HMS (HMSY) 8-K Results of Operations and Financial Condition

EXHIBIT 99.2

NASDAQ: HMSY

First Quarter 2007 Investor Call

Safe Harbor Statement

Certain statements in this presentation constitute “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995 (the “Reform Act”). Such forward-looking statements involve known and unknown risks, uncertainties, and other factors that may cause the actual results, performance, or achievements of HMSY, or industry results, to be materially different from any future results, performance, or achievements expressed or implied by such forward-looking statements. The important factors that could cause actual results to differ materially from those indicated by such forward-looking statements include, but are not limited to (i) the information being of a preliminary nature and therefore subject to further adjustment; (ii) the uncertainties of litigation; (iii) HMSY’s dependence on significant customers; (iv) changing conditions in the healthcare industry which could simplify the reimbursement process and adversely affect HMSY’s business; (v) government regulatory and political pressures which could reduce the rate of growth of healthcare expenditures and/or discourage the assertion of claims for reimbursement against and delay the ultimate receipt of payment from third party payors; (vi) competitive actions by other companies, including the development by competitors of new or superior services or products or the entry into the market of new competitors; (vii) all the risks inherent in the development, introduction, and implementation of new products and services; and (viii) other risk factors described from time to time in HMSY’s filings with the SEC, including HMSY’s Form 10-K for the year ended December 31, 2006. HMSY assumes no responsibility to update the forward-looking statements contained in this release as a result of new information, future events or otherwise. When/if used in this presentation, the words “focus,” “believe,” “confident,” “anticipate,” “expected,” “strong,” “potential,” and similar expressions are intended to identify forward-looking statements, and the above described risks inherent therein.

1 First Quarter 2007 Investor Call

Discussion Outline

Q1 2007 financial performance

Integration status

New business

Medical support services business

2007 guidance: updated

Q & A

2 First Quarter 2007 Investor Call

Consolidated Statements of Income

	Three Months Ended March 31
	($ in thousands)
	2007			2006
Revenue	$	32,238		$	16,378
Cost of Services:
Compensation		13,073			7,878
Data Processing		2,147			1,449
Occupancy		1,981			1,245
Direct project costs		5,157			2,688
Other operating costs		2,843			1,410
Amortization of acquisition related intangibles		1,163			—
Total cost of services	$	26,364		$	14,670
Operating income		5,874			1,708
Interest income		(709	)		—
Net interest income		105			515
Income before income taxes		5,270			2,223
Income taxes		2,298			918
Net income	$	2,972		$	1,305

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Condensed Balance Sheets

	March 31, 2007 ($ in thousands)				December 31, 2006 ($ in thousands)
Assets
Current assets:
Cash and cash equivalents and short-term investments		$	8,470			$	12,527
Accounts receivable, net			32,636				30,930
Prepaid expenses and other current assets			4,799				5,352
Total current assets			45,905				48,809
Property and equipment, net			13,220				12,160
Other non-current assets			93,856				96,274
Total assets		$	152,981			$	157,243
Liabilities and Shareholders’ Equity
Current liabilities:
Accounts payable, accrued expenses and other liabilities		$	10,036			$	14,285
Amounts due to PCG, Inc.			417				1,385
Current portion of long-term debt			6,300				7,875
Total current liabilities			16,753				23,545
Long-term debt			22,050				23,625
Other liabilities			3,119				3,166
Total long-term liabilities			25,169				26,791
Total liabilities		$	41,922			$	50,336
Common stock			252				250
Capital in excess of par value			112,075				110,876
Retained earnings			8,203				5,231
Treasury stock			(9,397	)			(9,397	)
Other comprehensive loss			(74	)			(53	)
Total shareholders’ equity		$	111,059			$	106,907
Total liabilities and shareholders’ equity		$	152,981			$	157,243

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Condensed Statements of Cash Flow

	Three Months Ended March 31
	($ in thousands)
	2007			2006
Net income	$	2,972		$	1,305
Net cash provided by (used in) operating activities		845			(853	)
Net cash used in investing activities		(2,402	)		(1,499	)
Net cash provided by (used in) financing activities		(2,500	)		1,703
Net decrease in cash and cash equivalents		(4,057	)		(649	)
Cash / cash equivalents at beginning of period		12,527			3,641
Cash / cash equivalents at end of period	$	8,470		$	2,992

