10-K/A

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-K/A

(Amendment No. 1)

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

  For the fiscal year ended December 31, 2012

or

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

Commission File Number 001-35547

ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.

(Exact name of registrant as specified in its charter)

Delaware	36-4392754
(State or other jurisdiction of incorporation or organization)	(I.R.S. Employer Identification No.)

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

(Address of principal executive offices and zip code)

(312) 506-1200

(Registrant’s telephone number, including area code)

Securities registered pursuant to Section 12(b) of the Act:

Title of Each Class:	Name of Each Exchange on which Registered
Common Stock, par value $0.01 per share	The NASDAQ Global Select Market
Series A Junior Participating Preferred Share Purchase Rights	The NASDAQ Global Select Market

Securities registered pursuant to Section 12(g) of the Act: None

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.    Yes  x    No  ¨

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or section 15(d) of the Exchange Act.    Yes  ¨    No  ¨

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 twelve 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 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 if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K.    ¨

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”, “large accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer  x	Accelerated filer  ¨	Non-accelerated filer  ¨	Smaller reporting company	¨
		(Do not check if a 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

The aggregate market value of the voting and non-voting common stock held by non-affiliates of the registrant based upon the closing sale price of the common stock on June 30, 2012, the last business day of the registrant’s most recently completed second quarter, as reported by NASDAQ Global Select Market, was approximately $1,821,664,594.

The number of outstanding shares of the registrant’s common stock as of March 1, 2013 was 172,715,295.

Documents Incorporated by Reference: Portions of the Proxy Statement for the 2013 annual stockholders’ meeting are incorporated by reference into Part III.

EXPLANATORY NOTE

This Amendment No. 1 on Form 10-K/A (this “Form 10-K/A”) to the registrant’s Annual Report on Form 10-K for the fiscal year ended December 31, 2012, initially filed with the Securities and Exchange Commission on March 1, 2013 (the “Original Filing”), is being filed to provide certain information that was omitted from the Original Filing, including (x) the audited consolidated statements of operations, of comprehensive income (loss), of stockholders’ equity, and of cash flows for the seven months in the period ended December 31, 2010 and the year ended May 31, 2010, and the financial statement schedule for the seven months in the period ended December 31, 2010 and for the year ended May 31, 2010 (collectively, the “Subject Financial Statements”), which were unaudited in the Original Filing, and (y) the report of PricewaterhouseCoopers LLP (“PwC”) in respect of the Subject Financial Statements. In addition, this Form 10-K/A includes consents of Ernst & Young LLP and PwC as exhibits, and includes certain updates relating to the registrant’s recently announced acquisition of dbMotion, Ltd.

ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.

TABLE OF CONTENTS TO

2012 ANNUAL REPORT ON FORM 10-K

Item		Page
	PART I
1.	Business		5
1A.	Risk Factors		19
1B.	Unresolved Staff Comments		40
2.	Properties		40
3.	Legal Proceedings		40
4.	Mine Safety Disclosures		40
	PART II
5.	Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities		41
6.	Selected Financial Data		44
7.	Management’s Discussion and Analysis of Financial Condition and Results of Operations		45
7A.	Quantitative and Qualitative Disclosures About Market Risk		80
8.	Financial Statements and Supplementary Data		81
9.	Changes in and Disagreements with Accountants on Accounting and Financial Disclosure		128
9A.	Controls and Procedures		128
9B.	Other Information		129
	PART III
10.	Directors, Executive Officers and Corporate Governance		130
11.	Executive Compensation		130
12.	Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters		130
13.	Certain Relationships and Related Transactions and Director Independence		130
14.	Principal Accountant Fees and Services		130
	PART IV
15.	Exhibits and Financial Statement Schedules		131
	Signatures		132

Allscripts Healthcare Solutions, Inc. was incorporated in the state of Delaware. In this report, “we,” “us,” “our” and “Allscripts” refer to Allscripts Healthcare Solutions, Inc. and its wholly owned subsidiaries, unless the context indicates otherwise.

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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 possibility that our current initiatives focused on product delivery, client experience, streamlining our cost structure, and financial performance may not be successful, which could result in customer attrition;

• 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;

• the risks that we will not achieve the strategic benefits of the merger (the “Eclipsys Merger”) with Eclipsys Corporation (Eclipsys) or our acquisition of dbMotion, Ltd. (dbMotion), or that the Allscripts products will not be integrated successfully with the Eclipsys and dbMotion products;

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

• failure to maintain 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;

• we may incur costs or customer losses relating to the standardization of our small office electronic health record and practice management systems that could adversely affect our results of operations;

• 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 new and existing laws, regulations and industry initiatives, including new regulations relating to HIPAA/HITECH, increasing enforcement activity in respect of anti-bribery, fraud and abuse, privacy, and similar laws, 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 continued implementation and ongoing 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 pertain to healthcare IT adoption, including uncertainly related to changes in reimbursement methodology and the shift to pay-for-outcomes;

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• 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 data security by third parties and unauthorized access to patient health information by third parties resulting in enforcement actions, fines and other litigation; 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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PART I

Item 1. Business

Overview

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

We provide a variety of integrated clinical software applications for hospitals, physician practices and post-acute organizations. For hospitals and health systems these applications include our Sunrise Enterprise suite of clinical solutions, comprising a full acute care Electronic Health Record (“EHR”), integrated with financial/administrative solutions including performance management and revenue cycle/access management. Our hospital and health system solutions include modules of the Sunrise suite that are available on a stand-alone basis, as well as additional stand-alone solutions including Emergency Department Information System (“EDIS”), care management and discharge management. Allscripts IT Outsourcing enables hospitals and physician groups to concentrate on their core mission while using IT to improve clinical, financial and operational outcomes. Allscripts Remote Hosting helps healthcare organizations manage their complex healthcare IT solutions infrastructure while freeing up the physical space, resources and costs associated with maintaining computer servers and deploying client-based applications on-site.

For physician practices of every size and kind, our solutions include: integrated EHR and practice management functionality available either via traditional on-premise delivery or via Software-as-a-Service (“SaaS”) (such solutions are also available independent of one another); revenue cycle management software and our new Revenue Cycle Management Services solution, which enables practices to outsource their full revenue cycle to us or address requirements in-house; clearinghouse services; stand-alone electronic prescribing; and document imaging solutions for physician practices. We also provide a variety of solutions for home care, hospice, skilled nursing, and other post-acute organizations; these range from a fully integrated EHR and financial management solution to Referral Management.

Clients in every care setting can leverage Allscripts mobile solutions to deliver remote access to EHR and other capabilities on a wide variety of mobile devices including iPad, iPhone, BlackBerry, Android and Windows Mobile smartphones. Additional add-on applications include our Patient Portal, Patient Kiosk, Prenatal, and Analytics solutions. Our community-based solutions for hospitals and health systems, provided in partnership with dbMotion, which we acquired on March 4, 2013, deliver meaningful health information exchange and enable information connectivity across entire communities of providers, regardless of what technology vendor they use, helping our clients to compete in an evolving marketplace.

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 this year, we used three reportable segments: Clinical Solutions, Hospital Solutions, and Health Solutions. In connection with the integration of the Eclipsys operations, in 2012 we 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 on the information used by management for making operating decisions and assessing performance, we identified the following reportable segments: Software Delivery, Services Delivery, Client Support, Pathway Solutions and IT Outsourcing.

Eclipsys Merger

The combination of Allscripts and Eclipsys in 2010 has produced a larger, more competitive and complete solutions provider within the healthcare information technology industry. Today we bring to market one of the

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most comprehensive solution offerings for healthcare organizations of every size and setting. We provide a single platform of clinical, financial, connectivity and information solutions for every segment of the acute, ambulatory and post-acute market.

Given our unique breadth of solutions and customer types, we are ideally positioned to connect physicians, other care providers and patients across all health care provider settings including hospitals, small or large physician practices, post-acute facilities, or a home care setting. We provide one of the broadest suites of applications available in healthcare, enabling our clients to connect caregivers, provide information where and when needed, and generate insights that lead to better clinical and financial outcomes. We are well-positioned to compete for opportunities among large hospitals and health systems that increasingly are looking to one information technology vendor to provide a single, end-to-end solution across all points of care.

