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8-K - FORM 8-K - ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.d8k.htm
Allscripts
Investor
Presentation
January,
2010
Exhibit 99.1


2
Forward Looking Statements
This communication contains forward-looking statements within the meaning of the federal securities
laws.  Statements regarding future events, developments, the Company’s future performance, as
well as management’s expectations, beliefs, intentions, plans, estimates or projections relating to the
future are forward-looking statements within the meaning of these laws. These forward-looking
statements are subject to a number of risks and uncertainties, some of which are outlined below. As
a result, actual results may vary materially from those anticipated by the forward-looking statements.
Among the important factors that could cause actual results to differ materially from those indicated
by such forward-looking statements are: the volume and timing of systems sales and installations;
length of sales cycles and the installation process; the possibility that products will not achieve or
sustain market acceptance; the timing, cost and success or failure of new product and service
introductions, development and product upgrade releases; competitive pressures including product
offerings, pricing and promotional activities; our ability to establish and maintain strategic
relationships; undetected errors or similar problems in our software products; compliance with
existing laws, regulations and industry initiatives and future changes in laws or regulations in the
healthcare industry; possible regulation of the Company’s software by the U.S. Food and Drug
Administration; the possibility of product-related liabilities; our ability to attract and retain qualified
personnel; our ability to identify and complete acquisitions, manage our growth and integrate
acquisitions; the ability to recognize the benefits of the merger with Misys Healthcare Systems, LLC
(“MHS”);  the integration of MHS with the Company; the impact of the securities class action and
other pending or threatened litigation and the possible disruption of current plans and operations as a
result thereof; the implementation and speed of acceptance of the electronic record provisions of the
American Recovery and Reinvestment Act of 2009; maintaining our intellectual property rights and
litigation
involving
intellectual
property
rights;
risks
related
to
third-party
suppliers;
our
ability to
obtain, use or successfully integrate third-party licensed technology; breach of our security by third
parties; and the risk factors detailed from time to time in our reports filed with the Securities and
Exchange Commission, including our most recent Annual Report on Form 10-K available through the
Web
site
maintained
by
the
Securities
and
Exchange
Commission
at
www.sec.gov.
The
Company
undertakes no obligation to update publicly any forward-looking statement, whether as a result of
new information, future events or otherwise.


3
Agenda
Market Opportunity is Now
Meaningful Use Update
Why Allscripts?
Financial Update


We are at the beginning of the
single fastest transformation
of any industry in US history


5
2010: The Year of the EHR
<20
%
Approx. 20% EHR
Physician Penetration
-Early Adopters
~
$45B
~$45 Billion in
Federal Funding
70
%
70% of Funding Will Be
Spent
in First 3 Years
Lower IT Investment in Healthcare Than Any Other Sector of Economy 
Sources: United States Dept. of Health and Human Services: Fiscal Year 2010  Budget in Brief, ARRA
Centers for Disease Control and Prevention


6
Market Potential
Practice Size
Total # of Practices
EHR Penetration
(FY08/09)
1-3 Physicians
163,000
~10%
4-9 Physician
27,000
~20%
10-25 Physicians
8,000
~25%
26+ Physicians
2,000
~40%
Total
200,000
~12%
Source: SK&A = SK&A
Information Services which sells databases for sales and marketing success in healthcare industry
6


7
Once in a Lifetime Opportunity…


8
Meaningful Use Update: The Time is Now
Healthcare
Reform
Will
Not
Impact ARRA ~$45B for EHRs
Medicare
-
$44,000;
Medicaid
-
$63,750
Rules Issued December 30, 2009
Notice of Proposed Rule Making (NPRM)
how physicians earn incentives
60-day comment period ends March 15
Interim Final Rule (IFR)
how products get certification
no surprises
Penalties for Not Participating


9
Meaningful Use Update: Key Components
The EHR Must be Certified
& Include e-Prescribing
The EHR Must be Connected
The EHR Must Include Reporting Capabilities on Clinical
Quality Metrics
The EHR Must be Used in a Meaningful Way


10
Why Allscripts?
Leadership
The clear leader in providing innovative software, connectivity and
information solutions that empower physicians and other healthcare
providers
to
improve
the
health
of
both
their
patients
and
their
bottom
line
A Safe Choice
Financially Strong
Revenue of ~ $700 mm
R&D F2010 ~$70 mm
People & Experience


