Table of Contents
 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 10-Q

 
x	QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934	
For the quarterly period ended September 30, 2013
OR
 
¨	TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934	
Commission file number 001-35547

ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.
(Exact name of registrant as specified in its charter)

 
 	 	 	
Delaware	 	36-4392754	
(State or other jurisdiction of
incorporation or organization)	 	(I.R.S. Employer
Identification Number)	
222 Merchandise Mart, Suite 2024
Chicago, IL 60654
(Address of principal executive offices)
(312) 506-1200
(Registrant’s telephone number, including area code)

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 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.    Yes   x     No   ¨
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).    Yes   x     No   ¨
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer or a smaller reporting company. See definition of “accelerated filer and large accelerated filer” in Rule 12b-2 of the Exchange Act. (Check one):

Large accelerated filer	 	x	  	Accelerated filer	 	¨	
 	 	 	 	
Non-accelerated filer	 	¨  (Do not check if a smaller reporting company)	  	Smaller reporting company	 	¨	
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes  ¨    No  x
As of October 31, 2013, there were 178,456,017 shares of the registrant’s $0.01 par value common stock outstanding.

Table of Contents
ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.
FORM 10-Q
TABLE OF CONTENTS

 	  	 	  	PAGE	 	
PART I. FINANCIAL INFORMATION	  	 	 	 	
Item 1.	  	Financial Statements (unaudited)	  	 	 	 	
 	  	Consolidated Balance Sheets as of September 30, 2013 and December 31, 2012	  	 	3	 	
 	  	Consolidated Statements of Operations for the three and nine months ended September 30, 2013 and 2012	  	 	4	 	
 	  	Consolidated Statements of Comprehensive (Loss) Income for the three and nine months ended September 30, 2013 and 2012	  	 	5	 	
 	  	Consolidated Statements of Cash Flows for the nine months ended September 30, 2013 and 2012	  	 	6	 	
 	  	Notes to Consolidated Financial Statements	  	 	7	 	
Item 2.	  	Management’s Discussion and Analysis of Financial Condition and Results of Operations	  	 	27	 	
Item 3.	  	Quantitative and Qualitative Disclosures About Market Risk	  	 	51	 	
Item 4.	  	Controls and Procedures	  	 	51	 	
PART II. OTHER INFORMATION	  	 	52	 	
Item 1.	  	Legal Proceedings	  	 	52	 	
Item 1A.	  	Risk Factors	  	 	52	  	
Item 2.	  	Unregistered Sales of Equity Securities, Use of Proceeds and Issuer Purchases of Equity Securities	  	 	53	 	
Item 6.	  	Exhibits	  	 	53	 	
SIGNATURES	  	 	54	 	
 
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PART I. FINANCIAL INFORMATION
 
Item 1.	Financial Statements	
ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.
CONSOLIDATED BALANCE SHEETS
(Unaudited)

(In thousands, except per share amounts)	  	September 30,
2013	 	 	December 31,
2012	 	
ASSETS	  	 	 	 	 	 	 	 	
Current assets:	  	 	 	 	 	 	 	 	
Cash and cash equivalents	  	$	60,790	  	 	$	103,956	  	
Accounts receivable, net of allowance of $55,787 and $45,320 at September 30, 2013 and December 31, 2012 respectively	  	 	322,342	  	 	 	329,542	  	
Deferred taxes, net	  	 	55,508	  	 	 	56,499	  	
Prepaid expenses and other current assets	  	 	117,051	  	 	 	110,023	  	
 	  	 	 	 	 	 	 	 	
Total current assets	  	 	555,691	  	 	 	600,020	  	
Long-term marketable securities	  	 	1,373	  	 	 	1,706	  	
Fixed assets, net	  	 	166,579	  	 	 	155,494	  	
Software development costs, net	  	 	89,226	  	 	 	95,579	  	
Intangible assets, net	  	 	471,758	  	 	 	426,986	  	
Goodwill	  	 	1,189,585	  	 	 	1,039,364	  	
Deferred taxes, net	  	 	7,529	  	 	 	7,529	  	
Other assets	  	 	156,673	  	 	 	50,304	  	
 	  	 	 	 	 	 	 	 	
Total assets	  	$	2,638,414	  	 	$	2,376,982	  	
 	  	 	 	 	 	 	 	 	
LIABILITIES AND STOCKHOLDERS’ EQUITY	  	 	 	 	 	 	 	 	
Current liabilities:	  	 	 	 	 	 	 	 	
Accounts payable	  	$	50,995	  	 	$	45,874	  	
Accrued expenses	  	 	92,386	  	 	 	93,100	  	
Accrued compensation and benefits	  	 	59,087	  	 	 	44,124	  	
Deferred revenue	  	 	304,055	  	 	 	283,171	  	
Current maturities of long-term debt and capital lease obligations	  	 	13,624	  	 	 	79,305	  	
 	  	 	 	 	 	 	 	 	
Total current liabilities	  	 	520,147	  	 	 	545,574	  	
Long-term debt	  	 	530,545	  	 	 	362,697	  	
Deferred revenue	  	 	28,274	  	 	 	19,750	  	
Deferred taxes, net	  	 	92,746	  	 	 	125,913	  	
Other liabilities	  	 	135,668	  	 	 	38,707	  	
 	  	 	 	 	 	 	 	 	
Total liabilities	  	 	1,307,380	  	 	 	1,092,641	  	
Commitments and contingencies	  	 	 	 	 	 	 	 	
Stockholders’ equity:	  	 	 	 	 	 	 	 	
Preferred stock: $0.01 par value, 1,000 shares authorized, no shares issued and outstanding at September 30, 2013 and December 31, 2012	  	 	0	  	 	 	0	  	
Common stock: $0.01 par value, 349,000 shares authorized at September 30, 2013 and December 31, 2012; 263,074 and 178,402 shares issued and outstanding at September 30, 2013, respectively, 257,087 and 172,415 shares issued and outstanding at December 31, 2012, respectively	  	 	2,631	  	 	 	2,571	  	
Treasury stock: at cost, 84,672 shares at September 30, 2013 and December 31, 2012	  	 	(278,036	) 	 	 	(278,036	) 	
Additional paid-in capital	  	 	1,708,492	  	 	 	1,577,260	  	
Accumulated deficit	  	 	(100,938	) 	 	 	(17,530	) 	
Accumulated other comprehensive (loss) income	  	 	(1,115	) 	 	 	76	  	
 	  	 	 	 	 	 	 	 	
Total stockholders’ equity	  	 	1,331,034	  	 	 	1,284,341	  	
 	  	 	 	 	 	 	 	 	
Total liabilities and stockholders’ equity	  	$	2,638,414	  	 	$	2,376,982	  	
 	  	 	 	 	 	 	 	 	
The accompanying notes are an integral part of these consolidated financial statements.
 
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ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)

 	  	Three Months Ended September 30,	 	 	Nine Months Ended September 30,	 	
(In thousands, except per share amounts)	  	2013	 	 	2012	 	 	2013	 	 	2012	 	
Revenue:	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
System sales	  	$	26,498	  	 	$	35,220	  	 	$	85,978	  	 	$	116,176	  	
Professional services	  	 	49,003	  	 	 	62,749	  	 	 	169,293	  	 	 	201,615	  	
Maintenance	  	 	117,928	  	 	 	119,263	  	 	 	351,840	  	 	 	354,295	  	
Transaction processing and other	  	 	136,762	  	 	 	143,462	  	 	 	414,973	  	 	 	423,276	  	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Total revenue	  	 	330,191	  	 	 	360,694	  	 	 	1,022,084	  	 	 	1,095,362	  	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Cost of revenue:	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
System sales (excluding amortization of software development and acquisition-related assets shown below)	  	 	14,767	  	 	 	13,582	  	 	 	41,176	  	 	 	49,342	  	
Amortization of software development and acquisition-related assets	  	 	23,006	  	 	 	16,378	  	 	 	62,536	  	 	 	47,266	  	
Professional services	  	 	47,295	  	 	 	54,534	  	 	 	162,278	  	 	 	173,260	  	
Maintenance	  	 	35,841	  	 	 	36,564	  	 	 	107,864	  	 	 	108,850	  	
Transaction processing and other	  	 	83,735	  	 	 	82,600	  	 	 	251,973	  	 	 	246,441	  	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Total cost of revenue	  	 	204,644	  	 	 	203,658	  	 	 	625,827	  	 	 	625,159	  	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Gross profit	  	 	125,547	  	 	 	157,036	  	 	 	396,257	  	 	 	470,203	  	
Selling, general and administrative expenses	  	 	104,506	  	 	 	90,412	  	 	 	310,326	  	 	 	280,020	  	
Research and development	  	 	49,400	  	 	 	37,802	  	 	 	151,881	  	 	 	112,164	  	
Asset impairment charges	  	 	7,371	  	 	 	11,101	  	 	 	10,504	  	 	 	11,101	  	
Amortization of intangible and acquisition-related assets	  	 	7,722	  	 	 	8,537	  	 	 	23,602	  	 	 	27,047	  	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
(Loss) income from operations	  	 	(43,452	) 	 	 	9,184	  	 	 	(100,056	) 	 	 	39,871	  	
Interest expense	  	 	(6,895	) 	 	 	(3,718	) 	 	 	(21,031	) 	 	 	(11,930	) 	
Other (expense) income, net	  	 	(826	) 	 	 	(15,845	) 	 	 	7,523	  	 	 	(15,303	) 	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
(Loss) income before income taxes	  	 	(51,173	) 	 	 	(10,379	) 	 	 	(113,564	) 	 	 	12,638	  	
Income tax benefit	  	 	2,233	  	 	 	19,754	  	 	 	30,156	  	 	 	10,531	  	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Net (loss) income	  	($	48,940	) 	 	$	9,375	  	 	($	83,408	) 	 	$	23,169	  	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
(Loss) earnings per share—basic and diluted	  	($	0.27	) 	 	$	0.05	  	 	($	0.47	) 	 	$	0.13	  	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
The accompanying notes are an integral part of these consolidated financial statements.
 
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ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.
CONSOLIDATED STATEMENTS OF COMPREHENSIVE (LOSS) INCOME
(Unaudited)

 	  	Three Months Ended September 30,	 	 	Nine Months Ended September 30,	 	
(In thousands)	  	2013	 	 	2012	 	 	2013	 	 	2012	 	
Net (loss) income	  	($	48,940	) 	 	$	9,375	  	 	($	83,408	) 	 	$	23,169	  	
Other comprehensive income (loss), net of taxes:	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Unrealized gain on marketable securities, net of tax	  	 	27	  	 	 	75	  	 	 	11	  	 	 	79	  	
Derivatives qualifying as hedges:	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Unrealized loss on interest rate swap	  	 	(79	) 	 	 	(433	) 	 	 	(112	) 	 	 	(1,544	) 	
Reclassification adjustment for loss included in net (loss) income	  	 	286	  	 	 	432	  	 	 	968	  	 	 	1,376	  	
Tax effect	  	 	(82	) 	 	 	(1	) 	 	 	(334	) 	 	 	65	  	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Unrealized gain (loss) on interest rate swap, net of tax	  	 	125	  	 	 	(2	) 	 	 	522	  	 	 	(103	) 	
Change in foreign currency translation adjustments	  	 	725	  	 	 	556	  	 	 	(1,724	) 	 	 	429	  	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Total other comprehensive income (loss)	  	 	877	  	 	 	629	  	 	 	(1,191	) 	 	 	405	  	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Comprehensive (loss) income	  	($	48,063	) 	 	$	10,004	  	 	($	84,599	) 	 	$	23,574	  	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
The accompanying notes are an integral part of these consolidated financial statements.
 
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ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)

 	  	Nine Months Ended September 30,	 	
(In thousands)	  	2013	 	 	2012	 	
Cash flows from operating activities:	  	 	 	 	 	 	 	 	
Net (loss) income	  	($	83,408	) 	 	$	23,169	  	
Adjustments to reconcile net (loss) income to net cash provided by operating activities:	  	 	 	 	 	 	 	 	
Depreciation and amortization	  	 	131,797	  	 	 	110,582	  	
Stock-based compensation expense	  	 	28,594	  	 	 	26,463	  	
Excess tax benefits from stock-based compensation	  	 	(3,296	) 	 	 	(609	) 	
Deferred taxes	  	 	(31,537	) 	 	 	951	  	
Asset impairment charges	  	 	10,504	  	 	 	11,101	  	
Other (gains) losses, net	  	 	(2,660	) 	 	 	795	  	
Change in fair value of 1.25% call option and cash conversion option	  	 	939	  	 	 	0	  	
Changes in operating assets and liabilities, net of business combinations:	  	 	 	 	 	 	 	 	
Accounts receivable, net	  	 	10,966	  	 	 	(8,094	) 	
Prepaid expenses and other assets	  	 	(25,330	) 	 	 	(3,098	) 	
Accounts payable	  	 	8,707	  	 	 	7,767	  	
Accrued expenses	  	 	(8,981	) 	 	 	(17,916	) 	
Accrued compensation and benefits	  	 	12,313	  	 	 	(1,628	) 	
Deferred revenue	  	 	23,169	  	 	 	14,379	  	
Other liabilities	  	 	(8,466	) 	 	 	686	  	
 	  	 	 	 	 	 	 	 	
Net cash provided by operating activities	  	 	63,311	  	 	 	164,548	  	
Cash flows from investing activities:	  	 	 	 	 	 	 	 	
Capital expenditures	  	 	(56,988	) 	 	 	(55,481	) 	
Capitalized software	  	 	(30,462	) 	 	 	(39,340	) 	
Cash paid for business acquisitions, net of cash acquired	  	 	(148,875	) 	 	 	0	  	
Sales and maturities of other investments	  	 	12,855	  	 	 	84	  	
 	  	 	 	 	 	 	 	 	
Net cash used in investing activities	  	 	(223,470	) 	 	 	(94,737	) 	
Cash flows from financing activities:	  	 	 	 	 	 	 	 	
Proceeds from issuance of 1.25% senior cash convertible notes, net of issuance costs	  	 	336,962	  	 	 	0	  	
Purchase of call option related to 1.25% senior cash convertible notes	  	 	(82,800	) 	 	 	0	  	
Proceeds from issuance of warrants, net of issuance cost	  	 	51,208	  	 	 	0	  	
Proceeds from issuance of common stock	  	 	11,256	  	 	 	4,042	  	
Excess tax benefits from stock-based compensation	  	 	3,296	  	 	 	609	  	
Taxes paid related to net share settlement of equity awards	  	 	(7,884	) 	 	 	(4,352	) 	
Payments of capital lease obligations	  	 	(416	) 	 	 	(635	) 	
Payments of acquisition financing obligations	  	 	(29,671	) 	 	 	0	  	
Credit facility payments	  	 	(574,281	) 	 	 	(233,259	) 	
Credit facility borrowings, net of issuance costs	  	 	410,983	  	 	 	324,035	  	
Repurchase of common stock	  	 	0	  	 	 	(225,961	) 	
 	  	 	 	 	 	 	 	 	
Net cash provided by (used in) financing activities	  	 	118,653	  	 	 	(135,521	) 	
 	  	 	 	 	 	 	 	 	
Effect of exchange rate changes on cash and cash equivalents	  	 	(1,660	) 	 	 	1,629	  	
 	  	 	 	 	 	 	 	 	
Net decrease in cash and cash equivalents	  	 	(43,166	) 	 	 	(64,081	) 	
Cash and cash equivalents, beginning of period	  	 	103,956	  	 	 	157,753	  	
 	  	 	 	 	 	 	 	 	
Cash and cash equivalents, end of period	  	$	60,790	  	 	$	93,672	  	
 	  	 	 	 	 	 	 	 	
The accompanying notes are an integral part of these consolidated financial statements.
 
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ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Unaudited)
1. Summary of Significant Accounting Policies
Principles of Consolidation
The consolidated financial statements include the accounts of Allscripts Healthcare Solutions, Inc. and our wholly-owned subsidiaries. All significant intercompany balances and transactions have been eliminated.
Certain prior period revenue amounts in system sales have been reclassified to maintenance revenue to conform to the current period presentation. The amount reclassified for each period is as follows:

 	  	Three Months Ended September 30,	 	  	Nine Months Ended September 30,	 	
(In thousands)	  	2013	 	  	2012	 	  	2013	 	  	2012	 	
Revenue reclassifications from system sales to maintenance	  	$	0	  	  	$	0	  	  	$	0	  	  	$	6,317	  	
Effective in the third quarter of 2013, we changed our presentation of accounts receivable by reclassifying to the related allowance the deferred revenue directly associated with account balances that were deemed to be uncollectible. The amount reclassified from deferred revenue to the accounts receivable allowance was $7.5 million at December 31, 2012.
Unaudited Interim Financial Information
The interim consolidated financial statements as of and for the three and nine months ended September 30, 2013 have been prepared in accordance with the rules and regulations of the Securities and Exchange Commission (the “SEC”) for interim financial reporting. These interim consolidated financial statements are unaudited and, in the opinion of management, include all adjustments, consisting of normal recurring adjustments and accruals, necessary to present fairly the consolidated financial statements for the periods presented in accordance with generally accepted accounting principles in the United States of America (“GAAP”). The results of operations for the three and nine months ended September 30, 2013 are not necessarily indicative of the results to be expected for the year ending December 31, 2013.
Certain information and footnote disclosures normally included in annual consolidated financial statements prepared in accordance with GAAP have been omitted in accordance with the SEC’s rules and regulations for interim reporting. These unaudited interim consolidated financial statements should be read in conjunction with the consolidated financial statements and related notes included in our Annual Report on Form 10-K/A for the year ended December 31, 2012.
Use of Estimates
The preparation of consolidated financial statements in conformity with GAAP requires us to make estimates and assumptions that affect the amounts reported and disclosed in the financial statements and the accompanying notes. Actual results could differ materially from these estimates.
Significant Accounting Policies
There have been no changes to our significant accounting policies from those disclosed in our Annual Report on Form 10-K/A for the year ended December 31, 2012.
Business Combinations
Goodwill as of the acquisition date is measured as the excess of consideration transferred over the net of the acquisition date fair values of the assets acquired and the liabilities assumed. While we use our best estimates and assumptions as a part of the purchase price allocation process to accurately value the assets acquired, including intangible assets, and the liabilities assumed at the acquisition date, our estimates are inherently uncertain and subject to refinement. As a result, during the measurement period, which may be up to one year from the acquisition date, we may record adjustments to the fair values of the assets acquired and liabilities assumed, with a corresponding offset to goodwill. Upon the conclusion of the measurement period or final determination of the fair values of the assets acquired or liabilities assumed, whichever comes first, any subsequent adjustments are reflected in our results of operations.

Goodwill and Intangible Assets
In accordance with GAAP, goodwill and intangible assets acquired in a business combination and determined to have an indefinite useful life are not amortized and are tested for impairment at least annually. The goodwill impairment analysis is comprised of two steps. In step one, the estimated fair value of a reporting unit is compared to its carrying value. Step two is required only if there is a deficiency (the estimated fair value is less than the carrying value). In step two, the actual amount of the goodwill impairment is calculated by comparing the implied fair value of the reporting unit’s goodwill with the carrying amount of that goodwill. The implied fair value is determined in the same manner as the amount of goodwill recognized in a business combination. If the carrying value of a reporting unit’s goodwill exceeds its implied fair value, then an impairment loss equal to the difference would be recorded. The recoverability of indefinite lived intangible assets is assessed by comparison of the carrying value of the asset to its estimated fair value. If we determine that the carrying value of the asset exceeds its estimated fair value, an impairment loss would be recorded equal to the excess. We perform our annual test for impairment of goodwill and indefinite lived intangible assets as of the first day of our fiscal fourth quarter. We do not test our goodwill and indefinite lived intangible assets for impairment at any other time unless specific circumstances indicate there is a possibility that impairment has occurred. During this fiscal year no such circumstances have arisen and, accordingly, we did not perform any tests for impairment during the three and nine months ended September 30, 2013.
 
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Accounting guidance also requires that intangible assets with estimable useful lives be amortized over their respective estimated useful lives and reviewed for impairment whenever events or changes in circumstances indicate that their carrying amounts may not be recoverable. We estimate the useful lives of our intangible assets and ratably amortize the value over the remaining estimated useful lives of those assets, including the period being reported on. If estimates of the useful lives should change, we will amortize the remaining book value over the remaining useful lives or, if an asset is deemed to be impaired, a write-down of the value of the asset may be required at such time.
Recently Adopted Accounting Pronouncements
In February 2013, the Financial Accounting Standards Board (“FASB”) issued updated authoritative guidance regarding the presentation requirements for reclassifications out of accumulated other comprehensive income. This guidance requires an entity to provide information about the amounts reclassified out of accumulated other comprehensive income by component. In addition, an entity is required to present, either on the face of the statement where net income is presented or in the notes, significant amounts reclassified out of accumulated other comprehensive income by the respective line items of net income, but only if the amount reclassified is required under GAAP to be reclassified to net income in its entirety in the same reporting period. For other amounts that are not required under GAAP to be reclassified in their entirety to net income, an entity is required to cross-reference to other disclosures required under GAAP that provide additional detail about those amounts. This guidance is effective prospectively for reporting periods beginning after December 15, 2012 and we adopted the new guidance in the first quarter of 2013. The adoption of this accounting guidance had no impact on our consolidated results.
Accounting Pronouncements Not Yet Adopted
In March 2013, the FASB issued updated authoritative guidance to resolve the diversity in practice about whether FASB Account Standards Codification (“ASC”) Subtopic 810-10,  Consolidation—Overall , or ASC Subtopic 830-30,  Foreign Currency Matters—Translation of Financial Statements , applies to the release of the cumulative translation adjustment into net income when a parent either sells a part or all of its investment in a foreign entity or no longer holds a controlling financial interest in a subsidiary or group of assets that is a nonprofit activity or a business (other than a sale of in substance real estate or conveyance of oil and gas mineral rights) within a foreign entity. In addition, this guidance resolves the diversity in practice for the treatment of business combinations achieved in stages (sometimes also referred to as step acquisitions) involving a foreign entity. This guidance is effective prospectively for fiscal years (and interim reporting periods within those years) beginning after December 15, 2013. This guidance is not expected to have a material impact on our consolidated financial statements.
In July 2013, the FASB issued Accounting Standards Update (“ASU”) No. 2013-011, Presentation of an Unrecognized Tax Benefit When a Net Operating Loss Carryforward, a Similar Tax Loss, or a Tax Credit Carryforward Exists.  This ASU provides specific guidance on financial statement presentation of an unrecognized tax benefit when a net operating loss carryforward, a similar tax loss, or a tax credit carryforward exists. The new guidance applies to all entities with unrecognized tax benefits that also have tax loss or tax credit carryforwards in the same tax jurisdiction as of the reporting date and states that an unrecognized tax benefit in those circumstances should be presented as a reduction to the deferred tax asset. This guidance is effective for fiscal years, and interim periods within those years, beginning after December 15, 2013. Early adoption is permitted. We do not expect to early adopt this guidance and do not believe that the adoption of this guidance will have a material impact on our consolidated financial statements.
 
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2. Business Combinations
To better deliver comprehensive care coordination and population health management across hospitals, physician practices, and home care systems, during the nine months ended September 30, 2013 we acquired dbMotion, Ltd. (“dbMotion”), a leading supplier of community health solutions, and we acquired the assets of Jardogs LLC (“Jardogs”), a top-rated patient engagement solution provider. These acquisitions advance our strategy to offer full integration of heterogeneous systems across the care continuum, enabling solutions for a Connected Community of Health™. dbMotion provides a strategic platform for care coordination and population health management that integrates discrete patient data from diverse care settings, regardless of IT supplier, into a single patient record. The Jardogs FollowMyHealth™ patient engagement platform enables patients to actively participate in their care, critical for at-risk populations, and empowers consumers with the solution they need to monitor and optimize health status.
Acquisition of dbMotion, Ltd.
On March 4, 2013, we acquired all of the issued and outstanding share capital of dbMotion, a privately-held Israeli company, for aggregate consideration with a fair value of approximately $225 million, subject to adjustment for certain provisional items as noted below. Immediately prior to the closing, we owned approximately 4.25% of the issued and outstanding share capital of dbMotion on a fully diluted basis. In addition, prior to the acquisition we had an ongoing strategic relationship with dbMotion in connection with the development and sale of software solutions to hospitals, physicians and other participants in the healthcare industry.
Under the acquisition method of accounting, the fair value of consideration transferred was allocated to the tangible and intangible assets acquired and liabilities assumed based on their estimated fair values as of the acquisition date with the remaining unallocated amount recorded as goodwill.
The results of dbMotion are included in the accompanying consolidated statements of operations from and after March 4, 2013.
The total fair value of consideration transferred for the acquisition is comprised of the following:

(Dollar amounts in thousands, except per share amounts)	  	 	 	
Cash	  	$	139,061	  	
Allscripts common stock, 3,823,453 shares, par value $0.01 per share, fair value at closing $12.57 per share	  	 	48,061	  	
Deferred cash consideration payable on the 18-month anniversary of the closing	  	 	23,023	  	
Subordinated promissory note maturing 18 months following the closing	  	 	6,648	  	
Fair value of Allscripts’ previous interest in dbMotion	  	 	8,367	  	
 	  	 	 	 	
Total fair value of consideration transferred	  	$	225,160	  	
 	  	 	 	 	
On March 5, 2013, we borrowed $130 million to fund the cash component of the consideration under our senior secured revolving credit facility.
On June 28, 2013, the liability for the deferred cash consideration payable in the transaction was funded by placing the funds with an escrow agent, and the subordinated promissory note was repaid in full. Both the deferred cash consideration and subordinated promissory note were accruing interest at a 10% annual rate. These transactions were funded using proceeds from the initial draw down on our new revolving credit facility (see Note 8, “Debt”).
The carrying value of our 4.25% interest in dbMotion prior to the acquisition was $5 million, which we accounted for using the cost method. In connection with the acquisition, this investment was remeasured to a fair value of approximately $8.4 million, resulting in a gain of approximately $3.4 million which is included in other (expense) income, net in the accompanying consolidated statement of operations and other (gains) losses, net in the accompanying consolidated statement of cash flows for the nine months ended September 30, 2013. The remeasured fair value of our prior interest in dbMotion was estimated based on the fair value of consideration transferred to acquire the remaining 95.75% of dbMotion, less an estimated control premium of 15%. The inputs into this fair value estimate reflect our market assumptions based on premiums observed in similar transactions within our industry.
 