At the same time, our unique service-oriented architecture enables hospitals and health systems to pursue a best-of-class strategy that protects their current IT investments and applications without the added expense of the rip-and-replace strategy promoted by many acute care competitors. Moreover, our ability to field interoperable, vendor-agnostic solutions built on an “open” IT architecture provides us a competitive edge by enabling hospitals to easily connect their IT systems with those of affiliated physicians who use systems from another vendor. Hospitals view their affiliated base of referring physicians as important clinical partners, so information connectivity with these physicians streamlines the referral process and strengthens bonds with a key business constituency.

Our Competitive Strengths

We believe that the following competitive strengths are the keys to our success:

Industry-Leading Solutions

We have been an innovator in the development and adoption of healthcare information technology solutions. We believe our clinical and healthcare solutions provide the following advantages:

• Client Reach. Healthcare providers can instantly access our web-based clinical solutions from the hospital, the clinic or remote locations. Providers appreciate the convenience of remote connectivity that enables them to easily perform critical tasks such as documenting patient visits, reviewing lab results and writing prescriptions after hours and while on call. In addition to the standard desktop computers, our solutions run on a wide variety of mobile devices including tablet PCs, every major smartphone, desktop workstations and other wireless devices.

• Innovation. Allscripts has developed a reputation for innovation through the introduction of pioneering new products. Recent examples include:

• In 2012 we released Allscripts Wand™, our native iPad^® application for Enterprise and Professional EHR. It couples the latest in tablet technology with the latest in user-experience innovation for a revolutionary approach to how clinicians practice medicine. Wand enables the mobile healthcare professional to move between their desktop and iPad for patient consultations and management. The result is a streamlined workflow and faster access to data.

• Sunrise Mobile MD, a mobile solution that offers physicians greater control of the patient encounter on an Apple iPhone^® or iPod touch^®. Sunrise Mobile MD is built on the company’s industry-defining open platform to enable proprietary, native integration with the Sunrise Enterprise 5.5 suite. Physicians using the Allscripts iPhone application gain direct access to and from the Sunrise Enterprise electronic health record enabling them to remotely monitor their hospitalized patients.

• Allscripts Remote, the ambulatory corollary to Sunrise Mobile MD, enables physicians to access their Allscripts ambulatory EHR using an iPhone™, iPod touch^®, BlackBerry^®, Windows Mobile^® or Android^® smartphone. Capabilities include quick access to real-time patient summary information; fast communication to local hospital emergency rooms; convenient ePrescribing to the patient’s regular pharmacy; and real-time access to all the information a physician needs to make decisions, including medical history, lab results and medications.

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• Allscripts Patient Kiosk is the first kiosk from a major practice management and EHR vendor. The kiosk connects to our EHR and practice management solutions to enable patients to quickly check-in, pay their co-pays using a credit card and conduct other business while taking control of their own healthcare with a dashboard view of all their personal information, including a complete health maintenance plan and alerts about upcoming or overdue tests.

• The Allscripts Developer Program (ADP) enables clients and third parties to use Allscripts technology to natively integrate their applications with our clinical and business performance solutions. Clients can search the Allscripts Application Store & Exchange (ASX) to select or share applications developed through the ADP. By enabling Allscripts clients to easily locate and exchange technologies that are natively integrated with Sunrise Enterprise, ASX protects their existing technology investments and helps avoid expensive rip-and-replace situations. In October 2012, Allscripts launched a $1 million health innovation program, called the Open App Challenge. The program challenges developers and vendors to create and integrate applications that become an extension of Allscripts Open Electronic Health Records software. The goal is to make it easier for providers to add new apps to their workflow to improve patient outcomes in a measurable way. The program will feature awards for apps focused on the management of high cost chronic diseases and value-based care imperatives.

• Allscripts Revenue Cycle Management Services (RCM Services) is an end-to-end, integrated financial and administrative management solution for physician practices. The SaaS business solution requires no new hardware or up-front costs, and is designed to meet the regulatory requirements of health reform. Allscripts RCM Services provides physician practices of every size and specialty with a complete outsourced revenue cycle solution that is paid for on an ongoing basis, as a percentage of their monthly collections. The turnkey, full-service billing and collections solution manages the entire revenue cycle continuum, from operational planning to final collections and denials management—all working in synch to drive out costs and drive in cash flow.

• SaaS solutions. By making a wide variety of our solutions available on-demand over the Internet using a web browser we believe we have significantly increased their ease of adoption. This capability is especially important for physicians in independent practice and small groups who lack the resources and know-how to manage an on-premise software application. Notably, SaaS delivers all of the benefits of a “cloud-based” approach to delivering software while also providing the rich features and functionality of traditional software, which can be limited in some cloud-based healthcare IT architectures. Furthermore, our approach is a prudent response to persistent concerns with data privacy in the cloud. We believe our SaaS approach to on-demand software offers significant future flexibility without sacrificing current performance.

• Interoperability. Our products are designed to operate with existing installed systems, in both ambulatory and acute settings. Our open architecture platform enables vendor freedom of choice to our clients and brings the management of healthcare technology into the modern age. The platform is intended to reduce the costs and resource demands hospitals experience in managing hundreds of vendor systems while effectively ending the battle between best-of-breed applications versus enterprise solutions. This platform opens the door to clients and third parties to natively build applications without the need for interfaces, thus providing a cost of ownership that can be dramatically lower than a single vendor with a closed proprietary architecture. Additionally, by making it easy for clients to deploy our Sunrise Enterprise and SCM solutions in combination with their existing IT assets, we can deliver Sunrise at a total-cost-of-ownership that is more manageable for mid-sized community hospitals than a total rip-and-replace approach, a model we believe represents a significant market opportunity.

• Enhancing the Revenue Cycle. We focus on making it easier for our clients to access new opportunities for financial gain through a variety of revenue cycle solutions. In particular, we believe that our Payerpath solution is one of the leading revenue cycle management and clearinghouse services in the United States with more than 600 million revenue cycle management transactions processed each year. Available on a stand-alone basis or integrated with our practice management systems, Payerpath’s comprehensive suite of internet solutions addresses every step in the reimbursement cycle for physician

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practices, clearinghouses and payers, delivering improved reimbursement and claim management processes that lead to cleaner claims and faster payments. For example, Payerpath Eligibility provides instant verification of patient insurance eligibility, ending phone calls to payers to clarify covered procedures and patient eligibility. Another example, Allscripts Patient Payment Assurance provides point-of-care collection of credit card and debit card payments, reducing the need for patient billing, which can dramatically reduce patient receivables. By enabling significant return on investment, our revenue cycle solutions allow providers to focus less on running their businesses and more on providing quality patient care. Our new Allscripts RCM Services takes this approach to the next level with a fully outsourced business office.

• Accelerated Upgrades. Our Upgrade Enablement Center (UEC) provides a quick and accelerated migration path for users of our legacy Misys EMR. The typically four- to six-week process lets clients protect their investment in software and information while upgrading to our Professional EHR, providing a rapid opportunity to participate in Health Information Technology for Economic and Clinical Health Act (HITECH) incentives.

Significant Installed Base

Approximately 180,000 physicians and 1,500 hospitals and more than 10,000 post-acute organizations nationwide use Allscripts solutions to automate and connect their clinical and business operations. Our significant installed base, including some of the country’s most prestigious medical groups and hospitals, serves as a reference source for prospective clients who are interested in purchasing our solutions.

Market Demand for Ambulatory EHR among Hospital Base

The proportion of U.S. physician practices owned by hospitals or health systems continues to grow. Industry observers expect this trend to continue for the foreseeable future and have projected the number to reach 75% by 2014 as hospitals seek to strengthen their relationships with physicians, who constitute by far their largest source of income (via patient referrals), and seek competitive advantage in their communities. A primary strategic imperative of hospital CIOs is to bring their current and newly-employed physicians live on a common EHR platform, ensuring continuity of care and greater efficiencies through seamless information exchange. At the same time, hospitals increasingly are seeking to take advantage of the HITECH incentives for EHR adoption by providing an EHR to their affiliated physicians at a subsidized rate. Their selection of an EHR for both employed and affiliated physicians hinges in large part on the level of integration between the EHR and their existing inpatient information system. The integration of Allscripts EHRs for physician practices and hospitals and health systems is intended in part to meet this rapidly evolving market demand.

