1
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
                                   FORM 10-Q

(Mark One)
[X]    QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
       EXCHANGE ACT OF 1934

For the quarterly period ended            January 31, 2000
                               ----------------------------------------

                                       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 0-20946

                        Health Management Systems, Inc.
             (Exact name of registrant as specified in its charter)


                                                            
                    New York                                                      13-2770433
 -----------------------------------------------                ------------------------------------------------
             State of Incorporation                                 (I.R.S. Employer Identification Number)


                401 Park Avenue South, New York, New York 10016
- --------------------------------------------------------------------------------
               (Address of principal executive offices, zip code)

                                 (212) 685-4545
- --------------------------------------------------------------------------------
              (Registrant's telephone number, including area code)

                                 Not Applicable
- --------------------------------------------------------------------------------
        (Former name, former address, and former fiscal year, if changed
                              since last report.)

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 and 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.   X   Yes      No
                                          -----     ----

Indicate the number of shares outstanding of each of the issuer's classes of
common stock, as of the latest practicable date.


                                                            
                     Class                                             Outstanding at February 25, 2000
 ------------------------------------------------                -----------------------------------------------
          Common Stock, $.01 Par Value                                         17,477,261 Shares



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                        HEALTH MANAGEMENT SYSTEMS, INC.
                               INDEX TO FORM 10-Q
                         QUARTER ENDED JANUARY 31, 2000



 PART I                 FINANCIAL INFORMATION                                                            Page No.

                                                                                                  
 Item 1                 Interim Financial Statements

                             Condensed Consolidated Balance Sheets as of January 31, 2000
                             (unaudited) and October 31, 1999                                               1

                             Condensed Consolidated Statements of Operations (unaudited) for the
                             three month periods ended January 31, 2000 and January 31, 1999                2

                             Consolidated Statements of Comprehensive Income (unaudited) for the
                             three month periods ended January 31, 2000 and January 31, 1999                3

                             Consolidated Statement of Shareholders' Equity (unaudited) for the
                             three month period ended January 31, 2000                                      4

                             Condensed Consolidated Statements of Cash Flows (unaudited) for the
                             three month periods ended January 31, 2000 and January 31, 1999                5

                             Notes to Interim Consolidated Financial Statements (unaudited)                 6

 Item 2                 Management's Discussion and Analysis of Financial Condition and Results of          9
                        Operations

 Item 3                 Quantitative and Qualitative Disclosures About Market Risks                         12

 PART II                OTHER INFORMATION                                                                   13

 SIGNATURES                                                                                                 14

 EXHIBIT INDEX                                                                                              15



   3

                HEALTH MANAGEMENT SYSTEMS, INC. AND SUBSIDIARIES
                      CONDENSED CONSOLIDATED BALANCE SHEETS
                                ($ IN THOUSANDS)




                                                                     January 31,            October 31,
                                                                         2000                   1999
                                                                 ---------------         ---------------
                                                                                  
   ASSETS                                                          (unaudited)
Current assets:
   Cash and cash equivalents                                     $       13,299           $      16,310
   Short-term investments                                                16,733                  17,507
   Accounts receivable, billed, net                                      16,712                  17,001
   Accounts receivable, unbilled, net                                    44,710                  41,661
   Other current assets                                                   4,976                   4,516
                                                                 ---------------         ---------------
       Total current assets                                              96,430                  96,995

Property and equipment, net                                               7,297                   7,766
Capitalized software costs, net                                           7,724                   7,286
Goodwill, net                                                            12,599                  12,762
Notes Receivable from officer                                             1,520                     900
Other assets                                                              5,437                   5,212
                                                                 ---------------         ---------------

           Total assets                                          $      131,007          $      130,921
                                                                 ===============         ===============

   LIABILITIES AND SHAREHOLDERS' EQUITY

Current liabilities:
   Accounts payable and accrued expenses                         $       17,465           $      18,050
   Deferred revenue                                                       4,459                   4,541
   Deferred income taxes                                                 16,131                  15,967
                                                                 ---------------         ---------------
       Total current liabilities                                         38,055                  38,558
Other  liabilities                                                        1,084                   1,131
                                                                 ---------------         ---------------
       Total liabilities                                                 39,139                  39,689
                                                                 ---------------         ---------------