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The preliminary allocation of the fair value of the consideration transferred was based upon a preliminary valuation. Our estimates and assumptions are subject to change as we obtain additional information for our estimates during the measurement period (up to one year from the acquisition date). The primary area of the preliminary allocation of the fair value of the consideration transferred that is not yet finalized relates to the fair value of the total consideration transferred and therefore may result in an additional increase in the residual value allocated to goodwill of up to $1 million before the close of the measurement period. During the six months ended June 30, 2013, measurement period adjustments, including approximately $1 million to increase deferred cash consideration, $1.2 million to reduce the fair value of prepaid expenses and other current assets, $1.3 million to reduce the fair value of other long-term assets, $0.5 million to reduce the fair value of other accrued liabilities, and other minor adjustments to acquired cash and net deferred tax liabilities, combined to result in an increase of approximately $3.2 million in the residual allocation to goodwill. No additional measurement period adjustments were recorded during the three months ended September 30, 2013. The preliminary allocation of the fair value of the consideration transferred, including measurement period adjustments through September 30, 2013, is as follows:

(In thousands)	  	 	 	
Acquired cash and cash equivalents, and restricted cash	  	$	14,188	  	
Accounts receivable, net	  	 	3,226	  	
Prepaid expenses and other current assets	  	 	574	  	
Fixed assets and other long-term assets	  	 	1,449	  	
Goodwill	  	 	136,631	  	
Intangible assets	  	 	85,450	  	
Accounts payable and accrued liabilities	  	 	(10,560	) 	
Deferred taxes, net	  	 	(36	) 	
Deferred revenue	  	 	(5,100	) 	
Other liabilities	  	 	(662	) 	
 	  	 	 	 	
Net assets acquired	  	$	225,160	  	
 	  	 	 	 	
Goodwill was determined based on the residual difference between the fair value of the consideration transferred and the value assigned to tangible and intangible assets and liabilities, and is not deductible for tax purposes. Among the factors that contributed to a purchase price resulting in the recognition of goodwill were the expected synergies that we believe will result from the integration of dbMotion’s product offerings with those of Allscripts.
Acquisition costs related to the dbMotion acquisition totaled approximately $1.8 million and $6.0 million for the three and nine months ended September 30, 2013, respectively. These costs primarily consist of seller transaction costs of $0.5 million during the nine months ended September 30, 2013 and employee compensation costs of approximately $1.8 million and $4.2 million for the three and nine months ended September 30, 2013, respectively, which are included in selling, general and administrative expenses. In addition, we incurred $2.4 million and $5.2 million for the three and nine months ended September 30, 2013, respectively, related to product consolidation activities, which are included in asset impairment charges. Additional employee compensation of approximately $4.1 million related to the dbMotion acquisition is expected to be incurred during the twelve months following the third quarter of fiscal 2013.
The acquired intangible assets are being amortized on a straight-line basis over their estimated useful lives and consist of the following amounts for each class of acquired intangible asset representing a provisional allocation of the fair value of the consideration transferred subject to future adjustment pending the completion of our acquisition accounting as noted above:

(Dollar amounts in thousands)
Description	  	Useful Life
in Years	  	Fair Value	 	
Core technology	  	10	  	$	80,100	  	
Maintenance agreements	  	12	  	 	2,500	  	
Services backlog	  	2	  	 	2,000	  	
Non-compete	  	3	  	 	500	  	
Trade name	  	2	  	 	350	  	
 	  	 	  	 	 	 	
 	  	 	  	$	85,450	  	
 	  	 	  	 	 	 	
The revenue and net loss of dbMotion since March 4, 2013 that are included in our consolidated statement of operations for the three and nine months ended September 30, 2013, and the supplemental pro forma revenue and net loss of the combined entity, presented as if the acquisition of dbMotion had occurred on January 1, 2012, are as follows:

 	  	Three Months Ended September 30,	 	  	Nine Months Ended September 30,	 	
(In thousands)	  	2013	 	 	2012	 	  	2013	 	 	2012	 	
Actual from dbMotion since acquisition date of March 4, 2013:	  	 	 	 	 	 	 	 	  	 	 	 	 	 	 	 	
Revenue	  	$	124	  	 	$	0	  	  	$	852	  	 	$	0	  	
Net loss	  	($	9,579	) 	 	$	0	  	  	($	21,119	) 	 	$	0	  	
Supplemental pro forma data for combined entity:	  	 	 	 	 	 	 	 	  	 	 	 	 	 	 	 	
Revenue	  	$	331,527	  	 	$	360,508	  	  	$	1,025,951	  	 	$	1,095,550	  	
Net (loss) income	  	 	(47,139	) 	 	$	1,056	  	  	 	(86,667	) 	 	 	(4,194	) 	
Net (loss) earnings per share, basic and diluted	  	($	0.26	) 	 	$	0.01	  	  	 	(0.49	) 	 	($	0.02	) 	
The supplemental pro forma data has been calculated after applying our accounting policies and adjusting the results of dbMotion to reflect the additional depreciation and amortization that would have been charged assuming the fair value adjustments to property, plant and equipment and intangible assets had been applied on January 1, 2012, together with the consequential tax effects. Supplemental pro forma earnings for the three and nine months ended September 30, 2013 were adjusted to exclude acquisition-related costs incurred during the period as well as the nonrecurring gain related to the fair value adjustment of our prior cost method investment in dbMotion. Supplemental pro forma earnings for the three and nine months ended September 30, 2012 were adjusted to include these items. The effects of transactions between Allscripts and dbMotion during the periods presented have been eliminated.
 
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Amortization of software development costs and acquisition-related assets in our consolidated statement of operations for the three and nine months ended September 30, 2013 includes approximately $2.9 million and $4.7 million, respectively, related to the acquisition of dbMotion, which is attributable to cost of revenue as follows: approximately $1.0 million and $1.7 million, respectively, related to system sales, approximately $1.1 million and $1.2 million, respectively, related to professional services, and approximately $0.8 million and $1.8 million, respectively, related to maintenance.
Acquisition of Jardogs LLC
Also on March 4, 2013, we acquired substantially all of the assets of Jardogs for $24 million in cash. The allocation of the fair value of the consideration transferred is as follows: approximately $4 million of intangible assets related to technology, including Jardogs’ portal software, $2 million of intangible assets related to customer relationships, net deferred tax assets of approximately $0.5 million, and goodwill of approximately $17 million. Goodwill was determined based on the residual difference between the fair value of the consideration transferred and the value assigned to tangible and intangible assets and liabilities, and is deductible for tax purposes. Among the factors that contributed to a purchase price resulting in the recognition of goodwill were the expected synergies that we believe will result from the integration of Jardogs’ product offerings with those of Allscripts. The acquired intangible assets, excluding goodwill, have estimated useful lives of 10 years and are being amortized on a straight-line basis.
The pro forma impact of the Jardogs acquisition on current and prior periods, as well as the net revenues and operating losses generated by Jardogs subsequent to its acquisition for the three and nine months ended September 30, 2013, is not material.
Acquisition and integration-related costs related to the Jardogs acquisition are included in selling, general and administrative expenses and totaled approximately $0.7 million for the nine months ended September 30, 2013. We did not incur any significant acquisition and integration-related costs related to the Jardogs acquisition during the third quarter of 2013.
 
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3. Fair Value Measurements
The fair values of assets and liabilities required to be measured at fair value are categorized based upon the level of judgment associated with the inputs used to measure their value. Hierarchical levels are as follows:
Level 1: Inputs are unadjusted quoted prices in active markets for identical assets or liabilities at the measurement date. Our Level 1 investments include money market funds valued daily by the fund companies, and the valuation is based on the publicly reported net asset value of each fund.
Level 2: Inputs, other than quoted prices included in Level 1, are observable for the asset or liability, either directly or indirectly. Level 2 inputs include quoted prices for similar instruments in active markets, and inputs other than quoted prices that are observable for the asset or liability. Our Level 2 non-derivative investments include marketable securities and consist of mortgage and asset-backed bonds. Marketable securities are recorded at fair value determined using a market approach, based on prices and other relevant information generated by market transactions involving identical or comparable assets which are considered to be Level 2 inputs. Our Level 2 derivative financial instrument represents an interest rate swap contract which is valued based upon observable values for underlying interest rates and market determined risk premiums.
Level 3: Inputs are unobservable for the asset or liability, and include situations where there is little, if any, market activity for the asset or liability. Our Level 3 financial instruments include derivative financial instruments comprising the 1.25% Call Option asset and the embedded conversion option liability. See Note 8, “Debt,” and Note 10, “Derivative Financial Instruments,” for further information, including defined terms, regarding our derivative financial instruments. These derivatives are not actively traded and are valued based on an option pricing model that uses observable and unobservable market data for inputs. Significant market data inputs used to determine fair values as of September 30, 2013 included our common stock price, time to maturity of the derivative instruments, the risk-free interest rate, and the implied volatility of our common stock. The 1.25% Call Option asset and the embedded cash conversion option liability were designed with the intent that changes in their fair values would substantially offset, with limited net impact to our earnings. Therefore, the sensitivity of changes in the unobservable inputs to the option pricing model for such instruments is substantially mitigated.
The following table summarizes our financial assets and liabilities measured at fair value on a recurring basis as of the respective balance sheet dates:

 	  	Balance Sheet
Classifications	  	September 30, 2013	 	 	December 31, 2012	 	 	
(In thousands)	  	 	  	Level 1	 	  	Level 2	 	 	Level 3	 	 	Total	 	 	Level 1	 	  	Level 2	 	 	Level 3	 	  	Total	 	 	
Money market funds	  	Cash equivalents	  	$	2,037	  	  	$	0	  	 	$	0	  	 	$	2,037	  	 	$	14,653	  	  	$	0	  	 	$	0	  	  	$	14,653	  	 	
Marketable securities	  	Long-term marketable securities	  	 	0	  	  	 	1,373	  	 	 	0	  	 	 	1,373	  	 	 	0	  	  	 	1,706	  	 	 	0	  	  	 	1,706	  	 	
1.25% Call Option	  	Other assets	  	 	0	  	  	 	0	  	 	 	102,483	  	 	 	102,483	  	 	 	0	  	  	 	0	  	 	 	0	  	  	 	0	  	 	
Cash conversion option	  	Other liabilities	  	 	0	  	  	 	0	  	 	 	(103,421	) 	 	 	(103,421	) 	 	 	0	  	  	 	0	  	 	 	0	  	  	 	0	  	 	
Interest rate swap	  	Other liabilities	  	 	0	  	  	 	(678	) 	 	 	0	  	 	 	(678	) 	 	 	0	  	  	 	(1,534	) 	 	 	0	  	  	 	(1,534	) 	 	
 	  	 	  	 	 	 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	  	 	 	 	 	 	 	 	  	 	 	 	 	
Total	  	 	  	$	2,037	  	  	$	695	  	 	($	938	) 	 	$	1,794	  	 	$	14,653	  	  	$	172	  	 	$	0	  	  	$	14,825	  	 	
 	  	 	  	 	 	 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	  	 	 	 	 	 	 	 	  	 	 	 	 	
At December 31, 2012 we held investments in certain non-marketable equity securities in which we did not have a controlling interest or significant influence. These investments were recorded at cost with a carrying value of $13 million at December 31, 2012 and were included in other assets in the accompanying consolidated balance sheets. During the first fiscal quarter of 2013, one of these investments, Humedica, was sold for cash proceeds of approximately $12.5 million, plus an additional $2 million held in escrow, resulting in a gain of approximately $4.7 million which is included in other (expense) income, net, in the accompanying consolidated statement of operations and other (gains) losses, net in the accompanying consolidated statement of cash flows for the nine months ended September 30, 2013. The other significant investment in non-marketable equity securities consisted of our 4.25% equity interest in dbMotion. On March 4, 2013, we acquired the entire remaining equity interest in dbMotion, which is now consolidated in our financial statements. Refer to Note 2, Business Combinations, for additional information regarding the acquisition of dbMotion. The carrying value of our interest in dbMotion prior to the acquisition was $5 million. In connection with the acquisition, this investment was remeasured to a fair value of approximately $8.4 million, resulting in a gain of approximately $3.4 million which is included in other (expense) income, net in the accompanying consolidated statement of operations for the nine months ended September 30, 2013. At September 30, 2013, our remaining investment in non-marketable equity securities is not material.
Our long-term financial liabilities include amounts outstanding under our senior secured credit facilities with carrying values that approximate fair value since the interest rates approximate current market rates. In addition, the carrying amount of our 1.25% cash convertible notes also approximates fair value at September 30, 2013 since the effective interest rate on the notes approximates current market rates. See Note 8, “Debt,” for further information regarding our long-term financial liabilities.
 
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4. Stockholders’ Equity
Stock-based Awards
We measure stock-based compensation cost at the grant date based on the fair value of the award and recognize the expense over the appropriate service period typically on a straight-line basis, net of estimated forfeitures. We recognize stock-based compensation cost for awards with performance conditions if and when we conclude that it is probable that the performance conditions will be achieved. The fair value of service-based restricted stock units and restricted stock awards is measured at their underlying closing share price on the date of grant. The fair value of market-based restricted stock units is measured using the Monte Carlo pricing model. The fair value of stock options granted during the three and nine months ended September 30, 2013 was determined using the Black-Scholes-Merton valuation model and reflects the following input assumptions. No stock options were granted during fiscal 2012.

 	 	Three Months Ended September 30, 2013	 	 	Nine Months Ended September 30, 2013	 	
Weighted average exercise price	 	$	15.22	  	 	$	13.78	  	
Risk-free interest rate	 	 	1.38	% 	 	 	0.84	% 	
Dividend yield	 	 	0	% 	 	 	0	% 	
Volatility	 	 	47.99	% 	 	 	54.91	% 	
Expected life (years)	 	 	4.75	  	 	 	4.75	  	
Stock-based compensation expense recognized during the three and nine months ended September 30, 2013 and 2012 is included in our consolidated statements of operations as follows:

 	  	Three Months Ended September 30,	 	  	Nine Months Ended September 30,	 	
(In thousands)	  	2013	 	  	2012	 	  	2013	 	  	2012	 	
Cost of revenue:	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	
Professional services	  	$	607	  	  	$	642	  	  	$	1,924	  	  	$	1,791	  	
Maintenance	  	 	313	  	  	 	448	  	  	 	1,116	  	  	 	1,146	  	
Transaction processing and other	  	 	372	  	  	 	530	  	  	 	1,271	  	  	 	1,378	  	
 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	
Total cost of revenue	  	 	1,292	  	  	 	1,620	  	  	 	4,311	  	  	 	4,315	  	
Selling, general and administrative expenses	  	 	6,606	  	  	 	5,240	  	  	 	17,418	  	  	 	16,608	  	
Research and development	  	 	1,780	  	  	 	1,947	  	  	 	6,059	  	  	 	5,540	  	
 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	
Total stock-based compensation expense	  	$	9,678	  	  	$	8,807	  	  	$	27,788	  	  	$	26,463	  	
 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	
No stock-based compensation costs were capitalized during the three and nine months ended September 30, 2013 and 2012.
We granted stock-based awards as follows:

 	  	Three Months Ended September 30, 2013	 	  	Nine Months Ended September 30, 2013	 	
(In thousands, except per share amounts)	  	Shares	 	  	Weighted-Average
Grant Date
Fair Value	 	  	Shares	 	  	Weighted-Average
Grant Date
Fair Value	 	
Stock options	  	 	210	  	  	$	6.37	  	  	 	3,829	  	  	$	6.35	  	
Service-based restricted stock units	  	 	21	  	  	$	15.22	  	  	 	1,627	  	  	$	13.98	  	
Performance-based restricted stock units with a service condition	  	 	22	  	  	$	14.67	  	  	 	219	  	  	$	12.92	  	
Market-based restricted stock units with a service condition	  	 	49	  	  	$	18.08	  	  	 	565	  	  	$	18.08	  	
 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	
 	  	 	302	  	  	$	9.50	  	  	 	6,240	  	  	$	9.63	  	
 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	
During the nine months ended September 30, 2013 and the year ended December 31, 2012, approximately 2.2 million and 2.4 million shares of stock, respectively, were issued in connection with the exercise of options and the release of restrictions on stock awards.
Stock Repurchases
In April 2011, our Board of Directors approved a stock repurchase program under which we may purchase up to $200 million of our common stock over three years expiring on May 9, 2014 or such earlier time that the total dollar amount authorized by these resolutions has been used. In April 2012, our Board of Directors approved the repurchase of an additional $200 million, bringing the total repurchase authorization to $400 million. Any share repurchases may be made through open market transactions, block trades, privately negotiated transactions (including accelerated share repurchase transactions) or other means. Any repurchase activity will depend on factors such as our working capital needs, cash requirements for investments, debt repayment obligations, our stock price, and economic and market conditions. Our stock repurchase program may be accelerated, suspended, delayed or discontinued at any time.
 
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During the three and nine months ended September 30, 2013, there were no shares repurchased pursuant to this stock repurchase program. During the nine months ended September 30, 2012, we repurchased approximately 20.7 million shares of our common stock for approximately $226 million pursuant to this program. As of September 30, 2013, the amount available for repurchase of our common stock under this program was approximately $123 million.
Net Share-settlements
Upon vesting, restricted stock units and awards are generally net share-settled to cover the required withholding tax and the remaining amount is converted into an equivalent number of shares of common stock. The majority of restricted stock units and awards that have vested in 2013 and 2012 were net-share settled such that we withheld shares with value equivalent to the employees’ minimum statutory obligation for the applicable income and other employment taxes and remitted the cash to the appropriate taxing authorities. The total shares withheld for the nine months ended September 30, 2013 and 2012 were 564 thousand and 303 thousand, respectively, and were based on the value of the restricted stock units and awards on their vesting date as determined by our closing stock price. Total payments for the employees’ tax obligations to the taxing authorities are reflected as a financing activity within the consolidated statements of cash flows. These net-share settlements had the effect of share repurchases by us as they reduced the number of shares that would have otherwise been issued as a result of the vesting.
Issuance of Warrants
During June 2013, in connection with the issuance of our 1.25% Cash Convertible Senior Notes, we issued warrants (the “1.25% Warrants” as described in Note 8, “Debt”) for approximately 20.1 million shares of our common stock (subject to antidilution adjustments under certain circumstances) with an initial exercise price of $23.1350 per share, subject to customary adjustments. The net proceeds from the sale of the 1.25% Warrants of approximately $51.2 million are included as additional paid in capital in the accompanying balance sheet as of September 30, 2013. The 1.25% Warrants expire over a period of 70 trading days beginning on October 1, 2020 and are exercisable only upon expiration. For each 1.25% Warrant that is exercised, we will deliver to the option counterparties a number of shares of our common stock equal to the amount by which the settlement price exceeds the exercise price, divided by the settlement price, plus cash in lieu of fractional shares. The number of warrants and the strike price are subject to adjustment under certain circumstances. The 1.25% Warrants could separately have a dilutive effect to the extent that the market value per share of our common stock (as measured under the terms of the warrant transactions) exceeds the applicable strike price of the 1.25% Warrants.
In June 2013, we agreed to issue a warrant to a commercial partner as part of an overall commercial relationship pursuant to which the warrant holder has the right to purchase 1.5 million shares of our common stock at a strike price of $12.94 per share. The warrant vests in four equal annual installments of 375 thousand shares (beginning in June 2014) and expires in June 2020. The warrant becomes void if certain specified changes to the parties’ commercial relationship occur. Our issuance of the warrant was a private placement exempt from registration pursuant to Section 4(a)(2) under the Securities Act of 1933, as amended. This warrant is not actively traded and is valued based on an option pricing model that uses observable and unobservable market data for inputs. During the third quarter of 2013, we recognized approximately $0.8 million of the warrant fair value as a reduction to transaction processing and other revenues.
Stockholder Rights Plan
We are authorized to issue up to 1 million shares of preferred stock, of which 349 thousand shares have been designated as Series A Junior Participating Preferred Stock in connection with the adoption of a rights agreement discussed below. As of September 30, 2013 and December 31, 2012, no shares of preferred stock were issued or outstanding.
On May 5, 2012, our Board of Directors adopted a stockholder rights plan (the “Rights Plan”) and declared a dividend distribution of one right (each, a “Right”) for each outstanding share of our common stock to stockholders of record at the close of business on May 17, 2012. Each Right entitled its holder, under certain circumstances, to purchase from us one one-thousandth of a share of our Series A Junior Participating Preferred Stock at an exercise price of $45.00 per Right, subject to adjustment. The Rights Plan expired on May 6, 2013.
 
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5. (Loss) Earnings Per Share
Basic earnings (loss) per share is computed by dividing net income (loss) by the weighted-average shares of common stock outstanding. For purposes of calculating diluted earnings per share, the denominator includes both the weighted-average shares of common stock outstanding and dilutive common stock equivalents. Dilutive common stock equivalents consist of stock options, restricted stock unit awards and warrants calculated under the treasury stock method.
The calculations of (loss) earnings per share are as follows:

 	  	Three Months Ended September 30,	 	  	Nine Months Ended September 30,	 	
(In thousands, except per share amounts)	  	2013	 	 	2012	 	  	2013	 	 	2012	 	
Basic (Loss) Earnings per Common Share:	  	 	 	 	 	 	 	 	  	 	 	 	 	 	 	 	
Net (loss) income	  	($	48,940	) 	 	$	9,375	  	  	($	83,408	) 	 	$	23,169	  	
 	  	 	 	 	 	 	 	 	  	 	 	 	 	 	 	 	
Net (loss) income available to common stockholders	  	($	48,940	) 	 	$	9,375	  	  	($	83,408	) 	 	$	23,169	  	
 	  	 	 	 	 	 	 	 	  	 	 	 	 	 	 	 	
Weighted-average common shares outstanding	  	 	178,166	  	 	 	170,874	  	  	 	176,517	  	 	 	181,156	  	
 	  	 	 	 	 	 	 	 	  	 	 	 	 	 	 	 	
Basic (Loss) Earnings per Common Share	  	($	0.27	) 	 	$	0.05	  	  	($	0.47	) 	 	$	0.13	  	
 	  	 	 	 	 	 	 	 	  	 	 	 	 	 	 	 	
Diluted (Loss) Earnings per Common Share:	  	 	 	 	 	 	 	 	  	 	 	 	 	 	 	 	
Net (loss) income	  	($	48,940	) 	 	$	9,375	  	  	($	83,408	) 	 	$	23,169	  	
 	  	 	 	 	 	 	 	 	  	 	 	 	 	 	 	 	
Net (loss) income available to common stockholders	  	($	48,940	) 	 	$	9,375	  	  	($	83,408	) 	 	$	23,169	  	
 	  	 	 	 	 	 	 	 	  	 	 	 	 	 	 	 	
Weighted-average common shares outstanding	  	 	178,166	  	 	 	170,874	  	  	 	176,517	  	 	 	181,156	  	
Dilutive effect of stock options, restricted stock unit awards and warrants	  	 	0	  	 	 	1,880	  	  	 	0	  	 	 	1,835	  	
 	  	 	 	 	 	 	 	 	  	 	 	 	 	 	 	 	
Weighted-average common shares outstanding assuming dilution	  	 	178,166	  	 	 	172,754	  	  	 	176,517	  	 	 	182,991	  	
 	  	 	 	 	 	 	 	 	  	 	 	 	 	 	 	 	
Diluted (Loss) Earnings per Common Share	  	($	0.27	) 	 	$	0.05	  	  	($	0.47	) 	 	$	0.13	  	
 	  	 	 	 	 	 	 	 	  	 	 	 	 	 	 	 	
Under GAAP, companies in a loss position are required to use basic weighted-average common shares outstanding in the calculation of diluted loss per share. Therefore, as a result of our net loss available to common stockholders for the three and nine months ended September 30, 2013, we used basic weighted-average common shares outstanding in the calculation of diluted loss per share for the three and nine months ended September 30, 2013.
The following stock options, restricted stock unit awards and warrants are not included in the computation of diluted (loss) earnings per share as the effect of including such stock options, restricted stock unit awards and warrants in the computation would be anti-dilutive:

 	  	Three Months Ended September 30,	 	  	Nine Months Ended September 30,	 	
(In thousands)	  	2013	 	  	2012	 	  	2013	 	  	2012	 	
Shares subject to anti-dilutive stock options, restricted stock unit awards and warrants excluded from calculation	  	 	24,839	  	  	 	2,340	  	  	 	11,388	  	  	 	1,182	  	

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6. Goodwill and Intangible Assets
Goodwill and intangible assets consist of the following:

 	  	September 30, 2013	 	  	December 31, 2012	 	
(In thousands)	  	Gross
Carrying
Amount	 	  	Accumulated
Amortization	 	 	Intangible
Assets, Net	 	  	Gross
Carrying
Amount	 	  	Accumulated
Amortization	 	 	Intangible
Assets, Net	 	
Intangibles subject to amortization	  	 	 	 	  	 	 	 	 	 	 	 	  	 	 	 	  	 	 	 	 	 	 	 	
Proprietary technology	  	$	445,960	  	  	($	222,720	) 	 	$	223,240	  	  	$	361,660	  	  	($	197,383	) 	 	$	164,277	  	
Customer contracts and relationships	  	 	542,205	  	  	 	(345,687	) 	 	 	196,518	  	  	 	534,355	  	  	 	(323,646	) 	 	 	210,709	  	
 	  	 	 	 	  	 	 	 	 	 	 	 	  	 	 	 	  	 	 	 	 	 	 	 	
Total	  	$	988,165	  	  	($	568,407	) 	 	$	419,758	  	  	$	896,015	  	  	($	521,029	) 	 	$	374,986	  	
 	  	 	 	 	  	 	 	 	 	 	 	 	  	 	 	 	  	 	 	 	 	 	 	 	
Intangibles not subject to amortization	  	 	 	 	  	 	 	 	 	 	 	 	  	 	 	 	  	 	 	 	 	 	 	 	
Registered trademarks	  	 	 	 	  	 	 	 	 	$	52,000	  	  	 	 	 	  	 	 	 	 	$	52,000	  	
Goodwill	  	 	 	 	  	 	 	 	 	 	1,189,585	  	  	 	 	 	  	 	 	 	 	 	1,039,364	  	
 	  	 	 	 	  	 	 	 	 	 	 	 	  	 	 	 	  	 	 	 	 	 	 	 	
Total	  	 	 	 	  	 	 	 	 	$	1,241,585	  	  	 	 	 	  	 	 	 	 	$	1,091,364	  	
 	  	 	 	 	  	 	 	 	 	 	 	 	  	 	 	 	  	 	 	 	 	 	 	 	
In connection with our acquisitions of dbMotion and Jardogs during the nine months ended September 30, 2013, we have recognized additional goodwill in the amount of $153.6 million, of which $136.6 million with respect to dbMotion, including an increase of approximately $3.2 million during the nine months ended September 30, 2013 as a result of various measurement period adjustments, has been recognized provisionally and remains subject to future adjustments. Refer to Note 2, “Business Combinations” for additional information regarding the acquisitions. Remote Hosting is an operating segment that does not meet the quantitative thresholds for determining reportable segments; however, we have reported Remote Hosting as a separate segment and have presented the portion of goodwill allocated to this segment within our reconciliation to consolidated amounts in the table below. Changes in the carrying amounts of goodwill by reportable segment for the nine months ended September 30, 2013 were as follows:

(In thousands)	  	Software
Delivery	 	 	Services
Delivery	 	 	Client
Support	 	 	Pathway
Solutions	 	 	IT
Outsourcing	 	 	Remote
Hosting	 	 	Total	 	
Balance as of December 31, 2012	  	$	320,299	  	 	$	87,665	  	 	$	327,793	  	 	$	208,795	  	 	$	59,029	  	 	$	35,783	  	 	$	1,039,364	  	
Additions arising from business acquisitions:	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
dbMotion	  	 	68,064	  	 	 	60,144	  	 	 	8,423	  	 	 	0	  	 	 	0	  	 	 	0	  	 	 	136,631	  	
Jardogs	  	 	0	  	 	 	0	  	 	 	0	  	 	 	17,016	  	 	 	0	  	 	 	0	  	 	 	17,016	  	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Total additions to goodwill	  	 	68,064	  	 	 	60,144	  	 	 	8,423	  	 	 	17,016	  	 	 	0	  	 	 	0	  	 	 	153,647	  	
Impairment of goodwill	  	 	0	  	 	 	0	  	 	 	0	  	 	 	0	  	 	 	0	  	 	 	0	  	 	 	0	  	
Other adjustments to goodwill	  	 	(1,056	) 	 	 	(289	) 	 	 	(1,080	) 	 	 	(688	) 	 	 	(195	) 	 	 	(118	) 	 	 	(3,426	) 	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Balance as of September 30, 2013	  	$	387,307	  	 	$	147,520	  	 	$	335,136	  	 	$	225,123	  	 	$	58,834	  	 	$	35,665	  	 	$	1,189,585	  	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
There were no accumulated impairment losses associated with our goodwill at September 30, 2013 or December 31, 2012.
 