Population Health

Allscripts’ open architecture supports the impending shift in care delivery from single patient, episodic care to continuous population health management by connecting communities and providing robust clinical analytics tools that stratify and offer valuable insights into patient populations. Allscripts clinical decision support tools at the point of care provide evidence based guidelines that facilitate better provider decisions, and ultimately, better patient outcomes. As requirements advance, Allscripts clinical intelligence solutions can help to identify high risk patients, reduce preventable costs and improve performance – all while providing a longitudinal view of the patient over the entire continuum of care. Additionally, patient engagement tools are integrated through the Allscripts open platform, promoting proactive patient involvement in their own care which is essential to optimizing patient outcomes, lowering overall costs and managing chronically ill populations.

A Solution for Accountable Care

Key healthcare stakeholders have proposed several solutions that fall under the general heading of Value-Driven Healthcare. The federal government’s leadership in this arena includes the HITECH Act, new payment models, such as Patient Centered Medical Home, and Accountable Care Organizations (ACOs), and demonstration

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projects, such as the Comprehensive Primary Care Initiative. Each of these efforts hinges on the need to improve care coordination between teams of providers and streamline transitions in care—the movement of patients from one care setting to another—which remains the weakest link in the healthcare chain. An interoperable, connected EHR is a required element to improve care transitions and ensure that providers in every setting have access to the latest information on their patients. The Allscripts Connected Community of Health takes the EHR to its logical conclusion. The connected community uses a combination of our open technology platform, our full spectrum connectivity to ambulatory, acute and post-acute solutions, and our robust community solutions to securely share information between providers in all care settings, no matter which health IT systems they use. Not only does this facilitate seamless care coordination between providers inside their own organization, but also with affiliated physicians and other independent stakeholders outside their organization. The goal is to create a “single source of truth” about a patient—a unified community record—to deliver effective and economical care.

Breadth of Product and Service Offering

Allscripts provides one of the most comprehensive solution offerings in the industry for healthcare organizations of every size and setting. We offer a single platform of clinical, financial, connectivity and information solutions, as well as standalone best-of-breed solutions in virtually every health information management category. Moreover, we are one of the few healthcare IT companies able to provide solutions that service every healthcare setting, from solo physician practices to the largest academic medical groups, hospitals of every size and configuration, and post-acute organizations including skilled nursing facilities, homecare and hospice.

Strength of Distribution Network and Payer Relationships

We employ a highly differentiated sales and distribution strategy to reach potential clients in all segments of the physician market, ranging from solo and small-group practices to the largest academic medical groups. Our strategy employs three sales channels—a large direct sales force, a national distribution network, and multiple hospitals that are marketing our solutions.

Allscripts has growing partnerships with retail health clinics in the United States. For example, in February 2012, a leading retail health clinic in the United States announced it will transition from its existing, proprietary Electronic Medical Record system to Allscripts. This transition will assist this provider in its mission of delivering high quality accessible medical care in hundreds of retail clinics across the United States.

The strength of our distribution network has enabled Allscripts to take a unique, three-pronged approach to addressing the physicians practice market one practice at a time, one community at a time, and one region at a time. One practice at a time refers to our basic selling model executed by our direct sales force. One community at a time is an approach demonstrated by multiple sales in 2012 including Coordinated Health, a top integrated healthcare delivery network across Pennsylvania and New Jersey. Coordinated Health selected Sunrise Clinical Manager™ from Allscripts to support collaborative care initiatives across Coordinated Health’s 11 locations, two hospitals, and one ambulatory surgery center, enhancing decision-making and automating processes for accuracy and patient safety. One region at a time is a strategy developed recently through our partnership with a large payer in North Carolina. Blue Cross and Blue Shield of North Carolina, in partnership with NC Health Information Exchange, announced in September 2011, they will provide an 85 percent subsidy for at least 750 physicians across the state to acquire Allscripts EHR and related training and support. The program will also enable participating providers to electronically exchange patient information with other North Carolina healthcare organizations through the NC Health Information Exchange. This partnership is representative of more payers investing in healthcare IT to encourage their network providers to deliver higher quality care.

Comprehensive Connect Strategy

The Allscripts Community Architecture helps local and regional health systems share information between a range of technologies from any source, creating a single patient record for providers across the continuum of care. The Allscripts Community Solution enables all the members of a patient’s care team to access the same up-to-date

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information about the patient, regardless of whether they work in acute, ambulatory or post-acute settings inside or outside the health system. The Allscripts Community Solution combines the Allscripts Community Exchange or Kinexus^TM with the Allscripts Community Record. Kinexus efficiently connects and manages electronic transactions of all kinds between health systems and community/affiliated physician practices. The Community Record, provided in partnership with dbMotion, which we acquired on March 4, 2013, aggregates and harmonizes data from virtually any EHR or other clinical IT system, creating a single patient record across a health system or community.

Meaningful Use Certification

Our core go-to-market acute care and ambulatory EHRs are certified as meeting the Stage 1 requirements for demonstrating Meaningful Use of an EHR, a requirement for healthcare organizations that demonstrate they have earned financial incentives as allowed for under the HITECH portion of the American Recovery & Reinvestment Act (ARRA). The following products are compliant with the criteria set for the 2011 Edition of our software by the Office of the National Coordinator for Health Information Technology (ONC) and certified by either the Drummond Group or Certification Commission for Health Information Technology (CCHIT), both of which qualify as an ONC Authorized Testing and Certification Body (ONC-ATCB), in accordance with the applicable eligible provider and hospital certification criteria adopted by the Secretary of Health and Human Services. Initial certifications were completed by the end of 2010 and subsequently have continued to be enhanced on an as-needed basis as product updates were released.

We expect to certify these products for the “2014 Edition” criteria in 2013. This certification will be required for users who intend to demonstrate Meaningful Use for either Stage 1 or Stage 2 beginning with their 2014 participation (this begins as soon as the October 2013 start date for Eligible Hospitals and January 2014 for Eligible Providers)

Ambulatory:

• Allscripts Enterprise EHR (Complete): 11.2, 11.3, 11.4

• Allscripts Enterprise EHR (Modular): 11.2, 11.2.0.496, 11.3, 11.4

• Allscripts ePrescribe (Modular): 15.2.0, 16.0, 16.1

• Allscripts Professional EHR (Complete): 9.2, 9.2.2, 9.3, 10, 12, 12.1

• Sunrise Ambulatory Care Module Set (Modular): 5.5, 5.5 FP1, 6.0

• Sunrise Patient Portal and Sunrise Ambulatory Care EHR (Modular): 5.5

Inpatient:

• Allscripts ED (Complete): 7.0, 7.1

• Allscripts ED (Modular): 6.3 Service Release 4

• Sunrise Acute Care (Complete): 5.5, 5.5 FP1, 6.0

• Sunrise Acute Care Module Set (Modular): 5.5, 5.5 FP1, 6.0

• Sunrise Emergency Care (Complete): 5.5, 5.5 FP1, 6.0

• Sunrise Emergency Care Module Set (Modular): 5.5, 5.5 FP1, 6.0

• Sunrise Patient Portal and Sunrise Acute Care EHR (Modular): 5.5

We certified some of our solutions as both “complete” and “modular” EHRs under the ARRA regulations to provide clients with the flexibility to choose elements of the EHR which best fit their current IT environment. For instance, if an Enterprise EHR client wants to keep a previously-installed and certified patient portal application, under ARRA rules they need to implement our “modularly certified” version of that EHR, which is stripped of Enterprise’s portal capabilities.

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Sales and Marketing

We employ sales executives with industry expertise, and we primarily sell directly to our customers through our sales force. In addition to our direct sales force, we also have established reseller relationships with a number of strategic partners. A number of our large hospital and health system clients also actively resell our solutions to other healthcare entities, primarily physician practices.

We continue efforts to expand sales of our solutions outside of North America, primarily in the European and Asia-Pacific region. We achieved initial success with sales of Sunrise Clinical Manager to the largest healthcare provider in Singapore as well as other hospital groups in Asia. Our performance with our Asian clients is proving to be a catalyst to help us drive additional business across the Asia-Pacific region. For example, in December 2011, we announced an agreement with a public health system in Australia to implement our Sunrise Enterprise acute care solution across their network. Further to our international success, Allscripts signed two new customers in the United Kingdom. Also in 2012, Allscripts extended our agreement with one of our customers in Italy.

