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 March 31, 2012

OR

¨ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

Commission file number 000-32085

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 April 27, 2012, there were 190,897,721 shares of the registrant’s $0.01 par value common stock outstanding.

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 March 31, 2012 and December 31, 2011		3
	Consolidated Statements of Operations for the three months ended March 31, 2012 and 2011		4
	Consolidated Statements of Comprehensive Income for the three months ended March 31, 2012 and 2011		5
	Consolidated Statements of Cash Flows for the three months ended March 31, 2012 and 2011		6
	Notes to Consolidated Financial Statements		7
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations		22
Item 3.	Quantitative and Qualitative Disclosures About Market Risk		41
Item 4.	Controls and Procedures		41
PART II. OTHER INFORMATION			42
Item 1.	Legal Proceedings		42
Item 1A.	Risk Factors		42
Item 2.	Unregistered Sales of Equity Securities, Use of Proceeds and Issuer Purchases of Equity Securities		42
Item 6.	Exhibits		42
SIGNATURES			43

2

PART I. FINANCIAL INFORMATION

Item 1. Financial Statements

ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.

CONSOLIDATED BALANCE SHEETS

(Unaudited)

(In thousands, except per share amounts)	March 31, 2012			December 31, 2011
ASSETS
Current assets:
Cash and cash equivalents	$	175,680		$	157,753
Accounts receivable, net of allowance of $18,748 and $12,505 at March 31, 2012 and December 31, 2011, respectively		370,022			362,793
Deferred taxes, net		40,598			40,600
Inventories		2,693			2,059
Prepaid expenses and other current assets		129,413			117,444
Total current assets		718,406			680,649
Long-term marketable securities		1,667			1,675
Fixed assets, net		134,364			122,563
Software development costs, net		103,879			98,378
Intangible assets, net		473,786			489,848
Goodwill		1,039,364			1,039,364
Deferred taxes, net		5,017			5,017
Other assets		75,139			79,847
Total assets	$	2,551,622		$	2,517,341
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Accounts payable	$	60,060		$	41,215
Accrued expenses		100,864			103,381
Accrued compensation and benefits		27,730			31,784
Deferred revenue		317,564			288,900
Current maturities of long-term debt and capital lease obligations		48,433			45,477
Total current liabilities		554,651			510,757
Long-term debt		295,205			322,664
Deferred revenue		18,913			18,891
Deferred taxes, net		124,105			119,728
Other liabilities		69,204			68,581
Total liabilities		1,062,078			1,040,621
Commitments and contingencies
Stockholders’ equity:
Preferred stock:
Undesignated, $0.01 par value, 1,000 shares authorized, no shares issued and outstanding at March 31, 2012 and December 31, 2011		0			0
Common stock:
$0.01 par value, 349,000 shares authorized at March 31, 2012 and December 31, 2011; 255,430 and 190,822 shares issued and outstanding at March 31, 2012, respectively, 254,691 and 190,382 shares issued and outstanding at December 31, 2011, respectively		2,554			2,547
Treasury stock at cost, 63,982 and 63,951 shares at March 31, 2012 and December 31, 2011, respectively		(52,622	)		(52,075	)
Additional paid-in capital		1,549,968			1,543,167
Accumulated deficit		(10,564	)		(16,377	)
Accumulated other comprehensive income (loss)		208			(542	)
Total stockholders’ equity		1,489,544			1,476,720
Total liabilities and stockholders’ equity	$	2,551,622		$	2,517,341

The accompanying notes are an integral part of these consolidated financial statements.

3

ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.

CONSOLIDATED STATEMENTS OF OPERATIONS

(Unaudited)

	Three Months Ended March 31,
(In thousands, except per share amounts)	2012			2011
Revenue:
System sales	$	40,708		$	54,496
Professional services		71,486			55,595
Maintenance		114,816			100,334
Transaction processing and other		137,702			124,883
Total revenue		364,712			335,308
Cost of revenue:
System sales		31,585			34,914
Professional services		61,702			45,623
Maintenance		36,004			33,047
Transaction processing and other		79,744			61,874
Total cost of revenue		209,035			175,458
Gross profit		155,677			159,850
Selling, general and administrative expenses		97,317			104,148
Research and development		36,122			22,004
Amortization of intangible assets		9,255			9,227
Income from operations		12,983			24,471
Interest expense		(3,854	)		(7,927	)
Interest income and other, net		392			404
Income before income taxes		9,521			16,948
Provision for income taxes		(3,708	)		(4,335	)
Net income	$	5,813		$	12,613
Earnings per share—basic and diluted	$	0.03		$	0.07

The accompanying notes are an integral part of these consolidated financial statements.

4

ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(Unaudited)

	Three Months Ended March 31,
(In thousands)	2012			2011
Net income	$	5,813		$	12,613
Unrealized gain on marketable securities, net of tax		5			2
Derivatives:
Unrealized (loss) gain on derivative financial instruments		(743	)		169
Reclassification adjustment for loss included in net income		475			477
Tax effect		106			(254	)
Unrealized (loss) gain on derivative financial instruments, net of tax		(162	)		392
Foreign currency translation adjustment		907			875
Total comprehensive income	$	6,563		$	13,882

The accompanying notes are an integral part of these consolidated financial statements.

5

ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited)

	Three Months Ended March 31,
(In thousands)	2012			2011
Cash flows from operating activities:
Net income	$	5,813		$	12,613
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization		35,216			30,866
Stock-based compensation expense		7,727			8,747
Excess tax benefits from stock-based compensation		(101	)		(4,176	)
Provision for doubtful accounts		5,110			2,001
Deferred taxes		3,338			2,895
Other losses		86			2,031
Changes in operating assets and liabilities, net of business combinations:
Accounts receivable		(12,103	)		(5,189	)
Inventories		(634	)		1,242
Prepaid expenses and other assets		(8,828	)		(8,812	)
Accounts payable		15,412			(2,288	)
Accrued expenses		(2,603	)		2,707
Accrued compensation and benefits		(3,338	)		(5,757	)
Deferred revenue		28,570			29,409
Other liabilities		929			605
Net cash provided by operating activities		74,594			66,894
Cash flows from investing activities:
Capital expenditures		(19,423	)		(11,784	)
Capitalized software		(13,268	)		(16,321	)
Purchases of marketable securities and other investments		0			(4,200	)
Sales and maturities of marketable securities and other investments		15			20
Change in restricted cash		0			2,225
Net cash used in investing activities		(32,676	)		(30,060	)
Cash flows from financing activities:
Proceeds from issuance of common stock		2,015			16,897
Excess tax benefits from stock-based compensation		101			4,176
Taxes paid related to net share settlement of equity awards		(2,298	)		0
Payments of capital lease obligations		(232	)		(366	)
Credit facility payments		(24,522	)		(89,515	)
Credit facility borrowings, net of issuance costs		0			47,362
Repurchase of common stock		(547	)		0
Net cash used in financing activities		(25,483	)		(21,446	)
Effect of exchange rates on cash and cash equivalents		1,492			655
Net increase in cash and cash equivalents		17,927			16,043
Cash and cash equivalents, beginning of period		157,753			129,403
Cash and cash equivalents, end of period	$	175,680		$	145,446

The accompanying notes are an integral part of these consolidated financial statements.

6

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.

Unaudited Interim Financial Information

The unaudited interim consolidated financial statements as of and for the three months ended March 31, 2012 have been prepared in accordance with the rules and regulations of the Securities and Exchange Commission (the “SEC”) for interim financial reporting. These 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 months ended March 31, 2012 are not necessarily indicative of the results to be expected for the year ending December 31, 2012.

Certain information and footnote disclosures normally included in annual 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 for the year ended December 31, 2011.

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

We have updated our revenue recognition accounting policy disclosure to include discussion of additional revenue elements. There has been no change in our accounting for revenue. Also, there have been no other changes to our significant accounting policies from those disclosed in our Annual Report on Form 10-K for the year ended December 31, 2011.

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Revenue Recognition

Revenue represents the fair value of consideration received or receivable from clients for goods and services provided by the Company. Revenue from system sales includes software and related hardware. Revenue from professional services includes implementation, training and consulting services. Revenue from maintenance includes post contract customer support and maintenance services. Revenue from transaction processing and other includes electronic data interchange (“EDI”) services, Software-as-a-Service (“SaaS”) transactions, software hosting services, and outsourcing. For some clients, we host the software applications licensed from us remotely using our own or third party servers, which saves these clients the cost of procuring and maintaining hardware and related facilities. For other clients, we offer an outsourced solution in which we assume partial to total responsibility for a healthcare organization’s information technology operations using our employees. Revenue from prepackaged medications includes the sale of medications and pharmaceutical products. Prepackaged medications revenue is only included in operating results during fiscal year 2009, as the related business was acquired as part of the 2008 Transactions in the second quarter of fiscal year 2009 and later disposed in the fourth quarter of fiscal year 2009.

Revenue from software licensing arrangements where the service element is not considered essential to the functionality of the other elements of the arrangement is recognized upon delivery of the software or as services are performed, provided persuasive evidence of an arrangement exists, fees are considered fixed or determinable, and collection of the receivable is probable. The revenue recognized for each separate element of a multiple-element software contract is based upon vendor-specific objective evidence of fair value, which is based upon the price the customer is required to pay when the element is sold separately or renewed. For arrangements in which vendor-specific objective evidence of fair value only exists for the undelivered elements, the delivered elements (which is generally software licenses) are accounted for using the residual method.

Revenue from software licensing arrangements, where the service element is considered essential to the functionality of the other elements of the arrangement, is accounted for on an input basis under percentage of completion accounting using actual hours worked as a percentage of total expected hours required by the arrangement, provided that persuasive evidence of an arrangement exists, the fee is fixed or determinable and collection of the receivable is probable. Maintenance and support from these agreements is recognized over the term of the support agreement based on vendor-specific objective evidence of fair value of the maintenance revenue, which is based upon contractual renewal rates. For income statement presentation, consideration from agreements accounted for under percentage of completion accounting is allocated between software and services based on vendor specific evidence of our hourly services rate multiplied by the amount of hours performed with the residual amount allocated to software license fee.

