Form 8-K

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

FORM 8-K

 

 

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

Date of report (Date of earliest event reported): October 23, 2008

 

 

ALLSCRIPTS-MISYS HEALTHCARE SOLUTIONS, INC.

(Exact Name of Registrant as Specified in Its Charter)

 

 

 

Delaware   000-32085   36-4392754

(State or Other Jurisdiction

of Incorporation)

  (Commission File Number)  

(IRS Employer

Identification No.)

222 Merchandise Mart Plaza, Suite 2024, Chicago, Illinois 60654

(Address of Principal Executive Offices) (Zip Code)

Registrant’s Telephone Number, Including Area Code: (312) 506-1200

 

(Former Name or Former Address, if Changed Since Last Report)

 

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):

 

¨ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

¨ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

¨ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

¨ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

 

 


Item 2.02. Results of Operations and Financial Condition.

On October 23, 2008, Allscripts-Misys Healthcare Solutions, Inc. (the “Company”) announced preliminary earnings for legacy Allscripts Healthcare Solutions, Inc. (which does not include Misys Healthcare Systems, LLC) for the three and nine months ended September 30, 2008. Further details are described in the press release issued by the Company on October 23, 2008 (the “Earnings Release”), and furnished as Exhibit 99.1 hereto and incorporated herein by reference.

The information contained in, or incorporated into, this Item 2.02, including Exhibit 99.1 attached hereto is being furnished and shall not be deemed “filed” for the purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference into any registration statement or other filing under the Securities Act of 1933, as amended, or the Exchange Act, except as shall be expressly set forth by specific reference to such filing.

 

Item 7.01. Other Events.

In connection with the issuance of the Earnings Release, the Company is holding an investor presentation in London on Thursday, October 23, 2008 at 7:30 AM Eastern Daylight Time, during which the Company will provide the presentation attached as Exhibit 99.2. The Company will provide the same information in a presentation in New York on Monday, October 27, 2008 at 12:30 PM Eastern Daylight Time. Both presentations will be available via live webcast and can be accessed by logging onto http://www.allscripts.com. The audio portions of the webcasts also can be accessed by dialing 800-374-1376 and requesting the Allscripts Investor Presentation. International callers can access the audio portion of the webcasts by dialing 706-679-4010 and requesting the Allscripts Investor Presentation. Additionally, callers in the United Kingdom can access the audio portion of the webcasts by dialing 0-800-028-8438 and requesting the Allscripts Investor Presentation.

The information furnished under this Item 7.01, including Exhibit 99.2 attached hereto, shall not be deemed “filed” for the purposes of Section 18 of the Exchange Act, or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference into any registration statement or other filing under the Securities Act of 1933, as amended, or the Exchange Act, except as shall be expressly set forth by specific reference to such filing. This Report will not be deemed an admission as to the materiality of any information in this Report that is being disclosed pursuant to Regulation FD.

Please refer to page 3 of Exhibit 99.2 for a discussion of certain forward-looking statements included therein and the risks and uncertainties related thereto.

Forward-looking Statements

This Current Report on Form 8-K, including the exhibits hereto, 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 and the possible disruption of current plans and operations as a result thereof; 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 2007 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.

 

Item 9.01. Financial Statements and Exhibits.

Exhibits.

The following exhibits are furnished herewith:

 

Exhibit No.

    
Exhibit 99.1    Press Release dated October 23, 2008
Exhibit 99.2    Investor Presentation


SIGNATURE

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 hereunto duly authorized.

 

        ALLSCRIPTS-MISYS HEALTHCARE SOLUTIONS, INC.
     

Date: October 23, 2008

    By:  

/s/ William J. Davis

      William J. Davis
      Chief Financial Officer


EXHIBIT INDEX

 

Exhibit No.