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7. Asset Impairment Charges
In October of 2012, we publicly announced a plan to standardize our small office electronic health record and practice management systems which included the convergence, over time, of our MyWay Electronic Health Record System (“MyWay”) with our Professional Suite Electronic Health Record System. We offered MyWay clients the option to migrate to the converged platform at no additional cost if they elected to do so by September 30, 2013. As a result, we recorded non-cash charges to earnings of $5.0 million and $11.1 million, respectively, during the three months ended September 30, 2013 and 2012 related to the impairment of previously capitalized software development costs for MyWay plus the net carrying value of a perpetual license for certain software code incorporated in MyWay and other deferred costs relating to MyWay, which were determined to be unrealizable at September 30, 2013. During the three and nine months ended September 30, 2013, we also recorded non-cash charges of $2.4 million and $5.5 million, respectively, of software and fixed asset impairment charges primarily related to product consolidation activities associated with the dbMotion acquisition.

 	  	Three Months Ended September 30,	 	  	Nine Months Ended September 30,	 	
(In thousands)	  	2013	 	  	2012	 	  	2013	 	  	2012	 	
Asset impairment charges	  	$	7,371	  	  	$	11,101	  	  	$	10,504	  	  	$	11,101	  	
 
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8. Debt
Debt outstanding, excluding capital lease obligations, consisted of the following:

 	  	September 30, 2013	 	  	December 31, 2012	 	
(In thousands)	  	Principal
Balance	 	  	Unamortized
Discount	 	  	Net
Carrying
Amount	 	  	Principal
Balance	 	  	Unamortized
Discount	 	  	Net
Carrying
Amount	 	
1.25% Cash Convertible Senior Notes	  	$	345,000	  	  	$	80,003	  	  	$	264,997	  	  	$	0	  	  	$	0	  	  	$	0	  	
Senior Secured Credit Facilities (long-term portion)	  	 	268,125	  	  	 	2,577	  	  	 	265,548	  	  	 	362,697	  	  	 	0	  	  	 	362,697	  	
Senior Secured Credit Facilities (current portion)	  	 	14,063	  	  	 	999	  	  	 	13,064	  	  	 	78,770	  	  	 	0	  	  	 	78,770	  	
 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	
Total debt	  	$	627,188	  	  	$	83,579	  	  	$	543,609	  	  	$	441,467	  	  	$	0	  	  	$	441,467	  	
 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	
Interest expense consisted of the following:

 	  	Three Months Ended September 30,	 	  	Nine Months Ended September 30,	 	
(In thousands)	  	2013	 	  	2012	 	  	2013	 	  	2012	 	
Interest expense	  	$	3,653	  	  	$	2,432	  	  	$	10,918	  	  	$	8,125	  	
Amortizaton of discounts	  	 	2,732	  	  	 	0	  	  	 	3,055	  	  	 	0	  	
Amortizaton of debt issuance costs	  	 	510	  	  	 	1,286	  	  	 	3,157	  	  	 	3,805	  	
Write off of unamortized deferred debt issuance costs	  	 	0	  	  	 	0	  	  	 	3,901	  	  	 	0	  	
 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	
Total interest expense	  	$	6,895	  	  	$	3,718	  	  	$	21,031	  	  	$	11,930	  	
 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	
1.25% Cash Convertible Senior Notes due 2020
On June 18, 2013, we issued $345.0 million aggregate principal amount of 1.25% Cash Convertible Senior Notes due 2020 (the “1.25% Notes”). The aggregate net proceeds of the 1.25% Notes were $305.1 million, after payment of the net cost of the Call Spread Overlay described below and transaction costs, including approximately $0.3 million of accrued professional fees at September 30, 2013. Additionally, we used $300 million of the net proceeds to repay a portion of the outstanding indebtedness under the senior secured credit facilities.
Interest on the 1.25% Notes is payable semiannually in arrears on January 1 and July 1 of each year, at a rate of 1.25% per annum commencing on January 1, 2014. The 1.25% Notes will mature on July 1, 2020 unless repurchased or converted in accordance with their terms prior to such date.
The 1.25% Notes are convertible only into cash, and not into shares of our common stock or any other securities. Holders may convert their 1.25% Notes solely into cash at their option at any time prior to the close of business on the business day immediately preceding January 1, 2020 only under the following circumstances: (1) during any calendar quarter commencing after the calendar quarter ending on September 30, 2013 (and only during such calendar quarter), if the last reported sale price of our common stock for at least 20 trading days (whether or not consecutive) during a period of 30 consecutive trading days ending on the last trading day of the immediately preceding calendar quarter is greater than or equal to 130% of the conversion price on each applicable trading day; (2) during the five business day period immediately after any five consecutive trading day period in which the trading price per $1,000 principal amount of 1.25% Notes for each trading day of the measurement period was less than 98% of the product of the last reported sale price of our common stock and the conversion rate on each such trading day; or (3) upon the occurrence of specified corporate events. On or after January 1, 2020 until the close of business on the second scheduled trading day immediately preceding the maturity date, holders may convert their 1.25% Notes solely into cash at any time, regardless of the foregoing circumstances. Upon conversion, in lieu of receiving shares of our common stock, a holder will receive an amount in cash, per $1,000 principal amount of 1.25% Notes, equal to the settlement amount, determined in the manner set forth in the indenture governing the 1.25% Notes (the “Indenture”).
The initial conversion rate will be 58.1869 shares of our common stock per $1,000 principal amount of 1.25% Notes (equivalent to an initial conversion price of approximately $17.19 per share of common stock). The conversion rate will be subject to adjustment in some events but will not be adjusted for any accrued and unpaid interest. In addition, following certain corporate events that occur prior to the maturity date, we will pay a cash make-whole premium by increasing the conversion rate for a holder who elects to convert such holder’s 1.25% Notes in connection with such a corporate event in certain circumstances. We may not redeem the 1.25% Notes prior to the maturity date, and no sinking fund is provided for the 1.25% Notes.
If we undergo a fundamental change (as defined in the Indenture), holders may require us to repurchase for cash all or part of their 1.25% Notes at a repurchase price equal to 100% of the principal amount of the 1.25% Notes to be repurchased, plus accrued and unpaid interest to, but excluding, the fundamental change repurchase date. The Indenture provides for customary events of default, including cross acceleration to certain other indebtedness of ours, and our subsidiaries.

The 1.25% Notes are senior unsecured obligations, and rank senior in right of payment to any of our indebtedness that is expressly subordinated in right of payment to the 1.25% Notes; equal in right of payment to any of our unsecured indebtedness that is not so subordinated; effectively junior in right of payment to any of our secured indebtedness to the extent of the value of the assets securing such indebtedness; and structurally junior to all indebtedness and other liabilities (including trade payables) of our subsidiaries.
The 1.25% Notes contain an embedded cash conversion option. We have determined that the embedded cash conversion option is a derivative financial instrument, required to be separated from the 1.25% Notes and accounted for separately as a derivative liability, with changes in fair value reported in our consolidated statements of operations until the cash conversion option transaction settles or expires. The initial fair value liability of the embedded cash conversion option was $82.8 million, which simultaneously reduced the carrying value of the 1.25% Notes (effectively an original issuance discount). For further discussion of the derivative financial instruments relating to the 1.25% Notes, refer to Note 10, “Derivative Financial Instruments.”
 
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As noted above, the reduced carrying value on the 1.25% Notes resulted in a debt discount that is amortized to the 1.25% Notes’ principal amount through the recognition of non-cash interest expense over the expected life of the debt, which is seven years. This has resulted in our recognition of interest expense on the 1.25% Notes at an effective rate approximating what we would have incurred had nonconvertible debt with otherwise similar terms been issued. The effective interest rate of the 1.25% Notes is 5.4%, which is imputed based on the amortization of the fair value of the embedded cash conversion option over the remaining term of the 1.25% Notes. As of September 30, 2013, we expect the 1.25% Notes to be outstanding until their July 1, 2020 maturity date, for a remaining amortization period of approximately seven years. The 1.25% Notes’ if-converted value did not exceed their principal amount as of September 30, 2013.
In connection with the settlement of the 1.25% Notes, we paid approximately $8.4 million in transaction costs. Such costs have been allocated to the 1.25% Notes, the 1.25% Call Option (defined below) and the 1.25% Warrants (defined below). The amount allocated to the 1.25% Notes, or $8.3 million, was capitalized and will be amortized over the term of the 1.25% Notes. The remaining aggregate amounts allocated to the 1.25% Call Option and 1.25% Warrants were not significant. The outstanding capitalized amount of transaction costs related to the 1.25% Notes was $8.0 million and is included within other assets on our consolidated balance sheet as of September 30, 2013.
Interest expense related to the 1.25% Notes was comprised of the following:

 	  	Three Months Ended September 30,	 	  	Nine Months Ended September 30,	 	
(In thousands)	  	2013	 	  	2012	 	  	2013	 	  	2012	 	
Coupon interest at 1.25%	  	$	1,078	  	  	$	0	  	  	$	1,234	  	  	$	0	  	
Amortizaton of original issuance discount	  	 	2,474	  	  	 	0	  	  	 	2,797	  	  	 	0	  	
Amortizaton of debt issuance costs	  	 	295	  	  	 	0	  	  	 	344	  	  	 	0	  	
 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	
Total interest expense related to the 1.25% Notes	  	$	3,847	  	  	$	0	  	  	$	4,375	  	  	$	0	  	
 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	
1.25% Notes Call Spread Overlay
Concurrent with the issuance of the 1.25% Notes, we entered into privately negotiated hedge transactions (collectively, the “1.25% Call Option”) and warrant transactions (collectively, the “1.25% Warrants”), with certain of the initial purchasers of the 1.25% Notes (collectively, the “Call Spread Overlay”). Assuming full performance by the counterparties, the 1.25% Call Option is intended to offset cash payments in excess of the principal amount due upon any conversion of the 1.25% Notes. We used $82.8 million of the proceeds from the settlement of the 1.25% Notes to pay for the 1.25% Call Option, and simultaneously received $51.2 million from the sale of the 1.25% Warrants, for a net cash outlay of $31.6 million for the Call Spread Overlay. The 1.25% Call Option is a derivative financial instruments and is discussed further in Note 10, “Derivative Financial Instruments.” The 1.25% Warrants are equity instruments and are further discussed in Note 4, “Stockholders’ Equity.”
Aside from the initial payment of a premium to the counterparties of $82.8 million for the 1.25% Call Option, we will not be required to make any cash payments to the counterparties under the 1.25% Call Option, and will be entitled to receive from the counterparties an amount of cash, generally equal to the amount by which the market price per share of our common stock exceeds the strike price of the 1.25% Call Option during the relevant valuation period. The strike price under the 1.25% Call Option is initially equal to the conversion price of the 1.25% Notes. Additionally, if the market value per share of our common stock exceeds the strike price of the 1.25% Warrants on any trading day during the 70 trading day measurement period under the 1.25% Warrants, we will, for each such trading day, be obligated to issue to the counterparties a number of shares equal in value to the product of the amount by which such market value exceeds such strike price and 1/70th of the aggregate number of shares of our common stock underlying the 1.25% Warrants transactions, subject to a share delivery cap. We will not receive any additional proceeds if the 1.25% Warrants are exercised. Pursuant to the 1.25% Warrants transaction, we issued 20,074,481 warrants with a strike price of $23.1350 per share. The number of warrants and the strike price are subject to adjustment under certain circumstances.
Credit Facility
On June 28, 2013, we entered into a Credit Agreement (the “2013 Credit Agreement”) with a syndicate of financial institutions. The 2013 Credit Agreement provides for a $225 million senior secured term loan (the “Term Loan”) and a $425 million senior secured revolving facility (the “Revolving Facility”), each with a five year term (collectively, the “Senior Secured Credit Facility”). The Term Loan is repayable in quarterly installments commencing on September 30, 2013. A total of up to $50 million of the Revolving Facility is available for the issuance of letters of credit, up to $10 million of the Revolving Facility is available for swingline loans, and up to $100 million of the Revolving Facility could be borrowed under certain foreign currencies. On June 28, 2013, we borrowed $60 million under the Revolving Facility in connection with our entry into the 2013 Credit Agreement.
The proceeds of the Term Loan were used to repay the existing debt under the prior credit agreement, and to pay fees and expenses in connection with the refinancing. In conjunction with the closing of the 2013 Credit Agreement, we used a portion of the proceeds from the borrowings under the Revolving Facility to refinance the seller notes and deferred purchase price obligations incurred in connection with our acquisition of dbMotion, (see Note 2, “Business Combinations”). The proceeds of the Revolving Facility can be used to finance our working capital needs and for general corporate purposes, including, without limitation, financing of permitted acquisitions, and for share repurchases. We are also permitted to add one or more incremental revolving and/or term loan facilities in an aggregate amount of up to $250 million, subject to certain conditions.
Borrowings under the Senior Secured Credit Facility bear interest, at our option (except with respect to foreign currency loans), at a rate per annum equal to either (1) the rate (adjusted for statutory reserve requirements for eurocurrency liabilities and mandatory costs, if any) for deposits in the applicable currency for a period equal to one, two, three or six months or, with respect to loans under the Revolving Facility denominated in United States dollars, subject to availability to all affected lenders, 7 or 14 days (as selected by us), appearing on pages LIBOR01 or LIBOR02 or other page displaying such rate for such currency of the Reuters Screen (the “Eurocurrency Rate”) plus the applicable margin or (2) the highest of (a) the rate of interest publicly announced by JPMorgan Chase Bank, N.A. as its prime rate in effect at its principal office in New York City, (b) the federal funds effective rate from time
 
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to time plus 0.5%, and (c) the Eurocurrency Rate for United States dollars for a one month interest period plus 1.0%, plus, in each case, the applicable margin. Foreign currency loans bear interest according to clause (1) above with certain adjustments and fees applicable to fronted foreign currency loans. The applicable margin for borrowings under our Senior Secured Credit Facility will initially be 1.25% for all loans except for loans based on the Eurocurrency Rate, for which the applicable margin will initially be 2.25%.
Subject to certain agreed upon exceptions, all obligations under our Senior Secured Credit Facility are guaranteed by each of our existing and future direct and indirect material domestic subsidiaries, other than Coniston Exchange LLC and any domestic subsidiary owned by one of our foreign subsidiaries, including dbMotion (the “Guarantors”) pursuant to a related Guarantee and Collateral Agreement, dated as of June 28, 2013, among Allscripts Healthcare Solutions, Inc., Allscripts Healthcare, LLC, certain of our other subsidiaries, and JPMorgan Chase Bank, N.A., as administrative agent.
Our obligations under our Senior Secured Credit Facility, any swap agreements and any cash management arrangements provided by any lender, are secured, subject to permitted liens and other agreed upon exceptions, by a perfected first priority security interest in all of the tangible and intangible assets (including, without limitation, intellectual property, material owned real property and all of the capital stock of each Guarantor and, in the case of foreign subsidiaries, up to 65% of the capital stock of first tier material foreign subsidiaries) of Allscripts Healthcare Solutions, Inc. and our guarantor subsidiaries.
Our Senior Secured Credit Facility requires us to maintain a minimum interest coverage ratio of 4.0 to 1.0, a maximum total leverage ratio of 4.0 to 1.0 and a maximum senior secured leverage ratio of 3.0 to 1.0. The minimum interest coverage ratio is calculated by dividing earnings before interest expense, income tax expense, depreciation and amortization expense by cash interest expense, subject to various agreed upon adjustments. The total leverage ratio is calculated by dividing total indebtedness by earnings before interest expense, income tax expense, depreciation and amortization expense, subject to various agreed upon adjustments. The senior secured leverage ratio is calculated by dividing senior secured indebtedness by earnings before interest expense, income tax expense, depreciation and amortization expense, subject to various agreed upon adjustments. In addition, the 2013 Credit Agreement requires mandatory prepayments of the debt outstanding under the facilities in certain specific circumstances, and contains a number of covenants which, among other things, restrict our ability to incur additional indebtedness, engage in mergers, or declare dividends or other payments in respect of our capital stock.
Our Senior Secured Credit Facility also contains certain customary events of default, including relating to non-payment, breach of covenants, cross-default, bankruptcy and change of control.
In connection with our entry into the 2013 Credit Agreement, we incurred fees and other costs aggregating to approximately $3.1 million. In addition, approximately $5.5 million of deferred costs associated with the previous credit facility will carry over to the new Senior Secured Credit Facility. Of those combined amounts, fees paid directly to the lending parties of approximately $3.8 million were recorded as an original issue discount and fees and costs of approximately $4.3 million were recorded as deferred charges, both of which will be amortized to interest expense over the term of the new facilities. The outstanding capitalized amount of deferred charges was $4.1 million and is included within other assets on our consolidated balance sheet as of September 30, 2013. Also in connection with our entry into the 2013 Credit Agreement, approximately $3.4 million of deferred debt issuance costs associated with our previous credit facility and $0.5 million of fees incurred in connection with the new facility were written off to interest expense during the three months ended June 30, 2013 and are included in other (gains) losses, net in the accompanying consolidated statement of cash flows for the nine months ended September 30, 2013.
As of September 30, 2013, $222 million under the Term Loan, $60 million under the Revolving Facility, and $1.2 million in letters of credit were outstanding under the 2013 Credit Agreement. As of September 30, 2013, the interest rate on the Senior Secured Credit Facility was LIBOR plus 2.25%, which totaled 2.43%. Refer to Note 10, “Derivative Financial Instruments,” for a discussion of our interest rate swap agreement. We were in compliance with all covenants under the 2013 Credit Agreement as of September 30, 2013. Unamortized deferred debt issuance costs totaled $12.1 million and are included within other assets on the consolidated balance sheet as of September 30, 2013.
As of September 30, 2013, we had $363.8 million available, net of outstanding letters of credit, under our revolving credit facility. There can be no assurance that we will be able to draw on the full available balance of our 2013 Credit Agreement if the financial institutions that have extended such credit commitments become unwilling or unable to fund such borrowings.
The following table summarizes our future payments under the 1.25% Notes and our senior secured credit facilities as of September 30, 2013:

(Dollar amounts in thousands)	  	Total	 	  	Remainder of
2013	 	  	2014	 	  	2015	 	  	2016	 	  	2017	 	  	2018	 	  	Thereafter	 	
1.25% Cash Convertible Senior Notes (1)	  	$	345,000	  	  	$	0	  	  	$	0	  	  	$	0	  	  	$	0	  	  	$	0	  	  	$	0	  	  	$	345,000	  	
Senior Secured Term Loan	  	 	222,188	  	  	 	2,813	  	  	 	16,875	  	  	 	28,125	  	  	 	39,375	  	  	 	50,625	  	  	 	84,375	  	  	 	0	  	
Senior Secured Revolving Facility	  	 	60,000	  	  	 	0	  	  	 	0	  	  	 	0	  	  	 	0	  	  	 	0	  	  	 	60,000	  	  	 	0	  	
 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	
 	  	$	627,188	  	  	$	2,813	  	  	$	16,875	  	  	$	28,125	  	  	$	39,375	  	  	$	50,625	  	  	$	144,375	  	  	$	345,000	  	

(1)	Assumes no cash conversions of the 1.25% Notes prior to their maturity on July 1, 2020.	
 
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9. Income Taxes
The provision for income taxes reflects our estimate of the effective tax rate expected to be applicable for the full year. To the extent that actual pre-tax results for the year differ from the forecasted estimates applied at the end of the most recent interim period, the actual tax rate recognized during calendar 2013 could be different from the forecast rate. Our provision for income taxes differs from the tax computed at the U.S. federal statutory income tax rate due primarily to valuation allowance, income attributable to foreign jurisdictions taxed at lower rates, state taxes, permanent differences, tax credits and certain discrete items. The effective tax rates were as follows:

 	  	Three Months Ended September 30,	 	 	Nine Months Ended September 30,	 	
(Dollar amounts in thousands)	  	2013	 	 	2012	 	 	2013	 	 	2012	 	
(Loss) income before income taxes	  	($	51,173	) 	 	($	10,379	) 	 	($	113,564	) 	 	$	12,638	  	
Income tax benefit	  	$	2,233	  	 	$	19,754	  	 	$	30,156	  	 	$	10,531	  	
Effective tax rate	  	 	4.4	% 	 	 	190.3	% 	 	 	26.6	% 	 	 	(83.3	%) 	
Our effective tax rates for the three and nine months ended September 30, 2013 were affected by the recognition of a valuation allowance of $16.3 million in the third quarter of 2013 for federal credit carryforwards and state net operating loss carryforwards. In evaluating our ability to recover our deferred tax assets within the jurisdiction from which they arise, we consider all available positive and negative evidence, including scheduled reversals of deferred tax liabilities, tax-planning strategies, and results of recent operations. In evaluating the objective evidence that historical results provide, we consider three years of cumulative operating income (loss). In the quarter ended September 30, 2013, we determined that the projected results of our current year operations would be lower than projected during the quarter ended June 30, 2013. Using this new evidence, we determined that it was uncertain that we will realize the deferred tax asset for these carryforwards within the carryforward period.
Our effective tax rates for the three and nine months ended September 30, 2012 were affected by the recognition of a $16 million tax benefit related to the settlement of an acquired tax position for an amount less than the carrying value of the uncertain tax liability in the third quarter of 2012. The acquired tax position was indemnified by Misys plc and a related tax indemnification asset was previously included within other assets in our consolidated balance sheet. Since the settlement amount was less than the carrying value of the indemnification asset, we recorded a write-off of the remaining indemnification asset, which is included in other (expense) income, net within the consolidated statement of operations for the three and nine months ended September 30, 2012. The resulting charge of $16 million was substantially non-deductible for tax purposes and therefore increased the effective tax rate for the entire 2012 year.
Excluding the tax effects of the valuation allowance and the settlement of the acquired tax position, our effective tax rate for the three months ended September 30, 2013 is lower than the rate for the same period last year, and our effective tax rate for the nine months ended September 30, 2013 is higher than the rate for the same period last year. Excluding the tax effects of the valuation allowance and the settlement of the acquired tax position, our effective tax rate for the three months ended September 30, 2013 is lower than the rate for the same period last year, primarily due to additional 2011 U.S. research and development credit recorded as a discrete item in the same period last year. Our effective tax rate for the nine months ended September 30, 2013 is higher compared to the prior year, primarily due to the impact of the U.S. research and development credit for 2012 and 2013, enacted on January 1, 2013. The impact of the 2012 credit is included in our tax benefit for the nine months ended September 30, 2013 as a discrete item of $2.9 million.
Our unrecognized income tax benefits were $21.0 million and $18.1 million as of September 30, 2013 and December 31, 2012, respectively. The increase of approximately $2.9 million is attributable to unrecognized tax benefits related to research and development tax credits. If any portion of our unrecognized tax benefits is recognized, it could impact our effective tax rate. The tax reserves are reviewed periodically and adjusted in light of changing facts and circumstances, such as progress of tax audits, lapse of applicable statutes of limitations and changes in tax law.
 
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10. Derivative Financial Instruments
1.25% Call Option
We entered into the 1.25% Call Option with certain of the initial purchasers of the 1.25% Notes (the “Option Counterparties”). These transactions, along with the sale of the 1.25% Warrants, represent the Call Spread Overlay (refer to Note 8, “Debt”). We used $82.8 million of the proceeds from the issuance of the 1.25% Notes to pay for the 1.25% Call Option, and simultaneously received $51.2 million for the sale of the 1.25% Warrants, for a net cash outlay of $31.6 million for the Call Spread Overlay. Assuming full performance by the counterparties, the 1.25% Call Option is intended to offset cash payments in excess of the principal amount due upon any conversion of the 1.25% Notes.
Aside from the initial payment of a premium to the counterparties of $82.8 million for the 1.25% Call Option, we will not be required to make any cash payments to the counterparties under the 1.25% Call Option, and will be entitled to receive from the counterparties an amount of cash, generally equal to the amount by which the market price per share of common stock exceeds the strike price of the 1.25% Call Options during the relevant valuation period. The strike price under the 1.25% Call Option is initially equal to the conversion price of the 1.25% Notes.
The 1.25% Call Option, which is indexed to our common stock, is a derivative asset that requires mark-to-market accounting treatment due to the cash settlement features until such transactions settle or expire. The 1.25% Call Option is measured and reported at fair value on a recurring basis, within Level 3 of the fair value hierarchy. For further discussion of the inputs used to determine the fair value of the 1.25% Call Option, refer to Note 3, “Fair Value Measurements.” The fair value of the 1.25% Call Option at September 30, 2013 was approximately $102.5 million.
The 1.25% Call Option does not qualify for hedge accounting treatment. Therefore, the change in fair value of these instruments is recognized immediately in our consolidated statements of operations in other (expense) income, net. For the three and nine months ended September 30, 2013, the change in the fair value of the 1.25% Call Option resulted in gains of $21.4 million and $19.7 million, respectively. Because the terms of the 1.25% Call Option are substantially similar to those of the 1.25% Notes embedded cash conversion option, discussed below, we expect the net effect of those two derivative instruments on our earnings to be minimal.
1.25% Notes Embedded Cash Conversion Option
The embedded cash conversion option within the 1.25% Notes is required to be separated from the 1.25% Notes and accounted for separately as a derivative liability, with changes in fair value reported in our consolidated statements of operations in other (expense) income, net until the cash conversion option settles or expires. The initial fair value liability of the embedded cash conversion option was $82.8 million, which simultaneously reduced the carrying value of the 1.25% Notes (effectively an original issuance discount). The embedded cash conversion option is measured and reported at fair value on a recurring basis, within Level 3 of the fair value hierarchy. For further discussion of the inputs used to determine the fair value of the embedded cash conversion option, refer to Note 3, “Fair Value Measurements.” The fair value of the embedded cash conversion option at September 30, 2013 was approximately $103.4 million. For the three and nine months ended September 30, 2013, the change in the fair value of the embedded cash conversion option resulted in losses of $22.3 million and $20.6 million, respectively. These losses were slightly higher than the gains recognized on the 1.25% Call Option over the same periods.
Interest Rate Swap Agreement
We entered into an interest rate swap agreement with an effective date of October 29, 2010 that has the economic effect of modifying the variable rate component of the interest obligations associated with a portion of our variable rate debt. The initial notional amount of the interest rate swap agreement was $300 million, with scheduled step downs over time, and an expiration date of October 31, 2014. At September 30, 2013, the notional amount of the interest rate swap agreement was $150 million. The interest rate swap agreement converts the one-month LIBOR rate on the corresponding notional amount of debt to an effective fixed rate of 0.896% (exclusive of the applicable margin currently charged under the Senior Secured Credit Facility). The critical terms of the interest rate swap agreement and the related debt agreement match and allow us to designate the interest rate swap agreement as a highly effective cash flow hedge under GAAP. The interest rate swap agreement protects us against changes in interest payments due to benchmark interest rate movements. The change in fair value of this interest rate swap agreement is recognized in other comprehensive income with the corresponding amounts included in other assets or other liabilities in our consolidated balance sheet. Amounts accumulated in other comprehensive income are indirectly recognized in earnings as periodic settlements of the swap occur and the fair value of the swap declines to zero as it nears expiration.
The fair value of our interest rate swap was a liability of approximately $0.7 million and $1.5 million at September 30, 2013 and December 31, 2012, respectively. We recognized the following activity related to our interest rate swap agreement:

 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
 	  	Three Months Ended September 30,	 	 	Nine Months Ended September 30,	 	
(In thousands)	  	2013	 	 	2012	 	 	2013	 	 	2012	 	
Effective Portion	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Current period increase (decrease) in fair value recognized in OCI	  	$	207	  	 	($	1	) 	 	$	856	  	 	($	168	) 	
Tax effect	  	 	(82	) 	 	 	(1	) 	 	 	(334	) 	 	 	65	  	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Net	  	$	125	  	 	($	2	) 	 	$	522	  	 	($	103	) 	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Loss reclassified from OCI to interest expense	  	$	286	  	 	$	432	  	 	$	968	  	 	$	1,376	  	
Amount excluded from Effectiveness Assessment and Ineffective Portion Gain (loss) recognized in other income (expense)	  	$	0	  	 	$	0	  	 	$	0	  	 	$	0	  	
We estimate that approximately $0.7 million of derivative losses included in other comprehensive income (“OCI”) will be reclassified into earnings within the next 12 months. This amount has been calculated assuming the variable effective interest rate of 2.43% as of September 30, 2013 remains the same through the next 12 months. No gains (losses) were reclassified from OCI into earnings as a result of forecasted transactions that failed to occur during the three and nine months ended September 30, 2013 and 2012.
 
