ended September 30, 2012 and 2011, we purchased approximately 25,400 shares and 45,600 shares of our common stock under the Plan which amounted to approximately $372 and $545, respectively.

Equity Award Grants

Information regarding equity awards for the nine months ended September 30, 2012 is as follows:

Common Stock Option Awards

During the nine months ended September 30, 2012, we did not grant any stock option awards.

During the nine months ended September 30, 2012, approximately 152,000 stock option awards were forfeited.

As of September 30, 2012, there was approximately $408 of total unrecognized compensation expense related to all outstanding stock option awards that will be recognized over a weighted-average period of 1.1 years.

Restricted Common Stock Awards

During the nine months ended September 30, 2012, we granted approximately 417,000 shares of restricted common stock. Approximately 84,000 shares vest over five years; 20,000 shares vest over four years; 240,000 shares (inclusive of 120,000 shares that include certain additional performance vesting criteria) vest over three years; and 73,000 vest ratably each month through December 31, 2012. The weighted-average grant date fair value of each restricted common stock share was $13.91.

During the nine months ended September 30, 2012, approximately 74,000 shares of restricted common stock were forfeited.

As of September 30, 2012, there was approximately $6,287 of total unrecognized compensation expense related to all unvested restricted common stock awards that will be recognized over a weighted-average period of 1.5 years.

SSARs Awards

During the nine months ended September 30, 2012, we granted approximately 565,000 SSARs. Approximately 326,000 have a service vesting period of five years; 190,000 (inclusive of 80,000 SSARs that include certain additional performance vesting criteria) have a service vesting period of four years; and approximately 49,000 vest ratably each month through December 31, 2012. The weighted-average grant date base price of each SSAR was $13.88 and the weighted-average grant date fair value of each SSAR granted during the nine months ended September 30, 2012 was $5.96.

During the nine months ended September 30, 2012, approximately 353,000 SSARs were forfeited.

As of September 30, 2012, there was approximately $6,582 of total unrecognized compensation expense related to all unvested SSARs that will be recognized over a weighted-average period of 1.7 years.

9. INCOME TAXES

Income tax expense recorded during the three and nine months ended September 30, 2012 reflected an effective income tax rate of 44.5% and 31.7%, respectively. Income tax benefit recorded during the three and nine months ended September 30, 2011 reflected an effective income tax rate of 72.7% and 39.2%, respectively. During 2012, we realigned our legal entities for tax reporting purposes to fully reflect the integration of the Broadlane acquisition into our operations. The realignment required us to recognize a reduction in our state income tax rate and as a result, we recognized a $1,400 tax benefit during the nine months ended September 30, 2012.

10. INCOME (LOSS) PER SHARE

We calculate earnings per share (or “EPS”) in accordance with GAAP relating to earnings per share. Basic EPS is calculated by dividing reported net income (loss) by the weighted-average number of common shares outstanding for the reported period following the two-class method. Diluted EPS reflects the potential dilution that could occur if our stock options, stock-settled stock appreciation rights, unvested restricted stock and stock warrants were exercised and converted into our common shares during the reporting periods.

12

MedAssets, Inc.

Notes to Condensed Consolidated Financial Statements (Unaudited) – (continued)

(In thousands, except share and per share amounts)

A reconciliation of basic and diluted weighted average shares outstanding for basic and diluted EPS for the three and nine months ended September 30, 2012 and 2011 is as follows:

	Three Months Ended September 30,
	2012		2011
Numerator for Basic and Diluted Income (Loss) Per Share:
Net income (loss)		5,464		(983)
Denominator for basic income (loss) per share weighted average shares		57,693,000		57,410,000
Effect of dilutive securities:
Stock options		999,000		-
Stock-settled stock appreciation rights		96,000		-
Restricted stock and stock warrants		725,000		-
Denominator for diluted income (loss) per share—adjusted weighted average shares and assumed conversions		59,513,000		57,410,000
Basic income (loss) per share:
Basic net income (loss) from continuing operations	$	0.09	$	(0.02)
Diluted net income (loss) per share:
Diluted net income (loss) from continuing operations	$	0.09	$	(0.02)
	Nine Months Ended September 30,
	2012		2011
Numerator for Basic and Diluted Income (Loss) Per Share:
Net income (loss)		7,476		(19,641)
Denominator for basic income (loss) per share weighted average shares		57,239,000		57,334,000
Effect of dilutive securities:
Stock options		916,000		-
Stock-settled stock appreciation rights		15,000		-
Restricted stock and stock warrants		726,000		-
Denominator for diluted income (loss) per share—adjusted weighted average shares and assumed conversions		58,896,000		57,334,000
Basic income (loss) per share:
Basic net income (loss) from continuing operations	$	0.13	$	(0.34)
Diluted net income (loss) per share:
Diluted net income (loss) from continuing operations	$	0.13	$	(0.34)

During the three and nine months ended September 30, 2012, the effect of certain dilutive securities have been excluded because the impact is anti-dilutive as a result of certain securities being “out of the money” with strike prices greater than the average market price during the periods presented. During the three and nine months ended September 30, 2011, basic and diluted EPS are the same as all potentially dilutive securities have been excluded from the calculation of diluted EPS given our net loss for the periods. The following table provides a summary of those potentially dilutive securities that have been excluded from the above calculation of diluted EPS:

	Three Months Ended September 30,				Nine Months Ended September 30,
	2012		2011		2012		2011
Stock options		40,000		888,000		70,000		1,234,000
Stock-settled stock appreciation rights		386,000		-		830,000		16,000
Restricted stock and stock warrants		-		446,000		3,000		459,000
Total		426,000		1,334,000		903,000		1,709,000

11. SEGMENT INFORMATION

We deliver our solutions and manage our business through two reportable business segments, Spend and Clinical Resource Management (or “SCM”) and Revenue Cycle Management (or “RCM”).

— Spend and Clinical Resource Management. Our SCM segment provides a comprehensive suite of technology-enabled services that help our clients manage their expense categories. Our solutions lower supply and medical device pricing and utilization by managing the procurement process through our group purchasing organization (“GPO”) portfolio of contracts, consulting services and business intelligence tools.

— Revenue Cycle Management. Our RCM segment provides a comprehensive suite of software and services spanning the hospital, health system and other ancillary healthcare provider revenue cycle workflow — from patient admission and financial responsibility, patient financial liability estimation, charge

13

MedAssets, Inc.

Notes to Condensed Consolidated Financial Statements (Unaudited) – (continued)

(In thousands, except share and per share amounts)

capture, case management, contract management and health information management through claims processing and accounts receivable management. Our workflow solutions, together with our data management and business intelligence tools, increase revenue capture and cash collections, reduce accounts receivable balances and increase regulatory compliance.

GAAP relating to segment reporting, defines reportable segments as components of an enterprise about which separate financial information is available that is evaluated regularly by the chief operating decision maker in deciding how to allocate resources and in assessing financial performance. The guidance indicates that financial information about segments should be reported on the same basis as that which is used by the chief operating decision maker in the analysis of performance and allocation of resources. Management of the Company, including our chief operating decision maker, uses what we refer to as Segment Adjusted EBITDA as its primary measure of profit or loss to assess segment performance and to determine the allocation of resources. We define Segment Adjusted EBITDA as segment net income (loss) before net interest expense, income tax expense (benefit), depreciation and amortization (“EBITDA”) as adjusted for other non-recurring, non-cash or non-operating items. Our chief operating decision maker uses Segment Adjusted EBITDA to facilitate a comparison of our operating performance on a consistent basis from period to period. Segment Adjusted EBITDA includes expenses associated with sales and marketing, general and administrative and product development activities specific to the operation of the segment. General and administrative corporate expenses that are not specific to the segments are not included in the calculation of Segment Adjusted EBITDA. These expenses include the costs to manage our corporate offices, interest expense on our credit facilities and expenses related to being a publicly-held company. All reportable segment revenues are presented net of inter-segment eliminations and represent revenues from external clients.

The following tables present Segment Adjusted EBITDA and financial position information as utilized by our chief operating decision maker. A reconciliation of Segment Adjusted EBITDA to consolidated net income is included. General corporate expenses are included in the “Corporate” column. “SCM” represents the Spend and Clinical Resource Management segment and “RCM” represents the Revenue Cycle Management segment. Other assets and liabilities are included to provide a reconciliation to total assets and total liabilities.

The following tables represent our results of operations, by segment, for the three and nine months ended September 30, 2012 and 2011:

	Three Months Ended September 30, 2012
	SCM		RCM		Corporate		Total
Results of Operations:
Revenue:
Gross administrative fees(1)	$	109,335	$	-	$	-	$	109,335
Revenue share obligation(1)		(40,694)		-		-		(40,694)
Other service fees		30,471		64,329		-		94,800
Total net revenue		99,112		64,329		-		163,441
Total operating expenses		72,715		53,082		11,236		137,033
Operating income (loss)		26,397		11,247		(11,236)		26,408
Interest expense		-		-		(16,672)		(16,672)
Other income		9		27		78		114
Income (loss) before income taxes	$	26,406	$	11,274	$	(27,830)	$	9,850
Income tax expense (benefit)		14,255		5,171		(15,040)		4,386
Net income (loss)		12,151		6,103		(12,790)		5,464
Segment Adjusted EBITDA	$	46,340	$	17,835	$	(7,210)	$	56,965

(1) These are non-GAAP measures. See “Use of Non-GAAP Financial Measures” section for additional information.

	As of September 30, 2012
	SCM		RCM		Corporate		Total
Financial Position:
Accounts receivable, net	$	41,828	$	52,938	$	118	$	94,884
Other assets		1,013,777		480,679		101,643		1,596,099
Total assets		1,055,605		533,617		101,761		1,690,983
Accrued revenue share obligation		71,477		-		-		71,477
Deferred revenue		26,024		39,193		-		65,217
Notes payable		-		-		573,888		573,888
Bonds payable		-		-		325,000		325,000
Other liabilities		21,839		20,084		175,674		217,597
Total liabilities	$	119,340	$	59,277	$	1,074,562	$	1,253,179

14

MedAssets, Inc.

Notes to Condensed Consolidated Financial Statements (Unaudited) – (continued)

(In thousands, except share and per share amounts)

	Three Months Ended September 30, 2011
	SCM		RCM		Corporate		Total
Results of Operations:
Revenue:
Gross administrative fees(1)	$	96,354	$	-	$	-	$	96,354
Revenue share obligation(1)		(33,719)		-		-		(33,719)
Other service fees		27,803		53,120		-		80,923
Total net revenue		90,438		53,120		-		143,558
Total operating expenses		71,089		51,395		9,341		131,825
Operating income (loss)		19,349		1,725		(9,341)		11,733
Interest (expense)		14		-		(17,832)		(17,818)
Other (expense) income		130		(90)		2,450		2,490
Income (loss) before income taxes	$	19,493	$	1,635	$	(24,723)	$	(3,595)
Income tax expense (benefit)		8,847		1,488		(12,947)		(2,612)
Net income (loss)		10,646		147		(11,776)		(983)
Segment Adjusted EBITDA	$	42,543	$	9,928	$	(7,266)	$	45,205

(1) These are non-GAAP measures. See “Use of Non-GAAP Financial Measures” section for additional information.

	Nine Months Ended September 30, 2012
	SCM		RCM		Corporate		Total
Results of Operations:
Revenue:
Gross administrative fees(1)	$	321,351	$	-	$	-	$	321,351
Revenue share obligation(1)		(120,599)		-		-		(120,599)
Other service fees		93,740		181,849		-		275,589
Total net revenue		294,492		181,849		-		476,341
Total operating expenses		220,938		161,273		32,914		415,125
Operating income (loss)		73,554		20,576		(32,914)		61,216
Interest expense		-		-		(50,722)		(50,722)
Other (expense) income		(12)		30		431		449
Income (loss) before income taxes	$	73,542	$	20,606	$	(83,205)	$	10,943
Income tax expense (benefit)		31,830		8,919		(37,282)		3,467
Net income (loss)		41,712		11,687		(45,923)		7,476
Segment Adjusted EBITDA	$	132,846	$	41,532	$	(22,001)	$	152,377

(1) These are non-GAAP measures. See “Use of Non-GAAP Financial Measures” section for additional information.

	Nine Months Ended September 30, 2011
	SCM		RCM		Corporate		Total
Results of Operations:
Revenue:
Gross administrative fees(1)	$	280,478	$	-	$	-	$	280,478
Revenue share obligation(1)		(101,446)		-		-		(101,446)
Other service fees		81,852		160,607		-		242,459
Total net revenue		260,884		160,607		-		421,491
Total operating expenses		230,573		146,786		25,246		402,605
Operating income (loss)		30,311		13,821		(25,246)		18,886
Interest expense		-		-		(53,942)		(53,942)
Other income		170		(76)		2,676		2,770
Income (loss) before income taxes	$	30,481	$	13,745	$	(76,512)	$	(32,286)
Income tax expense (benefit)		12,690		5,723		(31,058)		(12,645)
Net income (loss)		17,791		8,022		(45,454)		(19,641)
Segment Adjusted EBITDA	$	116,048	$	35,649	$	(21,269)	$	130,428

(1) These are non-GAAP measures. See “Use of Non-GAAP Financial Measures” section for additional information.