Allscripts Offerings

We provide the following software and services:

• Allscripts Enterprise EHR is an award-winning EHR solution with an open architecture designed to enhance physician productivity using tablet PCs, smartphones, or a desktop workstation for the purpose of automating the most common physician activities, including prescribing, dictating, ordering lab tests and viewing results, documenting clinical encounters and capturing charges, among others. Allscripts Enterprise is the clinical software solution of choice for multi-specialty and specialty practices as well as academic medical centers and hospital sponsored initiatives. Uniquely designed for the specific needs of physicians in today’s increasingly interconnected healthcare environment, Allscripts Enterprise empowers and connects an organization clinically, operationally and financially.

• Allscripts Practice Management is a practice management system that streamlines financial and administrative aspects of physician practices, including patient scheduling and registration, electronic claims submission, electronic remittances and patient billing and collections. This system also provides multiple resource scheduling, instant reporting and referral tracking. Our electronic data interchange (“EDI”) solution facilitates statement management processing, claims management processing, electronic remittances and appointment reminders.

• Allscripts Professional EHR is targeted at small to mid-sized physician practice groups and communities. Similar to our Enterprise EHR, this open solution offers advanced point-of-care clinical decision support and automates the most common physician activities, such as prescribing, clinical reporting, ordering lab tests and viewing results and capturing charges.

• Allscripts ePrescribe is an easy-to-use, web-based e-prescribing solution that is safe, secure, requires no downloading and no new hardware. The software is being offered free of charge to every prescriber in America in furtherance of the National ePrescribing Patient Safety Initiative, a collaborative initiative introduced and led by us to enhance patient safety and reduce preventable medication errors. Allscripts ePrescribe can be a starting point for medical groups to transition over time to a complete EHR.

• Allscripts ED is an emergency department information system designed to manage patient flow through the emergency department by tracking patient location, activity and outstanding orders and procedures. These solutions guide emergency clinicians in entering consistent, complete and efficient documentation on patients and provide shareable, real-time, mobile access to patient information from registration to discharge.

• Allscripts Payerpath is a claims management service in the United States with more than 600 million claims and revenue cycle transactions processed annually. Used by approximately 110,000 physicians, Payerpath provides the credibility, experience and results demanded by both payers and providers. Payerpath can help organizations succeed in the business of healthcare through improved medical claim and claim management processes that lead to cleaner claims and faster payments.

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• Allscripts Revenue Cycle Management Services (RCM Services) is a complete end-to-end, integrated financial and administrative management solution for physician practices. The SaaS business solution requires no new hardware and minimal up-front costs, and is designed to meet the regulatory requirements of health reform. Allscripts RCM Services provides physician practices of every size and specialty with a complete outsourced revenue cycle solution that is paid for on an ongoing basis, as a percentage of their monthly collections.

• Allscripts Homecare is designed to improve clinical quality of care, financial performance, and operational control for large, integrated home care organizations and small home care companies. With a strong mobility platform, business, clinical and scheduling functionalities, it enables all users across home health, hospice and private duty organizations.

• Allscripts Post-Acute Solutions streamline the transition of care process between hospitals and post-acute care facilities. We currently have more than 10,000 acute and post-acute care customers nationwide that will exchange over four million electronic hospital referrals. Allscripts post-acute solutions include: Referral Management, Referral Management Plus, Allscripts Mobile and Core System Integration.

• Allscripts Care Management is a fully-integrated web-based solution that simplifies and consolidates utilization management, discharge planning, documentation integrity, audit management, quality management and risk management. Providing a single worklist for all care management processes, the Allscripts Care Management system transforms the administrative process for hospitals and post-acute care facilities, improving efficiency, streamlining and improving the quality of patient care, and generating cost savings and higher revenues. The suite of software that makes up Allscripts Care Management includes: Allscripts Utilization Management, Allscripts Discharge Planning, Allscripts Documentation Integrity, Allscripts Audit Management, Allscripts Quality and Risk Management. These systems are based on a SaaS model designed to provide ease of use and minimal IT staff involvement at the hospital.

Sunrise Enterprise is our suite of solutions for hospitals and health systems, including the following clinical, access, financial and departmental solutions for hospitals:

• Sunrise Clinical Manager includes the major integrated applications Sunrise Acute Care, Sunrise Ambulatory Care, Sunrise Critical Care, Sunrise Emergency Care and Sunrise Pharmacy, in addition to related modules and capabilities, such as Knowledge-Based Charting, Knowledge-Based Medication Administration and others. Sunrise Clinical Manager enables a physician or other authorized clinician to view patient data and enter orders quickly at the point of care, from virtually any other point in the enterprise or through secure remote access, providing evidence-based clinical decision support at the time of order entry.

• Sunrise Ambulatory Care is considered a module of Sunrise Clinical Manager that is typically implemented within physician practices owned by Sunrise-client hospitals; however, it is a full-service EHR that may also serve as a stand-alone solution for independent physician practices. Sunrise Ambulatory Care is built on the same database as Sunrise Clinical Manager, ensuring seamless integration and flow of patient information between the physician office and hospital.

• Sunrise Surgery Powered by SIS is a comprehensive perioperative and anesthesia information management solution that is integrated through the Helios™ platform. Sunrise Surgery helps organizations increase quality and efficiency, improve patient safety, decrease costs and maximize revenues across the perioperative care continuum.

• Sunrise Access Manager, which shares the Sunrise platform and database, which includes Sunrise Enterprise Scheduling and Sunrise Enterprise Registration. These integrated solutions enable healthcare providers to identify a patient at any time within a healthcare organization and to collect and maintain accurate patient information on an enterprise-wide basis.

• Sunrise Financial Manager is a comprehensive revenue cycle solution for hospitals and health systems. It provides comprehensive revenue cycle functionality including revenue capture, billing and

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receivables for management for both hospital and hospital-based physician billing. It enables compliance, improves billing and collections accuracy and optimizes revenue cycle through a unique visual view of workflows, allowing users to easily adapt as their business changes.

• Allscripts EPSi is an HFMA Peer-Reviewed financial performance management solution that provides integrated analytics, budgeting and knowledge-based performance management. EPSi brings together all the major components of financial management—strategic planning, product line budgeting, cost accounting and operation and capital budgeting—to more effectively and accurately plan for the future and address the financial challenges facing healthcare organizations today.

• Allscripts Patient Flow is an enterprise-wide patient throughput management solution that automates complex and labor intensive operational processes which improve care coordination and communication while increasing overall efficiency and resource use. It addresses all aspects of patient flow in a hospital, from bed management to transport and turnover. The solution provides transparency and control over the flow process from a patient’s arrival in the Emergency Department or Admitting to patient placement and care delivery throughout hospital departments with well-coordinated discharge planning and faster bed turnover.

• Sunrise Clinical Analytics (SCA) is an analytics solution for Sunrise Clinical Manager (SCM) users to monitor and improve clinical performance, report on ARRA Stage 1 and Stage 2, and, ultimately, reduce the cost of care. With prebuilt or customized reporting and dashboards, the organization gains access to insights on performance to drive improved clinical outcomes. With indicators and structured reports for over 90 quality measures, SCA provides actionable, automated clinical reporting, and seamlessly organizes transactional clinical data into meaningful information. In addition to nationally standardized quality measures, Sunrise Clinical Analytics provides an analytical view on the usage patterns, adoption barriers and care processes custom to a health system.

• Allscripts Wand is the native iPad^® application for Enterprise and Professional EHR. It couples the latest in tablet technology with the latest in user-experience innovation for a revolutionary approach to how clinicians practice medicine. With Wand, mobile healthcare professionals can access and manage the most commonly used features of Allscripts EHR throughout the day from their iPad—moving between their desktop and iPad for patient consultations and management.

Other Clinical/Ancillary acute solutions include:

• Sunrise Record Manager is a health information management (HIM) solution that automates the workflow associated with the collection, maintenance and distribution of information to maximize EHR benefits. Sunrise Record Manager helps hospitals better meet regulatory reporting requirements by making data centrally, electronically accessible for easier, faster information gathering and compilation in the enterprise health information system.