    
Exhibit 99.1    Press Release dated October 23, 2008
Exhibit 99.2    Investor Presentation
Press Release Dated October 23, 2008

Exhibit 99.1

*** EMBARGOED UNTIL 6:00 A.M EDT, THURSDAY OCTOBER 23, 2008 ***

Allscripts Reports Preliminary Third Quarter 2008 Results

Company Expected to Post Records in Total Revenue and Revenue from Software and Related Services

CHICAGO – October 23, 2008 – Allscripts-Misys Healthcare Solutions, Inc. (“Allscripts”) today announced preliminary results for Allscripts Healthcare Solutions, Inc. (“AHS”) for the three and nine months ended September 30, 2008. This is the last time Allscripts will report standalone AHS results. The combination of AHS and Misys Healthcare Systems, LLC, formerly a division of Misys plc, was completed on October 10, 2008, at which time the Company changed its name to Allscripts-Misys Healthcare Solutions, Inc.

Total revenue for the three months ended September 30, 2008 is expected to be approximately $85.7 million, compared to $73.4 million for the same period last year. Revenue from software and related services for the three months ended September 30, 2008 is expected to be approximately $71.8 million, compared to $59.0 million for the same period last year, increasing by 22%. Both total revenue and revenue from software and related services are expected to be new records for the Company.

Gross margin percentage is estimated to be 48.8% for the third quarter of 2008, compared to 50.1% during the third quarter of 2007.

Net income for the three months ended September 30, 2008 is expected to be approximately $4.0 million, or $0.07 per diluted share, compared to net income of $4.1 million, or $0.07 per diluted share, for the same period last year. Net income for the three months ended September 30, 2008 and 2007 reflects deal-related amortization of $2.1 million and $1.7 million, respectively, or $0.04 and $0.03 per diluted share for both periods, net of tax, respectively, and total stock-based compensation of $1.0 million and $0.9 million, respectively, or $0.02 and $0.01 per diluted share for both reported periods, net of tax, respectively. Net income for the three months ended September 30, 2008 also includes transaction-related expenses of $3.3 million, or $0.06 per diluted share, net of tax, and a gain on the sale of the Company’s Physicians Interactive business of $2.0 million, or $0.03 per diluted share, net of tax.

Non-GAAP adjusted earnings for the three months ended September 30, 2008 are expected to be approximately $8.4 million, or $0.15 per diluted share, compared to non-GAAP adjusted earnings of $6.7 million, or $0.11 per diluted share for the same period last year, increasing by 26%. Please see “Non-GAAP Financial Measures” below for a discussion of non-GAAP adjusted earnings and earnings per share.

As of September 30, 2008, AHS had cash and marketable securities of $79.5 million.

“We made solid progress in the third quarter with record revenue and continued strong investment in new products and better processes,” said Glen Tullman, Chief Executive Officer of Allscripts. “We’re now focused on driving results for our newly combined company and I’m pleased that we are already moving forward with a broader suite of products and solutions, and a fully trained sales force. We are committed to helping our clients use innovation technology to access the information they need to improve the quality of care and better manage costs.”


Total revenue for the nine months ended September 30, 2008 is expected to be approximately $239.3 million, compared to $208.5 million for the same period last year. Revenue from software and related services for the nine months ended September 30, 2008 is expected to be approximately $198.6 million, compared to $164.9 million for the same period last year, increasing by 20%.

Gross margin percentage is estimated to be 49.7% for the first nine months of 2008, compared to 50.1% during the same period of 2007.

Net income for the nine months ended September 30, 2008 is expected to be approximately $6.5 million, or $0.11 per diluted share, compared to net income of $14.6 million, or $0.25 per diluted share, for the same period last year. Expected net income for the nine months ended September 30, 2008 and reported net income for the nine months ended September 30, 2007 reflects deal-related amortization of $6.3 million, or $0.11 per diluted share, net of tax, and $4.7 million, or $0.07 per diluted share, net of tax, respectively, and total stock-based compensation of $3.2 million or $0.06 per diluted share, net of tax, and $1.7 million, or $0.03 per diluted share, net of tax, respectively. Expected net income for the nine months ended September 30, 2008 also includes transaction-related expenses of $6.7 million, or $0.12 per diluted share, net of tax, and a gain on the sale of the Company’s Physicians Interactive business, of $2.0 million, or $0.03 per diluted share, net of tax.