Shareholders' equity:
   Preferred stock - $.01 par value; 5,000,000 shares
      authorized; none issued and outstanding                                 0                       0
   Common stock - $.01 par value;
      45,000,000 shares authorized; 18,520,761 shares
      issued and 17,471,761 shares outstanding at
      January 31, 2000; 18,450,737 shares issued and
      17,401,737 shares outstanding at October 31, 1999                     185                     184
   Capital in excess of par value                                        72,043                  71,714
   Retained earnings                                                     27,377                  27,078
   Accumulated other comprehensive income                                    13                       6
                                                                 ---------------         ---------------
                                                                         99,618                  98,982
   Less treasury stock, at cost (1,049,000 shares at
      January 31, 2000 and October 31, 1999)                             (7,750)                 (7,750)
                                                                 ---------------         ---------------
       Total shareholders' equity                                        91,868                  91,232
                                                                 ---------------         ---------------

           Total liabilities and shareholders' equity            $      131,007          $      130,921
                                                                 ===============         ===============


See accompanying notes to interim consolidated financial statements.

                                       1

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                HEALTH MANAGEMENT SYSTEMS, INC. AND SUBSIDIARIES
             INTERIM CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
                   ($ IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)
                                   (UNAUDITED)





                                                                                             Three months ended
                                                                                                 January 31,
                                                                                         ------------------------
                                                                                           2000            1999
                                                                                         --------        --------
                                                                                                   
Revenue                                                                                  $ 26,574        $ 27,369
                                                                                         --------        --------

Cost of services:
    Compensation                                                                           15,786          15,331
    Data processing                                                                         1,885           1,835
    Occupancy                                                                               2,601           2,188
    Direct project costs                                                                    3,399           2,930
    Other                                                                                   2,529           2,470
                                                                                         --------        --------
                                                                                           26,200          24,754
                                                                                         --------        --------
        Operating margin before amortization of intangibles                                   374           2,615

Amortization of intangibles                                                                   227             200
                                                                                         --------        --------
        Operating income                                                                      147           2,415

Net interest and net other income                                                             325             308
                                                                                         --------        --------
        Income before income taxes                                                            472           2,723

Income tax expense                                                                            173           1,117
                                                                                         --------        --------

        Net income                                                                       $    299        $  1,606
                                                                                         ========        ========

Earnings per share data:
    Basic:
          Basic earnings per share                                                       $   0.02        $   0.09
                                                                                         ========        ========
          Weighted average common shares outstanding                                       17,422          17,310
                                                                                         ========        ========

     Diluted:
          Diluted earnings per share                                                     $   0.02        $   0.09
                                                                                         ========        ========
         Weighted average common shares and common share equivalents                       17,573          17,848
                                                                                         ========        ========


See accompanying notes to interim consolidated financial statements.

                                       2

   5


                HEALTH MANAGEMENT SYSTEMS, INC. AND SUBSIDIARIES
             INTERIM CONSOLIDATED STATEMENT OF COMPREHENSIVE INCOME
                                ($ IN THOUSANDS)
                                   (UNAUDITED)



                                                                           Three months ended
                                                                               January 31,
                                                                      ------------------------------
                                                                              2000            1999
                                                                      -------------   --------------
                                                                                
Net income                                                            $        299     $      1,606

Other comprehensive income, net of tax:
    Change in net unrealized appreciation (depreciation)
       on short-term investments                                                 7               (1)
                                                                      -------------   --------------
Comprehensive income                                                  $        306    $       1,605
                                                                      =============   ==============


See accompanying notes to interim consolidated financial statements.

                                       3

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                HEALTH MANAGEMENT SYSTEMS, INC. AND SUBSIDIARIES
            INTERIM CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY
                                ($ IN THOUSANDS)
                                  (UNAUDITED)



                                     Common Stock                                  Accumulated
                                ------------------------   Capital In                 Other                          Total
                                # of Shares        Par      Excess Of   Retained  Comprehensive      Treasury     Shareholders'
                                Outstanding        Value    Par Value   Earnings      Income          Stock          Equity
                                -----------       ------    ---------   --------  -------------      ---------    -------------
                                                                                             
Balance at October 31, 1999      17,401,737       $  184     $ 71,714   $ 27,078       $     6       $ (7,750)     $   91,232

    Net income                            0            0            0        299             0              0             299

    Stock option activity            60,630            1          274          0             0              0             275

    Employee stock purchase           9,394            0           42          0             0              0              42
      plan activity

    Disqualifying dispositions            0            0           13          0             0              0              13

    Change in net unrealized
      appreciation on
      short-term investments              0            0            0          0             7              0               7
                                 ----------       ------   ----------   --------    -----------     ----------     -----------
Balance at January 31, 2000      17,471,761       $  185     $ 72,043   $ 27,377       $    13       $ (7,750)     $   91,868
                                 ==========       ======   ==========   ========    ===========     ==========     ===========



See accompanying notes to interim consolidated financial statements.