• Sunrise Laboratory helps high-volume hospital laboratories improve operational performance, saving both time and money and improving effective patient care. Sunrise Laboratory helps automate laboratory departmental workflow from end to end, with decision-making and reporting driven by real-time clinical information. Laboratory departments face increasing regulatory requirements, growing cost pressures, and the need to meet clinical service levels and maintain patient and physician satisfaction despite increasing volumes of work. With fully automated workflow and support for multi-departmental laboratories across a healthcare organization integrated into one information system, Sunrise Laboratory helps labs maximize throughput, decrease turnaround time, capture more revenue, and improve quality and compliance.

• Sunrise Radiology, a comprehensive radiology information system, delivers imaging data as an integrated part of the overall patient record that is accessible to clinicians at the point of care or other points of decision-making using any Sunrise Enterprise-enabled device.

Services

Managed IT Services (IT Outsourcing) Allscripts Managed IT Services helps clients maximize the power of their IT investments by delivering modular, cost-effective services that enhance productivity for users

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providing patient care and performing the core functions critical to running their healthcare organization. Our distinctive services model incorporates skilled professionals, best practices, and proven technology, which in return establish a driving infrastructure for continuous improvement across the healthcare organization. The Allscripts Managed IT Services portfolio is designed to enhance business agility, enabling organizations to focus on healthcare core competencies – improving patient outcomes. Our dynamic services assist clients in need of productive, experienced staff to augment IT projects or implementations; alternatively, our team can help clients manage complexity, gain scalability and lower costs by outsourcing specific IT business processes to our team or outsourcing the entire IT function, if desired.

Remote Hosting We offer remote hosting services to help our clients manage their complex healthcare IT solutions infrastructure while freeing up physical space, resources and costs associated with maintaining computer servers and deploying client-based applications on-site. Under this offering, we assume responsibility for processing Allscripts and/or non-Allscripts applications for our clients using equipment and personnel at our facilities. Other remote services, such as remote monitoring and remote help desk, are also offered. Software installation, upgrades and patches and network configuration and repairs are handled by Allscripts IT professionals behind the scenes, so hospital IT departments can focus on more strategic initiatives.

Allscripts Professional Services Healthcare information technology services have been increasingly important, as federal initiatives have driven aggressive adoption of Electronic Health Records (EHR) and surrounding applications in both hospitals and ambulatory markets, driving a related need for workflow optimization and a strategic look at how organizations can maximize their opportunities via other health reform programs included in the Patient Protection and Affordable Care Act (PPACA). Allscripts’ highly skilled Professional Services team maintains in-depth knowledge of our products, a myopic focus on our client’s business processes and market needs in order to develop and deliver unparalleled Speed to Value for our products and solutions. Our world-class service team is dedicated to helping clients achieve quality outcomes through workflow optimization, best practices, applied technologies and world-class learning experiences. By deploying a customer-centric service model we are committed to delivering high-value healthcare solutions that build client trust, loyalty and a high degree of product and engagement satisfaction. Allscripts provides comprehensive offerings in implementation, consulting, education, managed IT services and technical support, including:

• Clinical and Operations Consulting Services

• ICD-10 and Meaningful Use Assessment Solutions

• Optimization Services

• Speed to Value—Implementation Services

• Managed IT Services

• Proactive Application Monitoring Services

• Remote Database Administration and Monitoring Services

• Education and Adoption Services

• Native Integration Services

• Technical Support Services

Research and Development

The majority of our software is based on Microsoft’s .NET Framework and other industry standards.

Our latest-generation clinical and access solutions use the same architecture and share the same health data repository and many other components, while being adapted for the workflows of different environments. This enables our clients to tie together their workflows and operations across the entire continuum of care. Further, our software is built on an open architecture that supports the secure exchange of data between systems, as well as the ability to embed and present content.

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Our commitment to deliver world-class products means we must continually invest in software development. In recent years we have significantly expanded our software development efforts in India, which enables us to respond more efficiently and cost effectively to changes in our software design and product development strategy.

The primary purposes of our research and development groups are to develop new features and enhancements to our respective solutions, ensure that our solutions comply with continually evolving regulatory requirements and create additional opportunities to connect our systems to the healthcare community.

We capitalize software development costs incurred from the time technological feasibility of the software is established until the software is available for general release. Non-capitalizable research and development costs and other computer software maintenance costs related to software development are expensed as incurred. Our total spending consists of research and development costs directly recorded to expense and also includes capitalized software development costs as follows:

	Year Ended December 31,						Seven Months  Ended December 31, 2010			Year Ended May  31, 2010
(Dollar amounts in thousands)	2012			2011
Research and development costs directly recorded to expense		$162,158			$104,106			$43,261			$49,206
Capitalized software development costs		42,965			60,748			36,936			21,097
Total non-GAAP R&D-related expense		$205,123			$164,854			$80,197			$70,303
Total revenue		$1,446,325			$1,444,077			$613,309			$704,502
Total expense as a % of total revenue		14	%		11	%		13	%		10	%

Industry and Competition

The market for our products and services is intensely competitive and is characterized by rapidly evolving technology and product standards, technology and user needs and the frequent introduction of new products and services. Some of our competitors may be more established, benefit from greater name recognition and have substantially greater financial, technical, and marketing resources than us. We compete on the basis of several factors, including: breadth and depth of services, reputation, reliability, accuracy and security, client service, price, and industry expertise and experience.

There are numerous companies that offer acute and/or ambulatory EHR (along with related services) and practice management products, and the marketplace remains fragmented. We face competition from several types of organizations, including providers of practice management solutions, electronic prescribing solutions, ambulatory and acute care EHR solutions, hospital computerized physician order entry, emergency department information systems, analytics, performance management and care management solutions, post-acute discharge management solutions, and homecare EHR solutions.

Our principal existing competitors in the physician healthcare information systems and services market include athenahealth Inc., Cerner Corporation, eClinicalWorks Inc., Emdeon, Epic Systems Corporation, General Electric Company, Greenway Medical, McKesson Corporation, Quality Systems, Inc., The Trizetto Group, Inc., Vitera Healthcare Solutions and Wellsoft Corporation.

Our principal existing competitors in the hospital and post-acute healthcare information systems and services market include Cerner Corporation, Curaspan Health Group, Epic Systems Corporation, General Electric Company, Maxsys Ltd., McKesson Corporation, MedHost, Meditech, Midas+, Optum, Picis, ProviderLink, Quadramed, Siemens AG and Wellsoft Corporation.

Recent Industry Developments

On February 17, 2009, President Barack Obama signed the American Recovery & Reinvestment Act (ARRA), which incorporated the HITECH Act (HITECH) and federal Meaningful Use incentive program.

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HITECH provides financial incentives through the Centers for Medicare and Medicaid Services (CMS) to physicians and hospitals that prove they have adopted and are using Electronic Health Record (EHR) technology to improve both the quality and cost-effectiveness of patient care. Studies demonstrate that effective use of EHRs can reduce medical errors, improve clinical quality and lead to better patient outcomes by enabling real-time access to patient records, medical information and best practices, and electronic connectivity to all healthcare stakeholders, including patients.

In addition to other components of the law, the ARRA provides for what is expected to be approximately $30 billion in funds to encourage health information technology utilization. The total included $2 billion in discretionary funds for supporting programs and an estimated $27 billion for incentives that began to be distributed through Medicare and Medicaid beginning in 2011 to promote widespread adoption and use of interoperable healthcare IT systems, such as the EHR. Physicians who have not adopted certified EHR systems by 2014 will have their Medicare reimbursements reduced by up to 5 percent over a period of time beginning in 2015. Hospitals that do not successfully demonstrate Meaningful Use in 2015 and beyond will also see a significant payment adjustment in their Medicare reimbursement.

Through the Meaningful Use incentives, CMS provides physicians with financial incentive payments of up to $44,000 for Medicare providers or $64,000 for Medicaid providers over five years, beginning in 2011, for deploying and using a certified EHR to care for patients. Hospital incentives under HITECH are tied to several factors but begin with a base payment of $2 million. The law already has ignited significant job growth in the information technology sector and, according to a Congressional Budget Office review of the law’s impact, is expected to drive up to 90 percent of US physicians to adopt EHRs in the next decade.