Non-GAAP adjusted earnings for the nine months ended September 30, 2008 are expected to be $20.7 million, or $0.36 per diluted share, compared to non-GAAP adjusted earnings of $21.0 million, or $0.35 per diluted share for the same period last year.

Allscripts Healthcare Solutions, Inc.

Selected Operating Results

(amounts in millions, except per-share amounts)

(Unaudited)

 

     Three Months Ended
September 30,
    Nine Months Ended
September 30,
 
     2008     2007     2008     2007  

Revenue:

        

Software and related services

   $71.8     $59.0     $198.6     $164.9  

Prepackaged medications

   10.0     10.9     29.1     32.1  

Information services

   3.9     3.5     11.6     11.5  
                        

Total revenue

   85.7     73.4     239.3     208.5  

Gross margin

   $41.8     $36.8     $119.0     $104.5  

Gross margin %

   48.8 %   50.1 %   49.7 %   50.1 %

Operating income

   8.1     6.9     14.2     21.7  
                        

Net income

   $4.0     $4.1     $6.5     $14.6  
                        

Earnings per share - diluted

   $0.07     $0.07     $0.11     $0.25  
                        


Allscripts Healthcare Solutions, Inc.

Reconciliation of Non-GAAP Adjusted Earnings and Non-GAAP Adjusted Earnings Per Share

(amounts in millions, except per-share amounts)

(Unaudited)

 

     Three Months Ended
September 30,
   Nine Months Ended
September 30,
     2008     2007    2008     2007

Net Income

   $4.0     $4.1    $6.5     $14.6
                     

Stock-based compensation expense (tax effected at 39% for 2008 and 40% for 2007)

   1.0     0.9    3.2     1.7

Acquisition-related amortization (tax effected at 39% for 2008 and 40% for 2007)

   2.1     1.7    6.3     4.7

Transaction-related expenses (tax effected at 39% for 2008)

   3.3     —      6.7     —  

Gain on sale of Physicians Interactive business (tax effected at 39% for 2008)

   (2.0 )   —      (2.0 )   —  
                     

Non-GAAP Adjusted Earnings

   $8.4     $6.7    $20.7     $21.0
                     

Weighted average shares of common stock outstanding used in computing diluted non-GAAP adjusted earnings per share

   58.2     65.2    57.8     64.5
                     

Non-GAAP Adjusted Earnings Per Share - diluted

   $0.15     $0.11    $0.36     $0.35
                     

Final AHS results for the three and nine months ended September 30, 2008 will be completed and filed with the Securities and Exchange Commission on or before November 10, 2008.

Webcast and Dial-in Facility

Allscripts will host an investor presentation in London on Thursday, October 23, 2008 at 7:30 a.m. Eastern Daylight Time to cover preliminary AHS third quarter results as well as provide outlook for Allscripts for the fiscal year ending May 31, 2009. The presentation will be available via live webcast and can be accessed by logging onto www.allscripts.com. It is recommended that participants log onto the website approximately 15 minutes prior to the start of the webcast to download and install any necessary software. The audio portion of the webcast also can be accessed by dialing 800-374-1376 and requesting the Allscripts Investor Presentation. International callers can access the audio portion of the webcast by dialing 706-679-4010 and requesting the Allscripts Investor Presentation. Additionally, callers in the United Kingdom can access the audio portion of the webcast by dialing 0-800-028-8438 and requesting the Allscripts Investor Presentation. A Microsoft Windows Media Player web replay will be available three hours after the conclusion of the call for a period of two weeks at www.allscripts.com or by calling 800-642-1687 – or 706-645-9291 for international callers – ID # 70079059.

Allscripts will host a second investor presentation on October 27th at 12:30 p.m., Eastern Daylight Time in New York to cover preliminary AHS third quarter results as well as provide outlook for Allscripts for the fiscal year ending May 31, 2009. The presentation will be available via live webcast and can be accessed by logging onto www.allscripts.com. It is recommended that participants log onto the website approximately 15 minutes prior to the start of the webcast to download and install any necessary software.