15

MedAssets, Inc.

Notes to Condensed Consolidated Financial Statements (Unaudited) – (continued)

(In thousands, except share and per share amounts)

GAAP for segment reporting requires that the total of the reportable segments’ measures of profit or loss be reconciled to the Company’s consolidated operating results. The following table reconciles Segment Adjusted EBITDA to consolidated net income (loss) for the three and nine months ended September 30, 2012 and 2011:

	Three Months Ended September 30,				Nine Months Ended September 30,
	2012		2011		2012		2011
SCM Adjusted EBITDA	$	46,340	$	42,543	$	132,846	$	116,048
RCM Adjusted EBITDA		17,835		9,928		41,532		35,649
Total reportable Segment Adjusted EBITDA		64,175		52,471		174,378		151,697
Depreciation		(5,224)		(4,077)		(14,459)		(12,650)
Depreciation (included in cost of revenue)		(536)		(306)		(1,353)		(815)
Amortization of intangibles		(17,840)		(20,228)		(55,251)		(60,700)
Amortization of intangibles (included in cost of revenue)		(139)		(139)		(417)		(417)
Interest expense, net of interest income(1)		-		15		5		15
Income tax expense		(19,426)		(10,336)		(40,749)		(18,413)
Share-based compensation expense(2)		(1,221)		(1,479)		(3,943)		(2,858)
Purchase accounting adjustments(3)		-		(182)		-		(6,245)
RCM management restructuring(4)		-		(1,204)		-		(1,204)
Acquisition and integration-related expenses(5)		(1,535)		(3,742)		(4,812)		(22,593)
Total reportable segment net income		18,254		10,793		53,399		25,817
Corporate net loss		(12,790)		(11,776)		(45,923)		(45,458)
Consolidated net income (loss)	$	5,464	$	(983)	$	7,476	$	(19,641)

(1) Interest income is included in other income (expense) and is not netted against interest expense in our condensed consolidated statement of operations.

(2) Represents non-cash share-based compensation to both employees and directors. We believe excluding this non-cash expense allows us to compare our operating performance without regard to the impact of share-based compensation, which varies from period to period based on amount and timing of grants.

(3) Upon acquiring Broadlane, we made certain purchase accounting adjustments that reflect the fair value of administrative fees related to client purchases that occurred prior to November 16, 2010 but were reported to us subsequent to that date. Under our revenue recognition accounting policy, which is in accordance with GAAP, these administrative fees would be ordinarily recorded as revenue when reported to us; however, the acquisition method of accounting requires us to estimate the amount of purchases occurring prior to the transaction date and to record the fair value of the administrative fees to be received from those purchases as an account receivable (as opposed to recognizing revenue when these transactions are reported to us) and record any corresponding revenue share obligation as a liability.

For the three months ended September 30, 2011, the $182 represents the net amount of: (i) $295 in gross administrative fees and $10 in other service fees based on vendor reporting received from July 1, 2011 through September 30, 2011 related to purchases made prior to the acquisition date; and (ii) a corresponding revenue share obligation of $123.

For the nine months ended September 30, 2011, the $6,245 represents the net amount of: (i) $9,451 in gross administrative fees and $1,582 in other service fees based on vendor reporting received from January 1, 2011 through September 30, 2011 related to purchases made prior to the acquisition date; and (ii) a corresponding revenue share obligation of $4,788.

(4) Amount represents restructuring costs consisting of severance that resulted from certain management changes within our RCM segment.

(5) Represents the amount attributable to acquisition and integration-related costs which include costs such as severance, retention, salaries relating to redundant positions, certain performance-related salary-based compensation, and operating infrastructure costs. We expect to incur costs in future periods related to our plans including but not limited to aligning service offerings and standardizing and migrating certain Broadlane operational systems and transactional data sets into our operational systems.

12. DERIVATIVE FINANCIAL INSTRUMENTS

We have interest rate risk relative to the outstanding borrowings under our credit agreement. Loans under the credit agreement bear interest, at the Company’s election, either at the prime rate or the London Interchange Bank Offering Rate (“LIBOR”) plus a percentage point spread based on certain specified financial ratios. The Company’s policy has been to manage interest cost using a mix of fixed and variable rate debt. To manage this risk in a cost efficient manner, we entered into the derivative financial instruments described below.

On May 5, 2011, we entered into three separate derivative financial instruments to convert 50% of our variable rate debt to a fixed or maximum rate debt, as required by our credit agreement. The derivative instruments consisted of: (i) a 3% LIBOR interest rate cap (exclusive of the applicable bank margin charged by our lenders) on a $317,500 notional amount beginning May 13, 2011 and ending on February 16, 2013; (ii) a forward starting interest rate swap which fixes three-month LIBOR at 2.80% (exclusive of the applicable bank margin charged by our lenders) on a $158,750 notional amount beginning February 19, 2013 and ending February 16, 2015; and (iii) a forward starting interest rate swap which fixes three-month LIBOR at 2.78% (exclusive of the applicable bank margin charged by our lenders) on a $158,750 notional amount beginning February 19, 2013 and ending February 16, 2015. Our interest rate swaps are designated as a cash flow hedging relationship and considered highly effective. The effective portion of the change in fair value of the derivatives are reported as a component of accumulated other comprehensive (loss) income (“AOCI”). If we assess any portion to be ineffective, we will reclassify the ineffective portion to current period earnings or loss accordingly.

We have not treated the interest rate cap as a hedging instrument as defined by GAAP for derivatives and hedging. As a result, we will record the fair value adjustment on the interest rate cap through earnings each reporting period. For the three and nine months ended September 30, 2012, we recorded a charge to interest expense of zero and approximately $20, respectively, relating to the decrease in fair value of the interest rate cap.

16

MedAssets, Inc.

Notes to Condensed Consolidated Financial Statements (Unaudited) – (continued)

(In thousands, except share and per share amounts)

We have treated our interest rate swaps as hedging instruments in accordance with GAAP for derivatives and hedging. As of September 30, 2012, we recorded the fair value of the interest rate swaps on our balance sheet as a liability of approximately $7,964 in other long-term liabilities, and the offsetting loss ($4,982 net of tax) was recorded in AOCI in our stockholders’ equity.

We determined the fair values of the swaps using Level 2 inputs as defined under GAAP for fair value measurements and disclosures because our valuation techniques included inputs that are considered significantly observable in the market, either directly or indirectly. Our valuation technique assessed each swap by comparing each fixed interest payment, or cash flow, to a hypothetical cash flow utilizing an observable market three-month floating LIBOR rate as of September 30, 2012. Future hypothetical cash flows utilize projected market-based LIBOR rates. Each fixed cash flow and hypothetical cash flow is then discounted to present value utilizing a market observable discount factor for each cash flow. The discount factor fluctuates based on the timing of each future cash flow. The fair value of each swap represents a cumulative total of the differences between the discounted cash flows that are fixed from those that are hypothetical using floating rates.

We considered the creditworthiness of each counterparty of the swaps and believe the performance of the counterparties of the swaps is probable given the size, international presence and past performance of the counterparties under the obligations of the contracts and that the counterparties are not at risk of default (which would change the highly effective status of the hedged instruments). We also assessed the Company’s creditworthiness and ability to deliver under the terms of the contracts. Given the availability under our revolving credit facility, our historical ability to generate positive cash flow and our expectation for the continuing ability to generate positive cash from operations, we expect to be able to perform all of our obligations under the interest rate swap arrangements.

As of September 30, 2012, our forward starting interest rate swaps were highly effective and, as a result, we did not record any gain or loss from ineffectiveness in our condensed consolidated statements of operations for the three and nine months ended September 30, 2012.

The following table presents the fair value of our outstanding derivative instruments as of September 30, 2012 and December 31, 2011:

	Balance Sheet Location	Fair Value of  Financial Instruments
		As of September  30, 2012		As of December 31, 2011
Derivative Liabilities
Derivatives designated as hedging instruments - interest rate contracts	Other long term liabilities	$	7,964	$	6,522

The effects of derivative instruments designated as cash flow hedges on income and AOCI are summarized below:

	Amount of Loss Recognized in OCI				Amount of Loss Recognized in OCI
	on Derivative (Effective Portion)				on Derivative (Effective Portion)
	Three Months Ended September 30,				Nine Months Ended September 30,
Derivatives designated as cash flow hedges	2012		2011		2012		2011
Total loss recognized in other comprehensive loss - interest rate contracts	$	(178)	$	(3,415)	$	(921)	$	(4,497)

We do not expect to reclassify the existing losses that are reported in accumulated other comprehensive income as earnings within the next twelve months.

13. FAIR VALUE MEASUREMENTS

We measure fair value for financial instruments when a valuation is necessary, such as for impairment of long-lived and indefinite-lived assets when indicators of impairment exist in accordance with GAAP for fair value measurements and disclosures. This defines fair value, establishes a framework for measuring fair value and enhances disclosures about fair value measures required under other accounting pronouncements, but does not change existing guidance as to whether or not an instrument is carried at fair value.

Refer to Note 12 for information and fair values of our derivative instruments measured on a recurring basis under GAAP for fair value measurements and disclosures.

In estimating our fair value disclosures for financial instruments, we use the following methods and assumptions:

— Cash and cash equivalents: The carrying value reported in the condensed consolidated balance sheets for these items approximates fair value due to the high credit standing of the financial institutions holding these items and their liquid nature;

— Accounts receivable, net: The carrying value reported in the condensed consolidated balance sheets is net of allowances for doubtful accounts which includes a degree of counterparty non-performance risk;

— Accounts payable and current liabilities: The carrying value reported in the condensed consolidated balance sheets for these items approximates fair value, which is the likely amount for which the liability with short settlement periods would be transferred to a market participant with a similar credit standing as the Company;

17

MedAssets, Inc.

Notes to Condensed Consolidated Financial Statements (Unaudited) – (continued)

(In thousands, except share and per share amounts)

— Notes payable: The carrying value of our long-term notes payable reported in the condensed consolidated balance sheets approximates fair value since they bear interest at variable rates. Refer to Note 6 for further information; and

— Bonds payable: The carrying value of our long-term bonds payable reported in the condensed consolidated balance sheets approximates fair value. Refer to Note 6 for further information.

14. RELATED PARTY TRANSACTION

We have an agreement with John Bardis, our chief executive officer, for the use of an airplane owned by JJB Aviation, LLC, a limited liability company, owned by Mr. Bardis. We pay Mr. Bardis at market-based rates for the use of the airplane for business purposes. The audit committee of the board of directors reviews such usage of the airplane annually. During the nine months ended September 30, 2012 and 2011, we incurred charges of $1,221 and $1,560, respectively, related to transactions with Mr. Bardis.

15. SUBSEQUENT EVENTS

We have evaluated subsequent events for recognition or disclosure in the condensed consolidated financial statements filed on Form 10-Q with the SEC and no events have occurred that require disclosure.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations.

NOTE ON FORWARD-LOOKING STATEMENTS

This Quarterly Report on Form 10-Q contains certain “forward-looking statements” (as defined in Section 27A of the U.S. Securities Act of 1933, as amended (the “Securities Act”) and Section 21E of the U.S. Securities Exchange Act of 1934, as amended (the “Exchange Act”)) that reflect our expectations regarding our future growth, results of operations, performance and business prospects and opportunities. Words such as “anticipates,” “believes,” “plans,” “expects,” “intends,” “estimates,” “projects,” “targets,” “can,” “could,” “may,” “should,” “will,” “would,” and similar expressions have been used to identify these forward-looking statements, but are not the exclusive means of identifying these statements. For purposes of this Quarterly Report on Form 10-Q, any statements contained herein that are not statements of historical fact may be deemed to be forward-looking statements. These statements reflect our current beliefs and expectations and are based on information currently available to us. As such, no assurance can be given that our future growth, results of operations, performance and business prospects and opportunities covered by such forward-looking statements will be achieved. We have no intention or obligation to update or revise these forward-looking statements to reflect new events, information or circumstances.

A number of important factors could cause our actual results to differ materially from those indicated by such forward-looking statements, including those described herein and in our Annual Report on Form 10-K for the fiscal year ended December 31, 2011 as filed with the SEC on February 28, 2012.

Overview

We provide technology-enabled products and services which together deliver solutions designed to improve operating margin, cash flow and overall operational effectiveness for hospitals, health systems and other ancillary or non-acute healthcare providers. Our solutions are designed to efficiently analyze detailed information across the spectrum of revenue cycle, spend and clinical resource management processes. Our solutions integrate with existing operations and enterprise software systems of our clients and provide financial improvement with minimal upfront costs or capital expenditures. Our operations and clients are primarily located throughout the United States and to a lesser extent, Canada.

Management’s primary metrics to measure the consolidated financial performance of the business are net revenue, non-GAAP gross fees, non-GAAP revenue share obligation, non-GAAP adjusted EBITDA, non-GAAP adjusted EBITDA margin and non-GAAP diluted adjusted EPS.