Revenue from certain value-added reseller (“VAR”) relationships in which software is directly sold to VARs is recognized upon delivery of the software assuming all other revenue recognition criteria have been met. Revenue recognition is deferred until the software is delivered to the ultimate end user if the arrangement terms do not satisfy the criteria for revenue recognition upon delivery of the software to the VAR.

Fees related to SaaS arrangements are recognized as revenue ratably over the contract terms beginning on the date our solutions are made available to customers. These arrangements include professional services fees related to the implementation and set-up of our solutions and are generally billed upfront and recorded as deferred revenue until our solutions are made available to the customer. The implementation and set-up fees are recognized as revenue ratably over the estimated customer relationship period. The estimated length of a customer relationship period is based on our experience with customer contract renewals and consideration of the period over which such customers utilize our SaaS solutions.

Software hosting services are provided to clients that have purchased a perpetual license to our software solutions and contracted with us to host the software. Generally, these arrangements provide the client with a contractual right to take possession of the software at any time during the hosting period without significant penalty and it is feasible for the client to either use the software on its own equipment or to contract with an unrelated third party to host the software. Hosting services are not deemed to be essential to the functionality of the software or other elements of the arrangement; accordingly, for these arrangements, we recognize software license revenues as system sales revenue upon delivery, assuming all other revenue recognition criteria have been met, and separately recognize fees for the hosting services as transaction processing and other revenue over the term of the hosting arrangement.

8

We also enter into multiple-element arrangements that may include a combination of various software-related and nonsoftware-related products and services. Management applies judgment to ensure appropriate accounting for multiple deliverables, including the allocation of arrangement consideration among multiple units of accounting, the determination of whether undelivered elements are essential to the functionality of delivered elements, and the timing of revenue recognition, among others. In such arrangements, we first allocate the total arrangement consideration based on a selling price hierarchy at the inception of the arrangement. The selling price for each element is based upon the following selling price hierarchy: vendor-specific objective evidence of fair value if available, third-party evidence of fair value if vendor-specific objective evidence of fair value is not available, or estimated selling price if neither vendor-specific objective evidence or third-party evidence of fair value is available (a description as to how we determine vendor-specific objective evidence of fair value, third-party evidence of fair value and estimated selling price is provided below). Upon allocation of consideration to the software elements as a whole and nonsoftware elements, we then further allocate consideration within the software group to the respective elements following higher-level, industry-specific guidance and our policies described above. After the arrangement consideration has been allocated to the elements, we account for each respective element in the arrangement as described above.

To determine the selling price in multiple-element arrangements, we establish vendor-specific objective evidence of fair value using the price charged for a deliverable when sold separately and contractual renewal rates for maintenance fees. For nonsoftware multiple element arrangements, third-party evidence of fair value is established by evaluating similar and interchangeable competitor products or services in standalone arrangements with similarly situated customers. If we are unable to determine the selling price because vendor-specific objective evidence or third-party evidence of fair value does not exist, we determine an estimated selling price by considering several external and internal factors including, but not limited to, pricing practices, margin objectives, competition, customer demand, internal costs and overall economic trends. The determination of an estimated selling price is made through consultation with and approval by our management, taking into consideration our go-to-market strategy. As our, or our competitors’, pricing and go-to-market strategies evolve, we may modify our pricing practices in the future. These events could result in changes to our determination of vendor-specific objective evidence of fair value, third-party evidence of fair value and estimated selling price. Selling prices are analyzed on an annual basis or more frequently if we experience significant changes in our selling prices.

For those arrangements where the deliverables do not qualify as separate units of accounting, revenue recognition is evaluated for the combined deliverables as a single unit of accounting and generally the recognition pattern of the final deliverable will dictate the revenue recognition pattern for the single, combined unit of accounting. Changes in circumstances and customer data may affect management’s analysis of separation criteria which may lead to an upward or downward adjustment to the amount of revenue recognized under the arrangement.

We assess whether fees are fixed or determinable at the time of sale and recognize revenues if all other revenue recognition requirements are met. Our payment arrangements with clients typically include milestone-based software license fee payments and payments based upon delivery for services and hardware.

While most of our arrangements include short-term payment terms, we periodically provide extended payment terms to clients from the date of contract signing. We do not recognize revenue under extended payment term arrangements until such payments become due. In certain circumstances, where all other revenue recognition criteria have been met, we occasionally offer discounts to clients with extended payment terms, in order to accelerate the timing of when payments are made. Changes to extended payment term arrangements have not had a material impact on our consolidated results of operations.

Maintenance fees are recognized ratably over the period of the contract based on vendor specific objective evidence of fair value based upon contractual renewal rates. Revenue from EDI services is recognized as services are provided and is determined based on the volume of transactions processed.

We provide outsourcing services to our clients under arrangements that typically range from five to ten years in duration. Under these arrangements we assume full, partial or transitional responsibilities for a healthcare organization’s IT operations using our employees. Our outsourcing services include facilities management, network outsourcing and transition management. Revenue from these arrangements is recognized as services are performed.

Revenue is recognized net of any taxes collected from customers and subsequently remitted to governmental authorities. We record as revenue any amounts billed to customers for shipping and handling costs and record as cost of revenue the actual shipping costs incurred.

The Company records reimbursements for out-of-pocket expenses incurred as professional services revenue in the statement of operations.

Revenue earned on contracts in excess of billings is included in the balance of accounts receivable. Billings are expected to occur according to the contract terms.

9

Recent Accounting Pronouncements

In September 2011, the Financial Accounting Standards Board (“FASB”) issued updated authoritative guidance for testing goodwill for impairment. This guidance allows entities to use a qualitative approach to test goodwill for impairment. The guidance permits an entity to first perform a qualitative assessment to determine whether it is more likely than not that the fair value of a reporting unit is less than its carrying value. If it is concluded that this is the case, it is necessary to perform the currently prescribed two-step goodwill impairment test. Otherwise, the two-step goodwill impairment test is not required. This guidance is effective for annual and interim goodwill impairment tests performed for fiscal years beginning after December 15, 2011. We are currently evaluating whether we will apply qualitative screens to our reporting units. This guidance will not have a material impact on the consolidated financial statements.

In May 2011, the FASB issued additional authoritative guidance related to fair value measurements and disclosures to provide a consistent definition of fair value and ensure that the fair value measurement and disclosure requirements are similar between GAAP and International Financial Reporting Standards. This guidance changes certain fair value measurement principles and enhances the disclosure requirements particularly for Level 3 fair value measurements. This guidance is effective for fiscal years and interim periods within those years beginning after December 15, 2011 and will be applied prospectively. We do not currently have Level 3 fair value instruments. This guidance did not have a material impact on the consolidated financial statements.

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2. 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. We have no Level 3 financial instruments.

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	March 31, 2012								December 31, 2011
(In thousands)		Level 1		Level 2			Total			Level 1		Level 2			Total
Money market funds	Cash equivalents	$	61,380	$	0		$	61,380		$	14,071	$	0		$	14,071
Marketable securities	Long-term marketable securities		0		1,667			1,667			0		1,675			1,675
Derivatives	Other liabilities		0		(2,022	)		(2,022	)		0		(1,754	)		(1,754	)
Total		$	61,380	($	355	)	$	61,025		$	14,071	($	79	)	$	13,992

We hold investments in certain non-marketable equity securities in which we do not have a controlling interest or significant influence. These investments are recorded at cost with a carrying value of $13 million at March 31, 2012 and are included in other assets in the accompanying consolidated balance sheets. We measure our cost method investments at fair value on a nonrecurring basis when they are deemed to be other-than-temporarily impaired. If an evaluation is required, the fair value of these investments will be determined based on valuation techniques using the best information available and may include quoted market prices, market comparables, and discounted cash flow projections.

Our long-term financial liabilities consist of long-term debt with a carrying value that approximates fair value since the interest rate approximates current market rates.

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3. 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. The fair value of restricted stock units and restricted stock awards are measured at their underlying closing share price on the date of grant.

We recorded stock-based compensation expense as follows:

	Three Months Ended March 31,
(In thousands)	2012		2011
Total stock-based compensation expense	$	7,727	$	8,747

Stock-based compensation expense is reflected in cost of revenue and the functional lines within operating expenses. No stock-based compensation costs were capitalized during the three months ended March 31, 2012 and 2011.

During the three months ended March 31, 2012, we granted stock-based awards as follows:

(In thousands, except per share amounts)	Shares		Weighted-Average Grant  Date Fair Value
Service-based restricted stock units		315	$	19.32
Deferred stock units		2	$	18.31
		317	$	19.31

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. 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. During the three months ended March 31, 2012, we repurchased approximately 30 thousand shares of our common stock for $547 thousand pursuant to this stock repurchase program. As of March 31, 2012, the amount available for repurchase of common stock under this program was approximately $148 million.

In April 2012, our Board of Directors approved the repurchase of an additional $200 million bringing the total repurchase authorization to $400 million, with approximately $348 million available under this program as of the date of such approval. Since March 31, 2012 we have completed trades to repurchase approximately 6 million shares for approximately $60 million.

Net Share-settlements

Beginning in 2011, 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 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 were 125 thousand for the three months ended March 31, 2012, 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.

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4. Earnings Per Share

Basic income per share is computed by dividing net income by the weighted-average shares of outstanding common stock. For purposes of calculating diluted earnings per share, the denominator includes both the weighted average shares of common stock outstanding and dilutive potential common stock equivalents. Dilutive common stock equivalent shares consist of stock options and restricted stock unit awards using the treasury stock method.