The audio portion of the webcast also can be accessed by dialing 800-374-1376 and requesting the Allscripts Investor Presentation. International callers can access the audio portion of the webcast by dialing 706-679-4010 and requesting the Allscripts Investor Presentation. A Microsoft Windows Media Player web replay will be available three hours after the conclusion of the call for a period of two weeks at www.allscripts.com or by calling 800-642-1687 – or 706-645-9291 for international callers – ID # 70142383.

(Minimum requirements to listen to the broadcasts are: Microsoft Windows Media Player software, downloadable free from http://windowsmedia.com/download/download.asp, an Internet connection, and speakers or earphones).

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 press release non-GAAP net income (and related per share amounts), which is a non-GAAP financial measure under Section 101 of Regulation G under the Securities Exchange Act of 1934, as amended. Non-GAAP net income consists of GAAP net income, excluding acquisition-related amortization, stock-based compensation expense under SFAS No. 123R, and transaction-related expenses, 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. 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.

 

   

Transaction-Related Expenses. Transaction-related expenses are fees and expenses, including legal, investment banking and accounting fees, incurred in connection with announced transactions. Allscripts excludes transaction-related expenses 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.

 

   

Gain on the sale of the Company’s Physicians Interactive business. The gain on the sale of the Company’s Physicians Interactive business is a cash gain that we have excluded because this gain is not directly associated with Allscripts’ continuing operations and it will not be recurring. Allscripts believes this adjustment is useful to investors as a measure of a one-time non-recurring gain that is not a recurring part of continuing operations.


Management also believes that non-GAAP net income (and related per share amounts) provides useful supplemental information to management and investors regarding the underlying performance of the Company’s business operations and facilitates comparisons to its historical operating results. 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. Note however, that non-GAAP net income is a performance measure only, and it does 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.

About Allscripts

Allscripts (NASDAQ: MDRX) uses innovation technology to bring health to healthcare. More than 150,000 physicians, 700 hospitals and nearly 7,000 post-acute and homecare organizations utilize Allscripts to improve the health of their patients and their bottom line. The Company’s award-winning solutions include electronic health records, electronic prescribing, revenue cycle management, practice management, document management, medication services, hospital care management, emergency department information systems and homecare automation. Allscripts is the brand name of Allscripts-Misys Healthcare Solutions, Inc. To learn more, visit www.allscripts.com.

This news release may contain 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 and the possible disruption of current plans and operations as a result thereof; 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 2007 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.

 

Allscripts contacts:
Dan Michelson
Chief Marketing Officer
312-506-1217
dan.michelson@allscripts.com


Todd Stein
Senior Manager/Public Relations
916-452-1652
todd.stein@allscripts.com
Bill Davis
Chief Financial Officer
312-506-1211
bill.davis@allscripts.com
Investor Presentation
1
Exhibit 99.2


Copyright ©
2008 AllscriptsMisys Healthcare Solutions, Inc.
The Right Place at the Right Time
Allscripts Investor Presentation


3
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
and
the
possible
disruption
of
current
plans
and
operations
as
a
result
thereof;
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
2007
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.


4
Large & Troubled . . .
Our U.S. Healthcare Scorecard
$2.2 Trillion
Spent in Healthcare
$700 Billion
in Waste
98,000 Deaths
from Medical Errors
1.5 Million
Injuries 
7,000 Deaths
from Medication Errors


5
Key Trends Driving Change
Rising Cost and the Parties Responsible for Payment
New Competitors for Physician Groups
Patients Are Not Patient Anymore
New Payment Structures and Metrics


6
The Role of Technology
Increase the Quality of Care
Take Costs Out
Improve Patient Safety
Increase Patient Satisfaction
Technology is the Enabler
The End Game is Information


7
The Healthcare Market Is Ripe for Change
Less Than 20% Physician Penetration
Less Than 10% in Smaller Groups
Lower IT Investment than Any Other Sector
<20
%
<10
%


8
The Opportunity for AllscriptsMisys
Two market leaders come together
Perfectly positioned to win in a vibrant, growing market
-
Electronic Health Record
-
Revenue Cycle Management
$1B cross-sell opportunity within our base
Stability from $400M+ in recurring revenue