11
Our Footprint…
160,000 Physicians
8,000 Post-Acute Providers
800 Hospitals
and 80 million Rx…


12
Comprehensive Portfolio…
Across the Continuum of Care


13


14
Connect


15
Powerful Engine to Drive Sales
Direct Marketing
Allscripts
Distribution Network
Exclusive Relationships: Henry Schein; Cardinal Health
Hospital/Community Distribution Partners
~250 Direct Sales Professionals


16


17


18


19


Summary -
Unparalleled Market Opportunity
Rapid Transformation
“Rules of the Road”
for Capturing Stimulus in Place
Allscripts
“Built to Last”


21
Financial Overview


22
Allscripts
Financial Highlights
Bookings Momentum
$191.3
mm
in
H1
Bookings
30% growth
$680.0 mm Revenue Run Rate
Revenue Visibility
67% Recurring in 2Q Fiscal 2010
mix of SaaS
Bookings
~24% in most recent quarter
Improving Gross Margins
56.4% as reported in Q2
Significant Operating Leverage
Substantial R&D Expenditures
~ $70.0 mm or ~10% of Fiscal 2010 Revenue
Strong Financial Position


23
Fiscal 2010 2Q & YTD Bookings Results
Quarter Ended
11/30/08
11/30/09
% Change
Bookings
$80.7
$93.8
+16%
% SaaS
26%
24%
Six Months Ended
11/30/08
11/30/09
% Change
Bookings
$147.1
$191.3
+30%
% SaaS
24%
25%
Strong 2Q and YTD bookings across all product offerings


24
Fiscal 2010 2Q Revenue and Net Income
Q2 ‘09
Q2 ‘10
% Change
Revenue
$128.6
$169.3
+32%
Non-GAAP Revenue(a)
$163.4
$170.7
+4%
% Recurring Revenue
63%
67%
Net Income
($6.0)
$15.8
N/M
Non-GAAP Net Income(a)
$16.6
$24.0
+45%
(a) Please see reconciliation and footnotes in appendix to this presentation regarding non-GAAP revenue
and net income for the three months ended November 30, 2009 and 2008. Information also available at
http://investor.allscripts.com


25
Non-GAAP(a) Net Income Growth:
H1 Fiscal 2010 vs. 2009
$30.0
$35.0
$40.0
$45.0
$50.0
(a) Please see reconciliation and footnotes in appendix to this presentation regarding non-GAAP net
income for the six months ended November 30, 2008 and 2009 . Additional information also available at
http://investor.allscripts.com
Fiscal 2009
H1
$31.5mm
$46.1mm
Fiscal 2010
H1
+46% Y/Y


26
Non-GAAP(a) Net Income Margin:
H1 Fiscal 2010 vs. 2009
5.0%
10.0%
15.0%
20.0%
(a) Please see reconciliation and footnotes in appendix to this presentation regarding non-GAAP net
income margin for the six months ended November 30, 2008 and 2009 . Additional information also
available at http://investor.allscripts.com
Fiscal 2009
H1
~10%
Fiscal 2010
H1
~14%


27
Fiscal 2010 Outlook
2010E
Revenue
$680.0 -
$700.0
Net income
$64.5 -
$66.0
Non-GAAP net
income(a)
$93.5 -
$95.0
Diluted EPS
$0.41 -
$0.43
Non-GAAP
diluted EPS(a)
$0.61 -
$0.63
WASO
150.5
(a)
Please see reconciliation and footnotes in appendix to this presentation regarding non-GAAP revenue, net
income and EPS for the year ending May 31, 2010. Information also available at
http://investor.allscripts.com
~10% Top Line Growth
Mid 50’s Gross Margin %
Non-GAAP Net Income
Growth 22-24%
Strong Operating Cash
Flow


Summary -
Excellent Sales Momentum
Large Mix of Recurring Revenue = Solid Top Line
Visibility
Operating Leverage
Superior Long-Term Financial Model
Allscripts
“Built to Last”