The calculations of earnings per share are as follows:

	Three Months Ended March 31,
(In thousands, except per share amounts)	2012		2011
Basic Earnings per Common Share:
Net income	$	5,813	$	12,613
Net income available to common shareholders	$	5,813	$	12,613
Weighted average common shares outstanding		190,561		189,380
Basic Earnings per Common Share	$	0.03	$	0.07
Earnings per Common Share Assuming Dilution:
Net income	$	5,813	$	12,613
Net income available to common shareholders	$	5,813	$	12,613
Weighted average common shares outstanding		190,561		189,380
Dilutive effect of stock options and restricted stock units and awards		2,321		3,201
Weighted average common shares outstanding assuming dilution		192,882		192,581
Earnings per Common Share Assuming Dilution	$	0.03	$	0.07

The following stock options and share awards are not included in the computation of diluted earnings per share as the effect of including such stock options and share awards in the computation would be anti-dilutive:

	Three Months Ended March 31,
(In thousands)	2012		2011
Shares subject to anti-dilutive stock options and share awards excluded from calculation		267		440

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5. Goodwill and Intangible Assets

Goodwill and intangible assets consist of the following:

	March 31, 2012							December 31, 2011
(In thousands)	Gross Assets		Accumulated Amortization			Intangible Assets, Net		Gross Assets		Accumulated Amortization			Intangible Assets, Net
Intangibles subject to amortization
Proprietary technology	$	361,660	($	176,964	)	$	184,696	$	361,660	($	170,157	)	$	191,503
Customer contracts and relationships		534,355		(297,265	)		237,090		534,355		(288,010	)		246,345
Total	$	896,015	($	474,229	)	$	421,786	$	896,015	($	458,167	)	$	437,848
Intangibles not subject to amortization
Registered trademarks						$	52,000						$	52,000
Goodwill							1,039,364							1,039,364
Total						$	1,091,364						$	1,091,364

In connection with the integration of the Eclipsys operations, we recently realigned certain functions within our business. After the realignment and based upon the information used by management for making operating decisions and assessing performance, we identified the following operating and reportable segments: Software Delivery, Services Delivery, Client Support and Managed Services. Refer to Note 10 Business Segments for additional information. We are in the process of assessing our reporting units and the related allocation of goodwill.

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6. Debt

Debt outstanding consisted of the following:

(In thousands)	March 31, 2012		December 31, 2011
Senior Secured Credit Facilities (long-term portion)	$	295,205	$	322,664
Senior Secured Credit Facilities (current portion)		47,614		44,677
Total debt	$	342,819	$	367,341

Interest expense consisted of the following:

	Three Months Ended March 31,
(In thousands)	2012		2011
Interest expense	$	2,595	$	4,689
Debt cost amortization		1,259		1,364
Write off of unamortized deferred debt issuance costs		0		1,874
Total interest expense	$	3,854	$	7,927

Credit Facility

There have been no significant changes in our credit facility arrangements from those disclosed in our Annual Report on Form 10-K for the year ended December 31, 2011.

The remaining quarterly installment payments under the senior secured term loan facility, as adjusted for any prepayments through March 31, 2012, are as follows (in thousands):

Quarterly Periods Ending	Quarterly Principal Amount
June 30, 2012 and September 30, 2012	$	9,523
December 31, 2012 to September 30, 2013		14,284
December 31, 2013 to September 30, 2014		19,045
December 31, 2014 to June 30, 2015		23,807
August 20, 2015		Remaining balance

As of March 31, 2012, $343 million in borrowings and $2 million in letters of credit were outstanding under the amended and restated credit agreement. As of March 31, 2012, the interest rate on the senior secured credit facilities was LIBOR plus 1.75%, which totaled 1.99%. Refer to Note 8 for a discussion of our interest rate swap agreement. There was no default under the amended and restated credit agreement as of March 31, 2012. As of March 31, 2012, the unamortized deferred debt issuance costs totaled $13 million, and are included within other assets on the balance sheet.

As of March 31, 2012, we had $248 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 amended and restated credit agreement if the financial institutions that have extended such credit commitments become unwilling or unable to fund such borrowings.

On May 10, 2012 we borrowed $175 million under our revolving credit facility.

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7. 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 2012 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 state taxes and changes in state tax rates. The effective tax rates were as follows:

	Three Months Ended March 31,
(Dollar amounts in thousands)	2012			2011
Income before income taxes		9,521			16,948
Provision for income taxes		(3,708	)		(4,335	)
Effective tax rate		38.9	%		25.6	%

The effective tax rate for the three months ended March 31, 2012 is higher compared to the prior year comparable period due to the recognition in the prior year of a tax benefit of approximately $2 million as a result of the refinement of state apportionment factors and subsequent revaluation of deferred tax liabilities related to intangible assets acquired in connection with the Eclipsys Merger. Also, a research and development tax credit is not considered in our provision for income taxes for the three months ended March 31, 2012 since the credit has not been extended beyond December 31, 2011; however, the benefit of the credit totaling approximately $1 million is included in our provision for income taxes for the three months ended March 31, 2011.

We file income tax returns in the U.S. federal jurisdiction, numerous states and multiple international countries. We are subject to the continuous examination of our income tax returns by the Internal Revenue Service and other tax authorities. A change in the assessment of the outcomes of such matters could materially impact our consolidated financial statements.

Our unrecognized income tax benefits were $43 million as of March 31, 2012, which is not significantly different from the balance at December 31, 2011. The results and timing of the resolution of income tax audits is highly uncertain and we are unable to estimate the range of possible changes to the balance of unrecognized income tax benefits. However, we do not currently anticipate any significant changes in our unrecognized income tax benefits for the next twelve months. We report interest and penalties related to uncertain income tax positions in the provision for income taxes line of our consolidated statements of operations.

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8. Derivative Financial Instruments

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 is $300 million, with scheduled step downs in the future, and a final termination date of October 31, 2014. 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 Facilities). 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.

The interest rate swap agreement is currently our only derivative instrument and it is not used for trading purposes. Allscripts has not entered into any foreign currency hedging contracts. In the future we may enter into foreign currency exchange contracts to offset certain operational exposures from the impact of changes in foreign exchange rates.

The fair value of the derivative instrument was as follows:

(In thousands)	March 31, 2012			December 31, 2011
Fair value of interest rate swap agreement	($	2,022	)	($	1,754	)

We recognized the following activity related to our interest rate swap agreement:

	Three Months Ended March 31,
(In thousands)	2012			2011
Effective Portion
(Loss) gain recognized in OCI	($	268	)	$	646
Tax effect		106			(254	)
Net	($	162	)	$	392
Loss reclassified from OCI to interest expense	$	475		$	477
Amount excluded from Effectiveness Assessment and Ineffective Portion
Gain (loss) recognized in other income (expense)	$	0		$	0

We estimate that $1 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 1.99% as of March 31, 2012 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 months ended March 31, 2012 and 2011. We held no other derivative instruments during the three months ended March 31, 2012 and 2011.

There were no realized gains (losses) on derivatives other than those related to the periodic settlement of the swap.

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9. Contingencies

On August 4, 2009, a lawsuit was filed in the United States District Court for the Northern District of Illinois against the Company, Glen Tullman and William Davis by the Plumbers and Pipefitters Local Union No. 630 Pension-Annuity Trust Fund on behalf of a purported class consisting of stockholders who purchased Allscripts common stock between May 8, 2007 and February 13, 2008. On October 13, 2009, David Robb was appointed lead plaintiff, and on November 25, 2009, an amended complaint was filed containing allegations that the Company, Tullman and Davis made materially false and misleading statements and/or omissions in connection with the release of TouchWorks EHR, Version 11. On January 11, 2010, the Company filed a motion to dismiss the lawsuit. On April 13, 2010, the court granted the Company’s motion to dismiss on the grounds that plaintiffs failed to sufficiently describe the confidential sources upon which the allegations in the amended complaint were based. On May 12, 2010, the court granted plaintiffs leave to replead. On May 14, 2010, plaintiffs filed a second amended complaint, which attributed certain allegations to four different confidential witnesses, but made no other substantive changes. On June 11, 2010, the Company filed a motion to dismiss the second amended complaint. On March 10, 2011, the motion was granted in substantial part. However, the Court denied the motion with respect to two alleged false statements. On September 19, 2011, the Court entered an order certifying a class. On February 7, 2012, the parties agreed, subject to execution of settlement documents and Court approval, to settle this matter on a class-wide basis. The settlement amount totaling approximately $10 million will be funded by the Company’s directors’ and officers’ liability insurance carrier and therefore have no material impact on the Company’s financial condition or results of operations.

On September 14, 2010, Pegasus Imaging Corporation (“Pegasus”) filed a lawsuit against the Company and AllscriptsMisys, LLC in the Circuit Court of the Thirteenth Judicial Circuit of the State of Florida in and for Hillsborough County, Florida. 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 the Company. The amended complaint asserts causes of action against defendants for fraudulent misrepresentations, negligent misrepresentations, and deceptive and unfair trade practices under Florida law, arising from previous business dealings between Pegasus and Advanced Imaging Concepts, Inc., a software company based in Louisville, Kentucky that the Company purchased in August 2003. On or about November 1, 2010, Defendants moved to transfer the case to the special court for complex business litigation that resides in Hillsborough County, Florida. The Florida Business Court granted Defendants’ motion for transfer on January 13, 2011. The Defendants have answered the complaint and filed counterclaims against the Plaintiff alleging breach of license, breach of warranty, and breach of contract. On April 30, 2012, Plaintiff filed a motion seeking leave to amend its Complaint to add a claim alleging breach of a click-through license agreement and punitive damages. The Company has also recently moved for leave to amend its counterclaims to add a claim for negligent misrepresentations. Discovery in this matter is ongoing. The case is currently expected to be set for trial in April or May of 2013. The Company intends to continue to defend this matter vigorously. We believe that we have strong defensive positions in such matter, but the outcomes of intellectual property lawsuits are often uncertain.