9
Our DNA –
Blending Two Into One
Clear Goal:
Ready to Deliver on Day 1
Sales Force Integration
Product Strategy
Leadership Team
Brand
Integration Organized Around 13 Workstreams


10
In the Last Three Weeks…


11
Clear Mission
-
To be 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
Financially Strong
-
Revenue of ~ $700mm (Recurring Revenue ~ $400mm)
-
Publicly-Traded (Nasdaq: MDRX)
Experienced Team
-
2,500+ Employees
About the new
Allscripts


12
12
Waves of Healthcare IT Adoption
Practice
Management
Market
Enhance the
effectiveness of the
practice
Misys Leadership in Building
Practice Management / Claims
Management Client Base
Wave
1
Electronic          
Health Record
Market
Enhance the efficiency and
quality of the visit
Allscripts Leadership in EHR
Product and Blue Chip
Client Base
Wave
2
AllscriptsMisys Leadership in
New Solutions and Services
Connectivity
and
Information
Market
Enhance the health of the
patient and the practices
bottom line
Wave
3


13
It’s Time to Connect to Health™
NOTE:
INSERT CONNECT TO HEALTH VIDEO


14
Why We Win
Significant Footprint:
150,000 MDs, 700 Hospitals,
6,000 Post Acute Facilities, 600 Homecare Agencies
All Sizes and Settings:
Ambulatory and Acute,
Primary Care and Specialty, Small to Large
Diversified Portfolio:
Clinical and Business Solutions,
Acute and Ambulatory
All World-Class:
Top Rated Consistently
Significant Breakthroughs:
Innovation Comes Standard
Real Utilization:
Not Just Implementation
Strong ROI:
The Solution That Pays You Back
Delivering the Next Step:
Connect to Health


15
Connect Solutions
Connect Portal
Connect Messaging Services
Community Care
……
……
Clinical Solutions
Professional EHR
Enterprise EHR
MyWay
ePrescribe
Document Management
Medication Services
Clinical Trials
Patient Access Solutions
Business Solutions
PM/ Revenue Cycle Services
Payerpath / EDI
Ambulatory
Practices
Emergency Department
Care Management
Utilization Management
Discharge Planning
Documentation Integrity
Quality Management
Stark Offerings
EHR Solutions
ePrescribe
Acute
Care
Homecare
Home Health & Private Duty
Hospice
Referral Management
Referral Management Plus
Mobile
Core System Integration
Post-Acute
Care
Our Portfolio –
We Will Connect the Market


16
Bloomberg of Healthcare


17
Our Client Base
150,000 MDs and 700+ Hospitals Across the U.S.


18
18
Professional EHR + PM
EDI
~40% penetration
1.3k practices
65k physicians
Enterprise EHR + PM
EDI
~10% penetration
170k practices
241k physicians
Professional EHR + PM
ASP-Based EHR
EDI
Segment
Allscripts Offering
Penetration/Size
~20% penetration
33k practices
227k physicians
Independent
Practices
1-3 physicians
Leadership Across the Ambulatory Market
Small to Mid-Sized
Physician Practices
4-25 Physicians
Large Physician
Practices
26-200+ Physicians


19
Market Opportunity
~ 500,000 U.S. Practicing Physicians
x          80% EHR Market Opportunity
x  ~$12,000 Initial Investment/Physician
= ~$5 Billion Opportunity
Electronic Health Record (EHR) Market = ~ $5 Billion
Practice Management (PM) Market = ~ $1 Billion/Yr.
~10% to 20% of PM Systems Replaced/Yr.
Software Maintenance Agreement (SMA) = ~ $1 Billion/Yr.
Clinical and EDI Transaction Fees = ~ $1 to 3 Billion/Yr.
American Presidential candidates see technology as the answer to
a
better healthcare delivery system


20
Summary
a complete portfolio
of solutions…
for practices in all sizes/areas…
a footprint of 1 of 3 MDs
in the U.S.
Products
Target
Client Base