                                       4

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                HEALTH MANAGEMENT SYSTEMS, INC. AND SUBSIDIARIES
             INTERIM CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
                                ($ IN THOUSANDS)
                                   (UNAUDITED)



                                                                                         Three months ended
                                                                                             January 31,
                                                                                    -----------------------------
                                                                                        2000              1999
                                                                                    -----------        ----------
                                                                                               

Net cash used in operating activities                                               $   (2,208)       $   (3,707)
                                                                                    -----------       -----------

Investing activities:
    Capital asset expenditures                                                            (366)             (222)
    Software capitalization                                                               (915)             (945)
    Increase in note receivable from officer                                              (620)                0
    Net proceeds from sales (purchases) of short-term investments                          781              (345)
                                                                                    -----------       -----------
        Net cash used in investing activities                                           (1,120)           (1,512)
                                                                                    -----------       -----------

Financing activities:
    Proceeds from issuance of common stock                                                  42               160
    Proceeds from exercise of stock options                                                275               206
                                                                                    -----------       -----------
        Net cash provided by financing activities                                          317               366
                                                                                    -----------       -----------

            Net decrease in cash and cash equivalents                                   (3,011)           (4,853)
Cash and cash equivalents at beginning of period                                        16,310            13,883
                                                                                    -----------       -----------
Cash and cash equivalents at end of period                                          $   13,299        $    9,030
                                                                                    ===========       ===========


See accompanying notes to interim consolidated financial statements.

                                       5
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                HEALTH MANAGEMENT SYSTEMS, INC. AND SUBSIDIARIES
               NOTES TO INTERIM CONSOLIDATED FINANCIAL STATEMENTS
                                  (unaudited)

1.   Unaudited Interim Financial Information

     The management of Health Management Systems, Inc. ("HMS" or the "Company")
     is responsible for the accompanying unaudited interim consolidated
     financial statements and the related information included in these notes
     to the unaudited interim consolidated financial statements. In the opinion
     of management, the unaudited interim consolidated financial statements
     reflect all adjustments, consisting of normal recurring adjustments
     necessary for the fair presentation of the Company's financial position
     and results of operations and cash flows for the periods presented.
     Results of operations for interim periods are not necessarily indicative
     of the results to be expected for the entire year.

     These unaudited interim consolidated financial statements should be read in
     conjunction with the audited consolidated financial statements of the
     Company as of and for the fiscal year ended October 31, 1999 included in
     the Company's Annual Report on Form 10-K for such year as filed with the
     Securities and Exchange Commission.

2.   Reclassifications

     Certain reclassifications were made to prior year amounts to conform to
     the current presentation.

3.   Business Combinations

     In June 1999, the Company's Quality Standards in Medicine, Inc. ("QSM")
     subsidiary acquired substantially all of the assets and assumed specified
     liabilities of Health Receivables, LLC ("Old HRM") for $4,024,000, net of
     cash acquired and subject to certain purchase price adjustments. In
     connection with the transaction, QSM changed its name to Health
     Receivables Management, Inc. ("HRM"). HRM currently furnishes Medicaid
     application services, electronic billing, eligibility verification,
     accounts receivable management and collection services to healthcare
     providers, principally in the State of Illinois.

     The acquisition was accounted for using the purchase method of accounting.
     HRM's results are included in the Company's Provider Revenue Services
     Group. The $1,618,000 excess of the purchase price over the fair market
     value of the identifiable assets acquired was recorded as goodwill and is
     being amortized over a period not to exceed 15 years.

4.   Credit Facility

      As of February 15, 2000, upon the expiration of its existing credit
      facility, the Company entered into a new unsecured revolving credit
      facility with its existing major money center financial institution. The
      facility is comprised of a $10 million committed revolver and a $20
      million advised line of credit. The facility, subject to the
      satisfaction of certain closing conditions, has a 364 day term, bears
      interest at LIBOR plus 87.5 basis points, and carries an unused commitment
      fee of 37.5 basis points. The interest rate and unused commitment fee on
      the revolver are adjustable, subject to certain earnings thresholds at
      November 1, 2000, to a maximum rate of LIBOR plus 1.125 percent and .625
      percent, respectively. This revolving facility contains, among other
      things, restrictions on additional borrowings, capital expenditures,
      leases, sales of assets, and payments of dividends and contains covenants
      that require the Company, among other things, to maintain minimum asset,
      debt coverage, and consolidated tangible shareholders' equity, as defined
      in the agreement. As of January 31, 2000 and 1999, no amounts were
      outstanding under this or the predecessor credit facility.