The table below highlights our primary results of operations for the three and nine months ended September 30, 2012 and 2011:

	Three Months Ended September 30,								Nine Months Ended September 30,
	2012		2011		Change				2012		2011		Change
	Amount		Amount		Amount		%		Amount		Amount		Amount		%
	(Unaudited, in millions)								(Unaudited, in millions)
Gross fees(1)	$	204.1	$	177.3	$	26.8		15.1%	$	596.9	$	522.9	$	74.0		14.2%
Revenue share obligation(1)		(40.7)		(33.7)		(7.0)		20.8		(120.6)		(101.4)		(19.2)		18.9
Total net revenue		163.4		143.6		19.8		13.8		476.3		421.5		54.8		13.0
Operating income		26.4		11.7		14.7		125.6		61.2		18.9		42.3		223.8
Net income (loss)	$	5.5	$	(1.0)	$	6.5		650.0%	$	7.5	$	(19.6)	$	27.1		138.3%
Adjusted EBITDA(1)	$	57.0	$	45.2	$	11.8		26.1%	$	152.4	$	130.4	$	22.0		16.9%
Adjusted EBITDA margin(1)		34.9%		31.5%						32.0%		30.9%
Diluted Adjusted EPS(1)	$	0.32	$	0.26	$	0.06		23.1%	$	0.84	$	0.66	$	0.18		27.3%

(1) These are non-GAAP measures. See “Use of Non-GAAP Financial Measures” section for additional information.

The increases in non-GAAP gross fees and total net revenue during the three months ended September 30, 2012 compared to the three months ended September 30, 2011 were primarily attributable to:

— growth in our Spend and Clinical Resource Management segment from our vendor administrative fees and medical device consulting and strategic sourcing services as well as revenue related to achievement of certain client financial performance targets earned during the quarter; and

— growth in our Revenue Cycle Management segment from an increase in our revenue cycle services inclusive of certain performance fees received during the quarter in addition to an increase in our revenue cycle technology tools.

The increases in non-GAAP gross fees and total net revenue during the nine months ended September 30, 2012 compared to the nine months ended September 30, 2011 were primarily attributable to:

— growth in our Spend and Clinical Resource Management segment from our vendor administrative fees and medical device consulting and strategic sourcing services; and

— growth in our Revenue Cycle Management segment from an increase in our revenue cycle services and revenue cycle technology tools.

The increase in operating income during the three months ended September 30, 2012 compared to the three months ended September 30, 2011, was primarily attributable to the growth in net revenue discussed above in addition to a $2.2 million decrease in acquisition and integration-related expenses partially offset by the following operating expenses:

— increased cost of revenue within both our Spend and Clinical Resource Management and Revenue Cycle Management segments attributable to a higher percentage of net revenue being derived from service-based engagements;

— higher operating expenses primarily related to increased compensation expense for new and existing personnel; and

— an increase in depreciation expense from additions to property and equipment including purchased software.

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The increase in operating income during the nine months ended September 30, 2012 compared to the nine months ended September 30, 2011, was primarily attributable to the growth in net revenue discussed above in addition to a $17.9 million decrease in acquisition and integration-related expenses partially offset by the following operating expenses:

— increased cost of revenue within our Revenue Cycle Management segment attributable to a higher percentage of net revenue being derived from service-based engagements;

— higher operating expenses primarily related to increased compensation expense for new and existing personnel and higher professional fees;

— higher share-based compensation expense primarily due to the reversal of $6.5 million of share-based compensation in June 2011 as the specific performance criteria for certain restricted stock grants and SSAR grants were not met; and

— an increase in depreciation expense from additions to property and equipment including purchased software.

For the three and nine months ended September 30, 2012, increases in consolidated non-GAAP adjusted EBITDA compared to the three and nine months ended September 30, 2011 were primarily attributable to the net revenue increase discussed above, as well as lower overall expense growth.

Segment Structure and Revenue Streams

We deliver our solutions through two business segments, Spend and Clinical Resource Management (“SCM”) and Revenue Cycle Management (“RCM”). Management’s primary metrics to measure consolidated and segment financial performance are net revenue, non-GAAP gross fees, non-GAAP revenue share obligation, non-GAAP adjusted EBITDA, non-GAAP adjusted EBITDA margin, non-GAAP diluted adjusted EPS and Segment Adjusted EBITDA. All of our revenues are from external clients and inter-segment revenues have been eliminated. See Note 11 of the Notes to Condensed Consolidated Financial Statements herein for discussion on Segment Adjusted EBITDA and certain items of our segment results of operations and financial position.

Spend and Clinical Resource Management

Our SCM segment provides a comprehensive suite of cost management services and supply chain analytics and data capabilities that help our clients manage many of their high and low expense categories. Our solutions lower supply and medical device costs and help to improve clinical resource utilization by managing the procurement process through our strategic sourcing of supplies and purchased services, discounted pricing through our group purchasing organization’s portfolio of contracts, consulting services and business analytics and intelligence tools. Our SCM segment revenue consists of the following components:

— Administrative fees and revenue share obligation. We earn administrative fees from manufacturers, distributors and other vendors (collectively referred to as “vendors”) of products and services with whom we have contracts under which our group purchasing organization clients may purchase products and services. Administrative fees represent a percentage, which we refer to as our administrative fee ratio, typically ranging from 0.25% to 3.00% of the purchases made by our group purchasing organization clients through contracts with our vendors.

Our group purchasing organization clients make purchases, and receive shipments, directly from the vendors. Generally on a monthly or quarterly basis, vendors provide us with a report describing the purchases made by our clients through our group purchasing organization vendor contracts, including associated administrative fees. We recognize revenue upon the receipt of these reports from vendors.

Some client contracts require that a portion of our administrative fees be contingent upon achieving certain financial improvements, such as lower supply costs, which we refer to as performance targets. Contingent administrative fees are not recognized as revenue until we receive customer acceptance on the achievement of those contractual performance targets. Prior to receiving client acceptance of performance targets, we record contingent administrative fees as deferred revenue on our condensed consolidated balance sheet. Often, recognition of this revenue occurs in periods subsequent to the recognition of the associated costs. Should we fail to meet a performance target, we may be contractually obligated to refund some or all of the contingent fees. Additionally, in many cases, we are contractually obligated to pay a portion of the administrative fees to our hospital and health system clients. Typically this amount, which we refer to as our revenue share obligation, is calculated as a percentage of administrative fees earned on a particular client’s purchases from our vendors. Our total net revenue on our condensed consolidated statements of operations is shown net of the revenue share obligation.

— Other service fees. The following items are included as “Other service fees” in our condensed consolidated statement of operations:

— Consulting fees. We consult with our clients regarding the costs and utilization of medical devices and physician preference items (“PPI”) and the efficiency and quality of their key clinical service lines. Our consulting projects are typically fixed fee projects with an average duration of six to nine months, and the related revenues are earned as services are rendered. We generate revenue from consulting contracts that also include performance targets. The performance targets generally relate to committed financial improvement to our clients from the use and implementation of initiatives that result from our consulting services. Performance targets are measured as our strategic initiatives are identified and implemented, and the financial improvement can be quantified by the client. Prior to receiving client acceptance of performance targets, we record contingent consulting fees as deferred revenue on our condensed consolidated balance sheet. Often, recognition of this revenue occurs in periods subsequent to the recognition of the associated costs. Should we fail to meet a performance target, we may be contractually obligated to refund some or all of the contingent fees.

— Subscription fees. We also offer technology-enabled services that provide spend management analytics and data services to improve operational efficiency, reduce supply costs, and increase transparency across spend management processes. We earn fixed subscription fees on a monthly basis for these Company-hosted SaaS-based solutions.

Revenue Cycle Management

Our RCM segment provides a comprehensive suite of products and services spanning the hospital revenue cycle workflow — from patient access and financial responsibility, charge capture and integrity, pricing analysis, claims processing and denials management, payor contract management, revenue recovery and accounts

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receivable services. Our workflow solutions, together with our data management, compliance and audit tools, increase revenue capture and cash collections, reduce accounts receivable balances and increase regulatory compliance. Our RCM segment revenue is listed under the caption “Other service fees” on our condensed consolidated statements of operations and consists of the following components:

— Subscription and implementation fees. We earn fixed subscription fees on a monthly or annual basis on multi-year contracts for client access to our SaaS-based solutions. We may also charge our clients non-refundable upfront fees for implementation of our SaaS-based services. These non-refundable upfront fees are earned over the subscription period or estimated customer relationship period, whichever is longer.

We defer costs related to implementation services and expense these costs in proportion to the revenue earned over the subscription period or customer relationship period, as applicable.

In addition, we defer upfront sales commissions related to subscription and implementation fees and expense these costs ratably over the related contract term.

— Transaction fees. For certain of our revenue cycle management solutions, we earn fees that vary based on the volume of client transactions or enrolled members.

— Service fees. For certain of our RCM solutions, we earn fees based on a percentage of cash remittances collected, fixed-fee and cost-plus consulting arrangements. The related revenues are earned as services are rendered.

Operating Expenses

We classify our operating expenses as follows:

— Cost of revenue. Cost of revenue primarily consists of the direct labor costs incurred to generate our revenue. Direct labor costs consist primarily of salaries, benefits, incentive compensation and other direct costs and share-based compensation expenses related to personnel who provide services to implement our solutions for our clients (indirect labor costs for these personnel are included in general and administrative expenses). As the majority of our services are generated internally, our costs to provide these services are primarily labor-driven. A less significant portion of our cost of revenue consists of costs of third-party products and services and client reimbursed out-of-pocket costs. Cost of revenue does not include certain expenses relating to hosting our services and providing support and related data center capacity (which is included in general and administrative expenses), and allocated amounts for rent, depreciation, amortization or other indirect operating costs because we do not consider the inclusion of these items in cost of revenue relevant to our business. However, cost of revenue does include the amortization for the cost of software to be sold, leased, or otherwise marketed. As a result of the Broadlane Acquisition and related integration, there may be some re-allocation of expenses primarily between cost of revenue and general and administrative expense resulting from the implementation of our accounting expense allocation policies that could affect period over period comparability. In addition, any changes in revenue mix between our SCM and RCM segments, including changes in revenue mix towards SaaS-based revenue and consulting services, may cause significant fluctuations in our cost of revenue and have a favorable or unfavorable impact on operating income.

— Product development expenses. Product development expenses primarily consist of the salaries, benefits, incentive compensation and share-based compensation expense of the technology professionals who develop, support and maintain our software-related products and services. Product development expenses are net of capitalized software development costs for both internal and external use.

— Selling and marketing expenses. Selling and marketing expenses consist primarily of costs related to marketing programs (including trade shows and brand messaging), personnel-related expenses for sales and marketing employees (including salaries, benefits, incentive compensation and share-based compensation expense), certain meeting costs and travel-related expenses.

— General and administrative expenses. General and administrative expenses consist primarily of personnel-related expenses for administrative employees and indirect time related to operational service-based employees (including salaries, benefits, incentive compensation and share-based compensation expense) and travel-related expenses, occupancy and other indirect costs, insurance costs, professional fees, and other general overhead expenses.

— Acquisition and integration-related expenses. Acquisition and integration-related expenses may consist of: (i) costs incurred to complete acquisitions including due diligence, consulting and other related fees; (ii) integration and restructuring-type costs relating to our completed acquisitions; and (iii) acquisition-related fees associated with unsuccessful acquisition attempts.

— Depreciation. Depreciation expense consists primarily of depreciation of fixed assets and the amortization of software, including capitalized costs of software developed for internal use.

— Amortization of intangibles. Amortization of intangibles includes the amortization of all identified intangible assets (with the exception of software), primarily resulting from acquisitions.

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Results of Operations

Consolidated Tables

The following table sets forth our consolidated results of operations grouped by segment for the periods shown:

	Three Months Ended September 30,				Nine Months Ended September 30,
	2012		2011		2012		2011
	(Unaudited, in thousands)				(Unaudited, in thousands)
Net revenue:
Spend and Clinical Resource Management
Gross administrative fees(1)	$	109,335	$	96,354	$	321,351	$	280,478
Revenue share obligation(1)		(40,694)		(33,719)		(120,599)		(101,446)
Other service fees		30,471		27,803		93,740		81,852
Total Spend and Clinical Resource Management		99,112		90,438		294,492		260,884
Revenue Cycle Management		64,329		53,120		181,849		160,607
Total net revenue		163,441		143,558		476,341		421,491
Operating expenses:
Spend and Clinical Resource Management		72,715		71,089		220,938		230,573
Revenue Cycle Management		53,082		51,395		161,273		146,786
Total segment operating expenses		125,797		122,484		382,211		377,359
Operating income
Spend and Clinical Resource Management		26,397		19,349		73,554		30,311
Revenue Cycle Management		11,247		1,725		20,576		13,821
Total segment operating income		37,644		21,074		94,130		44,132
Corporate expenses(2)		11,236		9,341		32,914		25,246
Operating income		26,408		11,733		61,216		18,886
Other income (expense):
Interest expense		(16,672)		(17,818)		(50,722)		(53,942)
Other income		114		2,490		449		2,770
Income (loss) before income taxes		9,850		(3,595)		10,943		(32,286)
Income tax expense (benefit)		4,386		(2,612)		3,467		(12,645)
Net income (loss)		5,464		(983)		7,476		(19,641)
Reportable segment adjusted EBITDA(3):
Spend and Clinical Resource Management		46,340		42,543		132,846		116,048
Revenue Cycle Management	$	17,835	$	9,928	$	41,532	$	35,649
Reportable segment adjusted EBITDA margin(4):
Spend and Clinical Resource Management		46.8%		47.0%		45.1%		44.5%
Revenue Cycle Management		27.7%		18.7%		22.8%		22.2%

(1) These are non-GAAP measures. See “Use of Non-GAAP Financial Measures” section for additional information.