21
Financial Overview
*
*
*
*
*


22
Q3 2008 Preliminary Overview
Q3 Results will be finalized and filed with the SEC on 11/10/2008
Updated Estimates for Q3
-
Bookings
-
$44.6m for the quarter and $152.5m YTD
-
$41.8m clinical bookings for the quarter and $143.1m YTD
-
Revenue
-
$85.7m for the quarter and $239.3m YTD
-
$71.8m
software
and
related
services
for
the
quarter
and
$198.6m
YTD
-
Gross Margins
-
48.8% for the quarter and 49.7% YTD
-
Adjusted Earnings
-
$8.4m
or
$0.15
per
share
for
the
quarter
and
$20.7m
or
$0.36
per
share
YTD
-
Net Income
-
$4.0m or $0.07 per share for the quarter and $6.5m or $0.11 per share YTD
-
$5.3m
or
$0.09
per
share
for
the
quarter
and
$11.2m
or
$0.19
per
share
YTD; excluding transaction cost and Physicians Interactive gain
Note: Adjusted earnings is a non-GAAP financial measure. See
reconciliation to comparable GAAP measure in Appendix A.


23
2009 Outlook
($ in millions - unaudited pro forma)
Previous
Guidance
Fiscal
Fiscal
Calendar
Guidance
2008
2008
2009
Bookings
$317.7
N/A
N/A
Revenue
$684.2
$700.0
$700.0 to $715.0
Less: PI
(15.0)
(15.0)
0.0
Adjusted Revenue
$669.2
$685.0
$700.0 to $715.0
Adjusted Earnings
$62.6
$85.0 to $90.0
$76.0 to $82.0
Less: Physicians Interactive
(1.1)
(1.0)
0.0
Less: Synergies Timing
0.0
(5.0)
0.0
Less: Amortization Timing
0.0
(4.0)
0.0
Revised Adjusted Earnings
$61.5
$75.0 to $80.0
$76.0 to $82.0
Adjusted Earnings Per Share
$0.43
$0.48 to $0.52
$0.49 to $0.53
Pro Forma Share Count
148.0
155.0
155.0
Note: Fiscal 2008 reflects actual results for Misys Healthcare (under U.S GAAP) for the year ended May 31, 2008
    and the trailing 12-months for Allscripts for the period ended June 30, 2008.
Note 2: Adjusted earnings is a non-GAAP financial measure. See reconciliation to
comparable GAAP measure on page 24.


24
Adjusted Earnings Potential
($ in millions -
unaudited pro forma)
Fiscal
Fiscal
2008
2009
Earnings Before Taxes, as reported
$57.5
$83.5 to $93.0
Taxes (Assumed @ 39%)
(22.4)
$32.5 to $36.0
Net Income
$35.1
$51.0 to $57.0
Adjustments:(tax adjusted @ 39%)
Stock-Based Compensation
$5.4
$7.0
Deal-Related Amortization
14.0
18.0
One-Time Costs / Transaction Related Expenses
8.1
-
Physicians Interactive
(1.1)
-
Total Adjustments
$26.4
$25.0
Adjusted Earnings
$61.5
$76.0 to $82.0
Adjusted Earnings Growth
42%
24% to 33%


25
Significant and Realizable Synergy Opportunity
Cost synergies of $20m+, pre-tax,
expected in first year following
transaction close
-
Up to $25m to $30m, pre-tax, in annual
cost savings within the next few years
-
Main drivers of cost synergies include:
R&D, Marketing, Sales, Administrative
Functions
Revenue synergies from cross-selling
into respective client bases is expected
to be ~$7m+ in FY 2009
Increased operating leverage expected
to result in mid teens EPS growth
Projected Cost Synergies
$20m+
$25 -
$30m
First Year
Run Rate


26
Illustrative Revenue Sensitivity Analysis
Four Year Cumulative Penetration Rates
110,000
MDs
20%
Assumed EHR Penetration
88,000
Addressable EHR Market
20%
30%
40%
50%
60%
License/Service Fees
$165m
$248m
$330m
$410m
$495m
Annual Maintenance
$20m
$30m
$40m
$50m
$60m