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11. Contingencies
On September 14, 2010, Pegasus Imaging Corporation (“Pegasus”) filed a lawsuit against us in the Circuit Court of the Thirteenth Judicial Circuit of the State of Florida in and for Hillsborough County, Florida. On our motion, the case was transferred to the Special Superior Court for Complex Business Cases. The lawsuit also named former officers Jeffrey Amrein and John Reinhart as defendants. Prior to serving the complaint, Pegasus filed an amended complaint dropping two of the claims that had been asserted and adding two additional defendants, which are two now-defunct Florida corporations that formerly did business with us. The amended complaint asserted causes of action against defendants for fraudulent misrepresentations, negligent misrepresentations, and deceptive and unfair trade practices under Florida law, allegedly arising from previous business dealings between Pegasus and Advanced Imaging Concepts, Inc., a software company based in Louisville, Kentucky that we purchased in August 2003, and from our testing of a software development toolkit pursuant to a free trial license from Pegasus in approximately 1999. On April 16, 2013, Plaintiff filed a Second Amended Complaint adding claims against us for breach of contract, fraud, and negligence. On June 27, 2013 we filed our First Amended Answer, Defenses, and Counterclaims to Plaintiff’s Second Amended Complaint, denying all material allegations, and asserting counterclaims against Pegasus for breach of two license agreements, breach of warranty, breach of a settlement and arbitration agreement, and three counts of negligent misrepresentation. Also on June 27, 2013, Pegasus filed a Motion to Dismiss these Counterclaims, which was heard by the Court with all other pending motions on October 25, 2013. The Court extended the expert report deadlines in the case (including any rebuttal reports) until December 31, 2013. The parties must engage in mediation on this matter by no later than December 31, 2013. The case is currently scheduled for trial in April 2014. We intend to continue to defend this matter and pursue its counterclaims vigorously. We believe that we have a strong position in this matter, but the outcomes of intellectual property-related lawsuits are often uncertain.
On December 27, 2012, Pain Clinic of Northwest Florida, Inc. filed a Complaint in the Circuit Court of the 11th Judicial Circuit in and for Miami-Dade County, Florida, against us. On January 29, 2013, a First Amended Complaint was filed in this lawsuit through which American Pain Care Specialists, LLC, Advanced Pain Specialists, Inc., and South Baldwin Family Practice, LLC were added as additional plaintiffs. The plaintiffs currently seek to certify a class of all similarly situated physician-customers that purchased the MyWay product and seek damages for various claims, including breach of warranty and unjust enrichment. On February 5, 2013, we filed a motion to compel arbitration and to dismiss or stay the lawsuit during arbitration, and a motion to stay discovery during arbitration, which were both denied by the trial court. We have appealed the denial of the motion to compel arbitration and to dismiss or stay the lawsuit during arbitration, and are currently pursuing that appeal before Florida’s Third District Court of Appeal. On May 6, 2013, the plaintiffs filed a Second Amended Complaint, in which the plaintiffs dropped the claim for breach of warranty, and added claims for tortious interference with business relationships, violations of Florida’s Deceptive and Unfair Trade Practices Act (Fla. Stat. § 501.201,  et seq. ), and violations of various other states’ consumer protection laws. We filed our motion to dismiss the Second Amended Complaint on June 24, 2013 and the Plaintiffs responded on July 16, 2013. The parties mutually agreed to engage in alternative dispute resolution, during which time all discovery and appellate arguments are stayed. We intend to continue to vigorously defend against these claims if such efforts are unsuccessful.
On January 30, 2013, Costco Wholesale Corporation delivered a demand for arbitration against us in connection with our offer to upgrade our MyWay clients to Allscripts Professional. The demand for arbitration seeks certain equitable relief in connection with the upgrade offer and also seeks damages for breach of contract and breach of an alleged duty of good faith and fair dealing. On February 20, 2013, we responded to the demand for arbitration. Costco has stayed further action in the arbitration pending alternative dispute resolution, but we intend to vigorously defend against these claims if such efforts are unsuccessful.
On February 26, 2013, a lawsuit was filed by Cardinal Health 200, LLC (“Cardinal”) against us in the Court of Common Pleas for Franklin County, Ohio. Cardinal seeks damages of no less than $3,978,000 for alleged breaches of contract by us in connection with our offer to upgrade our MyWay clients to Allscripts Professional or, alternatively, a declaration that we invalidly terminated our agreement with Cardinal. The case is currently scheduled for trial in April 2014. We intend to continue to defend this matter vigorously.
In the opinion of management, there was not at least a reasonable possibility that we may have incurred a material loss, or a material loss in excess of a recorded accrual, with respect to the above matters. However, the outcome of the foregoing litigation is inherently uncertain, and we may incur substantial defense costs and expenses defending these matters. Also, if any of these legal matters were resolved against us for an amount in excess of management’s expectations, our consolidated financial statements of a particular reporting period could be materially adversely affected.

On May 1, 2012, Physicians Healthsource, Inc. (“PHI”) filed a class action complaint in U.S. District Court for the Northern District of Illinois against us. The complaint alleges that on multiple occasions between July 2008 and December 2011, we or our agent sent advertisements by fax to the plaintiff and a class of similarly situated persons, without first receiving the recipients’ express permission or invitation in violation of the Telephone Consumer Protection Act, 47 U.S.C. § 227 (the “TCPA”). The plaintiff seeks $500 for each alleged violation of the TCPA, treble damages if the Court finds the violations to be willful, knowing or intentional, and injunctive and other relief. The parties await a decision from the 7th Circuit Court of Appeals in the case of Holtzman v. Turza, which could address claims at issue in this case. Even though such decision is still pending, the parties are proceeding with discovery. We intend to vigorously defend against these claims.
On May 2, 2012, a lawsuit was filed in the United States District Court for the Northern District of Illinois against us, Glen Tullman, our former Chief Executive Officer, and William Davis, our former Chief Financial Officer, by the Bristol County Retirement System for itself and on behalf of a purported class consisting of stockholders who purchased our common stock between November 18, 2010 and April 26, 2012. The plaintiffs allege that we, Mr. Tullman and Mr. Davis made materially false and misleading statements and/or omissions during the putative class period regarding our progress in integrating our and Eclipsys’ businesses following our August 24, 2010 merger with Eclipsys, and that we lacked a reasonable basis for certain statements regarding our post-merger integration efforts, operations, results and projections of future financial performance. A lead plaintiff has been appointed and on January 10, 2013, the lead plaintiff filed an amended complaint. On March 14, 2013, we filed a motion to dismiss the lead plaintiff’s amended complaint. On May 9, 2013, Plaintiff filed its opposition to our Motion to Dismiss and also filed a motion seeking leave to amend its amended complaint, which was granted by the Court. On May 28, 2013, we filed a motion to dismiss the amended complaint. On June 24, 2013, Plaintiff filed its opposition to our motion to dismiss and we replied on July 22, 2013. We intend to vigorously defend against these claims.
On June 27, 2012, a purported shareholder, Richard Devereaux, filed a shareholder derivative action in the Circuit Court of Cook County Illinois against us, Paul Black, our Chief Executive Officer; former officers Glen Tullman and William Davis; and current and former board members Dennis Chookaszian, Robert Cindrich, Marcel Gamache, Philip Green, and Michael Kluger. The suit alleges breach of fiduciary duties and unjust enrichment against certain of our former and current executives who allegedly made misleading claims about our business and financial state, causing our stock price to be artificially inflated and then drop sharply when our reported earnings below expectations and disclosed a “leadership dispute” in an SEC filing. At present, our time to respond to the complaint is tolled pending the resolution of the motion to dismiss in the Bristol County Retirement System lawsuit.
 
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In the opinion of management, there is a reasonable possibility we may incur losses with respect to the three matters immediately above, although management does not believe it is currently possible to estimate the possible loss or range of loss at this time. We will continue to evaluate the potential exposure related to these matters in future periods.
In addition to the legal claims and proceedings discussed above, we are involved in various legal claims and proceedings related to alleged infringement of third party intellectual property rights, commercial, labor and employment, and other matters, and we make commitments and incur obligations, all in the ordinary course of business. In general, the resolution of a legal claim or proceeding could prevent us from offering our products and services to customers, or could adversely affect our financial condition or results of operations.
 
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12. Business Segments
We use the following reportable segments: Software Delivery, Services Delivery, Client Support, Pathway Solutions and IT Outsourcing. Pathway Solutions and IT Outsourcing, which were reported under the Managed Services segment in the first quarter of 2012, are now separately presented consistent with changes in our internal reporting to our chief operating decision maker.
Software Delivery primarily includes revenue from system sales, which is comprised of software license fees and hardware revenue, plus recurring revenue from SaaS contracts and other subscription-based arrangements, which are included in transaction processing and other, and the related expenses incurred to deliver these solutions to our clients. Services Delivery (i.e. professional services) derives its revenue through implementation, training and other professional services provided to clients and includes the related expenses incurred to provide these services. Client Support (i.e. maintenance) derives its revenue through software and hardware maintenance contracts and includes the related expenses incurred to provide support to our customers. Pathway Solutions includes revenue and the related expenses incurred from EDI medical claims processing for clients and our patient portal SaaS solution, and IT Outsourcing derives its revenue from services provided to clients where we assume partial to total responsibility for a healthcare organization’s IT operations using our employees and assets, and includes the related expenses incurred to deliver IT outsourcing solutions to our clients. Remote Hosting is an operating segment that does not meet the quantitative thresholds for determining reportable segments; however, we have presented the revenues and income from operations related to this segment within our reconciliation to consolidated amounts in the table below. All revenues from our Pathway Solutions, IT Outsourcing and Remote Hosting operating segments are included in transaction processing and other.
Our chief operating decision maker uses segment revenues and income from operations as measures of performance and to allocate resources. In determining revenue and income from operations for our segments, we do not include the amortization of acquisition-related deferred revenue adjustments in revenue, and we exclude amortization of intangible assets and stock-based compensation expense from the operating expense segment data provided to our chief operating decision maker. Accordingly, these amounts are not included in our reportable segment results and are included in Unallocated Amounts.
Unallocated Amounts include our corporate general and administrative expenses, which are centrally managed, research and development expenses, including the amortization of software development costs, which are not attributed to an operating segment and asset impairment charges. These expenses, which are included in Unallocated Amounts below, are not part of the segment profitability results reviewed by management and, therefore, are not allocated to our reportable segments. These unallocated amounts are separately presented in the table below in order to reconcile segment information to the consolidated amounts. Additionally, we do not track our assets by segment.

 	  	Three Months Ended September 30,	 	 	Nine Months Ended September 30,	 	
(In thousands)	  	2013	 	 	2012	 	 	2013	 	 	2012	 	
Revenue:	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Software Delivery	  	$	75,396	  	 	$	77,229	  	 	$	222,886	  	 	$	244,773	  	
Services Delivery	  	 	50,293	  	 	 	62,462	  	 	 	169,680	  	 	 	197,669	  	
Client Support	  	 	118,460	  	 	 	118,315	  	 	 	352,758	  	 	 	353,674	  	
Pathway Solutions	  	 	36,760	  	 	 	42,796	  	 	 	117,609	  	 	 	130,117	  	
IT Outsourcing	  	 	35,016	  	 	 	41,261	  	 	 	114,002	  	 	 	119,262	  	
Remote Hosting	  	 	17,103	  	 	 	17,854	  	 	 	51,298	  	 	 	52,790	  	
Unallocated Amounts	  	 	(2,837	) 	 	 	777	  	 	 	(6,149	) 	 	 	(2,923	) 	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Total revenue	  	$	330,191	  	 	$	360,694	  	 	$	1,022,084	  	 	$	1,095,362	  	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
(Loss) income from operations:	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Software Delivery	  	$	5,196	  	 	$	9,223	  	 	$	27,799	  	 	$	34,296	  	
Services Delivery	  	 	3,639	  	 	 	8,390	  	 	 	10,314	  	 	 	26,033	  	
Client Support	  	 	81,088	  	 	 	81,143	  	 	 	239,994	  	 	 	242,828	  	
Pathway Solutions	  	 	22,730	  	 	 	26,118	  	 	 	71,551	  	 	 	79,719	  	
IT Outsourcing	  	 	5,248	  	 	 	8,978	  	 	 	19,888	  	 	 	25,298	  	
Remote Hosting	  	 	(2,011	) 	 	 	668	  	 	 	(4,445	) 	 	 	1,146	  	
Unallocated Amounts	  	 	(159,342	) 	 	 	(125,336	) 	 	 	(465,157	) 	 	 	(369,449	) 	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Total (loss) income from operations	  	($	43,452	) 	 	$	9,184	  	 	($	100,056	) 	 	$	39,871	  	

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13. North American Site Consolidation Plan
On February 18, 2013, we announced a North American site consolidation plan (the “Site Consolidation Plan”) designed to create a more simplified and efficient organization that is aligned more closely with our business priorities. The Site Consolidation Plan includes closure of twelve offices and one warehouse. We are also implementing changes to corporate operating models intended to reduce costs associated with product solutions development. The costs of implementing these changes primarily consist of employee severance and relocation costs, and lease exit costs.
During the three and nine months ended September 30, 2013, we incurred $1.0 million and $13.4 million, respectively, in severance costs resulting from the Site Consolidation Plan, all of which are included in selling, general and administrative expenses in our consolidated statements of operations. We have also incurred relocation and other costs related to the Site Consolidation Plan of approximately $2.4 and $3.8 million, respectively, during the three and nine months ended September 30, 2013. These costs are included in selling, general and administrative expenses in our consolidated statements of operations for the three and nine months ended September 30, 2013 with the exception of $1.9 million and $2.6 million for the three and nine months ended September 30, 2013, respectively, which are included in research and development. The portion of these costs allocable to our reportable segments is not material. We have a remaining liability for accrued severance and other costs of $5.9 million related to the Site Consolidation Plan included in accrued compensation and benefits in our consolidated balance sheet as of September 30, 2013.
During the nine months ended September 30, 2013, we incurred lease exit costs of approximately $0.7 million. Additional estimated lease exist costs yet to be incurred in connection with the Site Consolidation Plan total approximately $1.0 million. This amount is an estimate, and actual charges may vary materially based on the timing and amount of sublease income and other related expenses and changes in management’s assumptions. We expect to complete the Site Consolidation Plan and incur all remaining related costs by the end of 2014.
 
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Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	
The following discussion should be read along with the unaudited consolidated financial statements included in this Form 10-Q, as well as our 2012 Annual Report on Form 10-K/A filed with the Securities and Exchange Commission, which provides a more thorough discussion of our products and services, industry outlook, and business trends.
Overview
Business Acquisitions & Basis of Presentation
On March 4, 2013, we acquired all of the issued and outstanding share capital of dbMotion, Ltd. (dbMotion), a privately-held Israeli company, for aggregate consideration with a fair value of approximately $225 million, subject to adjustment for certain provisional items. Immediately prior to the closing, we owned approximately 4.25% of the issued and outstanding share capital of dbMotion on a fully diluted basis. In addition, prior to the acquisition we had an ongoing strategic relationship with dbMotion in connection with the development and sale of software solutions to hospitals, physicians and other participants in the healthcare industry. Also on March 4, 2013, we acquired substantially all of the assets of Jardogs LLC (Jardogs) for $24 million in cash.
These acquisitions have been accounted for as purchase business combinations. Under the acquisition method of accounting, the fair value of the consideration transferred for each acquisition was allocated to the respective tangible and intangible assets acquired and liabilities assumed based on their preliminary estimated fair values as of the acquisition date. Our estimates and assumptions are subject to change as we obtain additional information for our estimates during the measurement period (up to one year from the acquisition date). The operating results of dbMotion and Jardogs are included in the accompanying consolidated statements of operations from the date of the acquisitions, March 4, 2013. Refer to Note 2, “Business Combinations” to our consolidated financial statements for additional information regarding these acquisitions.
Certain prior period amounts in the accompanying consolidated financial statements have been reclassified to conform to the current period presentation. These reclassifications had no effect on previously reported net income or stockholders’ equity.
Business Overview
Allscripts is a leading provider of clinical, financial, connectivity and information solutions and related professional services that empower hospitals, health systems, physician practices, and post-acute organizations to deliver world-class outcomes. We deliver innovative solutions that provide physicians and other healthcare professionals with the information, insights and connectivity required to transform healthcare by improving the quality and efficiency of patient care.
To better deliver comprehensive care coordination and population health management across hospitals, physician practices, and home care systems, in the first quarter Allscripts acquired dbMotion, a leading supplier of community health solutions and Jardogs, a top-rated patient engagement solution provider. These acquisitions advance Allscripts’ strategy to offer full integration of heterogeneous systems across the care continuum, enabling solutions for a Connected Community of Health™. dbMotion provides a strategic platform for care coordination and population health management that integrates discrete patient data from diverse care settings, regardless of IT supplier, into a single patient record. The Jardogs FollowMyHealth™ patient engagement platform enables patients to actively participate in their care, critical for at-risk populations, and empowers consumers with the solution they need to monitor and optimize health status. This is also a crucial requirement for our clients’ efforts related to Stage 2 of the EHR Incentive Program (“Meaningful Use”). Ensuring our clients successfully attest to the requirements associated with that incentive program remains a top priority for us, and all core clinical solutions are now certified as compliant with the 2014 Edition requirements.
We primarily derive our revenue from sales of our proprietary software and related hardware, professional services and IT outsourcing services. These sales also are the basis for our recurring service contracts for software maintenance and certain transaction processing services. Based on the information used by management for making operating decisions and assessing performance, we have identified the following reportable segments: Software Delivery, Services Delivery, Client Support, Pathway Solutions and IT Outsourcing.
We believe a combination of executive and legislative leadership at the federal and state levels, the availability of new industry standards, and incentives that exist today for electronic health record (“EHR”) use, ePrescribing and pay-for-quality initiatives are moving us toward an environment where electronic health records are as common as practice management systems in all provider offices. We believe that the Health Information Technology for Economic and Clinical Health Act (“HITECH”) and other provisions provided by the American Recovery and Reinvestment Act (“ARRA”) will continue to be a significant driver of healthcare IT adoption. We believe that we are well positioned in the market to take advantage of the material opportunity presented by HITECH and other legislation.

Our management has taken steps to position us to have what we believe will be adequate capacity to meet the demand that could result from new orders related to HITECH, as well as requirements related to upgrading the software used by current EHR clients. These steps include supplementing our internal direct sales force with a limited number of strategic distribution partners with established sales forces focused on practices with one to three providers. Further, we have taken steps to improve the efficiency of our approach to new system installations. We use our Speed-to-Value implementation program, which standardizes certain key processes across client sites and decreases the number of hours required by our professional services team to enable installations of our clinical and practice management solutions. This strategy is predicated on repeatable, best practice workflows and was designed collaboratively by our services and development teams and is proprietary to us. The Speed-to-Value program has significantly reduced installation timeframes for our clients.
For our clients to qualify for HITECH funding, our products must meet various requirements for product certification under the HITECH regulations and must enable our clients to achieve Meaningful Use, as such term is currently defined under the 2010 and 2012 Centers for Medicare and Medicaid Services (“CMS”) Final Rules and under any future HITECH regulations and guidance that CMS may release. The CMS Final Rule provides for a phased approach to implementation of the Meaningful Use standards, with Stage 1 under way, Stage 2 set forth in the 2012 Final Rule and Stage 3 reserved for future rulemaking based on the experiences to date. Given that CMS will release future regulations related to electronic health records, our industry is presented with a challenge in preparing for compliance. Similarly, our ability to achieve product certification by the Certification Commission for Health Information Technology (“CCHIT”), the Drummond Group and/or other bodies to be accredited in the future, and the length, if any, of additional related development and other efforts required to meet Meaningful Use standards could materially impact our ability to maximize the market
 
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opportunity. All of our market-facing EHR solutions were certified 2011/2012 compliant by an ONC-ATCB, in accordance with the applicable provider or hospital certification criteria adopted by the Secretary of Health and Human Services. Each of our market-facing EHRs have also recently been certified as compliant with 2014 Edition requirements, as well as the FollowMyHealth™ product under the modular certification option. Management has made product development a strategic focus, with gross research and development funding expected to continue to rise up closer to 20% of revenues in the near future.
We believe that the HITECH Act and other provisions provided by the ARRA will continue to be one of the biggest drivers of healthcare IT adoption. Management believes that to date the HITECH program has resulted in additional related new orders for all of our EHR products. Large physician groups will continue to purchase EHR technology; however, the number of very large practices with over 100 physicians that have not yet acquired such technology is quickly decreasing. Such practices may choose to replace older EHR technology in the future as Meaningful Use regulatory requirements and business realities dictate the need for updates and upgrades, as well as additional features and functionality. Additionally, we believe that a number of companies who certified their EHR products for Stage 1 will not be able to do so in compliance with the requirements for the 2014 Edition, which could present additional opportunities in the replacement market, particularly in the smaller physician space. As the incentive payments end in coming years, we expect that the payment adjustment phase of the program, which penalizes organizations not participating in the EHR Incentive Program, will provide a different motivation for purchase and expansion, particularly among hospitals and the largest practices.
The market for acute-care solutions is highly competitive. Sales cycles can occur over an extended period of time and require hospitals to secure external funding to finance their purchases of new clinical information systems. Several companies that we compete with are privately held, which can provide certain advantages in capturing new client relationships. In addition, the market has increasingly moved toward adoption of integrated solutions that connect various venues of care including hospitals, physician offices, clinics, laboratories, post-acute facilities and other care delivery settings.
We believe small-and medium-sized physician practices (those with three or fewer physicians, and four to 40 physicians, respectively) are increasingly adopting technology driven by a variety of factors, including a desire to maximize federal incentive payments, align with local hospitals, embrace new payment models made available by public and private payers, and merge with other practices, as well as other drivers. These offices typically require less time to implement and train than larger offices, so the need to plan implementations well in advance is not as critical as in larger physician organizations.
We have also seen an evolution of buying decisions toward an increase in local community-based buying activity whereby individual hospitals, health systems and integrated delivery networks are subsidizing the purchase of EHR licenses or related services for local, affiliated physicians and across their employed physician base as part of an offer to leverage buying power and help those practices take advantage of the HITECH incentives and other payment reform opportunities. This activity has also resulted in a pull-through effect where smaller practices affiliated with a community hospital are motivated to participate in the incentive program, while the subsidizing health system expands connectivity within the local provider community. This pull-through effect has resulted in new orders for Allscripts Professional EHR targeting small and mid-sized physician practices. Management believes that the anticipated extension of the Stark and Anti-kickback exceptions allowing hospitals and other organizations to subsidize the purchase of EHRs will contribute to the continuation of this market dynamic. Management also believes that the focus on new orders driven by the HITECH program and related to EHR and community-based activity will continue to expand as physicians in those small- and medium-sized practices who have not yet participated seek to qualify for the HITECH incentives for the first time or experienced practices upgrade in advance of the start of Stage 2 of the program. The associated challenge we face is to successfully position, sell, implement and support our products to the hospital, health system or integrated delivery network that is subsidizing its affiliated physicians. The community programs we have in place will aid us in penetrating this market.
The vast majority of our clients continue to focus on achieving Meaningful Use under HITECH. As a result, during 2012 and 2013, much of our professional services deployment capacity was consumed by demand from our clients who wished to upgrade to the most current releases of our EHR products that are certified as meeting Meaningful Use requirements, as well as those requesting implementation of any additional modules required to achieve Meaningful Use. Our professional services margins could be impacted as we continue to supplement our staff with third-party resources to help meet the demand. We expect this trend to continue into the near future as clients react to the finalized requirements for Stage 2 of the EHR Incentive Program.
Although we believe that we have taken and continue to take the proper steps to take advantage of the opportunity presented by HITECH, given the effects the law is having on our clients, there can be no assurance that it will result in significant new orders for us in the near term, and if it does, that we will have the capacity to meet the additional market demand in a timely fashion.
Today, we believe we provide one of the most comprehensive solution offerings for healthcare organizations of every size and setting. By combining physician-office and post-acute care solutions with enterprise solutions for hospitals and health systems, we offer a unified portfolio of clinical, financial, connectivity and information solutions, as well as new capabilities to enable analytics, patient connectivity to providers, and the transition to value-based care.

Given the breadth of our solutions portfolio and client types, we believe we are uniquely positioned to connect physicians, other care providers and patients across all health-care settings, including hospitals, small or large physician practices, post-acute care facilities, or in a home health setting. We continue to compete for new opportunities among community hospitals and health systems that are looking to one information technology vendor to provide a single, end-to-end solution across all points of care. We believe our leading market share in the ambulatory space, in particular, gives us a competitive advantage in this regard as hospitals and health systems increasingly seek to leverage the EHR to build referring relationships with independent physicians across the communities they serve.
Additionally, public laws enacted several years ago to reform the U.S. healthcare system may have an impact on our business. The Patient Protection and Affordable Care Act (H.R. 3590; Public Law 111-148) (“PPACA”) and The Health Care and Education and Reconciliation Act of 2010 (H.R. 4872) (the “Reconciliation Act”), which amends the PPACA (collectively the “Health Reform Laws”), were signed into law in March 2010. The Health Reform Laws contain various provisions which may impact us and our clients. Some of these provisions (including Accountable Care Organizations and the Comprehensive Primary Care Initiative) may have a positive impact by requiring the expanded use of electronic health records and analytics tools to participate in certain federal programs, for example, while others, such as those mandating reductions in reimbursement for certain types of providers, may have a negative impact by reducing the resources available to purchase our products. Increases in fraud and abuse enforcement and payment adjustments for non-participation in certain programs may also adversely affect participants in the healthcare sector, including us. Additionally, conversations continue in the U.S. Congress around the Medicare Sustainable Growth Rate reimbursement model and possible replacement payment methodologies, some of which would further encourage the adoption of health information technology in order to satisfy possible new requirements tying
 
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the report of quality measurements to the receipt of payment through Medicare. Resolution of this issue would also address current ambiguities among physician populations and healthcare organizations and allow them to make strategic decisions about the purchase of analytic software or other solutions important to compliance with new legislation.
New payment and delivery system reform programs as have been launched related to the Medicare program are also increasingly being rolled out at the state level through Medicaid administrators, as well as through the private sector, presenting additional opportunity for us to provide software and services to our clients who participate. As a result, we expect it is likely that the market will demonstrate a need for new revenue cycle management offerings, such as our Sunrise Financial Manager solution, as organizations consider the larger shifts in reimbursement models being rolled out across the payment spectrum, as well as the ICD-10 transition.
 