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On February 11, 2011, Medical Services Associates, Inc. (“MSA”) filed binding arbitration against the Company alleging that the Company negligently caused a loss of medical billing data, negligently or intentionally misrepresented certain facts regarding the computer system being sold to MSA, and/or breached certain aspects of a contract to provide certain software-related goods and services to MSA. The Company filed its counterclaim on March 11, 2011. The outcome of this matter depends upon questions of fact and law that are disputed or not clear, and cannot be predicted with confidence at this time and no reasonable estimate of potential damages is possible. The Company believes it has strong positions in this matter and intends to defend vigorously as to both liability and damages, but any unfavorable outcome may adversely affect the Company’s business, financial condition or results of operations.

In the opinion of management, there was not at least a reasonable possibility the Company 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 any of the foregoing litigation is inherently uncertain, and we may incur substantial defense costs and expenses. Therefore, if one or more of these legal matters were resolved against the Company in the same reporting period for amounts in excess of management’s expectations, the Company’s consolidated financial statements of a particular reporting period could be materially adversely affected.

On December 22, 2011, in connection with a federal grand jury investigation of third parties, we received a subpoena requesting that we provide documents regarding Allscripts’ interactions with several healthcare and educational organizations. At this time, we are unable to determine the impact of the foregoing on Allscripts. We are cooperating with the United States Attorney’s Office in connection with such subpoena.

On May 1, 2012, Physicians Healthsource, Inc. (hereinafter “Plaintiff”) filed a class action Complaint in U.S. District Court for the Northern District of Illinois against Allscripts-Misys Healthcare Solutions Inc., Allscripts, LLC and Allscripts Healthcare Solutions, Inc. (“Allscripts”). The Complaint alleges that on multiple occasions between July 2008 and December 2011, Allscripts or its 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 (“TCPA”). The Complaint 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. Allscripts was served with the Complaint and Plaintiff’s Motion for Class Certification on May 7, 2012 and a response is due May 28, 2012. The Company intends 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 the Company, Glen Tullman and William Davis by the Bristol County Retirement System for itself and on behalf of a purported class consisting of stockholders who purchased Allscripts common stock between November 18, 2010 and April 26, 2012. The Complaint alleges that the Company, Mr. Tullman and Mr. Davis made materially false and misleading statements and/or omissions during the putative class period regarding the Company’s progress in integrating Allscripts’ and Eclipsys’ business following the August 24, 2010 merger and that the Company lacked a reasonable basis for certain statements regarding the Company’s post-merger integration efforts, operations, results and projections of future financial performance. The Company has not yet been served with the Complaint.

Considering the two class action suits discussed above were filed recently, it is not 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 commitments and obligations in the ordinary course of business, we are subject to various claims, other pending and potential legal actions for damages and other matters arising in the normal conduct of our business, including intellectual property infringement, misappropriation or other intellectual property violation claims.

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10. Business Segments

Prior to 2012, we utilized three reportable segments: Clinical Solutions, Hospital Solutions, and Health Solutions. In connection with the integration of the Eclipsys operations, we recently realigned certain functions within our business. This realignment included the integration of our sales and services functions in the first quarter of 2012 as well as our solutions research and development team. After the realignment and based upon the information used by the chief operating decision maker to allocate resources, make operating decisions and assess performance, we identified the following operating and reportable segments: Software Delivery, Services Delivery, Client Support and Managed Services.

Software Delivery includes revenue from system solutions, which is comprised of revenues from software, hardware , and SaaS contracts and the related expenses incurred to deliver these solutions to our clients. Service Delivery derives its revenue through implementation, training and other professional services provided to clients. Client Support derives its revenue through software and hardware maintenance contracts. Managed Services includes revenue from our outsourcing, EDI and remote hosting solutions. We have determined that our operating segments are our reportable segments. Segment data for 2011 presented below has been restated to conform to the current presentation.

We use segment revenues and income from operations as measures of performance and to allocate resources. In determining income from operations for our segments, we do not include the amortization of acquisition-related deferred revenue adjustments and intangible assets, or stock-based compensation expense in the segment data provided to our chief operating decision maker. Accordingly, these amounts are not included in our reportable segment results and are included within All Other.

Corporate general and administrative expenses, interest expense, interest income and other, net, and the provision for income taxes are centrally managed and solutions research and development expenses are not attributed to an operating segment. As a result, these expenses are not presented in our segment disclosure because they are not part of the segment profitability results reviewed by management. Additionally, we do not track our assets by segment.

	Three Months Ended March 31, 2012
	Software		Services		Client		Managed		All
(In thousands)	Delivery		Delivery		Support		Services		Other			Total
Revenue:
System sales	$	40,362	$	247	$	0	$	101	($	2	)	$	40,708
Professional services		671		69,986		383		712		(266	)		71,486
Maintenance		1,406		17		114,351		245		(1,203	)		114,816
Transaction processing and other		40,932		174		152		96,926		(482	)		137,702
Total revenue		83,371		70,424		114,886		97,984		(1,953	)		364,712
Expenses:
Direct 3rd party		26,776		23,367		14,923		29,932		183			95,181
People related		34,692		36,907		20,587		29,577		65,258			187,021
Occupancy and infrastructure		4,278		698		1,294		3,682		17,990			27,942
Other		6,509		376		169		348		34,183			41,585
Total expenses		72,255		61,348		36,973		63,539		117,614			351,729
Income from operations	$	11,116	$	9,076	$	77,913	$	34,445	($	119,567	)	$	12,983

	Three Months Ended March 31, 2011
	Software		Services		Client		Managed		All
(In thousands)	Delivery		Delivery		Support		Services		Other			Total
Revenue:
System sales	$	54,152	$	344	$	0	$	0	$	0		$	54,496
Professional services		742		55,390		243		701		(1,481	)		55,595
Maintenance		521		0		104,373		177		(4,737	)		100,334
Transaction processing and other		37,288		0		21		89,030		(1,456	)		124,883
Total revenue		92,703		55,734		104,637		89,908		(7,674	)		335,308
Expenses:
Direct 3rd party		31,292		12,877		15,091		14,729		120			74,109
People related		35,101		32,610		17,978		26,468		58,013			170,170
Occupancy and infrastructure		2,112		775		630		12,303		15,189			31,009
Other		2,949		111		180		769		31,540			35,549
Total expenses		71,454		46,373		33,879		54,269		104,862			310,837
Income from operations	$	21,249	$	9,361	$	70,758	$	35,639	($	112,536	)	$	24,471

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11. Subsequent Events

Separation of Mr. Pead

Philip M. Pead’s service as Chairman of the Board, a director and officer of the Company terminated on April 25, 2012. The separation agreement for Mr. Pead provides severance pay and benefits in exchange for a full release and requires that Mr. Pead be subject to comprehensive restrictive covenants for 18 months. The restrictions include a non-compete, non-solicit of employees and clients, non-interference in business relationships and a stand-still agreement. In addition Mr. Pead has an obligation to protect confidential information and promptly return company property. The level of severance pay and benefits tracks the severance package for a termination without cause under Mr. Pead’s employment agreement, which provides for a cash severance payment of the sum of his base salary and current target bonus ($1,350,000); medical benefit continuation for twelve months following his termination; modification of the vesting terms of certain equity awards, which resulted in the accelerated vesting of certain awards and additional stock compensation expense to be recognized by the Company equal to approximately $1 million due to the modification of the vesting terms; vesting of Mr. Pead’s unpaid cash award under the legacy Eclipsys Incentive Retention Plan ($140,625); and a lump sum cash payment ($145,000) and reimbursement of fees for legal services rendered in connection with the separation (maximum of $25,000). Expenses related to the separation agreement will be reflected in the Company’s statement of operations for the three months ending June 30, 2012.

Stockholder Rights Plan

On May 5, 2012, the board of directors of Allscripts Healthcare Solutions, Inc. (the “Company”) adopted a stockholders rights plan (“Rights Plan”) and declared a dividend distribution of one right (each, a “Right”) for each outstanding share of the Company’s common stock to stockholders of record at the close of business on May 17, 2012. Each Right entitles its holder, under certain circumstances, to purchase from the Company one one-thousandth of a share of Series A Junior Participating Preferred Stock of the Company at an exercise price of $45.00 per Right, subject to adjustment. The description and terms of the Rights are set forth in a Rights Agreement, dated as of May 7, 2012 (the “Rights Agreement”), between the Company and Computershare Shareowner Services LLC, as Rights agent.

Under the terms of the Rights Plan, the Rights will be exercisable if a person or group, without Board approval, acquires 10% or more of Allscripts’ common stock (including in the form of synthetic ownership through derivative positions) or announces a tender offer which would result in the ownership of 10% or more of Allscripts’ common stock. The Rights will trade with Allscripts’ common stock, unless and until they are separated upon the occurrence of certain future events. Under certain circumstances (including the acquisition by a person or group of 10% or more of Allscripts’ common stock), the Rights will entitle the holders to buy shares of Allscripts’ common stock at a 50% discount. Allscripts’ Board generally may redeem the Rights prior to the tenth day following the first public announcement of the acquisition by a person or group of 10% or more of the common stock.

The Rights Plan exempts any person or group owning 10% or more of Allscripts’ common stock immediately prior to the issuance of this press release. However, the Rights also will be exercisable if a person or group that already owns 10% or more of the common stock acquires any additional shares (including through derivatives). The Rights Plan will expire on May 6, 2013.

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

Business Overview

Allscripts is a leading provider of clinical, financial, connectivity and information solutions and related professional services that empower hospitals, physicians and post-acute organizations to deliver world-class outcomes. We deliver innovative solutions that provide healthcare professionals with the information, insights and connectivity required to transform healthcare by improving the quality and efficiency of patient care.

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. Prior to 2012, we utilized three reportable segments: Clinical Solutions, Hospital Solutions, and Health Solutions. In connection with the integration of the Eclipsys operations, we recently realigned certain functions within our business. This realignment included the integration of our sales and services functions in the first quarter of 2012 as well as our solutions research and development team. After the realignment and based upon the information used by management for making operating decisions and assessing performance, we utilize the following operating and reportable segments: Software Delivery, Services Delivery, Client Support and Managed Services.