(2) Represents the expenses of the corporate office operations.

(3) Management’s primary metric of segment profit or loss is segment adjusted EBITDA. See Note 11 of the Notes to Condensed Consolidated Financial Statements.

(4) Reportable segment adjusted EBITDA margin represents each reportable segment’s adjusted EBITDA as a percentage of each segment’s respective net revenue.

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Comparison of the Three Months Ended September 30, 2012 and September 30, 2011

	Three Months Ended September 30,
	2012				2011				Change
	Amount		% of Revenue		Amount		% of Revenue		Amount		%
	(Unaudited, in thousands)
Net revenue:
Spend and Clinical Resource Management
Gross administrative fees(1)	$	109,335		66.9%	$	96,354		67.1%	$	12,981		13.5%
Revenue share obligation(1)		(40,694)		(24.9)		(33,719)		(23.5)		(6,975)		20.7
Other service fees		30,471		18.6		27,803		19.4		2,668		9.6
Total Spend and Clinical Resource Management		99,112		60.6		90,438		63.0		8,674		9.6
Revenue Cycle Management		64,329		39.4		53,120		37.0		11,209		21.1
Total net revenue	$	163,441		100.0%	$	143,558		100.0%	$	19,883		13.9%

(1) These are non-GAAP measures. See “Use of Non-GAAP Financial Measures” section for additional information.

Total net revenue. Total net revenue for the three months ended September 30, 2012 was $163.4 million, an increase of approximately $19.9 million, or 13.9%, from total net revenue of $143.5 million for the three months ended September 30, 2011. The increase in total net revenue was comprised of an $8.7 million increase in SCM revenue and an $11.2 million increase in RCM revenue. For the three months ended September 30, 2012 and 2011, performance-related revenue as a percentage of consolidated net revenue amounted to approximately 5.0% and 6.0%, respectively. Revenue may fluctuate significantly from period to period based upon achieving and receiving customer acknowledgement of our achievement of the financial performance targets.

Spend and Clinical Resource Management net revenue. SCM net revenue for the three months ended September 30, 2012 was $99.1 million, an increase of $8.7 million, or 9.6%, from net revenue of $90.4 million for the three months ended September 30, 2011. The increase was the result of an increase in gross administrative fees of $13.0 million, or 13.5%, partially offset by an approximate $7.0 million increase in non-GAAP revenue share obligation, and an increase in other service fees of $2.7 million.

— Gross administrative fees. Non-GAAP gross administrative fee revenue increased by $13.0 million, or 13.5%, as compared to the prior period, primarily due to an increase in the average administrative fee percentage realized under our manufacturer and distributor contracts. We may have fluctuations in our non-GAAP gross administrative fee revenue in future periods as the timing of vendor reporting and client acknowledgement of achieved performance targets varies.

— Revenue share obligation. Non-GAAP revenue share obligation increased $7.0 million, or 20.7%, as compared to the prior period. We analyze the impact of our non-GAAP revenue share obligation on our results of operations by calculating the ratio of non-GAAP revenue share obligation to non-GAAP gross administrative fees including administrative fees not subject to a variable revenue share obligation (or the “revenue share ratio”). Our revenue share ratio was 37.2% and 35.0% for the three months ended September 30, 2012 and 2011, respectively. Our revenue share ratio increased during the three months ended September 30, 2012 as a result of gross administrative fee growth driven by clients that are entitled to a higher revenue share percentage. We may continue to experience fluctuations in our revenue share ratio based on the mix of clients who are entitled to a higher revenue share percentage due to increased purchasing volume in addition to an increase in the number of fixed-fee arrangements.

— Other service fees. The $2.7 million, or 9.6%, increase in other service fees primarily related to higher revenues from medical device consulting and strategic sourcing services due to an increased number of engagements from new and existing clients.

Revenue Cycle Management net revenue. RCM net revenue for the three months ended September 30, 2012 was $64.3 million, an increase of $11.2 million, or 21.1%, from net revenue of $53.1 million for the three months ended September 30, 2011. The increase was attributable to a $5.8 million increase in revenue from our comprehensive revenue cycle service engagements; and a $5.4 million increase in revenue from our revenue cycle technology tools. As we engage new clients, renew with existing clients and complete existing contracts, we will continue to experience fluctuations in our revenue cycle services financial performance as the business is characterized by fewer agreements, which each relate to large amounts of revenue.

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Total Operating Expenses

	Three Months Ended September 30,
	2012				2011				Change
	Amount		% of Revenue		Amount		% of Revenue		Amount		%
	(Unaudited, in thousands)
Operating expenses:
Cost of revenue		$    34,570		21.2%		$    29,528		20.6%		$  5,042		17.1%
Product development expenses		7,217		4.4		6,771		4.7		446		6.6
Selling and marketing expenses		12,983		7.9		12,853		9.0		130		1.0
General and administrative expenses		55,167		33.8		53,196		37.1		1,971		3.7
Acquisition and integration-related expenses		1,535		0.9		3,742		2.6		(2,207)		(59.0)
Depreciation		7,721		4.7		5,507		3.8		2,214		40.2
Amortization of intangibles		17,840		10.9		20,228		14.1		(2,388)		(11.8)
Total operating expenses		137,033		83.8		131,825		91.8		5,208		4.0
Operating expenses by segment:
Spend and Clinical Resource Management		72,715		44.5		71,089		49.5		1,626		2.3
Revenue Cycle Management		53,082		32.5		51,395		35.8		1,687		3.3
Total segment operating expenses		125,797		77.0		122,484		85.3		3,313		2.7
Corporate expenses		11,236		6.9		9,341		6.5		1,895		20.3
Total operating expenses		$    137,033		83.8%		$    131,825		91.8%		$    5,208		4.0%

Cost of revenue. Cost of revenue for the three months ended September 30, 2012 was $34.5 million, or 21.2% of total net revenue, an increase of $5.0 million, or 17.1%, from cost of revenue of $29.5 million, or 20.6% of total net revenue, for the three months ended September 30, 2011. The increase was primarily attributable to an increase in service-related engagements in our RCM segment, which resulted in a higher cost of revenue given these activities are more labor intensive. In addition, for our engagements that include achieving financial performance targets, we recognize revenue based on when the financial performance targets are achieved and such achievement is acknowledged by our customers. There are instances during a reporting period where we incur a higher amount of direct costs with no associated revenue for these types of engagements. Also, we may record revenue in a reporting period where the direct costs have been recorded in a previous period. These events may affect period over period comparability.

Product development expenses. Product development expenses for the three months ended September 30, 2012 were $7.2 million, or 4.4% of total net revenue, an increase of $0.4 million, or 6.6%, from product development expenses of $6.8 million, or 4.7% of total net revenue, for the three months ended September 30, 2011.

The increase was primarily attributable to an increase in compensation expense to new and existing employees. Our product development capitalization rate for the three months ended September 30, 2012 and 2011, was 60.0% and 54.7%, respectively. The higher capitalization rate for the three months ended September 30, 2012 was primarily due to: (i) an increase in product development within our SCM segment attributable to investments in integration-related activities in connection with combining the operations of Broadlane with our existing operations; and (ii) an increase in RCM investments in product development primarily due to new product features and functionality, new technologies, and upgrades to our service offerings.

Selling and marketing expenses. Selling and marketing expenses for the three months ended September 30, 2012 were $13.0 million, or 7.9% of total net revenue, an increase of $0.1 million, or 1.0%, from selling and marketing expenses of $12.9 million, or 9.0% of total net revenue, for the three months ended September 30, 2011. The increase was primarily attributable to a $0.4 million increase in compensation expense relating to new and existing employees; and a $0.2 million increase in professional fees. The increase was partially offset by a $0.5 million decrease in other operating infrastructure expense.

General and administrative expenses. General and administrative expenses for the three months ended September 30, 2012 were approximately $55.2 million, or 33.8% of total net revenue, an increase of $2.0 million, or 3.7%, from general and administrative expenses of $53.2 million, or 37.1% of total net revenue, for the three months ended September 30, 2011. The increase was attributable to a $3.9 million increase in compensation expense to new and existing employees, primarily operations-based employees; and a $0.7 million increase in share-based compensation expense. The increase was partially offset by a $1.2 million decrease in restructuring charges that were associated with certain management changes within our RCM segment that occurred in the prior period; a $1.1 million decrease in professional fees; and a $0.3 million decrease in other operating infrastructure expense.

Acquisition-related expenses. Acquisition and integration-related expenses for the three months ended September 30, 2012 were $1.5 million, or 0.9% of total net revenue, a decrease of $2.2 million, from acquisition-related expenses of $3.7 million, or 2.6% of total net revenue, for the three months ended September 30, 2011. The decrease was attributable to the decrease in costs relating to our integration and restructuring associated with our restructuring plans which include costs such as severance, retention, salaries relating to redundant positions, certain performance-related salary-based compensation, and operating infrastructure costs.

We expect to continue to incur costs in future periods related to our plans including aligning service offerings and standardizing and migrating certain Broadlane operational systems and transactional data sets into our operational systems. However, we expect these additional costs will be substantially less than those incurred in 2011.

Depreciation. Depreciation expense for the three months ended September 30, 2012 was $7.7 million, or 4.7% of total net revenue, an increase of $2.2 million, or 40.2%, from depreciation of $5.5 million, or 3.8% of total net revenue, for the three months ended September 30, 2011. The increase was attributable to depreciation resulting from purchases of property and equipment inclusive of increases to capitalized software development.

Amortization of intangibles. Amortization of intangibles for the three months ended September 30, 2012 was $17.8 million, or 10.9% of total net revenue, a decrease of $2.4 million, or 11.8%, from amortization of intangibles of $20.2 million, or 14.1% of total net revenue, for the three months ended September 30, 2011. The decrease in amortization expense compared to the prior year was due to certain identified intangible assets that are nearing the end of their useful life under an accelerated method of amortization.

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Segment Operating Expenses

Spend and Clinical Resource Management expenses. SCM operating expenses for the three months ended September 30, 2012 were $72.7 million, or 44.5% of total net revenue, an increase of $1.6 million, or 2.3%, from $71.1 million, or 49.5% of total net revenue for the three months ended September 30, 2011. As a percentage of SCM segment net revenue, segment expenses were 73.4% and 78.6% for the three months ended September 30, 2012 and 2011, respectively.

The increase was primarily attributable to a $4.2 million increase in compensation expense to new and existing employees, primarily operations-based employees; a $1.1 million increase in cost of revenue in connection with higher direct labor costs; a $0.6 million increase in depreciation expense; and a $0.4 million increase in other operating infrastructure expense. The increase was partially offset by a $2.2 million decrease in integration and restructuring costs associated with the Broadlane Acquisition, including severance, retention, certain performance-related salary-based compensation, and operating infrastructure costs; a $1.4 million decrease in the amortization of intangibles as certain of these intangible assets reached the end of their useful life; and a $1.1 million decrease in professional fees.

Revenue Cycle Management expenses. RCM operating expenses for the three months ended September 30, 2012 were $53.1 million, or 32.5% of total net revenue, an increase of $1.7 million, or 3.3%, from $51.4 million, or 35.8% of total net revenue, for the three months ended September 30, 2011. As a percentage of RCM segment net revenue, segment expenses were 82.5% and 96.8% for the three months ended September 30, 2012 and 2011, respectively.

RCM operating expenses increased as a result of a $3.7 million increase in cost of revenue in connection with higher direct labor costs related to more service-based engagements; a $0.6 million increase in depreciation expense; and a $0.5 million increase in professional fees. The increase was partially offset by a $1.2 million decrease in restructuring charges that were associated with certain management changes within our RCM segment that occurred in the prior period; a $1.0 million decrease in amortization of intangibles as certain of these intangible assets reached the end of their useful life; and a $0.9 million decrease in other operating infrastructure expense.

Corporate expenses. Corporate expenses for the three months ended September 30, 2012 were $11.2 million, an increase of $1.9 million, or 20.3%, from $9.3 million for the three months ended September 30, 2011, or 6.9% and 6.5% of total net revenue, respectively. The increase in corporate expenses was attributable to a $1.0 million increase in depreciation expense; and a $0.9 million increase in share-based compensation expense.

Non-operating Expenses

Interest expense. Interest expense for the three months ended September 30, 2012 was $16.7 million, a decrease of $1.1 million from interest expense of $17.8 million for the three months ended September 30, 2011. The decrease in interest expense was primarily due to: (i) a lower level of indebtedness compared to the prior period and (ii) our revolving credit facility having a lower interest rate as it is not subject to the minimum 1.50% LIBOR floor. As of September 30, 2012, we had total indebtedness of $898.9 million compared to $905.2 million as of September 30, 2011. See Note 6 of the Notes to our Condensed Consolidated Financial Statements herein for more details.

Other income. Other income for the three months ended September 30, 2012 was $0.1 million, comprised mainly of rental income. Other income for the three months ended September 30, 2011 was $2.5 million. The decrease in other income was primarily attributable to a $2.3 million insurance settlement received during the three months ended September 30, 2011. Refer to Note 7 in the Notes to Condensed Consolidated Financial Statements for additional details.