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Critical Accounting Policies and Estimates
There were no material changes to our critical accounting policies and estimates as previously disclosed in our Annual Report on Form 10-K/A for the year ended December 31, 2012.
Recent Accounting Pronouncements
For information with respect to recent accounting pronouncements and the impact of these pronouncements on our consolidated financial statements, see Note 1, “Summary of Significant Accounting Policies” of the Notes to Consolidated Financial Statements in Part I, Item 1 of this report.
Third Quarter 2013 Summary
Bookings, which reflect the value of executed contracts for our solutions, totaled $236 million for the third quarter of 2013, compared to $214 million for the second quarter of 2013 and $162 million for the third quarter of 2012. This represents growth of 46% and 10% compared to the third quarter of 2012 and the second quarter of 2013, respectively. Approximately 40% of our current quarter bookings were derived from our Population Health Management solutions. During the third quarter of 2013 we continued to improve product performance and delivery execution and we believe that the market has responded positively to these initiatives as evidenced by the improvement in our bookings.
While our bookings continue to strengthen, our revenue in the current quarter does not reflect the full impact of the increase in bookings due in part to the duration of revenue recognition driven by the multi-year nature of new agreements, including an increase in the proportion of IT outsourcing and subscription-based arrangements. Total revenue for the third quarter of 2013 was $330 million compared with $361 million for the prior year comparable period. Revenue from system sales and professional services declined as we continued to feel the impact of the decline in orders which occurred during the latter part of 2012. Revenues from maintenance and transaction processing and other were essentially flat compared with the prior year.
Gross research and development spending in the third quarter of 2013 totaled $60 million and consists of research and development expense of $49 million and capitalized software costs of $11 million. This compares with gross research and development spending of $50 million in the third quarter of 2012. We continue to increase our development efforts to improve performance and accelerate product integration and innovation, which includes efforts to meet client demand for products that will enable them to achieve Meaningful Use standards. We expect to invest a total of over $200 million, which includes both research and development expenses and capitalized software development costs, in our research and development efforts during 2013.
To serve our clients and the healthcare market better, we continue to converge, over time, our MyWay and Professional Suite small office electronic health record and practice management systems (the “MyWay Transition”). We are upgrading MyWay clients who elect to migrate to the converged platform at no additional cost to those clients. We believe that the upgrade positions MyWay clients to achieve Meaningful Use Stage 2 and ICD-10 compliance, and prepares them for the shift to value-based care that focuses on costs, quality and outcomes. During the third quarter of 2013 we incurred approximately $8 million in costs and expenses associated with the MyWay Transition and additional costs and expenses will be incurred in future quarters to complete the MyWay client upgrades.
On February 18, 2013, we announced a North American site consolidation plan (the “Site Consolidation Plan”) designed to create a more simplified and efficient organization that is aligned more closely with our business priorities. The Site Consolidation Plan includes closure of twelve offices and one warehouse. We are also implementing changes to corporate operating models intended to reduce costs associated with product solutions development. The costs of implementing these changes primarily consist of employee severance and relocation costs, and lease exit costs. During the third quarter of 2013, we incurred employee severance and other costs related to the Site Consolidation Plan of approximately $4 million. Additional estimated costs yet to be incurred in connection with the Site Consolidation Plan include lease exit costs totaling approximately $1 million. We expect to complete the Site Consolidation Plan and incur all remaining related costs by the end of 2014.
During the third quarter of 2013, we incurred approximately $4 million of additional costs in connection with the dbMotion acquisition. These costs consist of approximately $2 million of employee compensation costs, which are included in selling, general and administrative expenses, and a non-cash charge of $2 million related to the write-off of capitalized software that was replaced by functionality found in the dbMotion product, which is included in asset impairment charges in our accompanying statement of operations for the three months ended September 30, 2013.
 
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Overview of Consolidated Results
Three and Nine Months Ended September 30, 2013 Compared with the Three and Nine Months Ended September 30, 2012

 	  	Three Months Ended September 30,	 	 	Nine Months Ended September 30,	 	
(Dollar amounts in thousands)	  	2013	 	 	2012	 	 	% Change	 	 	2013	 	 	2012	 	 	% Change	 	
Revenue:	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
System sales	  	$	26,498	  	 	$	35,220	  	 	 	(24.8	%) 	 	$	85,978	  	 	$	116,176	  	 	 	(26.0	%) 	
Professional services	  	 	49,003	  	 	 	62,749	  	 	 	(21.9	%) 	 	 	169,293	  	 	 	201,615	  	 	 	(16.0	%) 	
Maintenance	  	 	117,928	  	 	 	119,263	  	 	 	(1.1	%) 	 	 	351,840	  	 	 	354,295	  	 	 	(0.7	%) 	
Transaction processing and other	  	 	136,762	  	 	 	143,462	  	 	 	(4.7	%) 	 	 	414,973	  	 	 	423,276	  	 	 	(2.0	%) 	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Total revenue	  	 	330,191	  	 	 	360,694	  	 	 	(8.5	%) 	 	 	1,022,084	  	 	 	1,095,362	  	 	 	(6.7	%) 	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Cost of revenue:	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
System sales (exclusive of amortization of software development and acquisition-related assets shown below)	  	 	14,767	  	 	 	13,582	  	 	 	8.7	% 	 	 	41,176	  	 	 	49,342	  	 	 	(16.5	%) 	
Amortization of software development and acquisition-related assets	  	 	23,006	  	 	 	16,378	  	 	 	40.5	% 	 	 	62,536	  	 	 	47,266	  	 	 	32.3	% 	
Professional services	  	 	47,295	  	 	 	54,534	  	 	 	(13.3	%) 	 	 	162,278	  	 	 	173,260	  	 	 	(6.3	%) 	
Maintenance	  	 	35,841	  	 	 	36,564	  	 	 	(2.0	%) 	 	 	107,864	  	 	 	108,850	  	 	 	(0.9	%) 	
Transaction processing and other	  	 	83,735	  	 	 	82,600	  	 	 	1.4	% 	 	 	251,973	  	 	 	246,441	  	 	 	2.2	% 	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Total cost of revenue	  	 	204,644	  	 	 	203,658	  	 	 	0.5	% 	 	 	625,827	  	 	 	625,159	  	 	 	0.1	% 	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Gross profit	  	 	125,547	  	 	 	157,036	  	 	 	(20.1	%) 	 	 	396,257	  	 	 	470,203	  	 	 	(15.7	%) 	
    % of Revenue	  	 	38.0	% 	 	 	43.5	% 	 	 	 	 	 	 	38.8	% 	 	 	42.9	% 	 	 	 	 	
Selling, general and administrative expenses	  	 	104,506	  	 	 	90,412	  	 	 	15.6	% 	 	 	310,326	  	 	 	280,020	  	 	 	10.8	% 	
Research and development	  	 	49,400	  	 	 	37,802	  	 	 	30.7	% 	 	 	151,881	  	 	 	112,164	  	 	 	35.4	% 	
Asset impairment charges	  	 	7,371	  	 	 	11,101	  	 	 	(33.6	%) 	 	 	10,504	  	 	 	11,101	  	 	 	(5.4	%) 	
Amortization of intangible and acquisition-related assets	  	 	7,722	  	 	 	8,537	  	 	 	(9.5	%) 	 	 	23,602	  	 	 	27,047	  	 	 	(12.7	%) 	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
(Loss) income from operations	  	 	(43,452	) 	 	 	9,184	  	 	 	NM	  	 	 	(100,056	) 	 	 	39,871	  	 	 	NM	  	
Interest expense	  	 	(6,895	) 	 	 	(3,718	) 	 	 	85.4	% 	 	 	(21,031	) 	 	 	(11,930	) 	 	 	76.3	% 	
Other (expense) income, net	  	 	(826	) 	 	 	(15,845	) 	 	 	(94.8	%) 	 	 	7,523	  	 	 	(15,303	) 	 	 	(149.2	%) 	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
(Loss) income before income taxes	  	 	(51,173	) 	 	 	(10,379	) 	 	 	NM	  	 	 	(113,564	) 	 	 	12,638	  	 	 	NM	  	
Income tax benefit	  	 	2,233	  	 	 	19,754	  	 	 	(88.7	%) 	 	 	30,156	  	 	 	10,531	  	 	 	186.4	% 	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Effective tax rate	  	 	(4.4	%) 	 	 	190.3	% 	 	 	 	 	 	 	26.6	% 	 	 	(83.3	%) 	 	 	 	 	
Net (loss) income	  	($	48,940	) 	 	$	9,375	  	 	 	NM	  	 	($	83,408	) 	 	$	23,169	  	 	 	NM	  	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
NM – We define “NM” as not meaningful for increases or decreases greater than 200%.
 
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Revenue

 	  	Three Months Ended September 30,	 	 	Nine Months Ended September 30,	 	
(Dollar amounts in thousands)	  	2013	 	  	2012	 	  	% Change	 	 	2013	 	  	2012	 	  	% Change	 	
Revenue:	  	 	 	 	  	 	 	 	  	 	 	 	 	 	 	 	  	 	 	 	  	 	 	 	
System sales	  	$	26,498	  	  	$	35,220	  	  	 	(24.8	%) 	 	$	85,978	  	  	$	116,176	  	  	 	(26.0	%) 	
Professional services	  	 	49,003	  	  	 	62,749	  	  	 	(21.9	%) 	 	 	169,293	  	  	 	201,615	  	  	 	(16.0	%) 	
Maintenance	  	 	117,928	  	  	 	119,263	  	  	 	(1.1	%) 	 	 	351,840	  	  	 	354,295	  	  	 	(0.7	%) 	
Transaction processing and other	  	 	136,762	  	  	 	143,462	  	  	 	(4.7	%) 	 	 	414,973	  	  	 	423,276	  	  	 	(2.0	%) 	
 	  	 	 	 	  	 	 	 	  	 	 	 	 	 	 	 	  	 	 	 	  	 	 	 	
Total revenue	  	$	330,191	  	  	$	360,694	  	  	 	(8.5	%) 	 	 	1,022,084	  	  	 	1,095,362	  	  	 	(6.7	%) 	
 	  	 	 	 	  	 	 	 	  	 	 	 	 	 	 	 	  	 	 	 	  	 	 	 	
Three and Nine Months Ended September 30, 2013 Compared with the Three and Nine Months Ended September 30, 2012
Total revenue decreased during the three and nine months ended September 30, 2013 compared with the prior year comparable periods primarily due to decreases in system sales and professional services. During the three months ended September 30, 2013, software revenue decreased by $9 million while hardware revenue remained flat. During the nine months ended September 30, 2013, software and hardware revenue decreased by $24 million and $6 million, respectively. System sales were lower primarily from the decline in orders which occurred during the latter part of 2012, during which time bookings were impacted by speculation about our future corporate autonomy and the timing of new product releases. Additionally, we continue to experience a shift in sales to smaller physician practices which typically require less robust hardware solutions. Professional services revenue decreased compared with the prior year as a result of the decline in orders referenced above and a decrease in consulting services. During 2013 we have continued our efforts to improve product performance and delivery execution, and we believe that the market has responded positively to these initiatives as evidenced by the sequential quarterly increases in bookings during the second and third quarters of 2013. The increase in bookings during the third quarter of 2013 did not result in significant additional revenue due to the multi-year nature of new agreements, including an increase in the proportion of IT outsourcing and subscription-based services.
Gross Profit

 	  	Three Months Ended September 30,	 	 	Nine Months Ended September 30,	 	
(Dollar amounts in thousands)	  	2013	 	 	2012	 	 	% Change	 	 	2013	 	 	2012	 	 	% Change	 	
Total cost of revenue	  	$	204,644	  	 	$	203,658	  	 	 	0.5	% 	 	 	625,827	  	 	 	625,159	  	 	 	0.1	% 	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Gross profit	  	$	125,547	  	 	$	157,036	  	 	 	(20.1	%) 	 	 	396,257	  	 	 	470,203	  	 	 	(15.7	%) 	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
% of Revenue	  	 	38.0	% 	 	 	43.5	% 	 	 	 	 	 	 	38.8	% 	 	 	42.9	% 	 	 	 	 	
Three and Nine Months Ended September 30, 2013 Compared with the Three and Nine Months Ended September 30, 2012
Gross profit decreased during the three and nine months ended September 30, 2013 compared with the prior year comparable periods as our revenues decreased while costs of revenue remained flat primarily due to an increase in transaction processing and other costs as we added headcount and made infrastructure improvements in response to increased demand for our SaaS and hosting solutions. In addition, the amortization of capitalized software development costs for the three and nine months ended September 30, 2013 increased by $2 million and $7 million, respectively. Partially offsetting these increases were lower costs of revenue associated with lower system sales and professional services revenue. Gross profit as a percent of revenue declined compared with the prior year due primarily to a higher mix of third-party systems sales, which carry lower gross margin, and the increases in amortization of capitalized software development costs and transaction processing-related costs discussed above. Additionally, we experienced a decline in our billable utilization rate as the service hours delivered on various implementation projects exceeded original estimates as we worked to enhance implementation success.
Selling, General and Administrative Expenses

 	  	Three Months Ended September 30,	 	 	Nine Months Ended September 30,	 	
(Dollar amounts in thousands)	  	2013	 	  	2012	 	  	% Change	 	 	2013	 	  	2012	 	  	% Change	 	
Selling, general and administrative expenses	  	$	104,506	  	  	$	90,412	  	  	 	15.6	% 	 	 	310,326	  	  	 	280,020	  	  	 	10.8	% 	
Three and Nine Months Ended September 30, 2013 Compared with the Three and Nine Months Ended September 30, 2012
Selling, general and administrative expenses during the three and nine months ended September 30, 2013 increased compared to the prior year. Significant increases during the three and nine months ended September 30, 2013 included: severance costs of approximately $6 million and $21 million, respectively, including $1 million and $13 million, respectively, associated with the Site Consolidation Plan; MyWay Transition costs of approximately nil and $7 million, respectively; and additional costs related to dbMotion and Jardogs of approximately $2 million and $7 million, respectively, for the three and nine months ended September 30, 2013, that were not present in the prior year periods. Selling, general and administrative expenses during the three and nine months ended September 30, 2013 compared to prior year also include approximately $1 million and $3 million, respectively, of incremental depreciation related to the upgrade of our new, integrated enterprise resource planning system. These increases were partially offset by decreases in other costs, including legal expenses and facility occupancy costs.
 
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Research and Development

 	  	Three Months Ended September 30,	 	 	Nine Months Ended September 30,	 	
(Dollar amounts in thousands)	  	2013	 	  	2012	 	  	% Change	 	 	2013	 	  	2012	 	  	% Change	 	
Research and development	  	$	49,400	  	  	$	37,802	  	  	 	30.7	% 	 	$	151,181	  	  	$	112,164	  	  	 	35.4	% 	
Three and Nine Months Ended September 30, 2013 Compared with the Three and Nine Months Ended September 30, 2012
Research and development expenses increased in the three and nine months ended September 30, 2013 over the comparable prior year periods primarily due to an increase in people-related expenses as we increased headcount in order to accelerate development efforts to improve performance and accelerate product integration and innovation, which includes efforts to meet client demand for products that will enable them to achieve Meaningful Use standards. This increased level of research and development spending has enabled us to achieve certification for all of our core EHR platforms during the second fiscal quarter of 2013, a critical step to ensure client readiness to support Meaningful Use Stage 2 attestation. Also contributing to the increase for the three and nine months ended September 30, 2013 was a decrease in the capitalization of software development costs, as fewer development efforts were eligible for capitalization due to the nature of the work being performed and the development status of projects.
Asset Impairment Charges

 	  	Three Months Ended September 30,	 	 	Nine Months Ended September 30,	 	
(Dollar amounts in thousands)	  	2013	 	  	2012	 	  	% Change	 	 	2013	 	  	2012	 	  	% Change	 	
Asset impairment charges	  	$	7,371	  	  	$	11,101	  	  	 	(33.6	%) 	 	$	10,504	  	  	$	11,101	  	  	 	(5.4	%) 	
Three and Nine Months Ended September 30, 2013 Compared to the Three and Nine Months Ended September 30, 2012
In October of 2012, we publicly announced a plan to standardize our small office electronic health record and practice management systems which included the convergence, over time, of our MyWay Electronic Health Record System (“MyWay”) with our Professional Suite Electronic Health Record System. We offered MyWay clients the option to migrate to the converged platform at no additional cost if they elected to do so by September 30, 2013. As a result, we recorded non-cash charges to earnings of $5 million and $11 million, respectively, during the three months ended September 30, 2013 and 2012 related to the impairment of previously capitalized software development costs for MyWay plus the net carrying value of a perpetual license for certain software code incorporated in MyWay and other deferred costs relating to MyWay, which were determined to be unrealizable at September 30, 2013. During the three and nine months ended September 30, 2013, we also recorded non-cash charges of $2 million and $5 million, respectively, of software and fixed asset impairment charges primarily related to product consolidation activities associated with the dbMotion acquisition.
Amortization of Intangible and Acquisition-Related Assets

 	  	Three Months Ended September 30,	 	 	Nine Months Ended September 30,	 	
(Dollar amounts in thousands)	  	2013	 	  	2012	 	  	% Change	 	 	2013	 	  	2012	 	  	% Change	 	
Amortization of intangible and acquisition-related assets	  	$	7,722	  	  	$	8,537	  	  	 	(9.5	%) 	 	$	23,602	  	  	$	27,047	  	  	 	(12.7	%) 	
Three and Nine Months Ended September 30, 2013 Compared with the Three and Nine Months Ended September 30, 2012
Amortization of intangible assets recognized during the three and nine months ended September 30, 2013 decreased compared with the prior year comparable periods as certain amortization periods ended and intangible asset amounts were fully amortized, partially offset by amortization of intangible assets recently acquired through the dbMotion and Jardogs acquisitions.
Interest Expense

 	  	Three Months Ended September 30,	 	 	Nine Months Ended September 30,	 	
(Dollar amounts in thousands)	  	2013	 	 	2012	 	 	% Change	 	 	2013	 	 	2012	 	 	% Change	 	
Interest expense	  	($	6,895	) 	 	($	3,718	) 	 	 	85.4	% 	 	($	21,031	) 	 	($	11,930	) 	 	 	76.3	% 	
Three and Nine Months Ended September 30, 2013 Compared with the Three and Nine Months Ended September 30, 2012
Interest expense increased during the three and nine months ended September 30, 2013 compared to the prior year by approximately $3.2 million and $9.1 million, respectively. These increases were primarily driven by the accretion to interest expense of the original issue discount associated with the issuance of the 1.25% Notes in June 2013 and higher outstanding average debt balances as a result of the 1.25% Notes, the Term Loan we obtained in June 2013 and borrowings on the Revolving Facility associated with our acquisition of dbMotion. In addition, interest expense for the nine months ended September 30, 2013 includes the write-off of approximately $3.4 million of deferred debt issuance costs associated with our previous credit facility which
 
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was replaced in late June 2013, approximately $0.5 million of fees incurred in connection with the new credit facility and approximately $1.2 million associated with the obligations arising from the acquisition of dbMotion in March 2013. The reduction in the notional amount of our interest rate swap agreement and lower amortization of debt issuance costs partially offset the increases in interest expense for the three and nine months ended September 30, 2013 compared to the prior year.
Other (Expense) Income, Net

 	  	Three Months Ended September 30,	 	 	Nine Months Ended September 30,	 	
(Dollar amounts in thousands)	  	2013	 	 	2012	 	 	% Change	 	 	2013	 	  	2012	 	 	% Change	 	
Other (expense) income, net	  	($	826	) 	 	($	15,845	) 	 	 	(94.8	%) 	 	$	7,523	  	  	($	15,303	) 	 	 	(149.2	%) 	
Three and Nine Months Ended September 30, 2013 Compared with the Three and Nine Months Ended September 30, 2012
Other (expense) income, net for the nine months ended September 30, 2013 includes a gain of $4.7 million resulting from the sale of our investment in Humedica, Inc., as well as a gain of $3.4 million realized upon the adjustment to fair value of our prior interest in dbMotion upon our acquisition of the full remaining interest in dbMotion in the first quarter of 2013. Other (expense) income, net for the three and nine months ended September 30, 2012 includes a $16 million write-off of a tax indemnification asset due to the settlement of the related acquired tax position indemnified by Misys plc for an amount less than the carrying value of the indemnification asset.
Income Tax Benefit

 	  	Three Months Ended September 30,	 	 	Nine Months Ended September 30,	 	
(Dollar amounts in thousands)	  	2013	 	 	2012	 	 	% Change	 	 	2013	 	 	2012	 	 	% Change	 	
Income tax benefit	  	$	2,233	  	 	$	19,754	  	 	 	(88.7	%) 	 	$	30,156	  	 	$	10,531	  	 	 	186.4	% 	
Effective tax rate	  	 	4.4	% 	 	 	190.3	% 	 	 	 	 	 	 	26.6	% 	 	 	(83.3	%) 	 	 	 	 	
Three and Nine Months Ended September 30, 2013 Compared with the Three and Nine Months Ended September 30, 2012
Our effective tax rates for the three and nine months ended September 30, 2013 were affected by the recognition of a valuation allowance of $16.3 million in the third quarter of 2013 for federal credit carryforwards and state net operating loss carryforwards. In evaluating our ability to recover our deferred tax assets within the jurisdiction from which they arise, we consider all available positive and negative evidence, including scheduled reversals of deferred tax liabilities, tax-planning strategies, and results of recent operations. In evaluating the objective evidence that historical results provide, we consider three years of cumulative operating income (loss). In the quarter ended September 30, 2013, we determined that the projected results of our current year operations would be lower than projected during the quarter ended June 30, 2013. Using this new evidence, we determined that it was uncertain that we will realize the deferred tax asset for these carryforwards within the carryforward period.
Our effective tax rates for the three and nine months ended September 30, 2012 were affected by the recognition of a $16 million tax benefit related to the settlement of an acquired tax position for an amount less than the carrying value of the uncertain tax liability in the third quarter of 2012. The acquired tax position was indemnified by Misys plc and a related tax indemnification asset was previously included within other assets in our consolidated balance sheet. Since the settlement amount was less than the carrying value of the indemnification asset, we recorded a write-off of the remaining indemnification asset, which is included in other (expense) income, net within the consolidated statement of operations for the three and nine months ended September 30, 2012. The resulting charge of $16 million was substantially non-deductible for tax purposes and therefore increased the effective tax rate for the entire 2012 year.
Excluding the tax effects of the valuation allowance and the settlement of the acquired tax position, our effective tax rate for the three months ended September 30, 2013 is lower than the rate for the same period last year, and our effective tax rate for the nine months ended September 30, 2013 is higher than the rate for the same period last year. Excluding the tax effects of the valuation allowance and the settlement of the acquired tax position, our effective tax rate for the three months ended September 30, 2013 is lower than the rate for the same period last year, primarily due to additional 2011 U.S. research and development credit recorded as a discrete item in the same period last year. Our effective tax rate for the nine months ended September 30, 2013 is higher compared to the prior year, primarily due to the impact of the U.S. research and development credit for 2012 and 2013, enacted on January 1, 2013. The impact of the 2012 credit is included in our tax benefit for the nine months ended September 30, 2013 as a discrete item of $2.9 million.
 
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Segment Operations
Overview of Segment Results

 	  	Three Months Ended September 30,	 	 	Nine Months Ended September 30,	 	
(Dollar amounts in thousands)	  	2013	 	 	2012	 	 	% Change	 	 	2013	 	 	2012	 	 	% Change	 	
Revenue:	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Software Delivery	  	$	75,396	  	 	$	77,229	  	 	 	(2.4	%) 	 	$	222,886	  	 	$	244,773	  	 	 	(8.9	%) 	
Services Delivery	  	 	50,293	  	 	 	62,462	  	 	 	(19.5	%) 	 	 	169,680	  	 	 	197,669	  	 	 	(14.2	%) 	
Client Support	  	 	118,460	  	 	 	118,315	  	 	 	0.1	% 	 	 	352,758	  	 	 	353,674	  	 	 	(0.3	%) 	
Pathway Solutions	  	 	36,760	  	 	 	42,796	  	 	 	(14.1	%) 	 	 	117,609	  	 	 	130,117	  	 	 	(9.6	%) 	
IT Outsourcing	  	 	35,016	  	 	 	41,261	  	 	 	(15.1	%) 	 	 	114,002	  	 	 	119,262	  	 	 	(4.4	%) 	
Remote Hosting	  	 	17,103	  	 	 	17,854	  	 	 	(4.2	%) 	 	 	51,298	  	 	 	52,790	  	 	 	(2.8	%) 	
Unallocated Amounts	  	 	(2,837	) 	 	 	777	  	 	 	NM	  	 	 	(6,149	) 	 	 	(2,923	) 	 	 	110.4	% 	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Total revenue	  	$	330,191	  	 	$	360,694	  	 	 	(8.5	%) 	 	$	1,022,084	  	 	$	1,095,362	  	 	 	(6.7	%) 	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
(Loss) income from operations:	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Software Delivery	  	$	5,196	  	 	$	9,223	  	 	 	(43.7	%) 	 	$	27,799	  	 	$	34,296	  	 	 	(18.9	%) 	
Services Delivery	  	 	3,639	  	 	 	8,390	  	 	 	(56.6	%) 	 	 	10,314	  	 	 	26,033	  	 	 	(60.4	%) 	
Client Support	  	 	81,088	  	 	 	81,143	  	 	 	(0.1	%) 	 	 	239,994	  	 	 	242,828	  	 	 	(1.2	%) 	
Pathway Solutions	  	 	22,730	  	 	 	26,118	  	 	 	(13.0	%) 	 	 	71,551	  	 	 	79,719	  	 	 	(10.2	%) 	
IT Outsourcing	  	 	5,248	  	 	 	8,978	  	 	 	(41.5	%) 	 	 	19,888	  	 	 	25,298	  	 	 	(21.4	%) 	
Remote Hosting	  	 	(2,011	) 	 	 	668	  	 	 	NM	  	 	 	(4,445	) 	 	 	1,146	  	 	 	NM	  	
Unallocated Amounts	  	 	(159,342	) 	 	 	(125,336	) 	 	 	27.1	% 	 	 	(465,157	) 	 	 	(369,449	) 	 	 	25.9	% 	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Total (loss) income from operations	  	($	43,452	) 	 	$	9,184	  	 	 	NM	  	 	($	100,056	) 	 	$	39,871	  	 	 	NM	  	

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Software Delivery
Software delivery primarily includes revenue from system sales, which is comprised of software license fees and hardware revenue, and recurring revenue from SaaS contracts and other subscription-based arrangements, which are included in transaction processing and other, and the related expenses incurred to deliver these solutions to our clients.