We believe that the HITECH Act and other provisions provided by the American Recovery and Reinvestment Act (ARRA) will continue to be the single biggest drivers of healthcare IT adoption in 2012. Management believes that to date the HITECH program has resulted in additional related new orders for all of our Electronic Health Record (“EHR”) products. Large physician groups will continue to purchase EHR technology; however, the number of very large practices who have not yet acquired such technology is decreasing. Such practices may choose to replace older EHR technology in the future as adoption increases and “meaningful use” requirements and business realities dictate updates, upgrades and additional features and functionality.

We believe small and medium size physician offices are increasingly adopting technology driven by a variety of factors including a desire to maximize federal incentive payments, align with local hospitals, and consolidate with other practices, as well as other drivers. Additionally, we have seen greater demand in small physician offices for our hosted solutions, which reflects a motivation to reduce capital outlays. Second, 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 acute 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 their affiliated physicians in order to leverage buying power and take advantage of the Stimulus across their employed physician base. This activity has also resulted in a “pull-through” effect where smaller practices affiliated with the community hospital are also incentivized to participate so the subsidizing health system can expand connectivity within the local provider community. This pull-through effect has resulted in new orders for our Professional EHR and our MyWay solutions. Management 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 seek to qualify for the HITECH incentives. 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.

22

The vast majority of our acute care and ambulatory customers continue to be focused on achieving “meaningful use” under HITECH. As a result, during the remainder of 2012 much of our professional services deployment capacity will continue to focus on helping our customers upgrade to the most current release of our EHR products that are certified as meeting “meaningful use” requirements as well as implement any additional modules required to achieve “meaningful use”. Our professional services margins could be impacted as we supplement our staff with third party resources to help meet the demand. We expect this trend to continue into the near future as HITECH Stage 2 requirements are defined and customers react to such requirements.

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 customers, there can be no assurance that it will continue to 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.

Allscripts today provides 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, the company offers a unified portfolio of clinical, financial, connectivity and information solutions.

Given the unique breadth of our solutions portfolio and customer types, we are uniquely positioned to connect physicians, other care providers and patients across all health care provider settings including hospitals, small or large physician practices, post-acute care facilities, or in a home care setting. We continue to compete for net-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, recently enacted public laws reforming 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 the Company and the Company’s customers. Some of these provisions may have a positive impact, by expanding the use of electronic health records in certain federal programs, for example, while others, such as reductions in reimbursement for certain types of providers, may have a negative impact due to fewer available resources. Increases in fraud and abuse enforcement and penalties may also adversely affect participants in the health care sector, including the Company.

Recent Developments

Our overall results for the three months ended March 31, 2012 were primarily affected by lower than expected sales and an unfavorable sales mix, which directly impacted revenue and profit. System sales were negatively impacted as we experienced a decline in orders as a number of our clients and prospects delayed purchase decisions as they await upcoming product enhancements as well as more progress with our product integration. This dynamic, combined with the recent realignment of our sales and service teams, were the primary factors that caused sales to be lower than our expectations. In addition, we also experienced pressure on operating income due to our decision to make significant investments in improving client experience and accelerating product development, as well as lower-than-expected capitalization of software development costs.

Our management team is executing on the following four-point plan focused on product delivery, client experience, sales execution and financial performance to address some of the challenges described above.

1. Product delivery—we currently plan to invest over $190 million in 2012 to improve performance and accelerate product integration and innovation.

2. Client experience—we have added front-line support personnel and we are making investments to help improve response and resolution time.

3. Sales execution—we continue to work through the realignment of our sales and services teams and believe the new alignment positions our resources to better serve our clients.

4. Financial performance—while we are investing in areas that we believe will help our clients, we are also focused on using our existing resources efficiently and effectively. Our hiring for the year has essentially stabilized, and we will continue to focus on operational efficiency.

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 for the year ended December 31, 2011.

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Overview of Consolidated Results

Three Months Ended March 31, 2012 Compared to the Three Months Ended March 31, 2011

	Three Months Ended March 31,
(Dollar amounts in thousands)	2012			2011			% Change
Revenue:
System sales	$	40,708		$	54,496			(25.3	%)
Professional services		71,486			55,595			28.6	%
Maintenance		114,816			100,334			14.4	%
Transaction processing and other		137,702			124,883			10.3	%
Total revenue		364,712			335,308			8.8	%
Cost of revenue:
System sales		31,585			34,914			(9.5	%)
Professional services		61,702			45,623			35.2	%
Maintenance		36,004			33,047			8.9	%
Transaction processing and other		79,744			61,874			28.9	%
Total cost of revenue		209,035			175,458			19.1	%
Gross profit		155,677			159,850			(2.6	%)
% of Revenue		42.7	%		47.7	%
Selling, general and administrative expenses		97,317			104,148			(6.6	%)
Research and development		36,122			22,004			64.2	%
Amortization of intangible assets		9,255			9,227			0.3	%
Income from operations		12,983			24,471			(46.9	%)
Interest expense		(3,854	)		(7,927	)		(51.4	%)
Interest income and other, net		392			404			(3.0	%)
Income before income taxes		9,521			16,948			(43.8	%)
Provision for income taxes		(3,708	)		(4,335	)		(14.5	%)
Effective tax rate		38.9	%		25.6	%
Net income	$	5,813		$	12,613			(53.9	%)

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Revenue

	Three Months Ended March 31,
(Dollar amounts in thousands)	2012		2011		% Change
Revenue:
System sales	$	40,708	$	54,496		(25.3	%)
Professional services		71,486		55,595		28.6	%
Maintenance		114,816		100,334		14.4	%
Transaction processing and other		137,702		124,883		10.3	%
Total revenue		364,712		335,308		8.8	%

Three Months Ended March 31, 2012 Compared to the Three Months Ended March 31, 2011

Total revenue increased during the three months ended March 31, 2012 compared to the prior year comparable period as we realized increases in all revenue categories with the exception of system sales. The increase in professional services revenue was driven by an increase in professional services headcount which increased our ability to provide more billable services. We increased headcount primarily in response to the demand associated with increases in consulting and “meaningful use” upgrade services. Maintenance revenue and transaction processing revenue both increased primarily related to growth in our customer base. Outsourcing revenues are included in transaction processing and other and contributed $7 million of the increase in revenue compared to the three months ended March 31, 2011 as we expanded our services to existing customers while also expanding our customer base. SaaS and hosting revenues also contributed to this increase as we expanded our customer base. Partially offsetting these increases in revenue for the three months ended March 31, 2012 is a decrease in system sales which consists of a $7 million decrease in software revenue and a $7 million decrease in hardware revenue as we experienced delays in closing orders with new clients and lower sales to our existing client base. Additionally, we continue to experience a shift in sales to smaller physician practices which typically require less robust hardware solutions.

Gross Profit

	Three Months Ended March 31,
(Dollar amounts in thousands)	2012			2011			% Change
Total cost of revenue		209,035			175,458			19.1	%
Gross profit		155,677			159,850			(2.6	%)
% of Revenue		42.7	%		47.7	%

Three Months Ended March 31, 2012 Compared to the Three Months Ended March 31, 2011

Gross profit decreased slightly during the three months ended March 31, 2012 as the increase in total revenue was offset by an increase in expenses compared to the prior year comparable period. In the current period, we recognized a $4 million increase in the amortization of software development costs and an increase in professional services cost of revenue primarily due to the increased use of third party resources to assist us in meeting demand attributable to increases in consulting and “meaningful use” upgrade services which offset an increase in professional services revenue. Also, an increase in transaction processing and other revenue was offset by higher costs as we added headcount and made infrastructure improvements in response to increased demand for our SaaS and hosting solutions. The increases in amortization expense and other costs were partially offset by an increase in software maintenance revenue. Gross profit as a percent of revenue declined compared to the prior year due primarily to a higher revenue mix of third-party systems sales which carry lower gross margin and the increases in amortization of software development costs, professional services costs and transaction processing related costs.

25

Selling, General and Administrative Expenses

		$xxx,xxx,xxx		$xxx,xxx,xxx		$xxx,xxx,xxx
	Three Months Ended March 31,
(Dollar amounts in thousands)	2012		2011		% Change
Selling, general and administrative expenses		97,317		104,148		(6.6	%)

Three Months Ended March 31, 2012 Compared to the Three Months Ended March 31, 2011

Selling, general and administrative expenses decreased during the current period primarily due to a decrease in expenses incurred relating to the Eclipsys Merger and other integration-related costs and a decrease in people-related expenses. Partially offsetting these decreases is an increase in legal expenses related to general legal matters, including expenses related to addressing claims involving the Company.

Research and Development

		$xxx,xxx,xxx		$xxx,xxx,xxx		$xxx,xxx,xxx
	Three Months Ended March 31,
(Dollar amounts in thousands)	2012		2011		% Change
Research and development	$	36,122	$	22,004		64.2	%

Three Months Ended March 31, 2012 Compared to the Three Months Ended March 31, 2011

Research and development expenses increased in the current period 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. Also contributing to the increase is a decrease in the capitalization of software development costs as certain quality and efficiency development efforts were not eligible for capitalization.

Amortization of Intangible Assets

		$xxx,xxx,xxx		$xxx,xxx,xxx		$xxx,xxx,xxx
	Three Months Ended March 31,
(Dollar amounts in thousands)	2012		2011		% Change
Amortization of intangible assets	$	9,255	$	9,227		0.3	%

Three Months Ended March 31, 2012 Compared to the Three Months Ended March 31, 2011

Amortization of intangible assets recognized during the three months ended March 31, 2012 is in line with the prior period amount.

26

Interest Expense

		$xxx,xxx,xxx			$xxx,xxx,xxx			$xxx,xxx,xxx
	Three Months Ended March 31,
(Dollar amounts in thousands)	2012			2011			% Change
Interest expense	($	3,854	)	($	7,927	)		(51.4	%)

Three Months Ended March 31, 2012 Compared to the Three Months Ended March 31, 2011

Interest expense decreased during the current period as compared to the prior period as we continue to pay down our long-term debt balance. Also, interest expense in the prior year comparable period includes the write-off of deferred debt issuance costs totaling $2 million in connection with the execution of an amendment to our credit facility agreement.