Income tax expense (benefit). Income tax expense for the three months ended September 30, 2012 was $4.4 million, an increase of $7.0 million from an income tax benefit of $2.6 million for the three months ended September 30, 2011, which was primarily attributable to increased income before taxes. Income tax expense recorded during the three months ended September 30, 2012 reflected an effective income tax rate of 44.5%. Income tax benefit recorded during the three months ended September 30, 2011 reflected an effective income tax rate of 72.7%.

In August 2011, we were notified by the Internal Revenue Service that the 2009 federal income tax returns for both MedAssets, Inc. and its subsidiaries and Broadlane and its subsidiaries had been selected for examination. Fieldwork commenced in September 2011. Based upon preliminary results communicated to us, we not expect any material assessment to be realized from these examinations. We anticipate that the examinations will be completed in the fourth quarter of 2012.

Comparison of the Nine Months Ended September 30, 2012 and September 30, 2011

	Nine Months Ended September 30,
	2012				2011				Change
	Amount		% of Revenue		Amount		% of Revenue		Amount		%
	(Unaudited, in thousands)
Net revenue:
Spend and Clinical Resource Management
Gross administrative fees(1)	$	321,351		67.5%	$	280,478		66.5%	$	40,873		14.6%
Revenue share obligation(1)		(120,599)		(25.3)		(101,446)		(24.1)		(19,153)		18.9
Other service fees		93,740		19.7		81,852		19.4		11,888		14.5
Total Spend and Clinical Resource Management		294,492		61.8		260,884		61.9		33,608		12.9
Revenue Cycle Management		181,849		38.2		160,607		38.1		21,242		13.2
Total net revenue	$	476,341		100.0%	$	421,491		100.0%	$	54,850		13.0%

(1) These are non-GAAP measures. See “Use of Non-GAAP Financial Measures” section for additional information.

Total net revenue. Total net revenue for the nine months ended September 30, 2012 was $476.3 million, an increase of approximately $54.8 million, or 13.0%, from total net revenue of $421.5 million for the nine months ended September 30, 2011. Total net revenue for the nine months ended September 30, 2011 excludes $6.2 million of revenue due to purchase accounting revenue adjustments required under GAAP (refer to footnote 5 of the Adjusted EBITDA Reconciliation table included in the “Use of Non-GAAP Financial Measures” section for additional information). Had this amount been included in total net revenue for the nine months ended September 30, 2011, our total net revenue for the nine months ended September 30, 2012 would have reflected an increase of 11.4% as compared to the prior period. The increase in total net revenue was comprised of a $33.6 million increase in SCM revenue and a $21.2 million increase in RCM revenue. For the nine months ended September 30, 2012 and 2011, performance-related revenue as a percentage of consolidated net revenue amounted to approximately 3.9% and 3.6%, respectively. Revenue may fluctuate significantly from period to period based upon achieving and receiving customer acknowledgement of our achievement of the financial performance targets.

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Spend and Clinical Resource Management net revenue. SCM net revenue for the nine months ended September 30, 2012 was $294.5 million, an increase of $33.6 million, or 12.9%, from net revenue of $260.9 million for the nine months ended September 30, 2011. SCM net revenue for the nine months ended September 30, 2011 excludes $6.2 million of revenue due to purchase accounting revenue adjustments required under GAAP. Had this amount been included in total SCM net revenue for the nine months ended September 30, 2011, our SCM net revenue for the nine months ended September 30, 2012 would have reflected an increase of 10.2% as compared to the prior period. The increase was the result of an increase in gross administrative fees of $40.9 million, or 14.6%, partially offset by an approximate $19.2 million increase in non-GAAP revenue share obligation, and an increase in other service fees of $11.9 million.

— Gross administrative fees. Non-GAAP gross administrative fee revenue increased by $40.9 million, or 14.6%, as compared to the prior period, primarily due to higher purchasing volumes by new and existing clients under our group purchasing organization contracts with our manufacturer and distributor vendors as well as an increase in the average administrative fee percentage realized under our manufacturer and distributor contracts. Non-GAAP gross administrative revenue for the nine months ended September 30, 2011 excludes $9.4 million of revenue due to purchase accounting revenue adjustments required under GAAP. Had this amount been included in non-GAAP gross administrative fee revenue for the nine months ended September 30, 2011, our non-GAAP gross administrative fee revenue for the nine months ended September 30, 2012 would have reflected an increase of 10.8% as compared to the prior period. We may have fluctuations in our non-GAAP gross administrative fee revenue in future periods as the timing of vendor reporting and client acknowledgement of achieved performance targets varies.

— Revenue share obligation. Non-GAAP revenue share obligation increased $19.2 million, or 18.9%, as compared to the prior period. Non-GAAP revenue share obligation for the nine months ended September 30, 2011 excludes $4.8 million of purchase accounting revenue adjustments required under GAAP. Had this amount been included in non-GAAP revenue share obligation for the nine months ended September 30, 2011, our non-GAAP revenue share obligation for the nine months ended September 30, 2012 would have reflected an increase of 13.5% as compared to the prior period. We analyze the impact of our non-GAAP revenue share obligation on our results of operations by calculating the ratio of non-GAAP revenue share obligation to non-GAAP gross administrative fees including administrative fees not subject to a variable revenue share obligation (or the “revenue share ratio”). Our revenue share ratio was 37.5% and 36.2% for the nine months ended September 30, 2012 and 2011, respectively. Our revenue share ratio increased during the nine months ended September 30, 2012 as a result of gross administrative fee growth driven by clients that are entitled to a higher revenue share percentage. We may continue to experience fluctuations in our revenue share ratio based on the mix of clients who are entitled to a higher revenue share percentage due to increased purchasing volume in addition to an increase in the number of fixed-fee arrangements.

— Other service fees. The $11.9 million, or 14.5%, increase in other service fees primarily related to $12.7 million in higher revenues from medical device consulting and strategic sourcing services. Other service fees for the nine months ended September 30, 2011 excludes $1.6 million of revenue due to purchase accounting revenue adjustments required under GAAP. Had this amount been included in other service fees for the nine months ended September 30, 2011, our other service fee revenue for the nine months ended September 30, 2012 would have reflected an increase of 12.4% as compared to the prior period. The growth in supply chain consulting was mainly due to an increased number of engagements from new and existing clients. The increase was partially offset by a $0.8 million decrease in revenue relating to our decision support services business. In addition, we recorded $5.1 million in revenue associated with our annual client and vendor meeting for the nine months ended September 30, 2012 compared to $5.0 million for the nine months ended September 30, 2011.

Revenue Cycle Management net revenue. RCM net revenue for the nine months ended September 30, 2012 was $181.8 million, an increase of $21.2 million, or 13.2%, from net revenue of $160.6 million for the nine months ended September 30, 2011. The increase was attributable to a $14.4 million increase in revenue from our revenue cycle technology tools and a $6.8 million increase in revenue from our comprehensive revenue cycle service engagements. As we engage new clients, renew with existing clients and complete existing contracts, we will continue to experience fluctuations in our revenue cycle services financial performance as the business is characterized by fewer agreements, which each relate to large amounts of revenue.

Total Operating Expenses

	Nine Months Ended September 30,
	2012				2011				Change
	Amount		% of Revenue		Amount		% of Revenue		Amount		%
	(Unaudited, in thousands)
Operating expenses:
Cost of revenue		$    100,583		21.1%		$    90,571		21.5%		$    10,012		11.1%
Product development expenses		20,777		4.4		19,646		4.7		1,131		5.8
Selling and marketing expenses		46,709		9.8		43,454		10.3		3,255		7.5
General and administrative expenses		165,577		34.8		149,107		35.4		16,470		11.0
Acquisition and integration-related expenses		4,812		1.0		22,713		5.4		(17,901)		(78.8)
Depreciation		21,416		4.5		16,414		3.9		5,002		30.5
Amortization of intangibles		55,251		11.6		60,700		14.4		(5,449)		(9.0)
Total operating expenses		415,125		87.1		402,605		95.5		12,520		3.1
Operating expenses by segment:
Spend and Clinical Resource Management		220,938		46.4		230,573		54.7		(9,635)		(4.2)
Revenue Cycle Management		161,273		33.9		146,786		34.8		14,487		9.9
Total segment operating expenses		382,211		80.2		377,359		89.5		4,852		1.3
Corporate expenses		32,914		6.9		25,246		6.0		7,668		30.4
Total operating expenses		$    415,125		87.1%		$  402,605		95.5%		$    12,520		3.1%

Cost of revenue. Cost of revenue for the nine months ended September 30, 2012 was $100.6 million, or 21.1% of total net revenue, an increase of $10.0 million, or 11.1%, from cost of revenue of $90.6 million, or 21.5% of total net revenue, for the nine months ended September 30, 2011. The increase was primarily attributable to an increase in service-related engagements in our RCM segment, which resulted in a higher cost of revenue given these activities are more labor intensive. In addition, for our engagements that include achieving financial performance targets, we recognize revenue based on when the financial performance targets are achieved and such achievement is acknowledged by our customers. There are instances during a reporting period where we incur a higher amount of direct costs with no associated revenue for these types of engagements. Also, we may record revenue in a reporting period where the direct costs have been recorded in a previous period. These events may affect period over period comparability.

26

Product development expenses. Product development expenses for the nine months ended September 30, 2012 were approximately $20.7 million, or 4.4% of total net revenue, an increase of $1.1 million, or 5.8%, from product development expenses of $19.6 million, or 4.7% of total net revenue, for the nine months ended September 30, 2011.

The increase was primarily attributable to a $1.3 million increase in professional fees partially offset by a $0.2 million decrease in other operating infrastructure expense. Our product development capitalization rate for the nine months ended September 30, 2012 and 2011, was 59.9% and 49.0%, respectively. The higher capitalization rate for the nine months ended September 30, 2012 was primarily due to: (i) an increase in product development within our SCM reporting unit attributable to investments in integration-related activities in connection with combining the operations of Broadlane with our existing operations; and (ii) an increase in RCM investments in product development primarily due to new product features and functionality, new technologies, and upgrades to our service offerings.

Selling and marketing expenses. Selling and marketing expenses for the nine months ended September 30, 2012 were $46.7 million, or 9.8% of total net revenue, an increase of $3.2 million, or 7.5%, from selling and marketing expenses of $43.5 million, or 10.3% of total net revenue, for the nine months ended September 30, 2011. The increase was attributable to a $2.5 million increase in compensation expense relating to new and existing employees; a $0.8 million increase in share-based compensation expense; and a $0.4 million increase in other operating infrastructure expense. The increase was partially offset by a $0.5 million decrease in expenses associated with our client and vendor meeting. Total expenses related to our client and vendor meeting amounted to $6.5 million and $7.0 million for the nine months ended September 30, 2012 and 2011, respectively.

General and administrative expenses. General and administrative expenses for the nine months ended September 30, 2012 were approximately $165.6 million, or 34.8% of total net revenue, an increase of $16.5 million, or 11.0%, from general and administrative expenses of $149.1 million, or 35.4% of total net revenue, for the nine months ended September 30, 2011. The increase was attributable to an $11.3 million increase in compensation expense to new and existing employees, primarily operations-based employees; a $3.6 million increase in share-based compensation expense; a $1.8 million increase in telecommunications expense; and a $1.0 million increase in professional fees. The increase was partially offset by a $1.2 million decrease in restructuring charges that were associated with certain management changes within our RCM segment that occurred in the prior period.

Acquisition-related expenses. Acquisition and integration-related expenses for the nine months ended September 30, 2012 were $4.8 million, or 1.0% of total net revenue, a decrease of $17.9 million, from acquisition-related expenses of $22.7 million, or 5.4% of total net revenue, for the nine months ended September 30, 2011. The decrease was attributable to the decrease in costs relating to our integration and restructuring associated with our restructuring plans which include costs such as severance, retention, salaries relating to redundant positions, certain performance-related salary-based compensation, and operating infrastructure costs.

We expect to continue to incur costs in future periods related to our plans including aligning service offerings and standardizing and migrating certain Broadlane operational systems and transactional data sets into our operational systems. However, we expect these additional costs will be substantially less than those incurred in 2011.

Depreciation. Depreciation expense for the nine months ended September 30, 2012 was $21.4 million, or 4.5% of total net revenue, an increase of $5.0 million, or 30.5%, from depreciation of $16.4 million, or 3.9% of total net revenue, for the nine months ended September 30, 2011. The increase was primarily attributable to depreciation resulting from purchases of property and equipment inclusive of increases to capitalized software development.

Amortization of intangibles. Amortization of intangibles for the nine months ended September 30, 2012 was $55.3 million, or 11.6% of total net revenue, a decrease of $5.4 million, or 9.0%, from amortization of intangibles of $60.7 million, or 14.4% of total net revenue, for the nine months ended September 30, 2011. The decrease in amortization expense compared to the prior year was due to certain identified intangible assets that are nearing the end of their useful life under an accelerated method of amortization.

Segment Operating Expenses

Spend and Clinical Resource Management expenses. SCM operating expenses for the nine months ended September 30, 2012 were $220.9 million, or 46.4% of total net revenue, a decrease of $9.6 million, or 4.2%, from approximately $230.5 million, or 54.7% of total net revenue for the nine months ended September 30, 2011. As a percentage of SCM segment net revenue, segment expenses were 75.0% and 88.4% for the nine months ended September 30, 2012 and 2011, respectively.