30
Appendix: Non-GAAP Reconciliation
GAAP –
non-GAAP revenue reconciliation for the three months ended November 30, 2008 and
2009.
Q2
Q2
2009
2010
Nov-08
Nov-09
Revenue
Revenue, as reported
$128.6
$169.3
Allscripts
pre-merger
37.4
-
Deferred revenue adjustment
2.1
1.4
Elimination of prepackaged medications
(4.7)
-
Revenue, non-GAAP
$163.4
$170.7


31
Appendix: Non-GAAP Reconciliation
GAAP –
non-GAAP net income reconciliation for the three months ended November 30, 2008 and
2009. 
Q2
Q2
2009
2010
Nov-08
Nov-09
Net income
Net income, as reported
$     (6.0)
$    15.8
Allscripts
pre-merger
7.9
-
Elimination of prepackaged medications
(0.3)
-
Deferred revenue adjustment
2.0
1.5
Stock based compensation
1.0
4.4
Acquisition-related amortization expense
4.6
5.7
Transaction-related expense
22.0
1.3
Tax effect of non-GAAP adjustments (at 39%)
(14.6)
(5.0)
Tax adjustment to bring as-reported to 39%
-
0.3
Net income, non-GAAP
$16.6
$24.0


32
Appendix: Non-GAAP Reconciliation
GAAP
non-GAAP
net
income
reconciliation
for
the
six
months
ended
November
30,
2008
and
2009. 
H1
H1
2009
2010
Nov-08
Nov-09
Net income
Net income, as reported
$     (0.6)
$    28.7
Allscripts
pre-merger
11.0
-
Elimination of prepackaged medications
(1.1)
-
Deferred revenue adjustment
2.0
4.0
Stock based compensation
3.4
7.7
Acquisition-related amortization expense
8.5
11.3
Transaction-related expense
28.8
5.2
Tax effect of non-GAAP adjustments (at 39%)
(20.5)
(11.1)
Tax adjustment to bring as-reported to 39%
-
0.3
Net income, non-GAAP
$31.5
$46.1


33
Appendix: Non-GAAP Reconciliation
GAAP –
non-GAAP net income margin reconciliation for the six months ended November 30, 2008
and 2009. 
H1
H1
2009
2010
Nov-08
Nov-09
Net income margin
Net income, non-GAAP (see page 32)
$31.5
$46.1
Revenue, as reported
221.4
334.3
Net income margin, as reported
14.2%
13.6%
Allscripts
pre-merger
109.3
-
Deferred revenue adjustment
2.1
4.0
Elimination of prepackaged medications
(4.7)
-
Revenue, non-GAAP
$328.1
$338.3
Net income margin, non-GAAP
9.6%
13.6%


34
Appendix: Non-GAAP Reconciliation
GAAP –
non-GAAP Net Income and EPS reconciliation for the year ended May 31, 2009 and 2010
Fiscal 2009
Fiscal 2010
Guidance
Guidance Range
Net income
$26.0
$65.3
$64.5 to $66.0
GAAP EPS
$0.21
$0.43
$0.41 to $0.43
Adjustments*
Allscripts
pre-merger
11.4
-
Elimination of prepackaged
medications
(2.4)
-
Deferred revenue adjustment
7.8
4.9
Stock based compensation
8.3
15.2
Acquisition-related amortization
expense
20.5
22.6
Transaction-related expense
40.3
5.2
Tax effect of non-GAAP
adjustments (41% in 2009 and
39% in 2010)
(35.2)
(18.6)  
Non-GAAP Net income
$76.7
$94.6
$93.5 to $95.0
Share count
149.9
150.5
Non-GAAP EPS
$0.51
$0.63
$.61 to $.63


35
Basis of Presentation
The Company's GAAP results for the three and six months ended November 30, 2009
include results of Allscripts
for each such period.  The Company's GAAP results for the
three
and
six
months
ended
November
30,
2008
include
the
results
of
Misys
Healthcare
(Misys)
for
each
period
and
the
results
of
Allscripts
subsequent
to
a
merger
effected on
October 10, 2008, at which time the Company's legal name was changed to Allscripts-
Misys Healthcare Solutions, Inc.
Supplemental and non-GAAP financial information is also available at
http://investor.allscripts.com.
Please see next page for a further discussion of non-GAAP measures.