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EBITDA Reconciliation

Reconciliation of Net Income to EBITDA and Adjusted EBITDA

	Three Months Ended March 31 ($ in thousands)
	2007		2006
Net income	$	2,972	$	1,305
Net interest expense (income)		604		(515	)
Income taxes		2,298		918
Depreciation and amortization, net of deferred financing costs included in net interest expense		2,346		617
Earnings before interest, taxes, depreciation and amortization (EBITDA)		8,220		2,325
Share based compensation expense		551		274
Adjusted EBITDA	$	8,771	$	2,599

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Integration Status

Data Center migration

Billing/Recovery consolidation

Best Practices

Organization

• State Government Services reorganization

• Government Relations

• Human Resources

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New Business

State Government
	•	Kansas: Estates Recovery
	•	Arizona: extended through 6/30/08
	•	Arkansas: extended through 6/30/08
Managed Care
	•	Molina Healthcare
	•	Boston Medical Center Health Plan
Medical Support Services
	•	New Hampshire
	•	California counties: Orange, San Mateo, Alameda

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Medical Support Services: Overview

Health insurance provided by custodial or non-custodial parents for their dependent children

Child support is not based on income eligibility (vs. Medicaid)

Legislative background

• 1975: Child Support Enforcement created under Title IV-D of SSA

• 1993: Omnibus Budget Reconciliation Act created “Qualified Medical Support Order”

• 1996: Personal Responsibility and Work Reduction Act requires provision for healthcare coverage in all child support orders

• 1998: Child Support Performance and Incentive Act mandates steps to improve enforcement

• 1999: Work Group recommends adoption of medical support as a “Performance Measure” for Federal funding

• 2005: Deficit Reduction Act (DRA) requires states to enforce medical support from both non-custodial and custodial parent

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Medical Support Services: Marketplace Overview

> 16 million child support cases in U.S.

90% of orders include provision for medical support

HHS estimates 57% of cases have employer-sponsored insurance available

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HMSY’s Medical Support Services

Locate insurance for children where not previously identified by child support agency

	•	Carrier matches
	•	Employer matches
Enforce enrollment in insurance plan where ordered parent has not done so
	•	National Medical Support Notice mailing
	•	Employer follow-up
	•	Employer website
	•	Customer call centers

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Medical Support Services: HMSY Position

Consortium developed in January 2005

Clients in 14 states; 10 under Arkansas Consortium

HMS is the only medical support services vendor with full-scope offering

Flagship client: Texas Office of Attorney General

• Full outsource model

• 870,000 new insurance policies provided

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2007 Guidance: Updated

Revenue and Adjusted EBITDA

$140

$120

$100

$80

$60

$40

$20

$0

2001

2002

2003

2004

2005

2006

2007E

40.0

35.0

30.0

25.0

20.0

15.0

10.0

5.0

0.0

Updated
Revenue

Revenue

Updated
Adjusted
EBITDA

Adjusted
EBITDA

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Appendix: EBITDA

EBITDA is defined as earnings before interest, taxes, depreciation and amortization and adjusted EBITDA represents EBITDA adjusted for share based compensation expense. EBITDA is a measure commonly used by the capital markets to value enterprises. Interest, taxes, depreciation and amortization can vary significantly between companies due in part to differences in accounting policies, tax strategies, levels of indebtedness and interest rates. Excluding these items provides insight into the underlying results of operations and facilitates comparisons between HMSY and other companies. EBITDA is also a useful measure of the company’s ability to service debt and is one of the measures used for determining debt covenant compliance. In addition, because of the varying methodologies for determining stock-based compensation expense, and the subjective assumptions involved in those determinations, we believe excluding stock-based compensation expense from EBITDA enhances the ability of management and investors to compare our core operating results over multiple periods with those of other companies. Management believes EBITDA and adjusted EBITDA information is useful to investors for these reasons. Both EBITDA and adjusted EBITDA are non-GAAP financial measures and should not be viewed as an alternative to GAAP measures of performance. Management believes the most directly comparable GAAP financial measure is net income and has provided a reconciliation of EBITDA and adjusted EBITDA to net income in this presentation.

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NASDAQ: HMSY