Interest Income and Other, Net

		$xxx,xxx,xxxx		$xxx,xxx,xxxx		$xxx,xxx,xxxx
	Three Months Ended March 31,
(Dollar amounts in thousands)	2012		2011		% Change
Interest income and other, net	$	392	$	404		(3.0	%)

Three Months Ended March 31, 2012 Compared to the Three Months Ended March 31, 2011

Interest income and other realized in the current period is in line with the prior period amount.

Provision for Income Taxes

		$xxx,xxx,xx			$xxx,xxx,xx			$xxx,xxx,xx
	Three Months Ended March 31,
(Dollar amounts in thousands)	2012			2011			% Change
Provision for income taxes	($	3,708	)	($	4,335	)		(14.5	%)
Effective tax rate		38.9	%		25.6	%

Three Months Ended March 31, 2012 Compared to the Three Months Ended March 31, 2011

The effective tax rate for the three months ended March 31, 2012 is higher compared to the prior year comparable period due to the recognition in the prior year of a tax benefit of approximately $2 million as a result of the refinement of state apportionment factors and subsequent revaluation of deferred tax liabilities related to intangible assets acquired in connection with the Eclipsys Merger. Also, a research and development tax credit is not considered in our provision for income taxes for the three months ended March 31, 2012 since the credit has not been extended beyond December 31, 2011; however, the benefit of the credit totaling approximately $1 million is included in our provision for income taxes for the three months ended March 31, 2011.

27

Segment Operations

Overview of Segment Results

	Three Months Ended March 31, 2012
	Software			Services			Client			Managed			All
(Dollar amounts in thousands)	Delivery			Delivery			Support			Services			Other			Total
Revenue:
System sales	$	40,362		$	247		$	0		$	101		($	2	)	$	40,708
Professional services		671			69,986			383			712			(266	)		71,486
Maintenance		1,406			17			114,351			245			(1,203	)		114,816
Transaction processing and other		40,932			174			152			96,926			(482	)		137,702
Total revenue		83,371			70,424			114,886			97,984			(1,953	)		364,712
Expenses:
Direct 3rd party		26,776			23,367			14,923			29,932			183			95,181
People related		34,692			36,907			20,587			29,577			65,258			187,021
Occupancy and infrastructure		4,278			698			1,294			3,682			17,990			27,942
Other		6,509			376			169			348			34,183			41,585
Total expenses		72,255			61,348			36,973			63,539			117,614			351,729
Income from operations	$	11,116		$	9,076		$	77,913		$	34,445		($	119,567	)	$	12,983
Operating margin %		13.3	%		12.9	%		67.8	%		35.2	%					3.6	%

	Three Months Ended March 31, 2011
	Software			Services			Client			Managed			All
(Dollar amounts in thousands)	Delivery			Delivery			Support			Services			Other			Total
Revenue:
System sales	$	54,152		$	344		$	0		$	0		$	0		$	54,496
Professional services		742			55,390			243			701			(1,481	)		55,595
Maintenance		521			0			104,373			177			(4,737	)		100,334
Transaction processing and other		37,288			0			21			89,030			(1,456	)		124,883
Total revenue		92,703			55,734			104,637			89,908			(7,674	)		335,308
Expenses:
Direct 3rd party		31,292			12,877			15,091			14,729			120			74,109
People related		35,101			32,610			17,978			26,468			58,013			170,170
Occupancy and infrastructure		2,112			775			630			12,303			15,189			31,009
Other		2,949			111			180			769			31,540			35,549
Total expenses		71,454			46,373			33,879			54,269			104,862			310,837
Income from operations	$	21,249		$	9,361		$	70,758		$	35,639		($	112,536	)	$	24,471
Operating margin %		22.9	%		16.8	%		67.6	%		39.6	%					7.3	%
	% Change Three Months Ended March 31
	Software			Services			Client			Managed			All
	Delivery			Delivery			Support			Services			Other			Total
Revenue:
System sales		(25.5	%)		(28.2	%)		NM			NM			NM			(25.3	%)
Professional services		(9.6	%)		26.4	%		57.6	%		1.6	%		(82.0	%)		28.6	%
Maintenance		169.9	%		NM			9.6	%		38.4	%		(74.6	%)		14.4	%
Transaction processing and other		9.8	%		NM			NM			8.9	%		(66.9	%)		10.3	%
Total revenue		(10.1	%)		26.4	%		9.8	%		9.0	%		(74.6	%)		8.8	%
Expenses:
Direct 3rd party		(14.4	%)		81.5	%		(1.1	%)		103.2	%		52.5	%		28.4	%
People related		(1.2	%)		13.2	%		14.5	%		11.7	%		12.5	%		9.9	%
Occupancy and infrastructure		102.6	%		(9.9	%)		105.4	%		(70.1	%)		18.4	%		(9.9	%)
Other		120.7	%		NM			(6.1	%)		(54.7	%)		8.4	%		17.0	%
Total expenses		1.1	%		32.3	%		9.1	%		17.1	%		12.2	%		13.2	%
Income from operations		(47.7	%)		(3.0	%)		10.1	%		(3.4	%)		6.2	%		(46.9	%)

NM—Not Meaningful

28

Software Delivery

Software delivery primarily includes revenue from system solutions, 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 March 31,
(Dollar amounts in thousands)	2012			2011			% Change
Revenue:
System sales	$	40,362		$	54,152			(25.5	%)
Professional services		671			742			(9.6	%)
Maintenance		1,406			521			169.9	%
Transaction processing and other		40,932			37,288			9.8	%
Total revenue		83,371			92,703			(10.1	%)
Expenses:
Direct 3rd party		26,776			31,292			(14.4	%)
People related		34,692			35,101			(1.2	%)
Occupancy and infrastructure		4,278			2,112			102.6	%
Other		6,509			2,949			120.7	%
Total expenses		72,255			71,454			1.1	%
Income from operations	$	11,116		$	21,249			(47.7	%)
Operating margin %		13.3	%		22.9	%

Three Months Ended March 31, 2012 Compared to the Three Months Ended March 31, 2011

Software delivery revenue decreased during the three months ended March 31, 2012 due to a decrease in system sales which consists of a $7 million decrease in software revenue attributable to a decline in customer orders and a $7 million decrease in hardware revenue as our system sales shift to smaller physician practices which typically require less robust hardware solutions.

Software delivery expenses remained in line with the prior year comparable period as a decrease in hardware costs associated with the decrease in hardware revenue discussed above was offset by increases in SaaS operations and infrastructure costs as we respond to demand for our SaaS solutions. Other expenses include marketing, professional fees and bad debt expense. The increase in other expenses is primarily attributable to the increase in bad debt expense compared to the prior year.

Software delivery operating margin declined in the current period due to the decrease in software license revenue and the increase in SaaS operations and infrastructure costs compared to the same period in 2011.

29

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 March 31,
(Dollar amounts in thousands)	2012			2011			% Change
Revenue:
System sales	$	247		$	344			(28.2	%)
Professional services		69,986			55,390			26.4	%
Maintenance		17			0			NM
Transaction processing and other		174			0			NM
Total revenue		70,424			55,734			26.4	%
Expenses:
Direct 3rd party		23,367			12,877			81.5	%
People related		36,907			32,610			13.2	%
Occupancy and infrastructure		698			775			(9.9	%)
Other		376			111			NM
Total expenses		61,348			46,373			32.3	%
Income from operations	$	9,076		$	9,361			(3.0	%)
Operating margin %		12.9	%		16.8	%

Three Months Ended March 31, 2012 Compared to the Three Months Ended March 31, 2011

The increase in services delivery revenue during the three months ended March 31, 2012 is attributable to an increase in professional services headcount and an increase in the use of third party resources which increased our capacity to provide more billable services in response to increases in consulting services and the demand associated with “meaningful use” upgrade services.

Services delivery expenses increased compared to the prior year comparable period due to the increase in professional services headcount and the increase in the use of third party resources discussed above.

Services delivery operating margin declined in the current period primarily due to the incremental costs incurred as we utilized more third party resources to meet demand.

30

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 March 31,
(Dollar amounts in thousands)	2012			2011			% Change
Revenue:
System sales	$	0		$	0			NM
Professional services		383			243			57.6	%
Maintenance		114,351			104,373			9.6	%
Transaction processing and other		152			21			NM
Total revenue		114,886			104,637			9.8	%
Expenses:
Direct 3rd party		14,923			15,091			(1.1	%)
People related		20,587			17,978			14.5	%
Occupancy and infrastructure		1,294			630			105.4	%
Other		169			180			(6.1	%)
Total expenses		36,973			33,879			9.1	%
Income from operations	$	77,913		$	70,758			10.1	%
Operating margin %		67.8	%		67.6	%

Three Months Ended March 31, 2012 Compared to the Three Months Ended March 31, 2011

Client support revenue increased during the three months ended March 31, 2012 due to increases in our client base and customer activations compared to the prior year comparable period.

Client support expenses increased compared to the prior year comparable period due to an increase in headcount.

Client support operating margin in the current period remained in line with the prior year comparable period.

31

Managed Services

Managed services includes revenue from our outsourcing, medical claims processing and remote hosting solutions and includes the related expenses incurred to deliver these solutions to our clients.

	Three Months Ended March 31,
(Dollar amounts in thousands)	2012			2011			% Change
Revenue:
System sales	$	101		$	0			NM
Professional services		712			701			1.6	%
Maintenance		245			177			38.4	%
Transaction processing and other		96,926			89,030			8.9	%
Total revenue		97,984			89,908			9.0	%
Expenses:
Direct 3rd party		29,932			14,729			103.2	%
People related		29,577			26,468			11.7	%
Occupancy and infrastructure		3,682			12,303			(70.1	%)
Other		348			769			(54.7	%)
Total expenses		63,539			54,269			17.1	%
Income from operations	$	34,445		$	35,639			(3.4	%)
Operating margin %		35.2	%		39.6	%

Three Months Ended March 31, 2012 Compared to the Three Months Ended March 31, 2011

Managed services revenue increased during the three months ended March 31, 2012 primarily due to an increase in outsourcing revenues as we expanded our services to existing customers while also expanding our customer base.