36
Explanation of Non-GAAP Financial Measures
Allscripts reports its financial results in accordance with generally accepted accounting principles, or GAAP. To supplement this information, Allscripts presents in this presentation
non-GAAP revenue and net income, including non-GAAP net income on a per share basis, which are non-GAAP financial measures under Section 101 of Regulation G under the
Securities Exchange Act of 1934, as amended. Non-GAAP revenue consists of GAAP revenue and legacy Allscripts revenue for periods prior to the consummation date of the Misys
merger and adds back the deferred revenue adjustment booked for GAAP purposes and excludes revenue from prepackaged medications. Non-GAAP net income consists of GAAP
net income and includes legacy Allscripts net income for periods prior to the consummation date of the Misys merger, excludes acquisition-related amortization, stock-based
compensation expense and transaction-related expenses, adds back the deferred revenue adjustment and excludes net income from prepackaged medications, in each case net of
any related tax benefit. 
Acquisition-Related Amortization. Acquisition-related amortization expense is a non-cash expense arising from the acquisition of intangible assets in connection with acquisitions or
investments. Allscripts excludes acquisition-related amortization expense from non-GAAP net income because it believes (i) the amount of such expenses in any specific period may
not directly correlate to the underlying performance of Allscripts business operations and (ii) such expenses can vary significantly between periods as a result of new acquisitions and
full amortization of previously acquired intangible assets. Management believes that this adjustment facilitates comparisons of the separate pre-merger results of legacy Misys and
legacy Allscripts to that of the Company's post-merger results.  Investors should note that the use of these intangible assets contributed to revenue in the periods presented and will
contribute to future revenue generation and should also note that such expense will recur in future periods.
Stock-Based Compensation Expense. Stock-based compensation expense is a non-cash expense arising from the grant of stock awards to employees. Allscripts excludes stock-
based compensation expense from non-GAAP net income because it believes (i) the amount of such expenses in any specific period may not directly correlate to the underlying
performance of Allscripts business operations and (ii) such expenses can vary significantly between periods as a result of the timing of grants of new stock-based awards, including
grants in connection with acquisitions. Investors should note that stock-based compensation is a key incentive offered to employees whose efforts contributed to the operating results
in the periods presented and are expected to contribute to operating results in future periods and should also note that such expense will recur in future periods.
Deferred Revenue Adjustment. Deferred revenue adjustment reflects the fair value adjustment to deferred revenues acquired in connection with the Misys merger transaction
consummated on October 10, 2008. The fair value of deferred revenue represents an amount equivalent to the estimated cost plus an appropriate profit margin, to perform services
related to legacy Allscripts software and product support, which assumes a legal obligation to do so, based on the deferred revenue balances as of October 10, 2008. Allscripts adds
back this deferred revenue adjustment for non-GAAP revenue and non-GAAP net income because it believes the inclusion of this amount directly correlates to the underlying
performance of Allscripts operations and facilitates comparisons of the separate pre-merger results of legacy Misys and legacy Allscripts to that of the Company's post-merger results.
Non-GAAP adjustments are effected for tax at the actual as-reported effective tax rate for all fiscal 2009 periods presented. Non-GAAP adjustments are effected for tax at the
anticipated full-year effective tax rate for all fiscal 2010 periods presented.
Management also believes that non-GAAP revenue and net income provide useful supplemental information to management and investors regarding the underlying performance of
the Company's business operations and facilitates comparisons of the separate pre-merger results of legacy Misys and legacy Allscripts to that of the Company's post-merger results.
Purchase accounting adjustments made in accordance with GAAP can make it difficult to make meaningful comparisons of the underlying operations of the business without
considering the non-GAAP adjustments that we have provided and discussed herein. Management also uses this information internally for forecasting and budgeting as it believes that
the measure is indicative of the Company's core operating results. In addition, the Company uses Non-GAAP net income to measure achievement under the Company's cash
incentive compensation plans.  Note, however, that non-GAAP revenue and net income are performance measures only, and they do not provide any measure of the Company's cash
flow or liquidity. Non-GAAP financial measures are not in accordance with, or an alternative for, measures of financial performance prepared in accordance with GAAP and may be
different from non-GAAP measures used by other companies. Non-GAAP measures have limitations in that they do not reflect all of the amounts associated with Allscripts' results of
operations as determined in accordance with GAAP. Investors and potential investors are encouraged to review the reconciliation of non-GAAP financial measures with GAAP
financial measures contained within the attached condensed consolidated financial statements.