 	  	Three Months Ended September 30,	 	 	Nine Months Ended September 30,	 	
(Dollar amounts in thousands)	  	2013	 	 	2012	 	 	% Change	 	 	2013	 	 	2012	 	 	% Change	 	
Revenue	  	$	75,396	  	 	$	77,229	  	 	 	(2.4	%) 	 	$	222,886	  	 	$	244,773	  	 	 	(8.9	%) 	
Income from operations	  	$	5,196	  	 	$	9,223	  	 	 	(43.7	%) 	 	$	27,799	  	 	$	34,296	  	 	 	(18.9	%) 	
Operating margin %	  	 	6.9	% 	 	 	11.9	% 	 	 	 	 	 	 	12.5	% 	 	 	14.0	% 	 	 	 	 	
Three and Nine Months Ended September 30, 2013 Compared with the Three and Nine Months Ended September 30, 2012
Software delivery revenue decreased during the three and nine months ended September 30, 2013 as compared with the comparable prior year periods primarily due to a decrease in system sales. During the three months ended September 30, 2013, software revenue decreased by $8 million while hardware revenue remained flat. During the nine months ended September 30, 2013, software and hardware revenue decreased by $24 million and $6 million, respectively. System sales were lower primarily from the decline in orders which occurred during the latter part of 2012. Additionally, we continue to experience a shift in sales to smaller physician practices which typically require less robust hardware solutions. Partially offsetting these decreases was an increase in SaaS and subscription-based revenues of $7 million and $12 million, respectively, during the three and nine months ended September 30, 2013 compared with the prior year period as we expanded our customer base for these types of services. During 2013 we have continued our efforts to improve product performance and delivery execution, and we believe that the market has responded positively to these initiatives as evidenced by the sequential quarterly increases in software delivery related bookings during the second and third quarters of 2013.
Software delivery operating margins declined in the three and nine months ended September 30, 2013 as compared with the comparable prior year periods primarily due to a higher mix of third-party systems sales, which carry lower gross margin, and higher amortization of acquired intangibles and capitalized software.
 
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Services Delivery
Services delivery derives its revenue through implementation, training and other professional services provided to clients and includes the related expenses incurred to provide these services.

 	  	Three Months Ended September 30,	 	 	Nine Months Ended September 30,	 	
(Dollar amounts in thousands)	  	2013	 	 	2012	 	 	% Change	 	 	2013	 	 	2012	 	 	% Change	 	
Revenue	  	$	50,293	  	 	$	62,462	  	 	 	(19.5	%) 	 	$	169,680	  	 	$	197,669	  	 	 	(14.2	%) 	
Income from operations	  	$	3,639	  	 	$	8,390	  	 	 	(56.6	%) 	 	$	10,314	  	 	$	26,033	  	 	 	(60.4	%) 	
Operating margin %	  	 	7.2	% 	 	 	13.4	% 	 	 	 	 	 	 	6.1	% 	 	 	13.2	% 	 	 	 	 	
Three and Nine Months Ended September 30, 2013 Compared with the Three and Nine Months Ended September 30, 2012
Services delivery revenue decreased during the three and nine months ended September 30, 2013 as compared with the comparable prior year periods as a result of the decline in systems orders (as discussed in previous sections) and a decrease in consulting services.
Services delivery operating margin decreased during the three and nine months ended September 30, 2013 as compared with the comparable prior year periods due to the size of the revenue decline relative to our service staffing levels. Additionally, we experienced a decline in our billable utilization rate as the service hours delivered on various implementation projects exceeded original estimates as we worked to enhance implementation success.
 
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Client Support
Client support derives its revenue through software and hardware maintenance contracts and includes the related expenses incurred to provide support to our customers.

 	  	Three Months Ended September 30,	 	 	Nine Months Ended September 30,	 	
(Dollar amounts in thousands)	  	2013	 	 	2012	 	 	% Change	 	 	2013	 	 	2012	 	 	% Change	 	
Revenue	  	$	118,460	  	 	$	118,315	  	 	 	0.1	% 	 	$	352,758	  	 	$	353,674	  	 	 	(0.3	%) 	
Income from operations	  	$	81,088	  	 	$	81,143	  	 	 	(0.1	%) 	 	$	239,994	  	 	$	242,828	  	 	 	(1.2	%) 	
Operating margin %	  	 	68.5	% 	 	 	68.6	% 	 	 	 	 	 	 	68.0	% 	 	 	68.7	% 	 	 	 	 	
Three and Nine Months Ended September 30, 2013 Compared with the Three and Nine Months Ended September 30, 2012
Client support revenue was essentially flat for the three and nine months ended September 30, 2013 compared with the prior year primarily due to our clients shifting from perpetual license agreements to subscription-based arrangements, the revenues for which are included in our software delivery segment. The small decrease in client support revenues for the nine months ended September 30, 2013 was a result of a decline in system sales which reduced the number of new client activations, an activation being the point at which we commence invoicing maintenance.
Client support operating margins for the three and nine months ended September 30, 2013 were essentially flat compared with the prior year periods as higher third-party maintenance costs were mostly offset by lower personnel-related expenses.
 
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Pathway Solutions
Pathway solutions includes revenue and the related expenses for financial, administrative, and clinical offerings, including medical claims processing and other Revenue Cycle Solutions, ePrescribe and Patient Portal.

 	  	Three Months Ended September 30,	 	 	Nine Months Ended September 30,	 	
(Dollar amounts in thousands)	  	2013	 	 	2012	 	 	% Change	 	 	2013	 	 	2012	 	 	% Change	 	
Revenue	  	$	36,760	  	 	$	42,796	  	 	 	(14.1	%) 	 	$	117,609	  	 	$	130,117	  	 	 	(9.6	%) 	
Income from operations	  	$	22,730	  	 	$	26,118	  	 	 	(13.0	%) 	 	$	71,551	  	 	$	79,719	  	 	 	(10.2	%) 	
Operating margin %	  	 	61.8	% 	 	 	61.0	% 	 	 	 	 	 	 	60.8	% 	 	 	61.3	% 	 	 	 	 	
Three and Nine Months Ended September 30, 2013 Compared with the Three and Nine Months Ended September 30, 2012
Pathway solutions revenue decreased during the three and nine months ended September 30, 2013 primarily due to a decrease in demand for certain medical claims processing solutions and billing and collection processing solutions primarily due to industry consolidation.
Pathway solutions operating margin as a percentage of revenue for the three and nine months ended September 30, 2013 remained essentially flat as compared with the prior year periods as our costs to deliver these solutions, which mainly consist of fees we pay to third parties, decreased in proportion to the decline in sales.
 
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IT Outsourcing
IT outsourcing includes revenue from our information technology outsourcing solutions and includes the related expenses incurred to deliver these solutions to our clients.

 	  	Three Months Ended September 30,	 	 	Nine Months Ended September 30,	 	
(Dollar amounts in thousands)	  	2013	 	 	2012	 	 	% Change	 	 	2013	 	 	2012	 	 	% Change	 	
Revenue	  	$	35,016	  	 	$	41,261	  	 	 	(15.1	%) 	 	$	114,002	  	 	$	119,262	  	 	 	(4.4	%) 	
Income from operations	  	$	5,248	  	 	$	8,978	  	 	 	(41.5	%) 	 	$	19,888	  	 	$	25,298	  	 	 	(21.4	%) 	
Operating margin %	  	 	15.0	% 	 	 	21.8	% 	 	 	 	 	 	 	17.4	% 	 	 	21.2	% 	 	 	 	 	
Three and Nine Months Ended September 30, 2013 Compared with the Three and Nine Months Ended September 30, 2012
IT outsourcing revenue decreased during the three and nine months ended September 30, 2013, primarily due to the timing of revenue recognition for several large contracts and customer attrition. However, bookings for our outsourcing solutions for the third quarter of 2013 doubled sequentially and more than tripled compared to the third quarter of 2012.
IT outsourcing operating margin decreased during the three and nine months ended September 30, 2013 as headcount-related costs and costs of third-party outsourcing services remain high relative to revenues as we respond to the increased demand for our IT outsourcing solutions.
 
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All Other
Corporate general and administrative expenses are centrally managed and solutions research and development expenses, including amortization of capitalized software development costs, are not attributed to an operating segment. As a result, these expenses are not allocated to our reportable segments because they are not part of the segment profitability results reviewed by management.
In determining revenue and income from operations for our segments, we do not include the amortization of acquisition-related deferred revenue adjustments in revenue and we exclude amortization of intangible assets and stock-based compensation expense from the operating expense segment data provided to our chief operating decision maker. Accordingly, these amounts are not included in our reportable segment results and are included in Unallocated Amounts.

 	  	Three Months Ended September 30,	 	 	Nine Months Ended September 30,	 	
(Dollar amounts in thousands)	  	2013	 	 	2012	 	 	% Change	 	 	2013	 	 	2012	 	 	% Change	 	
Revenue:	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Remote Hosting	  	$	17,103	  	 	$	17,854	  	 	 	(4.2	%) 	 	$	51,298	  	 	$	52,790	  	 	 	(2.8	%) 	
Unallocated Amounts	  	 	(2,837	) 	 	 	777	  	 	 	NM	  	 	 	(6,149	) 	 	 	(2,923	) 	 	 	110.4	% 	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Total revenue	  	$	14,266	  	 	$	18,631	  	 	 	(23.4	%) 	 	$	45,149	  	 	$	49,867	  	 	 	(9.5	%) 	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Loss from operations:	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Remote Hosting	  	($	2,011	) 	 	$	668	  	 	 	NM	  	 	($	4,445	) 	 	$	1,146	  	 	 	NM	  	
Unallocated Amounts	  	 	(159,342	) 	 	 	(125,336	) 	 	 	27.1	% 	 	 	(465,157	) 	 	 	(369,449	) 	 	 	25.9	% 	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Total loss from operations	  	($	161,353	) 	 	($	124,668	) 	 	 	29.4	% 	 	($	469,602	) 	 	($	368,303	) 	 	 	27.5	% 	
 	  	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Three and Nine Months Ended September 30, 2013 Compared with the Three and Nine Months Ended September 30, 2012
The financial information above includes revenue primarily from our Remote Hosting operating segment and similar amounts of operating expenses related to this segment are included in income from operations for all periods presented. Operating loss for the three and nine months ended September 30, 2013 is primarily attributable to an increase in the cost of third-party services related to certain customer contracts.
Unallocated expenses primarily include our corporate general and administrative expenses and research and development expenses, including the amortization of software development costs, which are not attributed to an operating segment. Unallocated expenses increased $34 million during the three months ended September 30, 2013 compared to same period last year which was primarily driven by higher personnel costs of $25 million. The increase in personnel costs, of which $8 million was nonrecurring, was primarily due to higher severance, retention bonuses and duplicate headcount costs related to the Site Consolidation Plan, commission expenses related to higher bookings, costs related to our new, integrated enterprise resource planning system and operating expenses related to dbMotion and Jardogs. Also contributing to the increase in unallocated expenses is a $5 million increase related to software development expenses, including the amortization of previously capitalized software development costs, and acquired intangibles amortization. The remainder of the increase is primarily driven by higher third-party costs, stock-based compensation and depreciation related to our new enterprise resource planning system, compared to the third quarter of 2012.
Unallocated expenses increased $96 million during the nine months ended September 30, 2013 compared to same period last year which was primarily driven by higher personnel costs of $63 million. The increase in personnel costs, of which $22 million was nonrecurring, was primarily driven by the same factors described in the paragraph above. Also contributing to the increase in unallocated expenses is a $15 million increase in software development expenses, including the amortization of previously capitalized software development costs. The remainder of the increase is primarily driven by higher third-party costs, stock-based compensation and depreciation related to our new enterprise resource planning system, compared to the first nine months of 2012.

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Contract Backlog
Contract backlog represents the value of bookings and maintenance contracts that have not yet been recognized as revenue. A summary of contract backlog by revenue category is as follows:

 	 	As of	 	 	As of	 	 	As of	 	 	% Change from September 30, 2013	 	
 	 	September 30,	 	 	December 31,	 	 	September 30,	 	 	December 31,	 	 	September 30,	 	
(Dollar amounts in millions)	 	2013	 	 	2012	 	 	2012	 	 	2012	 	 	2012	 	
Contract backlog:	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
System sales	 	$	100	  	 	$	107	  	 	$	111	  	 	 	(6.5	%) 	 	 	(9.9	%) 	
Professional services	 	 	378	  	 	 	376	  	 	 	395	  	 	 	0.5	% 	 	 	(4.3	%) 	
Maintenance	 	 	831	  	 	 	875	  	 	 	860	  	 	 	(5.0	%) 	 	 	(3.4	%) 	
Transaction processing
and other	 	 	2,002	  	 	 	1,450	  	 	 	1,461	  	 	 	38.1	% 	 	 	37.0	% 	
 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Total contract backlog	 	$	3,311	  	 	$	2,808	  	 	$	2,827	  	 	 	17.9	% 	 	 	17.1	% 	
 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Total contract backlog as of September 30, 2013 increased compared with both December 31, 2012 and September 30, 2012 primarily due to an increase in transaction processing and other services, which was positively influenced by the extension of our outsourcing agreement with one of our largest clients through 2020, partially offset by declines in system sales and maintenance, as those two categories continued to feel the impact of the decline in orders which occurred during the latter part of 2012.
Bookings
Bookings reflect the value of executed contracts for software, hardware, services, remote hosting, outsourcing and SaaS. Bookings were as follows:

 	  	Three Months Ended September 30,	 	 	Nine Months Ended September 30,	 	
(Dollar amounts in millions)	  	2013	 	  	2012	 	  	% Change	 	 	2013	 	  	2012	 	  	% Change	 	
Bookings	  	$	236	  	  	$	162	  	  	 	45.7	% 	 	$	628	  	  	$	551	  	  	 	14.0	% 	
Bookings totaled $236 million for the third quarter of 2013, compared to $214 million for the second quarter of 2013 and $162 million for the third quarter of 2012. This represents growth of 46% and 10% compared to the third quarter of 2012 and the second quarter of 2013, respectively. Approximately 40% of our current quarter bookings were derived from our Population Health Management solutions. During the third quarter of 2013 we continued to improve product performance and delivery execution and we believe that the market has responded positively to these initiatives as evidenced by the improvement in our bookings.
 
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Liquidity and Capital Resources
As of September 30, 2013 and 2012, our principal sources of liquidity consisted of cash, cash equivalents and marketable securities of $62 million and $95 million, respectively, and our revolving credit facility described below. The change in our cash balance is reflective of the following:
Operating Cash Flow Activities

 	  	Nine Months Ended September 30,	 	
(In thousands)	  	2013	 	 	2012	 	 	$ Change	 	
Net (loss) income	  	($	83,408	) 	 	$	23,169	  	 	($	106,577	) 	
Non-cash adjustments to net (loss) income	  	 	134,341	  	 	 	149,283	  	 	 	(14,942	) 	
Cash impact of changes in operating assets and liabilities	  	 	12,378	  	 	 	(7,904	) 	 	 	20,282	  	
 	  	 	 	 	 	 	 	 	 	 	 	 	
Net cash provided by operating activities	  	$	63,311	  	 	$	164,548	  	 	($	101,237	) 	
 	  	 	 	 	 	 	 	 	 	 	 	 	
Nine Months Ended September 30, 2013 Compared with the Nine Months Ended September 30, 2012
Net cash provided by operating activities decreased by approximately $101 million in the nine months ended September 30, 2013 as compared to the prior year period, primarily the result of the overall decrease in revenue and decline in profitability due to higher spending for non-capitalized research and development costs, MyWay transition costs, costs related to the acquisition of dbMotion and Jardogs, including transition costs and the incremental selling, general and administrative expenses of the acquired businesses, and payments related to the Site Consolidation Plan. In addition, during the second quarter of 2013, we funded the prepayment of certain compensation costs related to the acquisition of dbMotion.
Investing Cash Flow Activities

 	  	Nine Months Ended September 30,	 	
(In thousands)	  	2013	 	 	2012	 	 	$ Change	 	
Capital expenditures	  	($	56,988	) 	 	($	55,481	) 	 	($	1,507	) 	
Capitalized software	  	 	(30,462	) 	 	 	(39,340	) 	 	 	8,878	  	
Cash paid for business acquisitions, net of cash acquired	  	 	(148,875	) 	 	 	0	  	 	 	(148,875	) 	
Sales and maturities of other investments	  	 	12,855	  	 	 	84	  	 	 	12,771	  	
 	  	 	 	 	 	 	 	 	 	 	 	 	
Net cash used in investing activities	  	($	223,470	) 	 	($	94,737	) 	 	($	128,733	) 	
 	  	 	 	 	 	 	 	 	 	 	 	 	
Nine Months Ended September 30, 2013 Compared with the Nine Months Ended September 30, 2012
Net cash used in investing activities increased during the nine months ended September 30, 2013 due to the payment of $139 million of cash consideration for the acquisition of dbMotion and $24 million of cash consideration for the acquisition of Jardogs, less $14 million of cash acquired from dbMotion, and increased capital expenditures for information technology systems and remote hosting infrastructure. These increases were partially offset by the receipt of approximately $12.5 million in proceeds from the sale of our investment in Humedica in January 2013, as well as a decline in spending for capitalized software. Additional proceeds of approximately $2 million from the Humedica sale remain held in escrow and are expected to be released to us over the two-year period following the sale if not otherwise used for contingencies.
 
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Financing Cash Flow Activities

 	  	Nine Months Ended September 30,	 	
(In thousands)	  	2013	 	 	2012	 	 	$ Change	 	
Proceeds from issuance of 1.25% senior cash convertible notes, net of issuance costs	  	$	336,962	  	 	$	0	  	 	$	336,962	  	
Purchase call option related to 1.25% senior cash convertible notes	  	 	(82,800	) 	 	 	0	  	 	 	(82,800	) 	
Proceeds from issuance of warrants, net of issuance costs	  	 	51,208	  	 	 	0	  	 	 	51,208	  	
Proceeds from issuance of common stock	  	 	11,256	  	 	 	4,042	  	 	 	7,214	  	
Excess tax benefits from stock-based compensation	  	 	3,296	  	 	 	609	  	 	 	2,687	  	
Taxes paid related to net share settlement of equity awards	  	 	(7,884	) 	 	 	(4,352	) 	 	 	(3,532	) 	
Payments of capital lease obligations	  	 	(416	) 	 	 	(635	) 	 	 	219	  	
Payments of acquisition financing obligations	  	 	(29,671	) 	 	 	0	  	 	 	(29,671	) 	
Credit facility payments	  	 	(574,281	) 	 	 	(233,259	) 	 	 	(341,022	) 	
Credit facility borrowings, net of issuance costs	  	 	410,983	  	 	 	324,035	  	 	 	86,948	  	
Repurchase of common stock	  	 	0	  	 	 	(225,961	) 	 	 	225,961	  	
 	  	 	 	 	 	 	 	 	 	 	 	 	
Net cash provided by (used in) financing activities	  	$	118,653	  	 	($	135,521	) 	 	$	254,174	  	
 	  	 	 	 	 	 	 	 	 	 	 	 	
Nine Months Ended September 30, 2013 Compared with the Nine Months Ended September 30, 2012
Net cash provided by financing activities increased during the nine months ended September 30, 2013 as compared to the prior period due primarily to the absence of any common stock repurchase activity during the first nine months of 2013. The net proceeds from the issuance of the 1.25% Notes during the second quarter of 2013, including the related cash flows from the purchase of the 1.25% Call Option and the issuance of warrants, were substantially used to fund the net reduction in our credit facility borrowings as well as the funding of our acquisition financing obligations arising from our purchase of dbMotion.
 
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Future Capital Requirements
The following table summarizes our future payments under the 1.25% Notes and our senior secured credit facilities as of September 30, 2013:

 	 	 	 	 	Remainder of	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
(Dollar amounts in thousands)	 	Total	 	 	2013	 	 	2014	 	 	2015	 	 	2016	 	 	2017	 	 	2018	 	 	Thereafter	 	
Principal payments:	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
1.25% Cash Convertible Senior Notes (1)	 	$	345,000	  	 	$	0	  	 	$	0	  	 	$	0	  	 	$	0	  	 	$	0	  	 	$	0	  	 	$	345,000	  	
Senior Secured Credit Facilities	 	 	282,188	  	 	 	2,813	  	 	 	16,875	  	 	 	28,125	  	 	 	39,375	  	 	 	50,625	  	 	 	144,375	  	 	 	0	  	
 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Total principal payments	 	 	627,188	  	 	 	2,813	  	 	 	16,875	  	 	 	28,125	  	 	 	39,375	  	 	 	50,625	  	 	 	144,375	  	 	 	345,000	  	
 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Interest payments:	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
1.25% Cash Convertible Senior Notes (1)	 	 	30,190	  	 	 	0	  	 	 	4,313	  	 	 	4,313	  	 	 	4,313	  	 	 	4,313	  	 	 	4,313	  	 	 	8,625	  	
Senior Secured Credit Facilities (2)	 	 	32,666	  	 	 	2,272	  	 	 	8,422	  	 	 	7,432	  	 	 	6,646	  	 	 	5,587	  	 	 	2,307	  	 	 	0	  	
 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Total interest payments	 	 	62,856	  	 	 	2,272	  	 	 	12,735	  	 	 	11,745	  	 	 	10,959	  	 	 	9,900	  	 	 	6,620	  	 	 	8,625	  	
 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	
Total future debt payments	 	$	690,044	  	 	$	5,085	  	 	$	29,610	  	 	$	39,870	  	 	$	50,334	  	 	$	60,525	  	 	$	150,995	  	 	$	353,625	  	

(1)	Assumes no cash conversions of the 1.25% Notes prior to their maturity on July 1, 2020.	
(2)	Assumes LIBOR plus the applicable margin remain constant at the rate in effect on September 30, 2013, which was 2.43%. Also includes the effect of the floating-to-fixed interest rate swap through its expiration on October 31, 2014.	
1.25% Cash Convertible Senior Notes due 2020
On June 18, 2013, we issued $345.0 million aggregate principal amount of 1.25% Cash Convertible Senior Notes due 2020 (the “1.25% Notes”). The aggregate net proceeds of the 1.25% Notes were $305.1 million, after payment of the net cost of the Call Spread Overlay described below and transaction costs, including approximately $0.3 million of accrued professional fees at September 30, 2013. Additionally, we used $300 million of the net proceeds to repay a portion of the outstanding indebtedness under the senior secured credit facilities.
Interest on the 1.25% Notes is payable semiannually in arrears on January 1 and July 1 of each year, at a rate of 1.25% per annum commencing on January 1, 2014. The 1.25% Notes will mature on July 1, 2020 unless repurchased or converted in accordance with their terms prior to such date.
The 1.25% Notes are convertible only into cash, and not into shares of our common stock or any other securities. Holders may convert their 1.25% Notes solely into cash at their option at any time prior to the close of business on the business day immediately preceding January 1, 2020 only under the following circumstances: (1) during any calendar quarter commencing after the calendar quarter ending on September 30, 2013 (and only during such calendar quarter), if the last reported sale price of our common stock for at least 20 trading days (whether or not consecutive) during a period of 30 consecutive trading days ending on the last trading day of the immediately preceding calendar quarter is greater than or equal to 130% of the conversion price on each applicable trading day; (2) during the five business day period immediately after any five consecutive trading day period in which the trading price per $1,000 principal amount of 1.25% Notes for each trading day of the measurement period was less than 98% of the product of the last reported sale price of our common stock and the conversion rate on each such trading day; or (3) upon the occurrence of specified corporate events. On or after January 1, 2020 until the close of business on the second scheduled trading day immediately preceding the maturity date, holders may convert their 1.25% Notes solely into cash at any time, regardless of the foregoing circumstances. Upon conversion, in lieu of receiving shares of our common stock, a holder will receive an amount in cash, per $1,000 principal amount of 1.25% Notes, equal to the settlement amount, determined in the manner set forth in the Indenture for the 1.25% Notes.
The initial conversion rate will be 58.1869 shares of our common stock per $1,000 principal amount of 1.25% Notes (equivalent to an initial conversion price of approximately $17.19 per share of common stock). The conversion rate will be subject to adjustment in some events but will not be adjusted for any accrued and unpaid interest. In addition, following certain corporate events that occur prior to the maturity date, we will pay a cash make-whole premium by increasing the conversion rate for a holder who elects to convert such holder’s 1.25% Notes in connection with such a corporate event in certain circumstances. We may not redeem the 1.25% Notes prior to the maturity date, and no sinking fund is provided for the 1.25% Notes.
If we undergo a fundamental change (as defined in the Indenture for the 1.25% Notes), holders may require us to repurchase for cash all or part of their 1.25% Notes at a repurchase price equal to 100% of the principal amount of the 1.25% Notes to be repurchased, plus accrued and unpaid interest to, but excluding, the fundamental change repurchase date. The Indenture provides for customary events of default, including cross acceleration to certain other indebtedness of ours, and our subsidiaries.