The U.S. Department of Health & Human Services announced in July 2012 within the final regulation related to Stage 2 of the Meaningful Use Electronic Health Record Incentive Program that providers (hospitals and physicians) who attested to their participation in 2011 will not have to start complying with Stage 2 requirements until 2014 rather than the originally scheduled 2013. The deferral was provided in order to provide sufficient time to develop and test updates to software applications meeting the anticipated Stage 2 requirements and transition all providers participating in the program to the updated applications while also ensuring patient safety. To date the deferral has not provided incentive or disincentive for new orders. Additionally, those participating in 2014 will only be required to do so for a single quarter, not for a full twelve months as originally required, and all participating providers will be required to use the 2014 Edition of the EHR provided by their software vendor. Under this change, we will thus have to transition all clients who have attested in 2011, 2012 and/or 2013 to the 2014 Editions of our software by the time they start their program participation in 2014.

The required implementation of new diagnosis and disease codes under ANSI-5010 and ICD-10 by 2013 is also of immediate interest to our client base. These regulations will present a positive opportunity for the company in the context of product upgrades, client service and training. However, the adoption of these standards and the deadline that corresponds with the start of the 2014 period for the EHR Incentive Program could place additional burden on us to meet implementation and training demands during a period of significant client upgrades and new orders associated with accelerating EHR adoption.

Another factor impacting demand for our solutions is the significant revision to provider reimbursement that is being undertaken at the federal level, fostering the move to a value-based system of care. As an example, the Centers for Medicare and Medicaid Services, or CMS, announced the Comprehensive Primary Care Initiative designed to reward providers who demonstrate an emphasis on cost containment and quality improvement specifically through care coordination and an increased emphasis on the role of the primary care provider. Healthcare organizations will need solutions like ours to shift from fee-for-service to fee-for-outcomes because their basic reimbursement will be based, ultimately, on proving quality outcomes that are captured, communicated, measured and shared with other relevant providers. Coordinated care models, of which Accountable Care Organizations (ACOs) are one example, will require an interoperable Electronic Health Record that connects providers across entire communities to coordinate care. Another notable element of the new models being created by the department of Health & Human Services is that every part of the healthcare community is important, which highlights our strategic asset—the Allscripts footprint in our 50,000 ambulatory

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practices, our relationships with over 1,500 acute care hospitals and our strong and growing penetration of the post-acute world, with more than 10,000 locations including homecare. Allscripts’ open platform is able to connect patient information into a single view and help to coordinate care, both inside an organization and throughout a community. Our analytics capabilities also provide insights that will drive both clinical and financial outcomes which will be core to provider revenue in the future.

A related development is the Hospital Readmission Reduction Program that took effect October 1, 2011. The final rules require hospitals to be financially responsible for the cost of care provided to discharged patients readmitted to the hospital for the same problem within 30 days after discharge. As a result, we believe more hospitals may be interested in using our Care Management and Discharge Management products, which streamline the flow of patient information from the hospital to community providers.

Strategic Alliances

Our key strategic relationships include the following:

• Cisco Systems, Inc. We have a strategic partnership with Cisco to support our core business through enhanced communications technologies. Cisco technology powers many of the systems by which we communicate with our clients and employees.

• CVS Caremark Our strategic partnership with CVS Caremark, the largest pharmacy healthcare provider in the United States, began in January 2010 when CVS Caremark transitioned thousands of providers using the company’s proprietary iScribe e-prescribing tool to Allscripts e-prescribing and retired iScribe. Since then, the companies have continued to collaborate. For example, most recently CVS Caremark selected Allscripts retail health solutions as the EHR for its MinuteClinic retail clinics nationwide. The first phase of the deployment, which is expected to ultimately include all 600+ MinuteClinics, began in 2012.

• dbMotion, Ltd. In 2011, we made a strategic investment in dbMotion, a private company that provides the technology behind the Allscripts Community Record. dbMotion and Allscripts are working together to deliver integrated core solutions to improve Meaningful Use of information from the physician’s office to the hospital—connecting the community—within the patient’s continuum of care and the physician’s existing workflow. On March 4, 2013 we acquired the remaining equity interest in dbMotion, which is now a wholly-owned subsidiary of Allscripts.

• Dell, Inc. We have a strategic partnership with Dell that encompasses hardware, hosting, and connecting healthcare communities. Dell is Allscripts’ primary hardware partner, providing the computer equipment needed by our clients to implement our solutions. Additionally, we signed an agreement with Dell in early 2010 to integrate Allscripts EHR and Practice Management solutions into Dell’s hosted EHR solution for U.S. health systems and their affiliated physicians. The Dell program offers health systems and physicians the scale and expertise of one of the world’s largest technology services organizations. Dell helps sponsor hospitals to configure the Allscripts solutions they select to meet the specific needs of their affiliated physician community. The solution includes application hosting, Health Information Exchange management and revenue opportunities for sponsor hospitals, and everything necessary to promote the solution to physicians.

• Intuit, Inc. We have a strategic partnership with Intuit, a provider of business and financial management solutions for small and mid-sized businesses; financial institutions, including banks and credit unions; consumers and accounting professionals. Allscripts was the first practice management company to offer Quicken HealthSM Bill Pay. The online service integrates with our practice management and revenue cycle management solutions, used by 110,000 physicians, to help patients understand their medical bills and pay them online while helping physicians get paid faster. We also collaborate with Intuit in providing secure patient portals and personal health records, connecting patients to selected information about their physician’s practice, including information from Allscripts’ EHR, e-prescribing and practice management solutions.

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• M*Modal (formerly MedQuist Inc.) In August of 2011, we entered into a strategic partnership with Medquist/M*Modal Inc. to license their CDS Interactive Speech Recognition Applications for our suite of EHR solutions. M*Modal is a leading provider of clinical narrative capture services, speech understanding technology and clinical documentation workflow. M*Modal’s enterprise solutions include mobile voice capture devices, speech recognition, Natural Language Understanding, and web-based workflow platforms and global network of medical editors. This strategic partnership helps healthcare organizations adopt our EHRs, transition to ICD-10, improve patient care, increase physician satisfaction and lower operational costs.

• Microsoft Corporation We have a strategic partnership with Microsoft, on whose technology Allscripts products are built. Microsoft SQL Server database and .NET Framework are at the core of our product development platform. The Microsoft platform and .NET Framework offer the ability to improve developer productivity and to deliver flexible applications faster. Microsoft .NET technologies enable healthcare organizations to achieve a lower total cost of ownership by easily integrating legacy applications with new technologies and enabling them to share information across organizations and platforms. Developing our solutions on the Microsoft platform eases our path for integration.

• Nuance Communications, Inc. Our strategic partnership with Nuance encompasses utilizing the Nuance Dragon Speech recognition products with our suite of EHR and Radiology applications. Nuance, a leading provider of voice and language solutions for businesses and consumers around the world, has been a longtime partner of Allscripts and is focused on the areas of speech recognition, medical transcription, and clinical language understanding. By speech-enabling our applications, Nuance is helping to drive increased utilization of our products and improving overall client satisfaction. Revenue from the resale of Dragon has increased significantly over the past three years.

• Quintiles, Inc. Quintiles helps biopharmaceutical companies develop and commercialize products to improve and lengthen patients’ lives while demonstrating value to stakeholders. Quintiles is a fully integrated biopharmaceutical services company offering clinical, commercial, consulting and capital solutions worldwide. Through our strategic partnership with Quintiles we plan to jointly develop software solutions to enable improvements to the drug development process. The goal of this partnership is to develop products that are designed to significantly reduce some of the bottlenecks that traditionally impede clinical research, outcomes, education and proof of new compound safety, effectiveness and value.

Financial Information About Segments

Financial information about our segments is described in Part II, Item 7 “Management’s Discussion and Analysis of Financial Condition and Results of Operations.”

Contract Backlog

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

(Dollar amounts in millions)	As of December 31, 2012		As of December 31, 2011		% Change
Contract backlog:
System sales		$107		$136		(21.3	%)
Professional services		376		393		(4.3	%)
Maintenance		875		833		5.0	%
Transaction processing and other		1,450		1,492		(2.8	%)
Total contract backlog		$2,808		$2,854		(1.6	%)

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Total contract backlog as of December 31, 2012 decreased slightly compared with December 31, 2011 as an increase in maintenance revenue backlog was offset by decreases in systems sales, professional services, transaction processing and other backlog categories. Maintenance revenue backlog increased as a result of new client activations as well as maintenance renewals in our installed base. System sales backlog declined as we experienced a decline in orders during the year ended December 31, 2012; we continue our efforts to improve product performance and delivery execution. We estimate that approximately 44% of the total backlog at December 31, 2012 will be recognized as revenue during 2013.