The decrease was primarily attributable to a $17.8 million decrease in integration and restructuring costs associated with the Broadlane Acquisition, including severance, retention, certain performance-related salary-based compensation, and operating infrastructure costs; a $3.5 million decrease in the amortization of intangibles as certain of these intangible assets reached the end of their useful life; a $2.6 million decrease in cost of revenue in connection with lower direct labor costs; a $0.5 million decrease in expenses associated with our client and vendor meeting; a $0.5 million decrease in professional fees; and a $0.5 million decrease in rent expense. The decrease was partially offset by a $14.0 million increase in compensation expense to new and existing employees, primarily operations-based employees; a $0.8 million increase in other operating infrastructure expense; a $0.5 million increase in share-based compensation expense; and a $0.5 million increase in depreciation expense.

Revenue Cycle Management expenses. RCM operating expenses for the nine months ended September 30, 2012 were $161.3 million, or 33.9% of total net revenue, an increase of $14.5 million, or 9.9%, from $146.8 million, or 34.8% of total net revenue, for the nine months ended September 30, 2011. As a percentage of RCM segment net revenue, segment expenses were 88.7% and 91.4% for the nine months ended September 30, 2012 and 2011, respectively.

RCM operating expenses increased as a result of a $12.0 million increase in cost of revenue in connection with higher direct labor costs related to more service-based engagements; a $3.1 million increase in professional fees; a $2.3 million increase in telecommunications expense; a $1.5 million increase in depreciation expense; and a $0.6 million increase in share-based compensation expense. The increase was partially offset by a $2.0 million decrease in amortization of intangibles as certain of these intangible assets reached the end of their useful life; a $1.2 million decrease in restructuring charges that were associated with certain management changes within our RCM segment that occurred in the prior period; a $1.2 million decrease in other operating infrastructure expense; and a $0.6 million decrease in transportation expense.

Corporate expenses. Corporate expenses for the nine months ended September 30, 2012 were $32.9 million, an increase of $7.7 million, or 30.4%, from $25.2 million for the nine months ended September 30, 2011, or 6.9% and 6.0% of total net revenue, respectively. The increase in corporate expenses was attributable to a $3.8 million increase in share-based compensation expense; a $3.2 million increase in depreciation expense; a $0.5 million increase in transportation expense; and a $0.2 million increase in other operating infrastructure expense.

27

Non-operating Expenses

Interest expense. Interest expense for the nine months ended September 30, 2012 was $50.7 million, a decrease of $3.2 million from interest expense of $53.9 million for the nine months ended September 30, 2011. The decrease in interest expense was primarily due to: (i) a lower level of indebtedness compared to the prior period and (ii) our revolving credit facility having a lower interest rate as it is not subject to the minimum 1.50% LIBOR floor. As of September 30, 2012, we had total indebtedness of $898.9 million compared to $905.2 as of September 30, 2011. See Note 6 of the Notes to our Condensed Consolidated Financial Statements herein for more details.

Other income. Other income for the nine months ended September 30, 2012 was $0.4 million, primarily comprised of $0.3 million in rental income and $0.1 million from a gain on the sale of certain assets. Other income for the nine months ended September 30, 2011 was $2.8 million. The decrease in other income was primarily attributable to a $2.3 million insurance settlement received in 2011. Refer to Note 7 in the Notes to Condensed Consolidated Financial Statements for additional details.

Income tax expense (benefit). Income tax expense for the nine months ended September 30, 2012 was $3.5 million, an increase of $16.1 million from an income tax benefit of $12.6 million for the nine months ended September 30, 2011, which was primarily attributable to increased income before taxes. During 2012, we realigned our legal entities for tax reporting purposes to fully reflect the integration of the Broadlane acquisition into our operations. The realignment required us to recognize a reduction in our state income tax rate and as a result, we recognized a $1.4 million tax benefit during the nine months ended September 30, 2012. Income tax expense recorded during the nine months ended September 30, 2012 reflected an effective income tax rate of 31.7%. Income tax benefit recorded during the nine months ended September 30, 2011 reflected an effective income tax rate of 39.2%.

In August 2011, we were notified by the Internal Revenue Service that the 2009 federal income tax returns for both MedAssets, Inc. and its subsidiaries and Broadlane and its subsidiaries had been selected for examination. Fieldwork commenced in September 2011. Based upon preliminary results communicated to us, we do not expect any material assessment to be realized from these examinations. We anticipate that the examinations will be completed in the fourth quarter of 2012.

Critical Accounting Policies

The preparation of financial statements in conformity with GAAP requires management to make estimates and judgments that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities at the date of the financial statements and the reported amount of revenue and expenses during the reporting period. We base our estimates and judgments on historical experience and other assumptions that we find reasonable under the circumstances. Actual results may differ materially from such estimates under different conditions.

Management considers an accounting policy to be critical if the accounting policy requires management to make particularly difficult, subjective or complex judgments about matters that are inherently uncertain. A summary of our critical accounting policies is included in Item 7 (Management’s Discussion and Analysis of Financial Condition and Results of Operations) of Part II, of our Annual Report on Form 10-K for the fiscal year ended December 31, 2011. There have been no material changes to the critical accounting policies disclosed in our Annual Report on Form 10-K for the fiscal year ended December 31, 2011.

Liquidity and Capital Resources

Our primary cash requirements involve payment of ordinary expenses, working capital fluctuations, debt service obligations and capital expenditures. Our capital expenditures typically consist of software purchases, internal product development capitalization and computer hardware purchases. Historically, the acquisition of complementary businesses has resulted in a significant use of cash. Our principal sources of funds have primarily been cash provided by operating activities and borrowings under our credit facilities.

We believe we currently have adequate cash flow from operations, capital resources, available credit facilities and liquidity to meet our cash flow requirements including the following near term obligations (next 12 months): (i) our working capital needs; (ii) our debt service obligations; (iii) planned capital expenditures; (iv) our revenue share obligation and rebate payments; and (v) estimated federal and state income tax payments.

On November 16, 2010, we entered into a credit agreement with Barclays Bank PLC and JP Morgan Securities LLC. The credit agreement consists of a six-year $635.0 million senior secured term loan facility and a five-year $150.0 million senior secured revolving credit facility that contains a letter of credit sub-facility of $25.0 million and a swing line sub-facility of $25.0 million. On March 31, 2011, we entered into the first amendment to the credit agreement to redefine the swing line lender as Bank of America, N.A. from Barclays Bank.

In November 2010, we closed the offering of an aggregate principal amount of $325.0 million of senior notes due 2018 (the “Notes”). The Notes are guaranteed on a senior unsecured basis by each of the Company’s existing domestic subsidiaries and each of the Company’s future domestic restricted subsidiaries in each case that guarantees the Company’s obligations under the credit agreement. Each of the subsidiary guarantors is 100% owned by the Company; the guarantees by the subsidiary guarantors are full and unconditional; the guarantees by the subsidiary guarantors are joint and several; the Company has no independent assets or operations; and any subsidiaries of the Company other than the subsidiary guarantors are minor. The Notes and the guarantees are senior unsecured obligations of the Company and the subsidiary guarantors, respectively. The Notes were issued pursuant to an indenture dated as of November 16, 2010 (the “Indenture”) among the Company, its subsidiary guarantors and Wells Fargo Bank, N.A., as trustee. Pursuant to the Indenture, the Notes will mature on November 15, 2018 and bear 8% annual interest. Interest on the Notes is payable semi-annually in arrears on May 15 and November 15 of each year, beginning on May 15, 2011.

Historically, we have utilized federal net operating loss carryforwards to reduce both regular and Alternative Minimum Tax (“AMT”) cash payments. Consequently, our federal cash tax payments in past reporting periods have been minimal. In 2011, we exhausted our federal net operating loss carryforwards for both regular and AMT payments purposes and expect to exhaust our remaining federal credits for regular tax purposes. As a result, for tax years 2012 and later, we expect our federal cash tax payments to increase significantly.

We have not historically utilized borrowings available under our existing credit agreement to fund operations. We have an auto-borrowing plan which causes excess cash on hand to be used to repay our swing-line credit facility on a daily basis. See Note 6 of the Notes to Condensed Consolidated Financial Statements for further details.

As of September 30, 2012, we had $90.0 million drawn on our revolving credit facility resulting in $59.0 million of availability under our revolving credit facility inclusive of the swing-line (netted for a $1.0 million letter of credit). We may observe fluctuations in cash flows provided by operations from period to period. Certain events may cause us to draw additional amounts under our swing-line or revolving facility and may include the following:

— changes in working capital due to inconsistent timing of cash receipts and payments for major recurring items such as trade accounts payable, revenue share obligation, incentive compensation, changes in deferred revenue, and other various items;

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— transaction and integration related costs associated with the Broadlane Acquisition;

— acquisitions; and

— unforeseeable events or transactions.

We may continue to pursue other acquisitions or investments in the future. We may also increase our capital expenditures consistent with our anticipated growth in infrastructure, software solutions, and personnel, and as we expand our market presence. Cash provided by operating activities may not be sufficient to fund such expenditures. Accordingly, in addition to the use of our available revolving credit facility, we may need to engage in additional equity or debt financings to secure additional funds for such purposes. Any debt financing obtained by us in the future could involve restrictive covenants relating to our capital raising activities and other financial and operational matters including higher interest costs, which may make it more difficult for us to obtain additional capital and to pursue business opportunities, including potential acquisitions. In addition, we may not be able to obtain additional financing on terms favorable to us, if at all. If we are unable to obtain required financing on terms satisfactory to us, our ability to continue to support our business growth and to respond to business challenges could be limited.

Discussion of Cash Flow

As of September 30, 2012 and December 31, 2011, we had cash and cash equivalents totaling $8.2 million and $62.9 million, respectively.

Operating Activities.

The following table summarizes the cash provided by operating activities for the nine months ended September 30, 2012 and 2011:

	Nine Months Ended September 30,
	2012		2011		Change
	Amount		Amount		Amount		%
	(Unaudited, in millions)
Net income (loss)		$      7.5		$    (19.6)		$    27.1		138.3%
Non-cash items		91.6		71.7		19.9		27.8
Net changes in working capital		8.6		23.6		(15.0)		-63.6
Net cash provided by operations		$  107.7		$      75.7		$    32.0		42.3%

Net income (loss) represents the income (loss) attained during the periods presented and is inclusive of certain non-cash expenses. These non-cash expenses include depreciation for fixed assets, amortization of intangible assets, stock compensation expense, bad debt expense, deferred income tax expense, excess tax benefit from the exercise of stock options, loss on sale of assets, amortization of debt issuance costs and non-cash interest expense. Refer to our Condensed Consolidated Statement of Cash Flows for details regarding these non-cash items. The total for these non-cash expenses was $91.6 million and $71.7 million for the nine months ended September 30, 2012 and 2011, respectively. The increase in non-cash expenses for the nine months ended September 30, 2012 compared to September 30, 2011 was primarily attributable to: (i) an increase in deferred income taxes; (ii) an increase in share-based compensation; and (iii) an increase in the depreciation of property and equipment. The increase was partially offset by: (i) a decrease in amortization of intangibles; and (ii) a decrease in non-cash interest expense primarily associated with the deferred payment that was made in January 2012. Refer to our Management Discussion and Analysis for more detail.

Working capital is a measure of our liquid assets. Changes in working capital are included in the determination of cash provided by operating activities. For the nine months ended September 30, 2012, the working capital changes resulting in an increase to cash flow from operations of $8.6 million primarily consisted of the following:

Increase to cash flow

— a decrease in accounts receivable of $8.7 million primarily related to the timing of invoicing and cash collections;

— a decrease in other long-term assets of $1.8 million related to the timing of cash payments for our deferred sales expenses partially offset by an increase in deferred implementation costs;

— a $6.3 million increase in other accrued expenses due to the timing of various payment obligations; and

— an increase in deferred revenue of $2.6 million for cash receipts not yet recognized as revenue.

The working capital changes resulting in increases to cash flow from operations discussed above were partially offset by the following changes in working capital resulting in decreases to cash flow:

Decrease to cash flow

— an increase in prepaid expenses and other assets of $2.6 million primarily related to an increase in software maintenance costs and higher prepaid taxes partially offset by lower prepaid insurance;

— a $4.5 million working capital decrease in trade accounts payable due to the timing of various payment obligations; and

— a $4.3 million decrease in accrued payroll and benefits due to payroll cycle timing and the payment of our 2011 performance-based compensation expense.

For the nine months ended September 30, 2011, the working capital changes resulting in an increase to cash flow from operations of $23.6 million primarily consisted of the following:

Increase to cash flow

— a decrease in accounts receivable of $4.2 million primarily related to the timing of invoicing and cash collections;

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— a decrease in prepaid expenses and other assets of $2.7 million primarily related to an income tax refund received during the year;

— a $10.4 million increase in deferred revenue for cash receipts not yet recognized as revenue;

— an increase in accrued revenue share obligation and rebates of $8.8 million due to the timing of cash payments and customer purchasing volume at our GPO; and

— a $1.5 million increase in accrued payroll and benefits due to payroll cycle timing.