5.   Supplemental Cash Flow Disclosures

     Cash paid for income taxes during the quarters ended January 31, 2000 and
     1999 was $53,000 and $113,000, respectively. Cash paid for interest during
     the quarters ended January 31, 2000 and 1999 was $33,000 and $29,000,
     respectively.

     The Company recorded $13,000 and $29,000 for the three months ended
     January 31, 2000 and 1999, respectively, as disqualified dispositions
     related to the sale of stock acquired through the exercise of

                                       6

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     certain compensatory stock options, thereby reducing the Company's tax
     liability and increasing shareholders' equity in like amounts.

6.   Earnings Per Share

     Basic earnings per share is calculated as net income divided by the
     weighted average common shares outstanding. Diluted earnings per share is
     calculated as net income divided by the weighted average common shares
     outstanding including the dilutive effects of potential common shares,
     which include the Company's stock options. A reconciliation of the
     numerator and denominator of the calculations for the three month periods
     ended January 31, 2000 and 1999, respectively, is presented below.




      ($ and shares in 000's, except per share data)              Three months ended
                                                                         January 31,
                                                                -----------------------
                                                                     2000         1999
                                                                ----------   ----------
                                                                      
      Numerator:
         Net Income                                             $     299     $  1,606
                                                                ----------   ----------

      Denominator:
        Weighted average common shares                             17,422       17,310
             Potential common shares: stock options                   151          538
                                                                ----------   ----------

        Weighted average common shares and
         common share equivalents                                  17,573       17,848
                                                                ==========   ==========

      Basic earnings per share                                  $    0.02     $   0.09
                                                                ==========   ==========

      Diluted earnings per share                                $    0.02     $   0.09
                                                                ==========   ==========




7.   Segment Information

      The Company measures the performance of its operating segments utilizing
      "Operating Income" as defined on the accompanying consolidated statements
      of operations. Certain reclassifications were made to prior period amounts
      to conform to current presentation.



                                                    TOTAL    Provider     Payor
                                                   REVENUE    Revenue    Revenue        TOTAL     Decision    Payor
                                    TOTAL         SERVICES   Services    Services     SOFTWARE    Support    Systems
      ($ in Thousands)               HMS          DIVISION     Group      Group       DIVISION     Group      Group
      ---------------------------------------------------------------------------------------------------------------
                                                                                       
      Three months ended
      January 31, 2000
      Revenue                     $26,574         $ 17,817   $11,763      $6,054        $8,757    $4,855     $3,902

      Operating income (loss)         147           (1,010)   (1,366)        356         1,157       753        404
      ---------------------------------------------------------------------------------------------------------------
      Three months ended
      January 31, 1999
      Revenue                      27,369           14,476     8,620       5,856        12,893     6,540      6,353

      Operating income (loss)       2,415             (750)   (1,886)      1,136         3,165     1,930      1,235
      ---------------------------------------------------------------------------------------------------------------


     The difference between Operating income and Income before income taxes is
     Net interest and net other income, which was $325,000 and $308,000 for the
     quarters ended January 31, 2000 and 1999, respectively.

                                       7

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8.    Legal Proceedings

     In April and May 1997, five purported class action lawsuits were commenced
     in the United States District Court for the Southern District of New York
     against the Company and certain of its present and former officers and
     directors alleging violations of the Securities Exchange Act of 1934 in
     connection with certain allegedly false and misleading statements. These
     lawsuits, which sought damages in an unspecified amount, were consolidated
     into a single proceeding captioned In re Health Management Systems, Inc.
     Securities Litigation (97 CIV-1965 (HB)) and a Consolidated Amended
     Complaint was filed. Defendants made a motion to dismiss the Consolidated
     Amended Complaint, which was submitted to the Court on December 18, 1997
     following oral argument. On May 27, 1998, the Consolidated Amended
     Complaint was dismissed by the Court for failure to state a claim under
     the federal securities laws, with leave for the plaintiffs to replead. On
     July 17, 1998, a Second Consolidated Amended Complaint was filed in the
     United States District Court for the Southern District of New York, which
     reiterated plaintiffs' allegations in their prior Complaint. On September
     11, 1998, the Company and the other defendants filed a motion to dismiss
     the Second Consolidated Amended Complaint. The motion was fully briefed in
     late November 1998, at which time the motion was submitted to the Court.
     The consolidated proceeding was reassigned to another Judge. The Court
     heard oral argument on the motion to dismiss on June 11, 1999. Prior to
     rendering its decision on the motion to dismiss, the Court ordered the
     parties to attempt to settle the case, and meetings toward that end were
     conducted. On December 20, 1999, the parties reached a tentative agreement
     on the principal terms of settlement of the litigation against all
     defendants. Pursuant to this understanding, without admitting any
     wrongdoing, certain of the defendants have agreed to pay, in complete
     settlement of this lawsuit, the sum of $4,500,000, not less than 75
     percent of which will be paid by the Company's insurance carriers. The
     Company recorded a charge of $845,000 in the fourth quarter ended October
     31, 1999 related to this proposed settlement. The proposed settlement is
     subject to execution of a final settlement agreement and Court approval.
     On December 22, 1999, the Judge issued an Order dismissing, without
     prejudice, the pending motion to dismiss, as moot. In the event a final
     settlement is not consummated, the Company intends to resubmit a motion to
     dismiss the Second Consolidated Amended Complaint and to continue its
     vigorous defense of the lawsuit.