Managed services expenses increased during the current period due to remote hosting infrastructure improvements as we upgrade customers to enhanced versions of our products and an increase in headcount. The increase in direct third party costs is associated with the agreement with Affiliated Computer Services, Inc. (“ACS”) to provide services to support our remote hosting services for our Sunrise acute care clients which was executed on March 31, 2011. This increase is partially offset by the decrease in occupancy and infrastructure expenses compared to the prior year since certain equipment and infrastructure charges were transitioned to ACS.

Managed services operating margin declined due to the increase in expenses related to the infrastructure improvements discussed above.

32

All Other

Corporate general and administrative expenses, stock-based compensation expense, amortization of intangibles and capitalized software development costs, interest expense, interest income and other, net, and the provision for income taxes are centrally managed and solutions research and development expenses are not attributed to an operating segment. As a result, these expenses are not presented in our segment disclosure because they are not part of the segment profitability results reviewed by management.

In determining income from operations for our segments, we do not include the amortization of acquisition-related deferred revenue adjustments and intangible assets, or stock-based compensation expense in the segment data provided to our chief operating decision maker. Accordingly, these amounts are not included in our reportable segment results and are included within All Other.

	Three Months Ended March 31,
(Dollar amounts in thousands)	2012			2011			% Change
Revenue:
System sales	($	2	)	$	0			NM
Professional services		(266	)		(1,481	)		(82.0	%)
Maintenance		(1,203	)		(4,737	)		(74.6	%)
Transaction processing and other		(482	)		(1,456	)		(66.9	%)
Total revenue		(1,953	)		(7,674	)		(74.6	%)
Expenses:
Direct 3rd party		183			120			52.5	%
People related		65,258			58,013			12.5	%
Occupancy and infrastructure		17,990			15,189			18.4	%
Other		34,183			31,540			8.4	%
Total expenses		117,614			104,862			12.2	%
Income from operations	($	119,567	)	($	112,536	)		6.2	%

Three Months Ended March 31, 2012 Compared to the Three Months Ended March 31, 2011

Expenses increased during the three months ended March 31, 2012 primarily due to an increase in research and development headcount. Also contributing to the increase are higher facility-related expenses as we expanded our office space to accommodate an increase in headcount compared to the same period in 2011. Other expenses include marketing, professional fees and capitalization and amortization of software development costs, and amortization of intangible assets. The increase in other expenses is primarily due to higher legal expenses in connection with general legal matters, including expenses related to addressing claims involving the Company, a $3 million decrease in the capitalization of software development costs and a $4 million increase in amortization of software development costs compared to the prior year. These increases were partially offset by a decrease in expenses incurred relating to the Eclipsys Merger and other integration-related costs.

33

Contract Backlog

Contract backlog represents the value of bookings and maintenance contracts that have not yet been recognized as revenue. As of March 31, 2012, December 31, 2011 and March 31, 2011, we had a committed contract backlog of $2.9 billion, $2.9 billion and $2.7 billion, respectively. A summary of contract backlog by revenue category is as follows:

	As of		As of		As of		% Change from March 31, 2012
	March 31,		December 31,		March 31,		December 31,			March 31,
(Dollar amounts in millions)	2012		2011		2011		2011			2011
Contract backlog:
System sales	$	126	$	136	$	131		(7.4	%)		(3.8	%)
Professional services		375		393		322		(4.6	%)		16.5	%
Maintenance		853		833		758		2.4	%		12.5	%
Transaction processing and other		1,509		1,492		1,494		1.1	%		1.0	%
Total contract backlog	$	2,863	$	2,854	$	2,705		0.3	%		5.8	%

Total contract backlog increased during the three months ended March 31, 2012 compared to December 31, 2011 as increases in the backlog for maintenance and transaction process and other were offset by decreases in system sales and professional services backlog. Maintenance revenue backlog increased as a result of new client go-lives as well as maintenance renewals in our installed base. The increase in transaction processing and other backlog is attributable to growth in new orders for our outsourcing solution. System sales and professional services backlog declined as we experienced delays in closing orders with new clients and lower than expected sales to our existing client base during the current period.

Total contract backlog increased during the three months ended March 31, 2012 compared to the prior year comparable period primarily due to an increase in professional services backlog which was driven by an increase in orders and an increase in maintenance revenue backlog as a result of new client go-lives as well as maintenance renewals in our installed base.

Bookings

Bookings reflect the value of executed contracts for software, hardware, services, remote hosting, outsourcing and SaaS, and totaled $195 million and $212 million in the three months ended March 31, 2012 and 2011, respectively. We experienced the shortfall in bookings during the current period as a number of our clients and prospects delayed purchase decisions as they await upcoming product enhancements as well as more progress with our product integration.

34

Liquidity and Capital Resources

As of March 31, 2012 and 2011, our principal sources of liquidity consisted of cash, cash equivalents and marketable securities of $177 million and $147 million, respectively, and our revolving credit facility described below. The change in our cash balance is reflective of the following:

Operating Cash Flow Activities

	Three Months Ended March 31,
(In thousands)	2012		2011		$ Change
Net income	$	5,813	$	12,613	($	6,800	)
Non-cash adjustments to net income		51,376		42,364		9,012
Cash impact of changes in operating assets and liabilities		17,405		11,917		5,488
Net cash provided by operating activities	$	74,594	$	66,894	$	7,700

Three Months Ended March 31, 2012 Compared to the Three Months Ended March 31, 2011

Net cash provided by operating activities increased in the three months ended March 31, 2012 as cash received from customers increased at a faster rate than operating disbursements compared to the same period in 2011.

35

Investing Cash Flow Activities

	Three Months Ended March 31,
(In thousands)	2012			2011			$ Change
Capital expenditures	($	19,423	)	($	11,784	)	($	7,639	)
Capitalized software		(13,268	)		(16,321	)		3,053
Net (purchases) sales and maturities of marketable securities and other investments		15			(4,180	)		4,195
Change in restricted cash		0			2,225			(2,225	)
Net cash used in investing activities	($	32,676	)	($	30,060	)	($	2,616	)

Three Months Ended March 31, 2012 Compared to the Three Months Ended March 31, 2011

Net cash used in investing activities increased during the three months ended March 31, 2012 due to an increase in capital expenditures which was partially offset by a decrease in capitalized software development costs. Also, the prior year includes the acquisition of a cost method investment and the release of restricted cash that did not recur in the current period. The increase in capital expenditures is related to the acquisition of computer equipment and software to improve our information systems infrastructure and to accommodate data management and hosting related to our SaaS and hosting solutions. The capitalization of software development costs decreased as certain quality and efficiency development efforts were not eligible for capitalization.

Financing Cash Flow Activities

	Three Months Ended March 31,
(In thousands)	2012			2011			$ Change
Proceeds from issuance of common stock	$	2,015		$	16,897		($	14,882	)
Excess tax benefits from stock-based compensation		101			4,176			(4,075	)
Taxes paid related to net share settlement of equity awards		(2,298	)		0			(2,298	)
Net payments on debt instruments		(24,754	)		(89,881	)		65,127
Credit facility borrowings, net of issuance costs		0			47,362			(47,362	)
Repurchase of common stock		(547	)		0			(547	)
Net cash used in financing activities	($	25,483	)	($	21,446	)	($	4,037	)

Three Months Ended March 31, 2012 Compared to the Three Months Ended March 31, 2011

Net cash used in financing activities increased during the three months ended March 31, 2012 as proceeds from stock-based compensation activities were lower compared to the same period in 2011 and excess tax benefits from stock-based compensation declined as the fair value of equity awards vesting during the current period was more aligned with the fair value of the awards on the date of grant. Also, the current period includes net-share settlements of vested equity awards 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. Partially offsetting these increases was a decrease in payments on debt instruments as we made prepayments on our credit facility during the same period in 2011 that did not recur in the current year. Also, in the prior year period we amended and restated our credit facility agreement and certain institutions were replaced resulting in additional payments and borrowings, each totaling $49 million, net of $1 million in debt issuance costs.

36

Free Cash Flow

To supplement our statements of cash flows presented on a GAAP basis, we use a non-GAAP measure of free cash flow which we believe is also useful as one of the bases for evaluating our performance. We believe free cash flow is an important liquidity metric, as it measures the amount of cash generated that is available to repay our current debt obligations, make investments, fund acquisitions, repurchase our common stock and for certain other activities. The presentation of non-GAAP free cash flow is not meant to be considered in isolation and should not be considered a substitute for income from operations, net income, net cash provided by operating activities or any other measure determined in accordance with GAAP. Operating asset and liability balances can fluctuate significantly from period to period and there can be no assurance that free cash flow will not be negatively impacted by material changes in operating assets and liabilities in future periods, since these changes depend upon, among other things, management’s timing of payments and cash receipts. In addition to fluctuations resulting from changes in operating assets and liabilities, free cash flow can vary significantly from period to period depending upon, among other things, operating efficiencies, increases or decreases in capital expenditures and capitalized software, and other factors.

We calculate free cash flow as follows:

	Three Months Ended March 31,
(In thousands)	2012			2011			$ Change
Net cash provided by operating activities	$	74,594		$	66,894		$	7,700
Capital expenditures		(19,423	)		(11,784	)		(7,639	)
Capitalized software		(13,268	)		(16,321	)		3,053
Free cash flow	$	41,903		$	38,789		$	3,114

Amounts for each element of the table above are as reported in our consolidated statements of cash flows presented in accordance with GAAP.

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Future Capital Requirements

There have been no significant changes in our credit facility arrangements from those disclosed in our Annual Report on Form 10-K for the year ended December 31, 2011.