The 1.25% Notes are senior unsecured obligations, and rank senior in right of payment to any of our indebtedness that is expressly subordinated in right of payment to the 1.25% Notes; equal in right of payment to any of our unsecured indebtedness that is not so subordinated; effectively junior in right of payment to any of our secured indebtedness to the extent of the value of the assets securing such indebtedness; and structurally junior to all indebtedness and other liabilities (including trade payables) of our subsidiaries.
The 1.25% Notes contain an embedded cash conversion option. We have determined that the embedded cash conversion option is a derivative financial instrument, required to be separated from the 1.25% Notes and accounted for separately as a derivative liability, with changes in fair value reported in our consolidated statements of income until the cash conversion option transaction settles or expires. The initial fair value liability of the embedded cash conversion option was $82.8 million, which simultaneously reduced the carrying value of the 1.25% Notes (effectively an original issuance discount). For further discussion of the derivative financial instruments relating to the 1.25% Notes, refer to Note 10, “Derivative Financial Instruments,” of the Notes to Consolidated Financial Statements in Part I, Item 1 of this report.
As noted above, the reduced carrying value on the 1.25% Notes resulted in a debt discount that is amortized to the 1.25% Notes’ principal amount through the recognition of non-cash interest expense over the expected life of the debt, which is seven years. This has resulted in our recognition of interest expense on the 1.25% Notes at an effective rate approximating what we would have incurred had nonconvertible debt with otherwise similar terms been
 
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issued. The effective interest rate of the 1.25% Notes is 5.4%, which is imputed based on the amortization of the fair value of the embedded cash conversion option over the remaining term of the 1.25% Notes. As of September 30, 2013, we expect the 1.25% Notes to be outstanding until their July 1, 2020 maturity date, for a remaining amortization period of approximately seven years. The 1.25% Notes’ if-converted value did not exceed their principal amount as of September 30, 2013.
In connection with the settlement of the 1.25% Notes, we paid approximately $8.4 million in transaction costs. Such costs have been allocated to the 1.25% Notes, the 1.25% Call Option and the 1.25% Warrants (refer to Note 8, “Debt”). The amount allocated to the 1.25% Notes, or $8.3 million, was capitalized and will be amortized over the term of the 1.25% Notes. The remaining aggregate amounts allocated to the 1.25% Call Option and 1.25% Warrants were not significant.
1.25% Notes Call Spread Overlay
Concurrent with the issuance of the 1.25% Notes, we entered into privately negotiated hedge transactions (the 1.25% Call Option and the 1.25% Warrants), with certain of the initial purchasers of the 1.25% Notes (collectively, the “Call Spread Overlay”). Assuming full performance by the counterparties, the 1.25% Call Option is intended to offset cash payments in excess of the principal amount due upon any conversion of the 1.25% Notes. We used $82.8 million of the proceeds from the settlement of the 1.25% Notes to pay for the 1.25% Call Option, and simultaneously received $51.2 million from the sale of the 1.25% Warrants, for a net cash outlay of $31.6 million for the Call Spread Overlay. The 1.25% Call Option is a derivative financial instruments and is discussed further in Note 10, “Derivative Financial Instruments,” of the Notes to Consolidated Financial Statements. The 1.25% Warrants are equity instruments and are further discussed in Note 4, “Stockholders’ Equity,” of the Notes to Consolidated Financial Statements.
Aside from the initial payment of a premium to the counterparties of $82.8 million for the 1.25% Call Option, we will not be required to make any cash payments to the counterparties under the 1.25% Call Option, and will be entitled to receive from the counterparties an amount of cash, generally equal to the amount by which the market price per share of our common stock exceeds the strike price of the 1.25% Call Options during the relevant valuation period. The strike price under the 1.25% Call Option is initially equal to the conversion price of the 1.25% Notes. Additionally, if the market value per share of our common stock exceeds the strike price of the 1.25% Warrants on any trading day during the 70 trading day measurement period under the 1.25% Warrants, we will, for each such trading day, be obligated to issue to the counterparties a number of shares equal in value to the product of the amount by which such market value exceeds such strike price and 1/70th of the aggregate number of shares of our common stock underlying the 1.25% Warrants transactions, subject to a share delivery cap. We will not receive any additional proceeds if the 1.25% Warrants are exercised. Pursuant to the 1.25% Warrants transactions, we issued 20,074,481 warrants with a strike price of $23.1350 per share. The number of warrants and the strike price are subject to adjustment under certain circumstances.
Credit Facility
On June 28, 2013, we entered into the 2013 Credit Agreement with a syndicate of financial institutions. The 2013 Credit Agreement provides for a $225 million Term Loan and a $425 million Revolving Facility, each with a five year term (the “Senior Secured Credit Facility”). The Term Loan is repayable in quarterly installments commencing on September 30, 2013. A total of up to $50 million of the Revolving Facility is available for the issuance of letters of credit, up to $10 million of the Revolving Facility is available for swingline loans, and up to $100 million of the Revolving Facility could be borrowed under certain foreign currencies. On June 28, 2013, we borrowed $60 million under the Revolving Facility in connection with our entry into the 2013 Credit Agreement.
The proceeds of the Term Loan were used to repay the existing debt under the prior credit agreement, and to pay fees and expenses in connection with the refinancing. In conjunction with the closing of the 2013 Credit Agreement, we used a portion of the proceeds from the borrowings under the Revolving Facility to refinance the seller notes and deferred purchase price obligations incurred in connection with our acquisition of dbMotion, refer to Note 2, “Business Combinations.” The proceeds of the Revolving Facility can be used to finance our working capital needs and for general corporate purposes, including, without limitation, financing of permitted acquisitions, and for share repurchases. We are also permitted to add one or more incremental revolving and/or term loan facilities in an aggregate amount of up to $250 million, subject to certain conditions.
Borrowings under the Senior Secured Credit Facility bear interest, at our option (except with respect to foreign currency loans), at a rate per annum equal to either (1) the rate (adjusted for statutory reserve requirements for eurocurrency liabilities and mandatory costs, if any) for deposits in the applicable currency for a period equal to one, two, three or six months or, with respect to loans under the Revolving Facility denominated in United States dollars, subject to availability to all affected lenders, 7 or 14 days (as selected by us), appearing on pages LIBOR01 or LIBOR02 or other page displaying such rate for such currency of the Reuters Screen (the “Eurocurrency Rate”) plus the applicable margin or (2) the highest of (a) the rate of interest publicly announced by JPMorgan Chase Bank, N.A. as its prime rate in effect at its principal office in New York City, (b) the federal funds effective rate from time to time plus 0.5%, and (c) the Eurocurrency Rate for United States dollars for a one month interest period plus 1.0%, plus, in each case, the applicable margin. Foreign currency loans bear interest according to clause (1) above with certain adjustments and fees applicable to fronted foreign currency loans. The applicable margin for borrowings under our Senior Secured Credit Facility will initially be 1.25% for all loans except for loans based on the Eurocurrency Rate, for which the applicable margin will initially be 2.25%.
Subject to certain agreed upon exceptions, all obligations under our new Senior Secured Credit Facility are guaranteed by each of our existing and future direct and indirect material domestic subsidiaries, other than Coniston Exchange LLC and any domestic subsidiary owned by one of our foreign subsidiaries, including dbMotion. (the “Guarantors”) pursuant to a related Guarantee and Collateral Agreement, dated as of June 28, 2013, among Allscripts Healthcare Solutions, Inc., Allscripts Healthcare, LLC, certain of our other subsidiaries, and JPMorgan Chase Bank, N.A., as administrative agent.
Our obligations under our Senior Secured Credit Facility, any swap agreements and any cash management arrangements provided by any lender, are secured, subject to permitted liens and other agreed upon exceptions, by a perfected first priority security interest in all of the tangible and intangible assets (including, without limitation, intellectual property, material owned real property and all of the capital stock of each Guarantor and, in the case of foreign subsidiaries, up to 65% of the capital stock of first tier material foreign subsidiaries) of Allscripts Healthcare Solutions, Inc. and certain of our subsidiary guarantors.
Our Senior Secured Credit Facility requires us to maintain a minimum interest coverage ratio of 4.0 to 1.0, a maximum total leverage ratio of 4.0 to 1.0 and a maximum senior secured leverage ratio of 3.0 to 1.0. The minimum interest coverage ratio is calculated by dividing earnings before interest expense, income tax expense, depreciation and amortization expense by cash interest expense, subject to various agreed upon adjustments. The total
 
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leverage ratio is calculated by dividing total indebtedness by earnings before interest expense, income tax expense, depreciation and amortization expense, subject to various agreed upon adjustments. The senior secured leverage ratio is calculated by dividing senior secured indebtedness by earnings before interest expense, income tax expense, depreciation and amortization expense, subject to various agreed upon adjustments. In addition, the 2013 Credit Agreement requires mandatory prepayments of the debt outstanding under the facilities in certain specific circumstances, and contains a number of covenants which, among other things, restrict our ability to incur additional indebtedness, engage in mergers, or declare dividends or other payments in respect of our capital stock.
Our Senior Secured Credit Facility also contains certain customary events of default, including relating to non-payment, breach of covenants, cross-default, bankruptcy and change of control.
As of September 30, 2013, $222 million under the Term Loan, $60 million under the Revolving Facility, and $1.2 million in letters of credit were outstanding under the 2013 Credit Agreement. As of September 30, 2013, the interest rate on the Senior Secured Credit Facility was LIBOR plus 2.25%, which totaled 2.43%. Refer to Note 10, ‘Derivative Financial Instruments,” for a discussion of our interest rate swap agreement. We were in compliance with all covenants under the 2013 Credit Agreement as of September 30, 2013.
As of September 30, 2013, we had $363.8 million available, net of outstanding letters of credit, under our revolving credit facility. There can be no assurance that we will be able to draw on the full available balance of our 2013 Credit Agreement if the financial institutions that have extended such credit commitments become unwilling or unable to fund such borrowings.
Other Matters Affecting Future Capital Requirements
We are currently in the third year of a ten year agreement with Xerox Consultant Services (Xerox) to provide services to support our remote hosting services for our Sunrise acute care clients. We maintain all customer relationships and domain expertise with respect to the hosted applications. The agreement encompasses our payment to Xerox for current Allscripts’ employees to be retained by Xerox from our hosting staff, new remote hosting staff and technology infrastructure, as well as other data center and hosting services, for a base amount of approximately $50 million per year. During the nine months ended September 30, 2013, we incurred approximately $46 million of expenses under this agreement.
In April 2011, our Board of Directors approved a stock repurchase program under which we may purchase up to $200 million of our common stock over three years expiring on May 9, 2014 or such earlier time that the total dollar amount authorized by these resolutions has been used. In April 2012, our Board of Directors approved the repurchase of an additional $200 million bringing the total repurchase authorization to $400 million. Any share repurchases may be made through open market transactions, block trades, privately negotiated transactions (including accelerated share repurchase transactions) or other means. Any repurchase activity will depend on factors such as our working capital needs, cash requirements for investments, debt repayment obligations, our stock price, and economic and market conditions. Our stock repurchase program may be accelerated, suspended, delayed or discontinued at any time. Refer to “Unregistered Sales of Equity Securities, Use of Proceeds and Issuer Purchases of Equity Securities” in Part II, Item 2 of this report for additional information regarding our stock repurchase program. There were no shares repurchased under the program during the nine months ended September 30, 2013.
We currently plan to invest over $200 million in research and development efforts during 2013 to improve performance and accelerate product integration and innovation. Our total spending consists of research and development costs directly recorded to expense and also includes capitalized software development costs. To supplement our statement of operations, the table below presents a non-GAAP measure of research and development-related expenses that we believe is a useful metric for evaluating how we are investing in innovation.

 	  	Nine Months	 	
 	  	Ended	 	
(Dollar amounts in thousands)	  	September 30,
2013	 	
Research and development costs directly recorded to expense	  	$	151,881	  	
Capitalized software development costs	  	 	30,462	  	
 	  	 	 	 	
Total non-GAAP R&D-related expense	  	$	182,343	  	
 	  	 	 	 	
Total revenue	  	$	1,022,084	  	
Total expense as a % of total revenue	  	 	18	% 	
Our capital spending during 2013 is expected to be similar to our level of spending in 2012 as we improve our information systems infrastructure, acquire computer equipment and software to accommodate data management and hosting related to our SaaS and hosting solutions, and expand or make leasehold improvements at certain facilities.

In connection with the MyWay Transition, we expect to incur additional costs and expenses in future quarters to upgrade the MyWay clients that elect to upgrade. During first nine months of 2013 we incurred approximately $21 million in costs and expenses associated with the MyWay Transition.
In connection with the Site Consolidation Plan, we incurred employee severance costs of approximately $13 million during the nine months ended September 30, 2013. Additional estimated costs yet to be incurred in connection with the Site Consolidation Plan include lease exit costs totaling approximately $1.0 million. This amount is an estimate, and actual charges may vary materially based on the timing and amount of sublease income and other related expenses and changes in management’s assumptions. We expect to complete the Site Consolidation Plan and incur all remaining related costs by the end of 2014.
In connection with acquisition of dbMotion on March 4, 2013, consideration given consisted of (a) cash paid at closing of approximately $139 million, (b) 3,823,453 shares of Allscripts common stock, par value $0.01 per share, payable at closing and having a value of approximately $48 million, (c) approximately $23 million in deferred cash consideration payable on the 18-month anniversary of the closing, and (d) approximately $7 million in deferred cash consideration payable in the form of a subordinated promissory note having a maturity of 18 months. On March 5, 2013, we borrowed $130 million to fund the cash component of the consideration under our senior secured revolving credit facility. On June 28, 2013, the liability for the deferred
 
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cash consideration payable was funded by placing the funds with an escrow agent, and the subordinated promissory note was paid off. Both the deferred cash consideration and subordinated promissory note had accrued interest at a 10% annual rate. These transactions were funded using proceeds from the initial draw down on our new revolving credit facility.
We believe that our cash, cash equivalents and marketable securities of $62 million as of September 30, 2013, our future cash flows, and our borrowing capacity under our 2013 Credit Agreement, taken together, provide adequate resources to fund ongoing cash requirements for the next twelve months. We cannot provide assurance that our actual cash requirements will not be greater than we expect as of the date of this report. We will, from time to time, consider the acquisition of, or investment in, complementary businesses, products, services and technologies, and the purchase of our common stock under our stock repurchase program which might impact our liquidity requirements or cause us to issue additional equity or debt securities.
If sources of liquidity are not available or if we cannot generate sufficient cash flow from operations during the next twelve months, we might be required to obtain additional sources of funds through additional operating improvements, capital market transactions, asset sales or financing from third parties, a combination thereof or otherwise. We cannot provide assurance that these additional sources of funds will be available or, if available, would have reasonable terms.
Contractual Obligations, Commitments and Off Balance Sheet Arrangements
We have various contractual obligations, which are recorded as liabilities in our consolidated financial statements. Other items, such as operating lease contract obligations, are not recognized as liabilities in our consolidated financial statements but are required to be disclosed.
With the exception of the issuance of the 1.25% Notes and the amounts borrowed under our 2013 Credit Agreement described above under Future Capital Requirements, there were no material changes, outside of the ordinary course of business, to our contractual obligations and other related matters previously disclosed in our Annual Report on Form 10-K/A for the year ended December 31, 2012.
 
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Safe Harbor for Forward-Looking Statements
This Quarterly Report on Form 10-Q contains forward-looking statements within the meaning of the federal securities laws that involve risks and uncertainties. We develop forward-looking statements by combining currently available information with our beliefs and assumptions. These statements relate to future events, including our future performance, and management’s expectations, beliefs, intentions, plans or projections relating to the future and some of these statements can generally be identified by the use of forward-looking terminology such as “believes,” “expects,” “anticipates,” “estimates,” “projects,” “intends,” “seeks,” “future,” “continue,” “contemplate,” “would,” “will,” “may,” “should,” and the negative or other variations of those terms or comparable terminology or by discussion of strategy, plans, opportunities or intentions. As a result, actual results, performance or achievements may vary materially from those anticipated by the forward-looking statements.
Among the factors that could cause actual results, performance or achievements to differ materially from those indicated by such forward-looking statements are:
 
•	 	the possibility that our current initiatives focused on product delivery, client experience, streamlining our cost structure, and financial performance may not be successful;	
 
•	 	the impact of the realignment of our sales and services teams;	
 
•	 	physicians and hospitals failing to accept our products and services, or delaying their decision whether to purchase our products and services;	
 
•	 	our ability to obtain the benefits of government programs initiated to accelerate the adoption and utilization of health information technology;	
 
•	 	the risks that we will not achieve the strategic benefits of our merger with Eclipsys Corporation (“Eclipsys”) or our acquisition of dbMotion or that our products will not be integrated successfully with the Eclipsys and dbMotion products;	
 
•	 	competition within the industries in which we operate, including the risk that our existing clients will switch to products of competitors;	
 
•	 	our ability to predict the sales cycles and implementation schedule for our software solutions;	
 
•	 	our ability to manage our growth effectively;	
 
•	 	our ability to attract and retain qualified personnel;	
 
•	 	our ability to successfully introduce new products or services, or our ability to keep pace with advances in technology	
 
•	 	our ability to establish and maintain strategic relationships;	
 
•	 	the risks related to future acquisitions which we may make;	
 
•	 	the risks related to our products failing to perform properly;	
 
•	 	our ability to protect our intellectual property rights;	
 
•	 	the possibility that we may be found to infringe, misappropriate, or violate the proprietary rights of third parties;	
 
•	 	the outcome of any legal proceeding that has been or may be instituted against us and others, including the possibility that we may incur costs exceeding our insurance coverage in any such proceeding;	
 
•	 	the ability of our content and service providers to successfully perform and to comply with applicable laws, regulations, and contractual covenants;	
 
•	 	the impact of any liabilities related to our provision of third party content;	
 
•	 	any breach of data security by third parties and unauthorized access to patient health information by third parties resulting in enforcement actions, fines and other litigation;	
 
•	 	our ability to obtain additional financing;	
 
•	 	the possibility that we may be forced to reduce our prices;	
 
•	 	our ability to license and integrate third party technologies;	
 
•	 	our ability to maintain and expand our business with our existing customers, or to effectively transition our customers to newer products;	
 
•	 	changes in interoperability and other regulatory standards applicable to our software;	
 
•	 	changes in CMS diagnosis and inpatient procedure coding requiring us to make modifications to our products and services;	
 
•	 	our ability to comply with existing laws, regulations, and industry initiatives;	
 
•	 	increased government involvement in healthcare;	
 
•	 	the lack of timely development of the electronic healthcare information market;	
 
•	 	consolidation in the healthcare industry;	
 
•	 	business disruptions;	
 
•	 	costs or customer losses relating to the standardization of our small office electronic health record and practice management systems;	
 
•	 	our operations in India and our expansion into markets outside of North America;	
 
•	 	future sales of our common stock and issuances of our preferred stock;	
 
•	 	the impact of certain provisions of our charter documents, debt instruments, and Delaware law;	
 
•	 	impairment of our goodwill;	
 
•	 	our ability to maintain effective internal controls;	
 
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•	 	the volatility of the market price of our common stock;	
 
•	 	quarterly variances in our operating results;	
 
•	 	our significant levels of indebtedness;	
 
•	 	our failure to comply with covenants in our debt instruments;	
 
•	 	the impact of significant potential contingent tax liabilities arising out of certain prior transactions, or prior activities of our subsidiary, Coniston Exchange LLC;	
 
•	 	risks related to the 1.25% Notes, including the hedge and warrant transactions we entered into concurrently therewith;	
 
•	 	risks related to the upgrade of our enterprise resource planning system; and	
 
•	 	those factors discussed in “Risk Factors” in our periodic filings with the Securities and Exchange Commission (the “SEC”).	
We make these statements under the protection afforded by Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. Because forward-looking statements are subject to assumptions and uncertainties, actual results, performance or achievements may differ materially from those expressed or implied by such forward-looking statements. Stockholders are cautioned not to place undue reliance on such statements, which speak only as of the date such statements are made. Except to the extent required by law, we undertake no obligation to revise or update any forward-looking statement, or to make any other forward-looking statements, whether as a result of new information, future events or otherwise.
 
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Item 3.	Quantitative and Qualitative Disclosures About Market Risk	
During the nine months ended September 30, 2013, there were no significant changes to our quantitative and qualitative disclosures about market risk. Please refer to Part II, Item 7A. Quantitative and Qualitative Disclosures about Market Risk included in our Annual Report on Form 10-K/A for our fiscal year ended December 31, 2012 for a more complete discussion of the market risks we encounter.
 
Item 4.	Controls and Procedures	
Evaluation of disclosure controls and procedures
As of September 30, 2013, our management, including our Chief Executive Officer and Chief Financial Officer, have reviewed and evaluated the effectiveness of our disclosure controls and procedures pursuant to Exchange Act Rule 13a-15(b). Based on their review and evaluation, the Chief Executive Officer and Chief Financial Officer have concluded that our disclosure controls and procedures are effective.
Changes in Internal Control over Financial Reporting
During the third quarter of 2013, we completed a significant upgrade to our enterprise resource planning (“ERP”) system. The upgrade to our ERP system was not made in response to any identified deficiency or weakness in our internal controls over financial reporting. The upgrade was subject to various testing and review procedures prior to and after execution. We have updated our internal controls over financial reporting, as necessary, to accommodate any modifications to our business processes or accounting procedures due to the upgrade. Management does not believe that the upgrade has had an adverse effect on our internal controls over financial reporting and will continue to monitor, test and evaluate the upgraded ERP system during the post-implementation period to ensure adequate controls over financial reporting continue to be maintained.
Other than as described above, there has been no change in our internal control over financial reporting during the quarter ended September 30, 2013 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.
 
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PART II OTHER INFORMATION
 
Item 1.	Legal Proceedings	
We hereby incorporate by reference Note 11, “Contingencies,” of the Notes to Consolidated Financial Statements in Part I, Item 1 of this report.
 
Item 1A.	Risk Factors	
In addition to the other information set forth in this report, you should carefully consider the factors discussed in Part I, “Item IA. Risk Factors” in our Annual Report on Form 10-K/A for the year ended December 31, 2012. The following provides additions and updates to such factors. Additional risks and uncertainties not known to us, or which we currently deem to be immaterial, also may materially adversely affect our business, financial condition, or future results.
During the third quarter of 2013, we completed a significant upgrade to our enterprise resource planning (“ERP”) system. If it were to experience significant operating problems, our business, financial condition and operating results could be adversely affected.
During the third quarter of 2013, we completed a significant upgrade to our ERP system. This upgrade involved substantial expenditures on system hardware and software, and required significant management attention and resources. If the upgraded ERP system does not operate as intended, it could require additional management attention and resources, and could also adversely affect the effectiveness of, or cause delays in our ability to adequately assess the effectiveness of, our internal controls over financial reporting in accordance with Section 404 of the Sarbanes-Oxley Act of 2002. This could subject us to sanctions or investigations by NASDAQ, the SEC, or other regulatory authorities. Furthermore, the carrying value of the ERP system is amortized over its estimated useful life and is reviewed by our management for impairment. If impairment is deemed to have occurred, we may be required to write down the carrying value of the ERP system, which would result in a charge to our operating results. Any of the foregoing could have a material impact on our business, financial condition and operating results, as well as on the market price of our common stock.
Provisions of our charter documents and debt instruments, as well as Delaware law, may delay or inhibit potential acquisition bids that our stockholders may believe are desirable, and the market price of our common stock may be lower as a result.
Our charter documents contain provisions that may delay or inhibit potential acquisition bids, including provisions that:
 
•	 	our stockholders are not allowed to act by written consent, and	
 
•	 	our stockholders are not allowed to call a special meeting of stockholders.	
Additionally:
 
•	 	the indenture governing the 1.25% Notes (the “Indenture”) may prohibit us from engaging in a change of control unless, among other things, the surviving entity assumes our obligations under the 1.25% Notes;	
 
•	 	if a change of control of us occurs, the Indenture may permit holders of the 1.25% Notes to require us to repurchase all or a portion of the 1.25% Notes, and may also require us to pay a cash make-whole premium by increasing the conversion rate for a note holder who elects to convert; and	
 
•	 	immediately prior to a change of control of us, the 2013 Credit Agreement may require us to repay all indebtedness outstanding thereunder.	
These provisions in our charter documents and debt instruments could discourage, delay, or prevent a change of control of us, and therefore could limit the price that investors are willing to pay in the future for shares of our common stock.
Finally, our charter documents include an election to be governed by Section 203 of the Delaware General Corporation Law (the “DGCL”), which prohibits us from engaging in any business combination with an interested stockholder for a period of three years from the date the person became an interested stockholder, unless certain conditions are met. This provision will make it more difficult for stockholders or potential acquirers to acquire us without negotiation, and may apply even if some of our stockholders consider the acquisition beneficial to them. This provision could also limit the price that investors are willing to pay for shares of our common stock.
Our indebtedness will decrease business flexibility and increase borrowing costs.
The covenants under the 2013 Credit Agreement and the Indenture, as well as our increased indebtedness and higher debt-to-equity ratio in comparison to our debt-to-equity ratio on a recent historical basis, could have the effect of, among other things:
 
•	 	requiring us to apply a substantial portion of our cash flow from operations to payments on our debt, reducing the availability of cash flow to fund working capital, capital expenditures, and other general corporate purposes;	
 
•	 	increasing our vulnerability to adverse general economic and industry conditions;	
 
•	 	limiting our flexibility in planning for, or reacting to, changes in business and the industry in which we operate;	
 
•	 	placing us at a competitive disadvantage compared to competitors that have less debt;	
 
•	 	limiting our ability to borrow additional funds on terms that are satisfactory or at all; and	
 
•	 	increasing our interest rates.	
If we fail to comply with covenants in our debt instruments, our results of operation and financial condition could be adversely affected.
The 2013 Credit Agreement contains certain financial covenants, including interest coverage, total leverage, and senior secured leverage ratios. The 2013 Credit Agreement also contains a number of significant operating covenants, including covenants that restrict our ability to incur additional
 
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indebtedness. Finally, each of the 2013 Credit Agreement and Indenture includes covenants that restrict our ability to enter into a change of control. If we fail to comply with these covenants, an event of default may occur, resulting in, among other things, the requirement to immediately repay all outstanding amounts owed under the 2013 Credit Agreement and to repurchase all or a portion of the outstanding 1.25% Notes. Depending on our borrowing levels in such an event, our liquid assets might not be sufficient to make all necessary repayments and repurchases. Such an acceleration also would expose us to the risk of liquidation of collateral assets at unfavorable prices.
The accounting for the 1.25% Notes will result in our having to recognize interest expense significantly greater than the stated interest rate of the notes and may result in volatility to our Consolidated Statements of Operations.
We will settle any conversions of the 1.25% Notes entirely in cash. Accordingly, the conversion option that is part of the 1.25% Notes will be accounted for as a derivative pursuant to accounting standards relating to derivative instruments and hedging activities. Refer to Note 10, “Derivative Financial Instruments,” of the Notes to Consolidated Financial Statements in Part I, Item 1 of this report. In general, this resulted in an initial valuation of the conversion option separate from the debt component of the 1.25% Notes, resulting in an original issue discount. The original issue discount will be accreted to interest expense over the term of the 1.25% Notes, which will result in an effective interest rate reported in our financial statements significantly in excess of the stated coupon rate of the 1.25% Notes. This accounting treatment will reduce our earnings and could adversely affect the price at which our common stock trades.
For each financial statement period after the issuance of the 1.25% Notes, a hedge gain (or loss) will be reported in our financial statements to the extent the valuation of the conversion option changes from the previous period. The 1.25% Call Option will also be accounted for as a derivative instrument, substantially offsetting the gain (or loss) associated with changes to the valuation of the conversion option. This may result in increased volatility to our results of operations.
The convertible note hedge and warrant transactions we entered into in connection with the issuance of our 1.25% Notes may not provide the benefits we anticipate, and may have a dilutive effect on our common stock.
Concurrently with the issuance of the 1.25% Notes, we entered into the 1.25% Call Option with, and issued the 1.25% Warrants to, certain of the initial purchasers of the 1.25% Notes. We entered into the 1.25% Call Option transaction with the expectation that it would offset potential cash payments in excess of the principal amount of the 1.25% Notes upon conversion of the 1.25% Notes. In the event that the hedge counterparties fail to deliver potential cash payments to us, as required under the 1.25% Call Option documents, we would not receive the benefit of such transaction. Separately, we also issued the 1.25% Warrants to the hedge counterparties. The warrants transaction could separately have a dilutive effect to the extent that the market price per share of our common stock, as measured under the terms of the warrants transaction, exceeds the strike price of the 1.25% Warrants.
 
Item 2.	Unregistered Sales of Equity Securities, Use of Proceeds and Issuer Purchases of Equity Securities	
In April 2011, our Board of Directors authorized a stock repurchase program under which we may purchase up to $200 million of our common stock over three years, expiring on May 9, 2014 or such earlier time that the total dollar amount has been used. In April 2012, our Board of Directors authorized the repurchase of an additional $200 million of our common stock, bringing the total repurchase authorization to $400 million. During the three and nine months ended September 30, 2013, there were no shares repurchased pursuant to this stock repurchase program. As of September 30, 2013, the amount available for repurchase of common stock under this program was approximately $123 million. Any share repurchase transactions may be made through open market transactions, block trades, privately negotiated transactions (including accelerated share repurchase transactions) or other means. Any repurchase activity will depend on factors such as our working capital needs, cash requirements for investments, debt repayment obligations, our stock price, and economic and market conditions. Our stock repurchase program may be accelerated, suspended, delayed or discontinued at any time.
 
Item 6.	Exhibits	
(a)    Exhibits
See Index to Exhibits.
 
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SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) 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, on November 12, 2013.

ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.	
 	 	