     On June 28, 1998, eight holders of promissory notes (the "Notes") of HHL
     Financial Services, Inc. ("HHL") commenced a lawsuit against the Company
     and others in the Supreme Court of the State of New York, County of
     Nassau, alleging various breaches of fiduciary duty on the part of the
     defendants against HHL. The complaint alleges that, as a result of these
     breaches of duty, HHL was caused to make substantial unjustified payments
     to the Company which, ultimately, led to defaults on the Notes and to
     HHL's filing for Chapter 11 bankruptcy protection. On June 30, 1998, the
     same Note holders commenced a virtually identical action (the "Adversary
     Proceeding") in the United States Bankruptcy Court for the District of
     Delaware, where HHL's Chapter 11 proceeding is pending. The Adversary
     Proceeding alleges the same wrongdoing as the New York State Court
     proceeding and seeks the same damages, i.e., $2,300,000 (the unpaid amount
     of the Notes) plus interest. Plaintiffs have moved in the Bankruptcy Court
     to have the Court abstain from hearing the Adversary Proceeding in
     deference to the New York State Court action. The Company has opposed
     plaintiffs' motion for abstention and on September 15, 1998 filed a motion
     in the Bankruptcy Court to dismiss the Adversary Proceeding. This motion
     was briefed in December 1998. Oral argument on the motions was heard by
     the Court on April 22, 1999 and the motions are now sub judice. The
     Company intends to continue its vigorous defense of this lawsuit.
     Management believes the risk of loss is not probable and accordingly has
     not recognized any accrued liability for this matter. Although the outcome
     of this matter cannot be predicted with certainty, the Company believes
     that any liability that may result will not, in the aggregate, have a
     material adverse effect on the Company's financial position or cash flows,
     although it could be material to the Company's operating results in any
     one accounting period.

                                       8

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     Other legal proceedings to which the Company is a party, in the opinion of
     the Company's management, are not expected to have a material adverse
     effect on the Company's financial position, results of operations, or cash
     flows.

Certain statements in this document 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 which may cause the actual results,
performance, or achievements of HMS, 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 ability of HMS to contain costs in view of its revised revenue outlook to
grow internally or by acquisition and to integrate acquired businesses into the
HMS group of companies; (iii) the uncertainties of litigation; (iv) HMS's
dependence on significant customers; (v) changing conditions in the healthcare
industry which could simplify the reimbursement process and adversely affect
HMS's business; (vi) government regulatory and political pressures which could
reduce the rate of growth of healthcare expenditures; (vii) 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; (viii)
the ability of HMS to deal with the Year 2000 Problem on a timely basis; (ix)
all the risks inherent in the development, introduction, and implementation of
new products and services; and other factors both referenced and not referenced
in this document. When used in this document, the words "estimate," "project,"
"anticipate," "expect," "intend," "believe," and similar expressions are
intended to identify forward-looking statements, and the above described risks
inherent therein.

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

Three Months Ended January 31, 2000 Compared to Three Months Ended January 31,
1999 Consolidated revenue for the first quarter of fiscal year 2000 was $26.6
million, a decrease of approximately $800,000 or 2.9% from the comparable
period in 1999, with the decrease in the Software Systems and Services
("Software") Division partially offset by the increase in the Revenue Services
Division. The Revenue Services Division, comprised of the Provider Revenue
Services Group and the Payor Revenue Services Group, achieved revenue of $17.8
million, an increase of $3.3 million or 23% from the comparable prior year
first quarter. Of these amounts, the Provider Revenue Services Group produced
revenue of $11.8 million, an increase of $3.1 million or 36% from the
comparable prior year first quarter, including $2.1 million in revenue
attributable to the Company's acquisition of HRM in June 1999. The Payor
Revenue Services Group produced revenue of $6.1 million, an increase in revenue
of approximately $200,000 or 3% from the comparable prior year first quarter.