Employees

As of December 31, 2012, we had approximately 7,100 employees. None of our employees are covered by a collective bargaining agreement or are represented by a labor union.

Geographic Information

We hereby incorporate by reference Note 18, “Geographic Information,” of the Notes to Consolidated Financial Statements in Part II, Item 8 of this report.

Available Information

Our website address is www.allscripts.com. Information on our website is not incorporated by reference herein. Copies of our annual reports on Form 10-K, quarterly reports on Form 10-Q and current reports on Form 8-K and any amendments to those reports, as well as Section 16 reports filed by our insiders, are available free of charge on our website as soon as reasonably practicable after we file the reports with, or furnish the reports to, the Securities and Exchange Commission.

Item 1A. Risk Factors

You should carefully consider the risks and uncertainties described below and other information in this report. These are not the only risks and uncertainties that we face. Additional risks and uncertainties that we do not currently know about or that we currently believe are immaterial may also harm our business operations. If any of these risks or uncertainties occurs, it could have a material adverse effect on our business.

Risks Related to Our Business

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

In an effort to address lower than expected financial results and sales in 2012, our management team is executing on a series of initiatives including improving product delivery and client experience, streamlining our cost structure, and improving financial performance. In 2013 we expect to invest over $200 million in research and development efforts to improve product performance, accelerate product integration and innovation, and to introduce enhancements for regulatory requirements. We have already taken important steps to help maximize the return on our research and development investments by creating “Centers of Excellence” for our development organization with a goal of providing a more concentrated and focused work environment while reducing complexity and cost. We also recently announced a site consolidation plan that is aligned with the Centers of Excellence strategy. In addition, we plan to more fully align our business terms and financial model with future market demands and unlock our competitive advantages by expanding our solution offerings to our large, diverse client base. Despite these efforts, there can be no assurance that these initiatives will be successful or will improve our results of operations. If these initiatives are not successful, we may experience reduced sales and customer attrition.

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

We 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 multiple geographic regions and fully integrates our sales,

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services and client 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.

If physicians and hospitals do not accept our products and services, or delay in deciding whether to purchase our products and services, our business, financial condition and results of operations will be adversely affected.

Our business model depends on our ability to sell our products and services. Acceptance of our products and services requires physicians and hospitals to adopt different behavior patterns and new methods of conducting business and exchanging information. We cannot provide assurance that physicians and hospitals will integrate our products and services into their workflow or that participants in the healthcare market will accept our products and services as a replacement for traditional methods of conducting healthcare transactions. Achieving market acceptance for our products and services will require substantial sales and marketing efforts and the expenditure of significant financial and other resources to create awareness and demand by participants in the healthcare industry. If we fail to achieve broad acceptance of our products and services by physicians, hospitals and other healthcare industry participants, or if we fail to position our services as a preferred method for information management and healthcare delivery, our business, financial condition and results of operations will be adversely affected.

We may not see the benefits of government programs initiated to accelerate the adoption and utilization of health information technology and to counter the effects of the current economic situation.

While government programs have been initiated to improve the efficiency and quality of the healthcare sector and also counter the effects of the current economic situation, including expenditures to stimulate business and accelerate the adoption and utilization of health care technology, we cannot provide assurance that we will receive any of those funds. For example, the passage of the Health Information Technology for Economic and Clinical Health Act, or HITECH, under the American Recovery and Reinvestment Act of 2009 (ARRA) authorizes what is expected to be up to almost $30 billion in expenditures, including discretionary funding, to further adoption of electronic health records. Although we believe that our service offerings will meet the requirements of the HITECH Act in order for our clients to qualify for financial incentives for implementing and using our services, there can be no certainty that the planned financial incentives, if made, will be made in regard to our services. We also cannot predict the speed at which physicians will adopt electronic health record systems in response to such government incentives, whether physicians will select our products and services or whether physicians will implement an electronic health record system at all. Any delay in the purchase and implementation of electronic health records systems by physicians in response to government programs, or the failure of physicians to purchase an electronic health record system, could have an adverse effect on our business, financial condition and results of operations. It is also possible that Congress will repeal or not fund HITECH or otherwise amend it in a manner that would be unfavorable to our business.

Our integration of the legacy Eclipsys business continues to be a complicated undertaking, which presents risks and expenses.

The success of the Eclipsys Merger depends, in part, on the ability to realize the anticipated synergies, growth opportunities and cost savings from integrating Eclipsys’ legacy business with our other business segments. The integration of the two businesses continues to be a complex, costly and time-consuming process and involves numerous risks, including difficulties in the assimilation of operations, services, products and personnel, the diversion of management’s attention from other business concerns, the entry into markets in which we have little or no direct prior experience, the potential loss of our key employees, and the potential inability to maintain the goodwill of existing clients.

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If management is unable to successfully combine our businesses in a manner that permits us to achieve the cost savings and operating synergies anticipated to result from the Eclipsys Merger, such anticipated benefits of the Eclipsys Merger may not be realized fully or at all or may take longer to realize than expected. Any of the described difficulties could adversely affect our ability to maintain relationships with customers, partners, suppliers and employees or our ability to achieve the anticipated benefits of the Eclipsys Merger, or could reduce our earnings or otherwise adversely affect our business and financial results.

Our failure to compete successfully could cause our revenue or market share to decline.

The market for our products and services is intensely competitive and is characterized by rapidly evolving technology and product standards, technology and user needs and the frequent introduction of new products and services. Some of our competitors may be more established, benefit from greater name recognition and have substantially greater financial, technical and marketing resources than us. Moreover, we expect that competition will continue to increase as a result of potential incentives provided by the Stimulus and as a result of consolidation in both the information technology and healthcare industries. If one or more of our competitors or potential competitors were to merge or partner with another of our competitors, the change in the competitive landscape could adversely affect our ability to compete effectively. We compete on the basis of several factors, including:

• breadth and depth of services, including the level of product integration;

• reputation;

• reliability, accuracy and security;

• client service;

• price; and

• industry expertise and experience.

Our principal existing competitors in the physician healthcare information systems and services market include Aprima Medical Software (formerly iMedica Corporation), Athenahealth, Inc., Cerner Corporation, eClinicalWorks Inc., Emdeon Business Services LLC, Epic Systems Corporation, General Electric Company, Greenway Medical Technologies, McKesson Corporation, Quality Systems, Inc., Sage Software, Inc., The Trizetto Group, Inc., and Wellsoft Corporation.

Our principal existing competitors in the hospital and post-acute healthcare information systems and services market include Cerner Corporation, eDischarge, Epic Systems Corporation, General Electric Company, Maxsys Ltd., McKesson Corporation, MedHost, Meditech, Midas+, Picis, ProviderLink, Quadramed, Siemens AG and WellSoft.

There can be no assurance that we will be able to compete successfully against current and future competitors or that the competitive pressures that we face will not materially adversely affect our business, financial condition and results of operations.

It is difficult to predict the sales cycle and implementation schedule for our software solutions.

The duration of the sales cycle and implementation schedule for our software solutions depends on a number of factors, including the nature and size of the potential customer and the extent of the commitment being made by the potential customer, which is difficult to predict. Our sales and marketing efforts with respect to hospitals and large health organizations generally involve a lengthy sales cycle due to these organizations’ complex decision-making processes. Additionally, in light of increased government involvement in healthcare, and related changes in the operating environment for healthcare organizations, our current and potential customers may react by curtailing or deferring investments, including those for our services. If potential customers take longer than we expect to decide whether to purchase our solutions, our selling expenses could

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increase and our revenues could decrease, which could harm our business, financial condition and results of operations. If customers take longer than we expect to implement our solutions, our recognition of related revenue would be delayed, which would adversely affect our business, financial condition and results of operations.

Our future success depends upon our ability to grow, and if we are unable to manage our growth effectively, we may incur unexpected expenses and be unable to meet our customers’ requirements.

We will need to expand our operations if we successfully achieve market acceptance for our products and services. We cannot be certain that our systems, procedures, controls and existing space will be adequate to support expansion of our operations. Our future operating results will depend on the ability of our officers and key employees to manage changing business conditions and to implement and improve our technical, administrative, financial control and reporting systems. We may not be able to expand and upgrade our systems and infrastructure to accommodate these increases. Difficulties in managing any future growth, including as a result of the Eclipsys Merger, could have a significant negative impact on our business, financial condition and results of operations because we may incur unexpected expenses and be unable to meet our customers’ requirements.