27
We Are Prepared to Execute
Vern Davenport, President
Professional Solutions
Clients:
21,000+ clients
Small to mid-sized practices
Employees:
~1,700 employees
160 sales reps (30 inside)
Laurie McGraw, President
Enterprise Solutions
Clients:
5,000 clients
Large Physicians Practices,
IDNs, and Hospitals
Employees:
~350 employees
35 sales reps (9 inside)
Jeff Surges, President
Health Systems Group
Clients:
700 hospitals
6,000 post-acute providers
600+ homecare and hospice
agencies
Employees:
~300 employees
35 sales reps (5 inside)


28
Fiscal Year 2009 Liquidity
($ in millions - unaudited pro forma)
Estimated Cash & Marketable Securities Net of
Transaction Expenses
$45.0
to
$50.0
Summary of Debt:
Drawn Portion of Revolving Credit Facility
$50.0
Convertible Notes Outstanding
27.9
 
Mortgage (will be paid off with proceeds from sale)
3.5
   
Capital Leases
1.6
   
Total Debt
$83.0
Net Debt
($33.0)
to
($38.0)
Undrawn Revolver Availability
$25.0
Proforma Cash Flow:
FY 2009 Adjusted Earnings
$76.0
to
$82.0
Less: Incremental Capitalized Software
(13.5)
         Incremental Capital Expenditures
(3.0)
         Change in Working Capital
(4.5)
         One-time Costs, Net of Sale of Facility Proceeds
(3.0)
(24.0)
Estimated Cash Flow
$52.0
to
$58.0
Note:  Assumes taxes are paid in cash.


29
Capital Structure
(shares in millions)
Ownership %
Allscripts Outstanding Shares
63.0
41.4%
Allscripts Shares Issued to Misys plc
82.9
54.5%
Shares Underlying Remaining Debentures
3.5
2.3%
"In the Money" Options
2.4
1.5%
Unvested Restricted Stock Units
0.4
0.2%
Outstanding Equity as of Closing
152.1
100.0%
Estimated Number of RSU Grants in FY 2009
4.0 to 4.5
Note: Debenture holders will have an opportunity to put their debentures to the company for
        
principal plus accrued but unpaid interest through date of 'put'.


30
Reporting Considerations
U.S. GAAP vs. IFRS
Allscripts accounting acquiree -
valuation in process
Deferred revenue adjustment (non-cash)
Effective tax rate
Convertible debt potential ‘put’
Change in auditors
Booking (aka Order Intake) Definition


31
The new
Allscripts Is Positioned for Profitable Growth
Two market leaders come together
Perfectly positioned to win in a vibrant, growing market
-
Electronic Health Record
-
Revenue Cycle Management
$10B market opportunity and $1B cross-sell opportunity
within our base
Stability via $400M+ in recurring revenue



33
Appendix A –
GAAP Reconciliation
Three Months Ended
Nine Months Ended
2008
2007
2008
2007
Net Income
$4.0
$4.1
$6.5
$14.6
Stock-based compensation expense (tax effected at 39% for
2008 and 40% for 2007)
1.0
0.9
3.2
1.7
Acquisition-related amortization (tax effected at 39% for
2008 and 40% for 2007)
2.1
1.7
6.3
4.7
Transaction-related expenses (tax effected at 39% for 2008)
3.3
-
6.8
-
Gain on sale of Physicians Interactive business (tax effected
at 39% for 2008)
(2.0)
-
(2.0)
-
Non-GAAP Adjusted Earnings
$8.4
$6.7
$20.7
$21.0
Weighted average shares of common stock outstanding
used in computing diluted non-GAAP adjusted earnings per
share
58.2
65.2
57.8
64.5
Non-GAAP Adjusted Earnings Per Share -
diluted
$0.15
$0.11
$0.36
$0.35
Allscripts
Healthcare
Solutions,
Inc.
September 30,
September 30,
Reconciliation of Non-GAAP Adjusted Earnings and Non-GAAP Adjusted Earnings Per Share
(amounts in millions, except per-share amounts)
(Unaudited)