Revenue from the Software Division, comprised of the Decision Support Group and
the Payor Systems Group, was $8.8 million, a decrease of $4.1 million or 32.1%
from the comparable prior year first quarter. Of these amounts, the Decision
Support Group produced revenue of $4.9 million, a decrease of $1.7 million or
25.8% from the comparable prior year first quarter. The decrease in this
Group's revenue was the result of an elongated sales cycle, attributable to
clients' reluctance to implement new software while facing their own internal
Y2K conversions, offset by the increase in revenue earned from the Company's
recurring base of clients. Revenue from the Payor Systems Group was $3.9
million, a decrease of $2.5 million or 38.6% from the comparable prior year
first quarter, principally attributable to a combination of the wind down of an
outsourcing engagement by a Blue Cross client who was acquired and converted to
their affiliate's internal data center, and the non-recurrence of substantial
amounts of Y2K remediation work accomplished for our Payor Systems clients last
year.

                                       9

   12

Cost of services for the first fiscal quarter ended January 31, 2000 was $26.2
million, an increase of $1.4 million or 6% from the comparable prior year first
quarter. Compensation expense, the largest component of cost of services, was
$15.8 million for the first fiscal quarter ended January 31, 2000, reflecting
an increase of approximately $500,000 or 3.0% from the comparable prior year
first quarter. The increase was principally attributable to the increase in
personnel costs to support the increased revenue in the Revenue Services
Division, including the personnel added through the acquisition of HRM in June
1999, partially offset by reduced compensation expense in the Software Division.
Occupancy costs of $2.6 million increased approximately $400,000 or 19% from the
comparable prior year first quarter, principally attributable to the acquisition
of HRM in June 1999. Direct project costs were $3.4 million for the fiscal
quarter ended January 31, 2000, reflecting an increase of approximately $500,000
or 16% from the comparable prior year first quarter, primarily attributable to
the Company's increased use of revenue-generating subcontractors and related
project consulting services ("subcontractor costs").

As a result of the above factors, operating margin before amortization of
intangible assets for the first quarter of fiscal year 2000 was $374,000, a
decrease of $2.2 million or 86% from the comparable prior year first quarter.

The Company's income tax expense for the first fiscal quarter ended January 31,
2000 was $173,000, a decrease of approximately $900,000 or 85% from the
comparable prior year first quarter. The decrease was primarily attributable to
the Company's lower pre-tax profit.

Principally as a result of the above factors, net income for the first fiscal
quarter ended January 31, 2000 decreased to $299,000, a decrease of $1.3
million or 81% from the comparable prior year first quarter. Resultant diluted
earnings per share for the first fiscal quarter ended January 31, 2000 was
$0.02, compared to $0.09 in the comparable prior year first quarter.

Liquidity and Capital Resources

At January 31, 2000 and October 31, 1999, the Company had $58.4 million in net
working capital. The Company's principal sources of liquidity at January 31,
2000 consisted of cash, cash equivalents, and short-term investments
aggregating $30.0 million, and net accounts receivable of $61.4 million.
Accounts receivable at January 31, 2000 reflected an increase of $2.7 million
or 5% from the balance at October 31, 1999. The increase was primarily
attributable to the historically strong fourth quarter revenue and to an
increasing portion of the Company's revenue being generated by the Revenue
Services Division, whose receivables conversion cycle is more elongated than
that of the Software Division.

As of February 15, 2000, upon the expiration of its existing credit facility,
the Company entered into a new unsecured revolving credit facility with its
existing major money center financial institution. The facility is comprised of
a $10 million committed revolver and a $20 million advised line of credit. The
facility, subject to the satisfaction of certain closing conditions, has a 364
day term, bears interest at LIBOR plus 87.5 basis points, and carries an unused
commitment fee of 37.5 basis points. The interest rate and unused commitment fee
on the revolver are adjustable, subject to certain earnings thresholds at
November 1, 2000, to a maximum rate of LIBOR plus 1.125 percent and .625
percent, respectively. This revolving facility contains, among other things,
restrictions on additional borrowings, capital expenditures, leases, sales of
assets, and payments of dividends and contains covenants that require the
Company, among other things, to maintain minimum asset, debt coverage, and
consolidated tangible shareholders' equity, as defined in the agreement. As of
January 31, 2000 and 1999, no amounts were outstanding under this or the
predecessor credit facility.

