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   &lt;!-- Begin Block Tagged Note 1 - us-gaap:OrganizationConsolidationAndPresentationOfFinancialStatementsDisclosureTextBlock--&gt;
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   &lt;div align="center" style="font-size: 10pt; margin-top:0pt"&gt;&lt;b&gt;
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   &lt;div align="left" style="font-size: 10pt; margin-top: 0pt"&gt;&lt;i&gt;
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   &lt;div align="left" style="font-size: 10pt; margin-top: 6pt"&gt;&lt;b&gt;1. BUSINESS DESCRIPTION AND BASIS OF PRESENTATION&lt;/b&gt;
   &lt;/div&gt;
   &lt;div align="left" style="font-size: 10pt; margin-top: 6pt"&gt;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;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 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 customers and provide financial improvement with
   minimal upfront costs or capital expenditures. Our operations and customers are primarily located
   throughout the United States, and to a lesser extent, Canada.
   &lt;/div&gt;
   &lt;div align="left" style="font-size: 10pt; margin-top: 6pt"&gt;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;The accompanying unaudited Condensed Consolidated Financial Statements, and Condensed
   Consolidated Balance Sheet as of December&amp;#160;31, 2010, derived from audited financial statements, have
   been prepared in accordance with accounting principles generally accepted in the United States
   (&amp;#8220;GAAP&amp;#8221;) for interim financial reporting and as required by Regulation&amp;#160;S-X, Rule&amp;#160;10-01 of the U.S.
   Securities and Exchange Commission (&amp;#8220;SEC&amp;#8221;). 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 months ended March&amp;#160;31, 2011 are not necessarily indicative of the results
   that may be expected for any other interim period or for the fiscal year ending December&amp;#160;31, 2011.
   &lt;/div&gt;
   &lt;div align="left" style="font-size: 10pt; margin-top: 6pt"&gt;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;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&amp;#160;31, 2010 included in our Form 10-K as filed with the SEC on March&amp;#160;1, 2011. These financial
   statements include the accounts of MedAssets, Inc. and our wholly owned subsidiaries. All
   significant intercompany accounts have been eliminated in consolidation.
   &lt;/div&gt;
   &lt;div align="left" style="font-size: 10pt; margin-top: 12pt"&gt;&lt;b&gt;&lt;i&gt;Use of Estimates&lt;/i&gt;&lt;/b&gt;
   &lt;/div&gt;
   &lt;div align="left" style="font-size: 10pt; margin-top: 6pt"&gt;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;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. During the
    three months ended March 31, 2011, we adjusted our estimates related to the following:
   &lt;/div&gt;
   &lt;div align="left" style="font-size: 10pt; margin-top: 12pt"&gt;&lt;i&gt;Customer Relationship Period&lt;/i&gt;
   &lt;/div&gt;
   &lt;div align="left" style="font-size: 10pt; margin-top: 6pt"&gt;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;We finalized a study of our customer relationship period using data based on our historical experience. As a
   result of the study, we changed our customer relationship period for which we recognize revenue related to
   implementation and setup fees charged for our SaaS-based services from an average of four years to six years. We
   will apply this change in estimate on a prospective basis. We estimate the impact of the change in customer
   relationship period will reduce our 2011 other service fee revenue by approximately $800, operating income by
   $600 and earnings per share by approximately $0.01 per share.
   &lt;/div&gt;
   &lt;div align="left" style="font-size: 10pt; margin-top: 12pt"&gt;&lt;i&gt;Internally Developed Software Useful Life&lt;/i&gt;
   &lt;/div&gt;
   &lt;div align="left" style="font-size: 10pt; margin-top: 6pt"&gt;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;We finalized a study of our internally developed software useful life based on our historical experience. As a
   result of the study, we changed our useful life for which we will recognize depreciation expense related to internally
   developed software from three years to up to but generally five years. We will apply this change in estimate on a
   prospective basis. We estimate the impact of the change in internally developed software useful life will reduce our
   2011 depreciation expense by approximately $5,600 and increase our 2011 operating income by $5,600 and earnings
   per share by approximately $0.06 per share.
   &lt;/div&gt;
   &lt;div align="left" style="font-size: 10pt; margin-top: 12pt"&gt;&lt;b&gt;&lt;i&gt;Cash and Cash Equivalents&lt;/i&gt;&lt;/b&gt;
   &lt;/div&gt;
   &lt;div align="left" style="font-size: 10pt; margin-top: 6pt"&gt;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;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 term loan. Cash and cash
   equivalents were $57,396 and $46,836 as of March&amp;#160;31, 2011 and December&amp;#160;31, 2010, respectively, and
   our revolver and swing-line balances were zero during those reporting periods. 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.
   &lt;/div&gt;
   &lt;div align="left" style="font-size: 10pt; margin-top: 6pt"&gt;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;Additionally, we have a concentration of credit risk arising from cash deposits held in
   excess of federally insured amounts totaling $56,896 as of March&amp;#160;31, 2011.
   &lt;/div&gt;
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   &lt;/div&gt;
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