The remaining quarterly installment payments under the senior secured term loan facility, as adjusted for any prepayments through March 31, 2012, are as follows (in thousands):

Quarterly Periods Ending	Quarterly Principal Amount
June 30, 2012 and September 30, 2012	$	9,523
December 31, 2012 to September 30, 2013		14,284
December 31, 2013 to September 30, 2014		19,045
December 31, 2014 to June 30, 2015		23,807
August 20, 2015		Remaining balance

As of March 31, 2012, $343 million in borrowings and $2 million in letters of credit were outstanding under the amended and restated credit agreement. As of March 31, 2012, the interest rate on the senior secured credit facilities was LIBOR plus 1.75%, which totaled 1.99%. Refer to Note 8, “Derivative Financial Instruments,” of the Notes to Consolidated Financial Statements in Part I, Item 1 of this report for a discussion of our interest rate swap agreement. There was no default under the Amended and Restated Credit Agreement as of March 31, 2012.

As of March 31, 2012, we had $248 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 amended and restated credit agreement if the financial institutions that have extended such credit commitments become unwilling or unable to fund such borrowings.

On May 10, 2012 we borrowed $175 million under our revolving credit facility.

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On March 31, 2011, we entered into a ten year agreement with Affiliated Computer Services, Inc. (“ACS”) to provide services to support our remote hosting services for our Sunrise acute care clients. We will maintain all customer relationships and domain expertise with respect to the hosted applications. The agreement encompasses our payment to ACS for current Allscripts’ employees to be retained by ACS from our hosting staff, new remote hosting staff and technology infrastructure, as well as other data center and hosting services, in the amount of approximately $50 million per year.

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. Any share repurchases may be made through open market transactions, block trades, privately negotiated transactions (including accelerated share repurchase transactions) or other means. We have repurchased approximately 3 million shares of our common stock for $52 million pursuant to this stock repurchase program. As of March 31, 2012, the amount available for repurchase of common stock under this program was approximately $148 million.

In April 2012, our Board of Directors approved the repurchase of an additional $200 million bringing the total repurchase authorization to $400 million, with approximately $348 million available under this program as of the date of such approval. Since March 31, 2012 we have completed trades to repurchase approximately 6 million shares for approximately $60 million.

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. We intend to borrow under our credit facility considering the authorized amount available under the stock repurchase program and our commitment to be active with stock repurchases.

We currently plan to invest over $190 million in research and development efforts during 2012 to improve performance and accelerate product integration and innovation.

We believe that our cash, cash equivalents and marketable securities of $177 million as of March 31, 2012, our future cash flows, and our borrowing capacity under our Amended and Restated 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.

There were no material changes, outside of the ordinary course of business, to our off-balance sheet arrangements and contractual obligations as previously disclosed in our Annual Report on Form 10-K for the year ended December 31, 2011.

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 of the Notes to Consolidated Financial Statements in Part I, Item 1 of this report.

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Safe Harbor for Forward-Looking Statements

This report 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 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 risk that we will not achieve the strategic benefits of the August 24, 2010 merger with Eclipsys Corporation (the “Eclipsys Merger”), or that the Allscripts and Eclipsys operations and products will not be integrated successfully;

• the possibility that the expected synergies and cost savings of the Eclipsys Merger will not be realized, or will not be realized within the expected time period;

• the impact of the realignment of our sales and services organization;

• potential difficulties or delays in achieving platform and product integration and the connection and movement of data among hospitals, physicians, patients and others;

• competition within the industries in which we operate, including the risk that existing clients will switch to products of competitors;

• failure to achieve interoperability certification pursuant to the Health Information Technology for Economic and Clinical Health Act, with resulting increases in development and other costs for us and possibly putting us at a competitive disadvantage in the marketplace;

• the volume and timing of systems sales and installations, the length of sales cycles and the installation process and the possibility that our products will not achieve or sustain market acceptance;

• the timing, cost and success or failure of new product and service introductions, development and product upgrade releases;

• competitive pressures including product offerings, pricing and promotional activities;

• our ability to establish and maintain strategic relationships;

• errors or similar problems in our software products or other product quality issues;

• the outcome of any legal proceeding that has been or may be instituted against us and others;

• compliance obligations under existing laws, regulations and industry initiatives and future changes in laws or regulations in the healthcare industry, including possible regulation of our software by the U.S. Food and Drug Administration;

• the possibility of product-related liabilities;

• our ability to attract and retain qualified personnel;

• the implementation and speed of acceptance of the electronic record provisions of the American Recovery and Reinvestment Act of 2009, as well as elements of the Patient Protection and Affordable Care Act (aka health reform) which pertains to healthcare IT adoption;

• maintaining our intellectual property rights and litigation involving intellectual property rights;

• legislative, regulatory and economic developments;

• risks related to third-party suppliers and our ability to obtain, use or successfully integrate third-party licensed technology;

• breach of our security by third parties; 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 applicable law or regulation, Allscripts undertakes 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 three months ended March 31, 2012, 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 for our fiscal year ended December 31, 2011 for a more complete discussion of the market risks we encounter.

Item 4. Controls and Procedures

Evaluation of disclosure controls and procedures

As of March 31, 2012, 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

There has been no change in our internal control over financial reporting during the quarter ended March 31, 2012 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 9, “Contingencies,” of the Notes to Consolidated Financial Statements in Part I, Item 1 of this report.

Item 1A. Risk Factors

Our Annual Report on Form 10-K for the year ended December 31, 2011 includes a detailed discussion of certain material risk factors facing us. The information presented below describes updates and additions to such risk factors and should be read in conjunction with the risk factors and information disclosed in our Annual Report on Form 10-K.

Our current initiatives focused on product delivery, client experience and financial performance may not be successful.

In an effort to address lower than expected sales and an unfavorable sales mix in the first quarter of 2012, our management team is executing on a series of initiatives including improving product delivery, client experience, and financial performance. For example, we currently plan to invest over $190 million in 2012 to improve performance and accelerate product integration and innovation. In addition, we have added front-line support personnel and are making investments to help improve resolution and response time. Despite these efforts, there can be no assurance that these initiatives will be successful or will improve our results of operations.

The realignment of our sales and service teams could adversely affect client relationships.

We have recently realigned our sales and service teams in an effort to improve client service. This change combines and aligns our sales and services teams into three geographic regions and fully integrates our sales, services and account management resources into a single team that is closer to the client and accountable for ensuring excellent client service. As a result of this realignment, many of our clients have experienced a change in the Allscripts sales and service employees with whom they interact. While we believe that these changes will improve our clients’ experience overall, it is possible that they could adversely impact individual client relationships, client retention and sales of products and services to existing clients. In addition, it is possible that changes in our sales teams could adversely affect our ability to sell our products and services to new customers, which could have an adverse effect on our business, financial condition and results of operations.

Provisions of our charter documents, Delaware law and our stockholder rights plan may delay or inhibit potential acquisition bids that stockholders may believe are desirable, and the market price of our common stock may be lower as a result.

Our charter documents include an election to be governed by Section 203 of the Delaware General Corporation Law, which we refer to as 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. These provisions 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 proposed transaction beneficial to them. These provisions could also limit the price that investors are willing to pay in the future for shares of our common stock.

Our charter documents also 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.

In addition, we recently adopted a stockholder rights plan. The rights issued under the stockholder rights plan may cause substantial dilution to a person or group that attempts to acquire the Company on terms or in a manner not approved by our board of directors, except pursuant to an offer conditioned upon the negation, purchase or redemption of the rights. Accordingly, the rights plan may have the effect of rendering more difficult or discouraging an acquisition of the Company deemed undesirable by our board of directors.

Item 2. Unregistered Sales of Equity Securities, Use of Proceeds and Issuer Purchases of Equity Securities

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. 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.

The following table summarizes the stock repurchase activity for the three months ended March 31, 2012 and the approximate dollar value of shares that may yet be purchased pursuant to our stock repurchase program:

(In thousands, except per share amounts)
					Total Number		Approximate
					Of Share		Dollar Value
					Purchased		Of Shares
					As Part Of		That May Yet
	Total		Average		Publicly		Be Purchased
	Number		Price		Announced		Under The
	Of Shares		Paid Per		Plans Or		Plans Or
Period	Purchased		Share		Programs		Programs
01/01/12—01/31/12		30	$	17.95		30	$	148,044
02/01/12—02/29/12		0	$	0.00		0	$	148,044
03/01/12—03/31/12		0	$	0.00		0	$	148,044
		30	$	17.95		30

In April 2012, our Board of Directors approved the repurchase of an additional $200 million bringing the total repurchase authorization to $400 million, with approximately $348 million available under this program as of the date of such approval. Since March 31, 2012 we have completed trades to repurchase approximately 6 million shares for approximately $60 million.

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 May 10, 2012.

ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.
By:	/S/    WILLIAM J. DAVIS
	William J. Davis
	Chief Financial Officer
	(Duly Authorized Officer and
	Principal Financial Officer)

Date: May 10, 2012

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INDEX TO EXHIBITS

			Incorporated by Reference
Exhibit Number	Exhibit Description	Filed Herewith	Form	Exhibit	Filing Date	Filed By
4.1	Rights Agreement		8-A	4.1	May 7, 2012	Allscripts Healthcare Solutions, Inc.
31.1	Rule 13a - 14(a) Certification of Chief Executive Officer	X
31.2	Rule 13a - 14(a) Certification of Chief Financial Officer	X
32.1	Section 1350 Certifications of Chief Executive Officer and Chief Financial Officer	X
101*	Interactive Data Files Pursuant to Rule 405 of Regulation S-T: (i) Consolidated Balance Sheets, (ii) Consolidated Statements of Operations, (iii) Consolidated Statements of Comprehensive Income, (iv) Consolidated Statements of Cash Flows, and (v) Notes to Consolidated Financial Statements	X

* XBRL (Extensible Business Reporting Language) information is furnished and not filed or a part of a registration statement or prospectus for purposes of Sections 11 or 12 of the Securities Act of 1933, is deemed not filed for purposes of Section 18 of the Securities Exchange Act of 1934, and otherwise is not subject to liability under these sections.

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