The working capital changes resulting in increases to cash flow from operations discussed above were partially offset by an increase in other long-term assets of $4.2 million related to the timing of cash payments for our deferred sales expenses and in increase in our deferred implementation costs resulting in a reduction to cash flow.

Investing Activities.

Investing activities used $42.8 million of cash for the nine months ended September 30, 2012 which included: $31.0 million for investment in software development; and $11.8 million of capital expenditures. The increase in cash used for investing activities compared to the prior period was primarily due to: (i) investments in software development in connection with combining the operations of Broadlane with our existing operations; and (ii) RCM software development primarily due to new product features and functionality, new technologies, and upgrades to our service offerings.

Investing activities used $26.4 million of cash for the nine months ended September 30, 2011 which included: $18.8 million for investment in software development; and $7.6 million of capital expenditures.

We believe that cash used in investing activities will continue to be materially impacted by continued growth in investments in property and equipment, future acquisitions and capitalized software. Our property, equipment, and software investments consist primarily of SaaS-based technology infrastructure to provide capacity for expansion of our customer base, including computers and related equipment and software purchased or implemented by outside parties. Our software development investments consist primarily of company-managed design, development, testing and deployment of new application functionality.

Financing Activities.

Financing activities used $119.6 million of cash for the nine months ended September 30, 2012. We borrowed $90.0 million from our revolving credit facility consisting of: (i) a $55.0 million draw used to partially fund the deferred payment obligation made in January 2012; and (ii) a $35.0 million draw used to make a voluntary prepayment on our senior term loan facility. Refer to Note 6 in the Notes to Condensed Consolidated Financial Statements for additional details. We also received $5.2 million from the issuance of common stock; and $1.2 million from the excess tax benefit from the exercise of stock options. This was offset by $120.1 million for the payment of the deferred purchase consideration made in connection with the Broadlane Acquisition. We made payments on our senior term loan facility of $94.8 million consisting of: (i) $4.8 million in scheduled principal payments; (ii) $55.0 million in voluntary prepayments from free cash flow; and (iii) a $35.0 million voluntary prepayment from our revolver draw discussed above. In addition, we made payments of $0.5 million that were made on our finance obligation (as discussed below) as well as repurchased approximately 62,000 shares of our common stock under our share repurchase program (now expired) totaling $0.6 million. We are required to prepay our debt obligations based on an excess cash flow calculation for the applicable fiscal year which is determined in accordance with the terms of our credit agreement. We will be required to make any necessary cash flow payment within the first quarter of 2013.

Financing activities used $52.4 million of cash for the nine months ended September 30, 2011. We made payments on our senior term loan facility of $54.7 million in addition to payments of $0.5 million that were made on our finance obligation. This was offset by $1.8 million we received from the issuance of common stock and $1.8 million from the excess tax benefit for the exercise of stock options. In addition, we repurchased approximately 75,000 shares of our common stock under our share repurchase program (now expired) totaling $0.8 million.

Off-Balance Sheet Arrangements and Commitments

We have provided a $1.0 million letter of credit to guarantee our performance under the terms of a ten-year lease agreement. The letter of credit is associated with the capital lease of a building located in Cape Girardeau, Missouri under a finance obligation. We do not believe that this letter of credit will be drawn.

We lease office space and equipment under operating leases. Some of these operating leases include rent escalations, rent holidays, and rent concessions and incentives. However, we recognize lease expense on a straight-line basis over the minimum lease term utilizing total future minimum lease payments. Our consolidated future minimum rental payments under our operating leases with initial or remaining non-cancelable lease terms of at least one year are as follows as of September 30, 2012 for each respective year (Unaudited, in thousands):

	Amount
2012	$	3,148(1)
2013		13,297
2014		13,356
2015		11,673
2016		9,129
Thereafter		67,750
Total future minimum rental payments	$	118,353

  (1) Represents the remaining rental payments due during the fiscal year ending December 31, 2012.

As of September 30, 2012, we did not have any other off-balance sheet arrangements that have or are reasonably likely to have a current or future significant effect on our financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources.

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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 in its financial and operational decision-making, we supplement our Condensed Consolidated Financial Statements presented on a GAAP basis herein with the following non-GAAP financial measures: gross fees, gross administrative fees, revenue share obligation, EBITDA, adjusted EBITDA, adjusted EBITDA margin, adjusted net income and adjusted diluted earnings per share.

These non-GAAP financial measures have limitations as analytical tools and should not be considered in isolation or as a substitute for analysis of our results as reported under GAAP. We compensate for such limitations by relying primarily on our GAAP results and using non-GAAP financial measures only supplementally. We provide reconciliations of non-GAAP measures to their most directly comparable GAAP measures, where possible. 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 us, may differ from and may not be comparable to similarly titled measures used by other companies.

Gross Fees, Gross Administrative Fees and Revenue Share Obligation. Gross fees include all gross administrative fees we receive pursuant to our vendor contracts and all other fees we receive from clients. Our revenue share obligation represents the portion of the gross administrative fees we are contractually obligated to share with certain of our GPO clients. Total net revenue (a GAAP measure) reflects our gross fees net of our revenue share obligation. These non-GAAP measures assist management and the Board and may be helpful to investors in analyzing our growth in the Spend and Clinical Resource Management segment given that administrative fees constitute a material portion of our revenue and are paid to us by over 1,150 vendors contracted by our GPO, and that our revenue share obligation constitutes a significant outlay to certain of our GPO clients. A reconciliation of these non-GAAP measures to their most directly comparable GAAP measure can be found in the “Results of Operations” section of Management’s Discussion and Analysis of Financial Condition and Results of Operations herein.

EBITDA, adjusted EBITDA and adjusted EBITDA margin. We define: (i) EBITDA, as net income (loss) before net interest expense, income tax expense (benefit), depreciation and amortization; (ii) 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 (iii) adjusted EBITDA margin, as adjusted EBITDA as a percentage of net revenue. We use EBITDA, adjusted EBITDA and adjusted EBITDA margin to facilitate a comparison of our operating performance on a consistent basis from period to period and provide for a more complete understanding of factors and trends affecting our business than GAAP measures alone. These measures assist management and the Board and may be useful to investors in comparing our operating performance consistently over time as it removes the impact of our 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 our operational results. Adjusted EBITDA also removes the impact of non-cash share-based compensation expense.

Our Board and management also use these measures as: i) one of the primary methods for planning and forecasting overall expectations and for evaluating, on at least a quarterly and annual basis, actual results against such expectations; and ii) as a performance evaluation metric in determining achievement of certain executive incentive compensation programs, as well as for incentive compensation plans for employees generally.

Additionally, research analysts, investment bankers and lenders may use these measures to assess our operating performance. For example, our credit agreement requires delivery of compliance reports certifying compliance with financial covenants certain of which are, in part, based on an adjusted EBITDA measurement that is similar to the adjusted EBITDA measurement reviewed by our management and our Board. The principal difference is that the measurement of adjusted EBITDA considered by our lenders under our credit agreement allows for certain adjustments (e.g., inclusion of interest income, franchise taxes and other non-cash expenses, offset by the deduction of our capitalized lease payments for one of our office leases) that result in a higher adjusted EBITDA than the adjusted EBITDA measure reviewed by our Board and management and disclosed in our Annual Report on Form 10-K. Additionally, our credit agreement contains provisions that utilize other measures, such as excess cash flow, to measure liquidity.

EBITDA, adjusted EBITDA and adjusted EBITDA margin are not measures of liquidity under GAAP, or otherwise, and are not alternatives to cash flow from continuing operating activities. Despite the advantages regarding the use and analysis of these measures as mentioned above, EBITDA, adjusted EBITDA and adjusted EBITDA margin, as disclosed herein, have limitations as analytical tools, and you should not consider these measures in isolation, or as a substitute for analysis of our results as reported under GAAP; nor are these measures intended to be measures of liquidity or free cash flow for our discretionary use. Some of the limitations of EBITDA are:

— EBITDA does not reflect our cash expenditures or future requirements for capital expenditures or contractual commitments;

— EBITDA does not reflect changes in, or cash requirements for, our working capital needs;

— EBITDA does not reflect the interest expense, or the cash requirements to service interest or principal payments under our credit agreement;

— EBITDA does not reflect income tax payments we are required to make; and

— Although depreciation and amortization are non-cash charges, the assets being depreciated and amortized often will have to be replaced in the future, and EBITDA does not reflect any cash requirements for such replacements.

Adjusted EBITDA has all the inherent limitations of EBITDA. To properly and prudently evaluate our business, we encourage you to review the GAAP financial statements included elsewhere herein, and not rely on any single financial measure to evaluate our business. We also strongly urge you to review the reconciliation of net income to adjusted EBITDA in this section, along with our Consolidated Financial Statements included elsewhere herein.

The following table sets forth a reconciliation of EBITDA and adjusted EBITDA to net income, a comparable GAAP-based measure. All of the items included in the reconciliation from net income to EBITDA to adjusted EBITDA are either: (i) non-cash items (e.g., depreciation and amortization, impairment of intangibles and share-based compensation expense) or (ii) items that management does not consider in assessing our on-going operating performance (e.g., income taxes, interest expense and expenses related to the cancellation of an interest rate swap and acquisition and integration-related expenses). In the case of the non-cash items, management believes that investors may find it useful to assess our comparative operating performance because the measures without such items are less susceptible to variances in actual performance resulting from depreciation, amortization and other non-cash charges and more reflective of other factors that affect operating performance. In the case of the other non-recurring items, management believes that investors may find it useful to assess our operating performance if the measures are presented without these items because their financial impact does not reflect ongoing operating performance.

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The following table reconciles net income to Adjusted EBITDA for the three and nine months ended September 30, 2012 and 2011:

	Three Months Ended September 30,				Nine Months Ended September 30,
Adjusted EBITDA Reconciliation	2012		2011		2012		2011
	(Unaudited, in thousands)				(Unaudited, in thousands)
Net income (loss)	$	5,464	$	(983)	$	7,476	$	(19,641)
Depreciation		7,721		5,507		21,416		16,414
Depreciation (included in cost of revenue)		536		306		1,353		815
Amortization of intangibles		17,840		20,228		55,251		60,700
Amortization of intangibles (included in cost of revenue)		139		139		417		417
Interest expense, net of interest income(1)		16,672		17,818		50,717		53,928
Income tax expense (benefit)		4,386		(2,612)		3,467		(12,645)
EBITDA		52,758		40,403		140,097		99,988
Share-based compensation expense(2)		2,781		2,123		7,796		2,945
RCM management restructuring expense(3)		—		1,204		—		1,204
Rental income from capitalizing building lease(4)		(109)		(109)		(328)		(327)
Purchase accounting adjustments(5)		—		182		—		6,245
Acquisition and integration-related expenses(6)		1,535		3,742		4,812		22,713
Insurance settlement(7)		—		(2,340)		—		(2,340)
Adjusted EBITDA	$	56,965	$	45,205	$	152,377	$	130,428

(1) Interest income is included in other income (expense) and is not netted against interest expense in our Condensed Consolidated Statement of Operations.

(2) Represents non-cash share-based compensation to both employees and directors. We believe excluding this non-cash expense allows us to compare our operating performance without regard to the impact of share-based compensation expense, which varies from period to period based on the amount and timing of grants.

(3) Amount represents restructuring costs consisting of severance that resulted from certain management changes within our RCM segment.

(4) The imputed rental income recognized with respect to a capitalized building lease is deducted from net income (loss) due to its non-cash nature. We believe this income is not a useful measure of continuing operating performance. See our Consolidated Financial Statements filed in our Annual Report on Form 10-K for the year ended December 31, 2011 for further discussion of this rental income.

(5) Upon acquiring Broadlane on November 16, 2010, we made certain purchase accounting adjustments that reflect the fair value of administrative fees related to client purchases that occurred prior to November 16, 2010 but were reported to us subsequent to that. Under our revenue recognition accounting policy, which is in accordance with GAAP, these administrative fees would be ordinarily recorded as revenue when reported to us; however, the acquisition method of accounting requires us to estimate the amount of purchases occurring prior to the transaction date and to record the fair value of the administrative fees to be received from those purchases as an account receivable (as opposed to recognizing revenue when these transactions are reported to us and recording any corresponding revenue share obligation as a liability).

For the three months ended September 30, 2011, the $0.2 million represents the net amount of: (i) approximately $0.3 million in gross administrative fees and other service fees primarily based on vendor reporting received from July 1, 2011 through September 30, 2011 relating to purchases made prior to the acquisition date, and (ii) a corresponding revenue share obligation of $0.1 million relating to the same period.

For the nine months ended September 30, 2011, the $6.2 million represents the net amount of: (i) approximately $11.0 million in gross administrative fees and other service fees primarily based on vendor reporting received from January 1, 2011 through September 30, 2011 relating to purchases made prior to the acquisition date, and (ii) a corresponding revenue share obligation of $4.8 million relating to the same period.

(6) Represents the amount attributable to acquisition and integration-related costs which include costs such as severance, retention, salaries relating to redundant positions, certain performance-related salary-based compensation, and operating infrastructure costs. We expect to incur costs in future periods related to our plans including but not limited to aligning service offerings and standardizing and migrating certain Broadlane operational systems and transactional data sets into our operational systems.