On May 28, 1997, the Board of Directors authorized the Company to repurchase
such number of shares of its Common Stock that have an aggregate purchase price
not in excess of $10,000,000. The Company may repurchase these shares from time
to time on the open market or in negotiated transactions at prices deemed
appropriate by the Company. Repurchased shares are deposited in the Company's
treasury and used for general corporate purposes. Since the inception of the
repurchase program in June 1997, the Company has repurchased in the open market
1,049,000 shares having an aggregate purchase price of $7,750,000. No shares
were repurchased during the fiscal quarter ended January 31, 2000.

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In fiscal year 1999, the Company utilized a portion of its excess capital to
again become an opportunistic acquirer, completing the HRM acquisition
transaction. The Company continues to seek to acquire companies that supply
healthcare providers and/or payors with information management software,
systems, or services if the offerings of the Company or such companies would
benefit from access to the other's technology, software applications, or client
base. The Company believes that such acquisition opportunities exist due, in
part, to competitive pressures on local service businesses that lack adequate
capital, technical, and management resources.

Year 2000

In common with many other organizations, the Y2K computer issue creates risks
for the Company. To address these Y2K issues, the Company formulated a plan and
began work at the end of 1997. The Company put in place a working committee to
track implementation of the plan. Activities included in this plan intended to
encompass all major categories of systems in use by the Company, including
those entailed in the performance of product development, operations, sales,
finance, and human resources. Interactions with major suppliers of products and
services were identified and continue to be monitored to ensure uninterrupted
delivery to the Company of the requisite products and services.

The Company is also continuing to work with its clients to ensure a smooth Y2K
transition. As well, the Company responded to the enactment of the Y2K
Information and Disclosure Act ("Y2K Act") on October 19, 1998. The purpose of
the Y2K Act is to encourage and promote disclosure regarding Y2K issues and to
provide limitations for claims on tort liability.

Contingency plans for all potential single points of disruption were developed
and implemented. It is expected that assessment and remediation will be
completed in sufficient time to ensure the Company's provision of service
without interruption due to the onset of the year 2000. No Y2K-related event
has surfaced through the time of filing of this Form 10-Q to materially impact
the Company's results of operations. The Company has completed its Y2K
remediation work in accordance with a schedule which is responsive to the time
sensitivity of the clients, seeking first to complete work on engagements where
the Company's interactions with the clients are on a concurrent (in contrast to
a retrospective) basis. To the extent that the Company has not developed an
adequate plan for any particular contingency, the Company believes its capacity
to stage, resequence and reschedule much of its operational processing work
should enable mitigation, in whole or part, of the potential long-term negative
impact on its clients and the Company.

The Company has designed and tested the most current versions of its products
for Y2K compliance. The Company has finished migrating to its most current
versions those of the Company's products running on versions not Y2K compliant.
The Company is utilizing the migration to Y2K compliant systems as the catalyst
for a consolidation of various of the Company's disparate systems--thereby
reducing the number of product versions which require updating for the Y2K
problem. Each business group has had its Y2K remediation tested, with the
exception of the Provider Revenue Services Group. Progress continues to be made
in the substantial conversion work for the Provider Revenue Services Group,
though not all of it was concluded by the end of January 2000. As well, a
number of the Company's customers are running product versions that are not Y2K
compliant. While the Company has provided its clients with viable plans for
migration to Y2K compliant versions and has been encouraging such customers to
adopt such plans, it is possible that various of the Company's clients will not
adopt the recommended plan of migration, potentially entailing either increased
costs to the Company or loss of revenue by the Company. Moreover, the revenue
stream and financial stability of existing customers may be adversely impacted
by Y2K problems, which could cause fluctuations or diminution in the Company's
revenue. In addition, there can be no assurances that the Company's current
products do not contain undetected errors or defects associated with Y2K date
functions that could result in material, additional future costs to the
Company. Moreover, assessment of whether a complete system will operate
correctly depends on the

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capabilities and interoperability of the hardware and software components
comprising the system; for most end-users, this will include hardware and
software provided by companies other than the Company. Except as specifically
provided for in the limited warranty accompanying the current versions of its
products, the Company does not believe it is legally responsible for costs
incurred by customers related to ensuring their Y2K capability. Nevertheless,
the Company is incurring various costs to provide customer support and customer
satisfaction services regarding Y2K issues and it is anticipated that these
expenditures would continue through 2000.