By:	 	/s/    Richard J. Poulton	
 	 	Richard J. Poulton	
 	 	Chief Financial Officer	
 	 	(Duly Authorized Officer and	
 	 	Principal Financial Officer)	
Date: November 12, 2013
 
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INDEX TO EXHIBITS

Exhibit
Number	 	Exhibit Description	
10.1†	 	Separation Agreement dated as of July 9, 2013 between the Company and Steven Shute	
 	 	
31.1*	 	Rule 13a—14(a) Certification of Chief Executive Officer	
 	 	
31.2*	 	Rule 13a—14(a) Certification of Chief Financial Officer	
 	 	
32.1**	 	Section 1350 Certifications of Chief Executive Officer and Chief Financial Officer	
 	 	
101.INS	 	XBRL Instance Document	
 	 	
101.SCH	 	XBRL Taxonomy Extension Schema	
 	 	
101.CAL	 	XBRL Taxonomy Extension Calculation linkbase	
 	 	
101.LAB	 	XBRL Taxonomy Extension Label Linkbase	
 	 	
101.PRE	 	XBRL Taxonomy Extension Presentation Linkbase	
 	 	
101.DEF	 	XBRL Taxonomy Definition Linkbase	
 
†	Indicates management contract or compensatory plan.	
*	Filed herewith	
**	Furnished herewith	
 
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Exhibit 10.1
SEPARATION AGREEMENT
This Separation Agreement (this “Agreement”), by and between Stephen Shute (“Executive”) and Allscripts Healthcare Solutions, Inc., a corporation organized and existing under the laws of the State of Delaware (“ Company ”) is effective as of the 9th day of July, 2013 (the “ Effective Date ”). Terms used in this Agreement but not specifically defined herein shall have the same meaning as in the Employment Agreement (defined below).
WHEREAS, Company and Executive entered into an Employment Agreement dated July 19, 2011, as amended May 4, 2012 (collectively, the “ Employment Agreement ”), copies of such agreement and amendment are attached hereto as Exhibit A ; and
WHEREAS, Company and Executive desire to set forth the terms of Executive’s termination of employment with the Company, severance benefits, and other matters related thereto.
NOW, THEREFORE, in consideration of the foregoing premises, of the mutual agreements and covenants contained herein and for other good and valuable consideration. the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows:
1. Termination Date; Cessation of Duties.
(a) Executive’s employment with Company will terminate effective as of the close of business on August 8, 2013 (the “ Termination Date ”). As of the Termination Date, Executive’s service as an officer and employment with Company is terminated and Executive irrevocably resigns from all other positions with any subsidiaries and affiliated companies of Company.
(b) Executive’s Employment Agreement remains in full force and effect until the Termination Date, except as modified by this Agreement. Through and including the Termination Date, Executive shall continue to receive his Base Salary as in effect on the Effective Date and to participate in any benefit plans or programs of Company provided or made available to Executive as of the Effective Date.
(c) As of the Effective Date, Executive is relieved of all duties for Company, shall take no actions on behalf of Company, and shall have no authority as an officer or agent of Company. Executive’s access to Company’s systems and offices shall cease as of the Effective Date, except to the extent Executive is invited to the Company offices or given consent to such access by a Company officer on or prior to July 31, 2013.
2. Severance Benefits. Subject to Executive’s compliance with the terms of this Agreement, including without limitation Sections 4, 5, 6, 7, 8, and 10, after the Termination Date, Executive shall receive the payments and benefits set forth in Section 4.5.1 of the Employment Agreement, which are described and shall be paid or provided in accordance with  Schedule 1 attached to this Agreement.

3. Other Payments.
(a) Company and Executive agree that Executive has one hundred and twenty eight (128) accrued but unused paid time off hours as of the Termination Date and that Executive shall be paid for such hours promptly after the Termination Date.
(b) Company and Executive agree that accrual through the Termination Date, and payment, of any sales incentives for the current sales year shall be governed by the provisions of the Executive Vice President, Sales and Services Compensation Plans for Fiscal Sales Year 2013 (the “Sales Plans”), and that any payment earned shall be paid if and when due under the Sales Plans notwithstanding the termination of Executive’s employment.
(c) Executive expressly acknowledges and agrees that, other than as specifically provided for in this Agreement and on Schedule 1 , no additional payments or benefits are due from Company on any basis whatsoever, including but not limited to no Performance Bonus payment under Company’s 2013 corporate bonus program, and that Executive’s outstanding, unvested equity awards are forfeited as of the Termination Date, other than as described on  Schedule 1 .
4. Release. The pay and benefits provided under Section 2 of this Agreement are subject to Executive’s execution of (without revocation) and delivery to Company by the forty-fifth (45th) day following the Termination Date (but not before the Termination Date) of a release and waiver of all claims (the  “Release” ) up to the date of the Release with such Release in the form attached hereto as  Exhibit B .
5. Restrictive Covenants. Executive expressly acknowledges and agrees that Section 5 (“Restrictive Covenants”)  of the Employment Agreement remains in full force and effect as provided therein; provided that, for purposes of Section 5 of the Employment Agreement, the parties agree that a “Competing Organization” shall mean only the organizations identified in the list attached hereto as  Exhibit C .
6. Return of Company Property. Executive represents and warrants that, within seven days of the Effective Date, Executive shall return to Company all Company property and information in any form (whether, paper, electronic media or otherwise), and not retain copies of any such property or information (excluding, however, information relating solely to Executive’s own employment, compensation and benefits).
7. Non-Disparagement. Executive agrees not to make any adverse or disparaging comments (oral or written, including but not limited to, via any form of electronic media) about Company, its affiliates, or any of their respective officers, directors, managers or employees which may tend to impugn or injure their reputation, goodwill and relationships with their past, present and future customers, employees or vendors or with the business community generally. The Company agrees to instruct those individuals who serve as its executive officers as of the Termination Date not to make any adverse or disparaging comments (oral or written, including but not limited to, via any form of electronic media) about Executive which may tend to impugn or injure his reputation, good will and business, civic or professional relationships. Nothing in this  Section 7  is intended to prohibit, limit or prevent Executive, Company or the Company’s executive officers from providing truthful testimony in a court of law, to a regulatory or law enforcement agency or pursuant to a properly issued subpoena, and such testimony would not be deemed to be a violation of this  Section 7 .
 
2

8. Cooperation. Executive agrees to cooperate, within reason, subject to reimbursement by Company of reasonable out of pocket costs and expenses, with Company and its counsel with respect to any matter (including any litigation, investigation or governmental proceeding) which relates to matters with which Executive was involved during his employment with Company. Such cooperation shall include appearing from time to time at the offices of Company or Company’s counsel for conferences and interviews and in generally providing the officers of Company and its counsel with the full benefit of Executive’s knowledge with respect to any such matter. Executive agrees to render such cooperation in a timely fashion and at such times and places as may be mutually agreeable to the parties. Executive’s cooperation shall not require him to give Company more time and attention than may reasonably be accommodated to his work schedule and other commitments, from time to time.
9. Waiver of Any Re-Employment Right. Executive waives all interest in and right to reinstatement or re-employment with Company and any of its affiliates and agrees that any application for re-employment may be rejected without explanation or liability pursuant to this provision. This waiver shall not apply to any instance where Executive’s then-current employer becomes acquired by the Company or any of its affiliates, or where the Company desires to re-hire Executive.
10. Nondisclosure. Executive shall not disclose or cause to be disclosed the terms of this Agreement or the negotiations leading to it to any person (other than to his spouse, attorneys or tax advisors, who shall also be bound by this nondisclosure provision), except pursuant to a lawful subpoena or as otherwise required by law.
11. Miscellaneous.
(a) Binding Effect. This Agreement shall be binding upon each of the parties and upon their respective heirs, administrators, representatives, executors, successors and assigns, and shall inure to the benefit of each party and to their respective heirs, administrators, representatives, executors, successors and assigns.
(b) Applicable Law. This Agreement shall be construed in accordance with the laws of the State of Illinois, without regard to the conflict of law provisions of any jurisdiction.
(c) Dispute Resolution. Executive expressly acknowledges and agrees that Section 7.9 (“Dispute Resolution and Arbitration”)  of the Employment Agreement remains in full force and effect and shall apply to this Agreement.
(d) Scope of Agreement. This Agreement and, as indicated, the Employment Agreement reflect the entire agreement between Executive and Company with respect to the terms and conditions of Executive’s employment relationship with Company and the termination of such employment relationship and, except as specifically provided herein, supersede all prior agreements and understandings, written or oral relating to the subject matter hereof.
 
3

(e) Notices. Any notice pertaining to this Agreement shall be in writing and shall be given in accordance with Section 7.6 of the Employment Agreement.
(f) Waiver of Breach. The waiver by either party to this Agreement of a breach of any provision of this Agreement shall not operate as or be deemed a waiver of any subsequent breach by such party. Continuation of benefits hereunder by Company following a breach by Executive of any provision of this Agreement shall not preclude Company from thereafter exercising any right that it may otherwise independently have to terminate said benefits based upon the same violation.
(g) Amendment. This Agreement may not be modified or amended except by a writing signed by the parties to this Agreement.
(h) Counterparts. This Agreement may be signed in multiple counterparts, each of which shall be deemed an original. Any executed counterpart returned by facsimile or PDF shall be deemed an original executed counterpart.
(i) No Third Party Beneficiaries. Unless specifically provided herein, the provisions of this Agreement are for the sole benefit of the parties to this Agreement and are not intended to confer upon any person not a party to this Agreement any rights hereunder.
(j) Terms and Construction. Each party has cooperated in the drafting and preparation of this Agreement. The language in all parts of this Agreement shall be in all cases construed according to its fair meaning and not strictly for or against either party.
(k) Admissions. Nothing in this Agreement is intended to be, or will be deemed to be, an admission of liability by Executive or Company to each other, or an admission that they or any of their agents, affiliates, or employees have violated any state, federal or local statute, regulation or ordinance or any principle of common law of any jurisdiction, or that they have engaged in any wrongdoing towards each other.
(l) Withholding. Company may withhold from any amounts payable under this Agreement such federal, state and local taxes as may be required to be withheld pursuant to applicable laws or regulations.
(m) Severability. The holding of any provision of this Agreement to be illegal, invalid or unenforceable by a court of competent jurisdiction shall not affect any other provisions of this Agreement, which shall remain in full force and effect.
(n) Calculations. The terms of Schedule 1 are intended to provide Executive the payments and benefits due per the terms of Section 4.5.1 of the Employment Agreement and other applicable compensation-related documents per terms applicable to a termination of Executive’s employment without Cause. In the event of manifest error in any calculation reflected on Schedule 1, Company and Executive agree that the calculation shall be corrected and Executive provided the correct payment or benefit.
 
4

(o) Section 409A of the Code. Executive expressly acknowledges and agrees that Section 7.14 (“Section 409A of the Code”)  of the Employment Agreement remains in full force and effect and shall apply to this Agreement. Executive is a “specified employee” of Company and its affiliates (as defined in Treasury Regulation Section 1.409A-1(i)), and Executive is therefore subject to a delay in payment until six months after the date of Executive’s separation from service from Company (pursuant to Treasury Regulation Section 1.409A-3(i)(2)(ii)) to receive payments provided hereunder to the extent such amounts are subject to, and not exempt from, Section 409A. If the sixty (60)-day period following a “separation from service” begins in one calendar year and ends in a second calendar year (a “Crossover 60-Day Period”),  then any severance payments that would otherwise occur during the portion of the Crossover 60-Day Period that falls within the first year will be delayed and paid in a lump sum during the portion of the Crossover 60-Day Period that falls within the second year.
IN WITNESS WHEREOF, this Agreement has been duly executed by the parties as of the dates respectively set forth below.

 	  	ALLSCRIPTS HEALTHCARE	
 	  	SOLUTIONS, INC.	
 	 	
Dated: August 6, 2013	  	/s/ Deborah D. Snow	
 	  	Deborah D. Snow	
 	  	Senior Vice President Marketing,	
 	  	Communications and Chief People Officer	
 	 	
 	  	EXECUTIVE:	
 	 	
Dated: August 6, 2013	  	/s/ Stephen Shute	
 	  	Stephen Shute	
 
5

SCHEDULE 1
CASH PAYMENTS

Amount Payable	  	Date[s] Payable	  	Comments	
$880,000	  	Paid in twelve equal monthly installments with the first two installments to be paid on the sixtieth (60th) day following August 8, 2013 (the “Termination Date”) and the remaining ten installments to be paid on the ten following monthly anniversaries of such date.	  	Constituting the payments required by Section 4.5.1(i) of the Employment Agreement (lx (base salary + current target performance bonus + current target sales bonus) paid over 12 months).	
BENEFITS CONTINUATION

Benefits Description	  	Continuation Period	
Continuation of Executive’s enrollment in health and/or dental insurance benefits immediately prior to the Termination Date, with Executive contributing to such benefits as if he were employed by Company.	  	Until the earlier of:
 
(i)     the end of the 12-month period following the Termination Date  (i.e.,  through August 8, 2014); or
 
(ii)    Executive’s failure to make a required contribution within 10 days of written notice or the COBRA grace period, whichever comes later; or
 
(iii)  the date on which Executive becomes eligible to receive comparable benefits from a subsequent employer.	
PAID TIME OFF HOURS

Description	  	Date[s] Payable	  	Comments	
128 accrued, unused paid time off (“PTO”) hours	  	Paid promptly after the Termination Date	  	Not subject to Executive’s execution of the Release	
 
Schedule 1 — Page 1

RESTRICTED STOCK UNIT (“RSU”) AND OPTION VESTING AND FORFEITURE

 	  	Award	  	Vesting Per
Sec. 4.5.1(iii)
of
Employment
Agreement or
Award	  	Delivery of Shares	  	RSUs /
Options
Forfeited
from Award	
1.	  	8/31/2011 Perf.-Based RSU Grant, Relative TSR (6,960 granted)	  	4,494*	  	Upon later of certification of performance by Compensation Committee or sixtieth (60th) day following the Termination Date	  	2,320 cancelled due to performance; 146 forfeited	
 	 	 	 	 	
2.	  	8/31/2011 Perf.-Based RSU Grant, Revenue and Adjusted Operating Income (13,920 granted)	  	6,412	  	Sixtieth (60th) day following the Termination Date	  	3,960 cancelled due to performance below performance hurdles; 228 forfeited	
 	 	 	 	 	
3.	  	8/31/2011 Perf.- Based RSU Grant, Adjusted Net Income (20,880 granted)	  	10,111	  	Sixtieth (60th) day following the Termination Date (Performance hurdle satisfied in full)	  	5,549	
 	 	 	 	 	
4.	  	5/1/2012 Perf.-Based RSU Grant (34,440 granted)	  	10,945	  	Sixtieth (60th) day following the Termination Date. (Performance hurdle satisfied in full)	  	14,885	
 	 	 	 	 	
5.	  	5/1/2012 Perf.-Based RSU Grant (34,440 granted)	  	10,945**	  	Upon later of certification of performance by Compensation Committee or sixtieth (60th) day following the Termination Date.	  	14,885	
 	 	 	 	 	
6.	  	5/30/2012 RSU Grant (82,042 granted)	  	32,592	  	Sixtieth (60th) day following the Termination Date.	  	22,103	
 
Schedule 1 — Page 2

 	 	 	 	 	 	 	 	 	
7.	  	2/20/2013 Stock Option Grant (147,406 granted)	  	53,914	  	N/A***	  	93,492	
 	 	 	 	 	
8.	  	2/20/2013 Perf-Based RSU Grant (49,136 granted)	  	23,962****	  	Upon later of certification of performance by Compensation Committee or sixtieth (60th) day following the Termination Date.	  	25,174	
 
*	Based on relative TSR for the performance periods ending 2/25/2013 and 2/25/2014 and upon certification by Compensation Committee; actual number of shares vested may vary from the number listed here.	
**	Provided Adjusted Net Income for 2013 is at least $81.4 million and upon certification by Compensation Committee.	
***	90-day post-termination exercise period.	
****	Based on relative TSR for the performance period ending 2/20/2014 and upon certification by Compensation Committee; actual number of shares vested may vary from the number listed here.	
 
Schedule 1 — Page 3

EXHIBIT A
EMPLOYMENT AGREEMENT AND AMENDMENT

EXHIBIT B
GENERAL RELEASE
WHEREAS, this General Release (this “Release”) is given by Stephen Shute (“Executive”) on the date indicated below at Executive’s signature, pursuant to the Separation Agreement between Allscripts Healthcare Solutions, Inc. (the “ Company ”) and Executive effective as of July 9, 2013 (the “ Agreement ”); and
WHEREAS, in consideration for the payments and benefits provided by Company to Executive under the Agreement, which are conditioned upon his execution of a release and waiver of claims for the benefit of Company, Executive agrees to execute this Release.
NOW THEREFORE, in consideration of the mutual covenants contained under the Agreement and other good and valuable consideration, the sufficiency and receipt of which are hereby acknowledged, and intending to be legally bound, Executive agrees as follows:
1. In exchange for the benefits described in the Agreement, Executive hereby agrees to WAIVE any and all rights in connection with, and to fully RELEASE and forever discharge Company and its predecessors, parents, subsidiaries, divisions, related or affiliated companies, benefit plans, plan administrators and other plan fiduciaries, officers, directors, stockholders, members, employees, heirs, successors, assigns, representatives, agents and counsel (the  “Released Parties”)  from any and all torts, contracts, claims, suits, actions, causes of action, demands, rights, damages, costs, expenses, attorneys’ fees, and compensation in any form whatsoever, whether now known or unknown, in law or in equity, which Executive has or ever had (from the  beginning  of time through and including the date hereof) against any of the Released Parties, including without limitation on account of or in any way arising out of, relating to or in connection with Executive’s employment by or separation of employment from any of the Released Parties, and any and all claims for damages or injury to any entity, person, property or reputation arising therefrom, claims for wages, employment benefits, tort claims and claims under Title VII of the Civil Rights Act of 1964, the Civil Rights Act of 1991, the Civil Rights Act of 1866, the Employee Retirement Income Security Act of 1974 (except that Executive does not waive his right to receive notices and disclosures, monies and other benefits due in accordance with any employee retirement or welfare benefit plan), the National Labor Relations Act, the Fair Labor Standards Act, the Rehabilitation Act of 1973, the Family and Medical Leave Act of 1993, the Americans with Disabilities Act of 1990 and any other federal, state or local law, statute, ordinance, guideline, regulation, order or common-law principle of any state relating to employment, employment contracts, wrongful discharge or any other matter;  provided ,  however , that the foregoing waiver and release shall not apply to Executive’s rights in respect of any benefit or claim to which Executive is entitled under employee pension or welfare benefit plans and programs of the Released Parties in which Executive is a participant prior to the date below, or to Executive’s rights to enforce the Agreement.
2.Release of Age Discrimination Claims. In further consideration of the promises made by Company in the Agreement, Executive specifically WAIVES any and all rights in connection with, and fully RELEASES and forever discharges the Released Parties from, any and all torts, contracts, claims, suits, actions, causes of action, demands, rights, damages, costs,
 
B-1

expenses, attorneys’ fees, and compensation in any form whatsoever, whether now known or unknown, in law or in equity, which Executive has or ever had (from the beginning of time through and including the date hereof) against any of the Released Parties, arising under the Age Discrimination in Employment Act of 1967, as amended, 29 U.S.C. Sec. 621,  et seq. (“ ADEA ”). Executive further agrees that:
(a) Executive’s waiver of rights under this Release is knowing and voluntary and in compliance with the Older Workers Benefit Protection Act of 1990;
(b) Executive understands the terms of this Release;
(c) the consideration provided in the Agreement represents consideration over and above that to which Executive otherwise would be entitled, that the consideration would not have been provided had Executive not signed this Release, and that the consideration is in exchange for the signing of this Release;
(d) Company is hereby advising Executive in writing to consult with Executive’s attorney prior to executing this Release;
(e) Company is giving Executive a period of at least forty-five (45) days within which to consider this Release;
(f) Following the execution of this Release Executive has seven (7) days in which to revoke this Release by written notice. To be effective, the revocation must be made in writing and delivered to and received by the Chief Executive Officer and President, Allscripts Healthcare Solutions, Inc., 222 Merchandise Mart Plaza, Suite 2024, Chicago, Illinois 60654, no later than 4:00 p.m. on the seventh day after Executive executes this Release. An attempted revocation not actually received by the Chief Executive Officer and President before the revocation deadline will not be effective; and
(g) This entire Release shall be void and of no force and effect if Executive chooses to so revoke, and, if Executive chooses not to so revoke, this Release shall then become fully effective and enforceable.
This Section 2 does not waive rights or claims that may arise under the ADEA after the date Executive signs this Release. In addition, nothing in this Release shall in any way affect Executive’s right to indemnification, coverage and expense advancement to the extent provided by Company’s operating agreement or other applicable Company or insurance policies;  provided ,  however , that Company shall not be liable, and shall not provide a defense and indemnification for any claim wherein Executive has not satisfied the applicable standard of conduct set forth in such operating agreement or other applicable policies, or wherein Executive has committed any acts of fraud, embezzlement or gross misconduct.
3.Proceedings; No Admissions.
(a) Executive hereby represents and warrants that he has no pending claims against any of the Released Parties with any municipal, state, federal or other governmental or nongovernmental entity. Notwithstanding anything to the contrary, this Release shall not prevent
 
B-2

Executive from (A) initiating or causing to be initiated on Executive’s behalf any complaint, charge, claim or proceeding against any of the Released Parties before any local, state or federal agency, court or other body challenging the validity of the waiver of Executive’s claims under the ADEA contained in this Release (but no other portions of the waivers and releases described in Sections 1 or 2); or (B) initiating or participating in an investigation or proceeding conducted by the Equal Employment Opportunity Commission with respect to the ADEA.
(b) Both parties acknowledge and agree that this Release does not constitute, is not intended to be, and shall not be construed, interpreted or treated in any respect as, and shall not be admissible in any proceeding as, an admission of liability, error, violation, omission or wrongdoing by either party for any purpose whatsoever Further, both parties acknowledge and agree that there has been no determination that either party has violated any federal, state or local law, statute, ordinance, guideline, regulation, order or common-law principle. Executive further acknowledges that no precedent, practice, policy or usage shall be established by this Release or the offer to Executive of compensation and benefits in the Agreement.
4.Effect of Claim. Executive also understands and agrees that in the event Executive, by himself, or in conjunction with Executive’s heirs, spouse, family members, executors, or administrators, attempt(s) to institute or institute(s) any charge, claim, suit or action against any of the Released Parties in violation of this Release, Executive shall be obligated, as an express condition of bringing such action, to tender back to Company the full amount of the compensation and benefits that Executive has received under the Agreement; and Executive further agrees that Executive will pay all of the Released Parties’ costs, expenses and fees of defending against such action, including, among other things, reasonable attorneys’ fees. The immediately prior sentence does not apply to claims under ADEA or to challenge the release of ADEA claims under this Release; provided, however, nothing in this Release is intended to reflect any party’s belief that Executive’s waiver of claims under ADEA is invalid or unenforceable under this Release, it being the intent of Executive and Company that such claims are waived. This Section 4 does not grant Executive an option to return the money and institute an action. Instead this paragraph merely creates an additional term and condition precedent to bringing an action regardless of the fact that such action is expressly barred by this Release, and is without merit.
5.Executive’s Right to Enforce Agreement. Nothing in this Release shall be construed as a waiver or release by Executive of any claim or right to enforce the terms of the Agreement or to bring a claim for damages arising out of Company’s breach of the Agreement.
 
B-3

IN WITNESS WHEREOF, Executive has executed and delivered this Release on the date set forth below.

 	 	NOT TO BE SIGNED PRIOR TO	
 	 	AUGUST 8, 2013	
Date: August 8, 2013	 	/s/ Stephen Shute	
 	 	Stephen Shute	
 
B-4

EXHIBIT C
For purposes of the Restrictive Covenants set forth in Section 5 of the Employment Agreement, any of the following companies, or any of their subsidiaries or affiliates, shall be Competing Organizations:
 
1.	Aetna*	
2.	Amazing Charts	
3.	athenahealth Inc.	
4.	Cerner Corporation	
5.	CPSI	
6.	CSC*	
7.	Danaher Corporation	
8.	Dell*	
9.	eClinicalWorks Inc.	
10.	e-MDs	
11.	Emdeon Business Services LLC	
12.	Epic Systems Corporation	
13.	Fujitsu*	
14.	General Electric Company*	
15.	Greenway Medical	
16.	Humedica, Inc.	
17.	IBM*	
18.	McKesson Corporation	
19.	Meditech	
20.	Microsoft*	
21.	NextGen	
22.	OPTUMinsight	
23.	Oracle*	
24.	Philips*	
25.	Practice Fusion	
26.	Quality Systems, Inc.	
27.	SAP*	
28.	Siemens*	
29.	The Trizetto Group. Inc.*	
30.	UnitedHealth	
31.	Vitera Healthcare Solutions	
32.	Wellsoft Corporation	
33.	Xerox*	
 
*	The restriction only applies to the extent that Executive’s employment or services relate to electronic health records, practice management systems or revenue cycle management software for physician offices or hospitals.	
 
C-1

Exhibit 31.1
Certification
I, Paul M. Black, certify that:
 
1.	I have reviewed this quarterly report on Form 10-Q of Allscripts Healthcare Solutions, Inc.;	
 
2.	Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;	
 
3.	Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;	
 
4.	The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:	
 
 	a.	designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;	
 
 	b.	designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;	
 
 	c.	evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and	
 
 	d.	disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent quarter (the registrant’s fourth quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting;	
 
5.	The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s Board of Directors (or persons performing the equivalent functions):	
 
 	a.	all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting, which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and	
 
 	b.	any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.	

Date: November 12, 2013	 	 	 	 	 	/s/ Paul M. Black	
 	 	 	 	 	 	Chief Executive Officer	

Exhibit 31.2
Certification
I, Richard J. Poulton, certify that:
 
1.	I have reviewed this quarterly report on Form 10-Q of Allscripts Healthcare Solutions, Inc.;	
 
2.	Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;	
 
3.	Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;	
 
4.	The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:	
 
 	a.	designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;	
 
 	b.	designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;	
 
 	c.	evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and	
 
 	d.	disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent quarter (the registrant’s fourth quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting;	
 
5.	The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s Board of Directors (or persons performing the equivalent functions):	
 
 	a.	all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting, which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and	
 
 	b.	any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.	

Date: November 12, 2013	 	 	 	 	 	/s/ Richard J. Poulton	
 	 	 	 	 	 	Chief Financial Officer	

Exhibit 32.1
The following statement is being made to the Securities and Exchange Commission solely for purposes of Section 906 of the Sarbanes-Oxley Act of 2002 (18 U.S.C. 1350), which carries with it certain criminal penalties in the event of a knowing or willful misrepresentation.
Securities and Exchange Commission
450 Fifth Street, NW
Washington, D.C. 20549
Re: Allscripts Healthcare Solutions, Inc.
Ladies and Gentlemen:
In accordance with the requirements of Section 906 of the Sarbanes-Oxley Act of 2002 (18 USC 1350), each of the undersigned hereby certifies that:
(i) this Quarterly Report on Form 10-Q for the quarter ended September 30, 2013, which this statement accompanies, fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m or 78o(d)); and
(ii) the information contained in this quarterly report on Form 10-Q for the quarter ended September 30, 2013, fairly presents, in all material respects, the financial condition and results of operations of Allscripts Healthcare Solutions, Inc.
Dated as of this 12th day of November, 2013.

/S/ PAUL M. BLACK	 	 	 	 	 	/S/ RICHARD J. POULTON	
Paul M. Black
Chief Executive Officer	 	 	 	 	 	Richard J. Poulton
Chief Financial Officer	
A signed original of this written statement required by Section 906 has been provided to Allscripts Healthcare Solutions, Inc. and will be retained by Allscripts Healthcare Solutions, Inc. and furnished to the Securities and Exchange Commission or its staff upon request.