(7) Amount was attributable to a $2.3 million insurance settlement received during the period. Refer to Note 7 in the Notes to Condensed Consolidated Financial Statements for additional details.

Adjusted Net Income and Diluted Adjusted Earnings Per Share. The Company defines: i) adjusted net income as net income excluding non-cash acquisition-related intangible amortization and depreciation, and non-recurring expense items on a tax-adjusted basis, non-cash share-based compensation and certain acquisition and integration-related expenses on a tax adjusted basis; and ii) diluted adjusted EPS as earnings per share excluding non-cash acquisition-related intangible amortization and depreciation, and non-recurring expense items, non-cash share-based compensation and certain acquisition and integration-related expenses on a tax-adjusted basis. Adjusted net income and diluted adjusted EPS are not measures of liquidity under GAAP, or otherwise, and are not alternatives to cash flow from continuing operating activities. Diluted adjusted EPS growth has been used historically by the Company as the financial performance metric that determines whether certain equity awards granted pursuant to the Company’s Long-Term Performance Incentive Plan will vest. Use of these measures allows management and the Board 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 assess organic growth and accretive business transactions. As a significant portion of senior management’s incentive based compensation has been based on the achievement of certain diluted adjusted EPS growth over time, which is intended to reward them for organic growth and accretive business transactions, investors may find such information useful; however, as non-GAAP financial measures, adjusted net income and diluted adjusted EPS are not the sole measures of the Company’s financial performance and may not be the best measures for investors to gauge such performance.

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	Three Months Ended September 30,				Nine Months Ended September 30,
Per share data	2012		2011		2012		2011
			(Unaudited)
EPS - diluted	$	0.09	$	(0.02)	$	0.13	$	(0.34)
Pre-tax non-cash, acquisition-related intangible amortization and depreciation		0.30		0.36		0.97		1.09
Pre-tax non-cash, share-based compensation(1)		0.05		0.04		0.13		0.06
Pre-tax acquisition and integration-related expenses(2)		0.03		0.07		0.08		0.40
Pre-tax RCM management restructuring expenses(3)		—		0.02		—		0.02
Pre-tax purchase accounting adjustment(4)		—		—		—		0.11
Pre-tax deferred payment interest expense accretion(5)		—		0.01		—		0.03
Pre-tax insurance settlement(6)		—		(0.04)		—		(0.04)
Tax effect on pre-tax adjustments(7)		(0.15)		(0.18)		(0.47)		(0.67)
Non-GAAP adjusted EPS - diluted	$	0.32	$	0.26	$	0.84	$	0.66
Weighted average shares - diluted (in 000s)(8)		59,513		57,410		58,896		57,334

	Three Months Ended September 30,				Nine Months Ended September 30,
	2012		2011		2012		2011
	(Unaudited, in thousands)				(Unaudited, in thousands)
Net income (loss)	$	5,464	$	(983)	$	7,476	$	(19,641)
Pre-tax non-cash, acquisition-related intangible amortization and depreciation		18,453		20,912		57,088		62,753
Pre-tax non-cash, share-based compensation(1)		2,781		2,123		7,796		2,945
Pre-tax acquisition and integration-related expenses(2)		1,535		3,742		4,812		22,713
Pre-tax RCM management restructuring expenses(3)		—		1,204		—		1,204
Pre-tax purchase accounting adjustment(4)		—		182		—		6,245
Pre-tax deferred payment interest expense accretion(5)		—		749		—		2,403
Pre-tax insurance settlement(6)		—		(2,340)		—		(2,340)
Tax effect on pre-tax adjustments(7)		(9,108)		(10,629)		(27,878)		(38,369)
Non-GAAP adjusted net income	$	19,125	$	14,960	$	49,294	$	37,913

(1) Represents the amount and the per share impact, on a pre-tax basis, of non-cash share-based compensation to employees and directors. We believe excluding this non-cash expense allows us to compare our operating performance without regard to the impact of share-based compensation expense, which varies from period to period based on the amount and timing of grants.

(2) Represents the amount and the per share impact, on a pre-tax basis, of acquisition and integration-related costs which include costs such as severance, retention, salaries relating to redundant positions, certain performance-related salary-based compensation, and operating infrastructure costs. We consider these charges to be non-operating expenses and unrelated to our underlying results of operations.

(3) Represents the amount and the per share impact, on a pre-tax basis, of restructuring costs consisting of severance that resulted from certain management changes within our RCM segment.

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(4) Represents the amount and the per share impact, on a pre-tax basis, of certain purchase accounting adjustments associated with the Broadlane Acquisition that reflect the fair value of gross administrative fee receivables and other service fees less revenue share obligation primarily related to client purchases that were reported to us subsequent to the consummation of the Broadlane Acquisition.

(5) Represents the amount and the per share impact, on a pre-tax basis, of interest expense on the accretion of the $120.1 million deferred payment associated with the Broadlane Acquisition, which was made in January 2012. We believe such expenses are infrequent in nature and are not indicative of continuing operating performance.

(6) Represents the amount and the per share impact, on a pre-tax basis, attributable to a $2.3 million insurance settlement received during the period. Refer to Note 7 in the Notes to Condensed Consolidated Financial Statements for additional details.

(7) Reflects the tax impact on the adjustments used to derive Non-GAAP diluted adjusted EPS. The Company generally utilizes its effective tax rate for each respective period to calculate the tax effect of each adjustment. Given the impact of the Broadlane Acquisition on the Company’s 2011 actual effective tax rate, the Company used a tax rate of 40.0% for the three and nine months ended September 30, 2012 and 2011. The effective tax rate for the three months ended September 30, 2012 and 2011 was 44.5% and 72.7%, respectively. The effective tax rate for the nine months ended September 30, 2012 and 2011 was 31.7% and 39.2%, respectively.

(8) Given the Company’s net loss for the three and nine months ended September 30, 2011, basic and diluted weighted average shares are the same for EPS and Non-GAAP diluted adjusted EPS.

New Pronouncements

Intangibles — Goodwill and Other

In July 2012, the Financial Accounting Standards Board (“FASB”) issued an accounting standards update on testing indefinite-lived intangible assets for impairment. The update provides the option to first assess qualitative factors to determine whether it is more likely than not that an indefinite-lived intangible asset is impaired as a basis for determining whether it is necessary to perform a second, quantitative impairment test. If, based on the qualitative assessment of events or circumstances, an entity determines it is not more likely than not that the indefinite-lived intangible asset’s fair value is less than its carrying amount, then it would not be necessary to perform the quantitative impairment test. However, if an entity concludes otherwise, then the quantitative impairment test must also be performed to identify and measure any potential impairment amount. The update is effective for annual and interim impairment tests performed for fiscal years beginning after September 15, 2012.

In September 2011, the FASB issued an accounting standards update amending the guidance on the annual testing of goodwill for impairment. The update will allow companies to assess qualitative factors to determine if it is more-likely-than-not that goodwill might be impaired and whether it is necessary to perform the two-step goodwill impairment test required under current accounting standards. We adopted this update on January 1, 2012.

Comprehensive Income

In June 2011, the FASB issued an accounting standard update relating to comprehensive income. The update would require an entity to present the total of comprehensive income, the components of net income, and the components of other comprehensive income either in a single continuous statement of comprehensive income or in two separate but consecutive statements. The update eliminates the option to present the components of other comprehensive income as part of the statement of equity. We adopted this update on January 1, 2012.

Fair Value

In May 2011, the FASB issued an accounting standard update relating to fair value measurements and disclosures. The update provides a consistent definition of fair value and ensures that the fair value measurement and disclosure requirements are similar between GAAP and International Financial Reporting Standards. The update changes certain fair value measurement principles and enhances the disclosure requirements particularly for level 3 fair value measurements. We adopted this update on January 1, 2012.

Item 3. Quantitative and Qualitative Disclosures About Market Risk

Foreign currency exchange risk. Certain of our contracts are denominated in Canadian dollars. As our Canadian sales have not historically been significant to our operations, we do not believe that changes in the Canadian dollar relative to the U.S. dollar will have a significant impact on our financial condition, results of operations or cash flows. We currently do not transact any other business in any currency other than the U.S. dollar. As we continue to grow our operations, we may increase the amount of our sales to foreign clients. Although we do not expect foreign currency exchange risk to have a significant impact on our future operations, we will assess the risk on a case-specific basis to determine whether any forward currency hedge instrument would be warranted.

Interest rate risk. We had outstanding borrowings on our senior term loan facility of $483.9 million and on our revolving credit facility of $90.0 million as of September 30, 2012. The senior term loan facility bears interest at LIBOR, subject to a floor of 1.5% plus an applicable margin. The revolving credit facility bears interest at LIBOR plus an applicable margin. We also had outstanding an aggregate principal amount of our Notes of $325.0 million as of September 30, 2012, which bears interest at 8% per annum.

Due to the additional indebtedness we incurred under the credit agreement and in connection with the issuance of the Notes, we expect to incur a significant increase in our interest expense in future periods. To the extent we do not hedge it, we expect our interest rate risk to rise accordingly. As required by our credit agreement, we entered into certain derivative instruments in 2011 to convert a portion of our variable rate senior term loan facility to a fixed rate debt. Refer to Note 12 of the Notes to Condensed Consolidated Financial Statements for additional information.

A hypothetical 100 basis point increase in LIBOR, which would represent potential interest rate change exposure on our outstanding senior term loan facility and revolving credit facility, would have resulted in approximately $4.3 million of additional interest expense for the nine months ended September 30, 2012.

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Item 4. Controls and Procedures

Disclosure Controls and Procedures

We maintain disclosure controls and procedures that are designed to ensure that information required to be disclosed by us in reports we file or submit under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms, and that such information is accumulated and communicated to our management, including our chief executive officer and chief financial officer, as appropriate, to allow timely decisions regarding required disclosure. In designing and evaluating disclosure controls and procedures, management recognizes that any control and procedure, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives and management necessarily applies its judgment in evaluating the cost-benefit relationship regarding the potential utilization of certain controls and procedures.

As required by Rule 13a-15(b) under the Exchange Act, our management, with the participation of our chief executive officer and chief financial officer, evaluated the design and operation of our disclosure controls and procedures (as defined in Rule 13a-15(e) and 15d-15(e) under the Exchange Act). Based on such evaluation, our chief executive officer and chief financial officer have concluded that, as of the end of the period covered by this report, our disclosure controls and procedures were effective and were operating at a reasonable assurance level.

Changes in Internal Control over Financial Reporting

There have been no changes in our internal control over financial reporting for the three months ended September 30, 2012 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

PART II. OTHER INFORMATION

Item 1. Legal Proceedings

From time to time, we become involved in legal proceedings arising in the ordinary course of our business. We are not presently involved in any legal proceedings, the outcome of which, if determined adversely to us, would have a material adverse affect on our business, operating results or financial condition.

Item 1A. Risk Factors

There have been no material changes in the risk factors as disclosed in our Annual Report on Form 10-K for the fiscal year ended December 31, 2011.

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

We had no stock repurchases during the three months ended September 30, 2012.

Item 3. Defaults Upon Senior Securities

Not applicable

Item 4. Mine Safety Disclosures

Not applicable

Item 5. Other Information

Not applicable

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Item 6. Exhibits

Exhibit No.	Description of Exhibit
31.1*	Sarbanes-Oxley Act of 2002, Section 302 Certification for President and Chief Executive Officer
31.2*	Sarbanes-Oxley Act of 2002, Section 302 Certification for Chief Financial Officer
32.1*	Sarbanes-Oxley Act of 2002, Section 906 Certification for President and Chief Executive Officer
	and Chief Financial Officer
101.INS*	XBRL Instance Document
101.SCH*	XBRL Taxonomy Extension Schema Document
101.CAL*	XBRL Taxonomy Extension Calculation Linkbase Document
101.DEF*	XBRL Taxonomy Extension Definition Linkbase Document
101.LAB*	XBRL Taxonomy Extension Label Linkbase Document
101.PRE*	XBRL Taxonomy Extension Presentation Linkbase Document

* Filed herewith

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Signatures

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

Signature	Title	Date
/s/ JOHN A. BARDIS	Chairman of the Board of Directors and Chief Executive Officer	November 2, 2012
Name: John A. Bardis	(Principal Executive Officer)
/s/ CHARLES O. GARNER	Chief Financial Officer	November 2, 2012
Name: Charles O. Garner	(Principal Financial Officer)

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EXHIBIT INDEX

Exhibit No.	Description of Exhibit
31.1*	Sarbanes-Oxley Act of 2002, Section 302 Certification for President and Chief Executive Officer
31.2*	Sarbanes-Oxley Act of 2002, Section 302 Certification for Chief Financial Officer
32.1*	Sarbanes-Oxley Act of 2002, Section 906 Certification for President and Chief Executive Officer
	and Chief Financial Officer
101.INS*	XBRL Instance Document
101.SCH*	XBRL Taxonomy Extension Schema Document
101.CAL*	XBRL Taxonomy Extension Calculation Linkbase Document
101.DEF*	XBRL Taxonomy Extension Definition Linkbase Document
101.LAB*	XBRL Taxonomy Extension Label Linkbase Document
101.PRE*	XBRL Taxonomy Extension Presentation Linkbase Document

  * Filed herewith

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