The costs incurred to date related to these programs are difficult to isolate
but are estimated at approximately $2.5 million. The Company currently expects
that the total cost of these programs, including both incremental spending and
redeployed resources, will not exceed $2.8 million. The total cost estimate
does not include potential costs related to any customer claims, other claims
or the cost of internal software and hardware replaced in the normal course of
business, nor does this estimate include the costs associated with the
consolidation (to the maximum practicable extent) by the two Groups comprising
the Revenue Services Division of their respective product versions into a
consolidated version for each group. In some instances, the installation
schedule of new software and hardware in the normal course of business is being
accelerated to afford a timely solution to Y2K capability issues. Because the
factors involved are complex and frequently not readily separable, it is
difficult to determine which of the Company's multiple development activities
are properly allocable to the solution of Y2K problems. The Company's cost
estimates are based on an assessment of the current situation and are subject
to future revision.

The expenses incurred by the Company to identify and address the Y2K matters
discussed above, or the expenses or liabilities to which the Company may become
subject as a result of such matters, could have a material adverse effect on
the Company's business, financial condition and results of operation. In
addition, there can be no assurance that failure to ensure Y2K capability by a
supplier, client or another third party would not have a material adverse
effect on the Company.

Item 3.  Quantitative and Qualitative Disclosures About Market Risks

The Company's holdings of financial instruments are comprised of federal, state
and local government debt, and corporate debt. All such instruments are
classified as securities available for sale. The Company does not invest in
portfolio equity securities or commodities or use financial derivatives for
trading purposes. The Company's debt security portfolio represents funds held
temporarily, pending use in the Company's business and operations. The Company
manages these funds accordingly. The Company seeks reasonable assuredness of
the safety of principal and market liquidity by investing in rated fixed income
securities while, at the same time, seeking to achieve a favorable rate of
return. The Company's market risk exposure consists principally of exposure to
changes in interest rates. The Company's holdings are also exposed to the risks
of changes in the credit quality of issuers. The Company typically invests in
the shorter-end of the maturity spectrum or highly liquid investments.

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The table below presents the historic cost basis, and the fair value for the
Company's investment portfolio as of January 31, 2000, and the related weighted
average interest rates by fiscal year of maturity:



                                                 Maturity Dates
                                    ------------------------------------------
($ in Thousands)                        2000             2001           Total       Fair value
- ----------------------------------------------------------------------------------------------
                                                                       
Cash equivalents:
   Money Market Fund                 $ 3,205         $     --        $  3,205        $  3,205
   Average interest rate                                                 5.64%

Short-term investments:
   Fixed income assets
     Governmental Securities           8,415            8,141          16,556          16,228
     Average interest rate              5.32%            5.41%           5.36%

     Corporate debt                                                       500             505
     Average interest rate                                               4.55%
- ----------------------------------------------------------------------------------------------





PART II--OTHER INFORMATION

Item 1.   Legal Proceedings --See Note 4 of the Notes to Interim Consolidated
          Financial Statements for discussion of certain pending legal
          proceedings

Item 2.   Changes in Securities --None

Item 3.   Defaults Upon Senior Securities --Not applicable

Item 4.   Submission of Matters to a Vote of Security Holders -- None

Item 5.   Other Information --None

Item 6.   Exhibits and Reports on Form 8-K
              Exhibits - See exhibit index
              Reports on Form 8-K - None

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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.

Date: March 16, 2000               HEALTH MANAGEMENT SYSTEMS, INC.
                                   -------------------------------
                                              (Registrant)

                                   By: /s/ Paul J. Kerz
                                   -------------------------------
                                   Paul J. Kerz
                                   President and Chief Executive Officer

                                   By: /s/ Alan L. Bendes
                                   -------------------------------
                                   Alan L. Bendes
                                   Senior Vice President and
                                   Chief Financial Officer

                                   By: /s/ Ernest W. D'Ambrose
                                   -------------------------------
                                   Ernest W. D'Ambrose
                                   Corporate Controller and
                                   Chief Accounting Officer

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                HEALTH MANAGEMENT SYSTEMS, INC. AND SUBSIDIARIES
                                 EXHIBIT INDEX




Exhibit Number               Description of Exhibit to Interim Consolidated Financial Statements
- --------------               -------------------------------------------------------------------
                         
10.1                         Credit Agreement and Guaranty, dated as of February 15, 2000, among Health
                             Management Systems, Inc. as Borrower, Accelerated Claims Processing, Inc.,
                             Quality Medi-Cal Adjudication, Incorporated, Health Care microsystems, Inc.,
                             CDR Associates, Inc., HSA Managed Care Systems, Inc., Health Receivables
                             Management, Inc. as Guarantors, and The Chase Manhattan Bank, as Bank.

10.2                         Advised line of credit

27                           Financial Data Schedule (Submitted for informational purposes only and not deemed
                             to be filed)



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