Competition for our employees is intense, and we may not be able to attract and retain the highly skilled employees we need to support our business.

Our ability to provide high-quality services to our clients depends in large part upon our employees’ experience and expertise. We must attract and retain highly qualified personnel with a deep understanding of the healthcare and health information technology industries. We compete with a number of companies for experienced personnel and many of these companies, including clients and competitors, have greater resources than we have and may be able to offer more attractive terms of employment. In addition, we invest significant time and expense in training our employees, which increases their value to clients and competitors who may seek to recruit them and increases the costs of replacing them. If we fail to retain our employees, the quality of our services could diminish, which could have a material adverse effect on our business, financial condition and results of operations.

If we lose the services of our key personnel, we may be unable to replace them, and our business, financial condition and results of operations could be adversely affected.

Our success largely depends on the continued skills, experience, efforts and strategies of our management, technical and product design staff and other key personnel and our ability to continue to attract, motivate and retain highly qualified employees. Because competition for skilled employees is intense, and the process of finding qualified individuals can be lengthy and expensive, we believe that the loss of the services of key personnel could adversely affect our business, financial condition and results of operations. We cannot provide assurance that we will continue to retain such personnel. We do not maintain keyman insurance for any of our key employees.

If we are unable to successfully introduce new products or services or fail to keep pace with advances in technology, our business, financial condition and results of operations will be adversely affected.

The successful implementation of our business model depends on our ability to adapt to evolving technologies and increasingly aggressive industry standards and introduce new products and services accordingly. We cannot provide assurance that we will be able to introduce new products on schedule, or at all, or that such products will achieve market acceptance. Moreover, competitors may develop competitive products that could adversely affect our results of operations. A failure by us to introduce planned products or other new products or to introduce these products on schedule could have an adverse effect on our business, financial condition and results of operations.

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If we cannot adapt to changing technologies, our products and services may become obsolete, and our business could suffer. Because the health information technology market is characterized by rapid technological change, we may be unable to anticipate changes in our current and potential customers’ requirements that could make our existing technology obsolete. Our success will depend, in part, on our ability to continue to enhance our existing products and services, develop new technology that addresses the increasingly sophisticated and varied needs of our prospective customers, license leading technologies and respond to technological advances and emerging industry standards and practices on a timely and cost-effective basis. The development of our proprietary technology entails significant technical and business risks. We may not be successful in using new technologies effectively or adapting our proprietary technology to evolving customer requirements or emerging industry standards, and, as a result, our business could suffer.

Our business depends in part on our ability to establish and maintain additional strategic relationships.

To be successful, we must continue to maintain our existing strategic relationships and establish additional strategic relationships with leaders in a number of healthcare and health information technology industry segments. This is critical to our success because we believe that these relationships contribute towards our ability to:

• extend the reach of our products and services to a larger number of physicians and hospitals and to other participants in the healthcare industry;

• develop and deploy new products and services;

• further enhance the Allscripts brand; and

• generate additional revenue and cash flows.

Entering into strategic relationships is complicated because strategic partners may decide to compete with us in some or all of our markets. In addition, we may not be able to maintain or establish relationships with key participants in the healthcare industry if we conduct business with their competitors. We depend, in part, on our strategic partners’ ability to generate increased acceptance and use of our products and services. If we lose any of these strategic relationships or fail to establish additional relationships, or if our strategic relationships fail to benefit us as expected, we may not be able to execute our business plan, and our business, financial condition and results of operations may suffer.

Future acquisitions may result in potentially dilutive issuances of equity securities, the incurrence of indebtedness, increased amortization expense and may not achieve the anticipated benefits of the transaction.

Future acquisitions may result in dilutive issuances of equity securities, the incurrence of debt, the assumption of known and unknown liabilities, and the amortization of expenses related to intangible assets. In addition, acquisitions may result in the diversion of management attention and other resources, and may not achieve the anticipated benefits of the transaction. Each of the foregoing could have an adverse effect on our business, financial condition and results of operations. We have taken, and, if an impairment occurs, could take, charges against earnings in connection with acquisitions. On March 4, 2013, we completed the acquisition of dbMotion, in which we issued 3,823,453 shares of common stock, par value $0.01 per share, and borrowed $130 million under our revolving credit facility to fund a portion of the purchase price. There can be no assurance that we will achieve the anticipated strategic benefits of the acquisition.

If our products fail to perform properly due to errors or similar problems, our business could suffer.

Complex software, such as ours, often contains defects or errors, some of which may remain undetected for a period of time. It is possible that such errors may be found after the introduction of new software or enhancements to existing software. We continually introduce new solutions and enhancements to our solutions, and, despite testing by us, it is possible that errors may occur in our software. If we detect any errors before we introduce a solution, we might have to delay deployment for an extended period of time while we address the

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problem. If we do not discover software errors that affect our new or current solutions or enhancements until after they are deployed, we would need to provide enhancements to correct such errors. Errors in our software could result in:

• harm to our reputation;

• lost sales;

• delays in commercial releases;

• product liability claims or patient safety issues;

• delays in or loss of market acceptance of our solutions;

• license terminations or renegotiations;

• unexpected expenses and diversion of resources to remedy errors; and

• privacy and/or security vulnerabilities.

Furthermore, our customers might use our software together with products from other companies or those that they have developed internally. As a result, when problems occur, it might be difficult to identify the source of the problem. Even when our software does not cause these problems, the existence of these errors might cause us to incur significant costs, divert the attention of our technical personnel from our solution development efforts, impact our reputation and cause significant customer relations problems.

Our business depends on our intellectual property rights, and if we are unable to protect them, our competitive position may suffer.

Our business plan is predicated on our proprietary systems and technology products. Accordingly, protecting our intellectual property rights is critical to our continued success and our ability to maintain our competitive position. In addition to existing trademark, trade secret and copyright law, we protect our proprietary rights through confidentiality agreements and technical measures. Allscripts also has a patent program where we identify and seek patent protections on certain technologies. We generally enter into non-disclosure and assignment agreements with our employees and consultants and limit access to our trade secrets and technology. Nonetheless, in some instances, third parties may have access to source-code versions of software. Furthermore, our use and distribution of open source software and modules in connection with our business also presents risks. Open source commonly refers to software whose source code is subject to a license allowing it to be modified, combined with other software and redistributed, subject to restrictions set forth in the license. We cannot be certain that, under the terms of those licenses, our software will be found to be in material compliance with such agreements or that it might subject the company to claims of infringement. We cannot provide assurance that the steps we have taken have prevented or will prevent misappropriation of our technology. Misappropriations of our intellectual property have occurred in the past. Misappropriation of our intellectual property could have an adverse effect on our competitive position. In addition, we may have to engage in litigation in the future to enforce or protect our intellectual property rights or to defend against claims of infringement, misappropriation or other violations of third-party intellectual property rights. We may incur substantial costs and the diversion of management’s time and attention as a result and an adverse decision could have a negative impact on our business.

If we are deemed to infringe, misappropriate or violate the proprietary rights of third parties, we could incur unanticipated expense and be prevented from providing our products and services.

We are and may continue to be subject to intellectual property infringement, misappropriation or other intellectual property violation claims as our applications’ functionality overlaps with competitive products and third parties may claim that we do not own or have rights to use all intellectual property rights used in the conduct of our business. We do not believe that we have infringed or are infringing on any valid or enforceable proprietary rights of third parties. However, claims are occasionally asserted against us, and we cannot provide

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assurance that infringement, misappropriation or claims alleging intellectual property violations will not be asserted against us in the future. Also, we cannot provide assurance that any such claims will be unsuccessful. We could incur substantial costs and diversion of management resources defending any such claims. Furthermore, a party making a claim against us could secure a judgment awarding substantial damages, as well as injunctive or other equitable relief that could effectively block our ability to provide products or services. In addition, we cannot provide assurance that licenses for any intellectual property of third parties that might be required for our products or services will be available on commercially reasonable terms, or at all. Such claims also might require indemnification of our clients at significant expense.

We are and in the future may be involved in legal proceedings that could materially adversely affect us.

We are currently engaged in legal proceedings on a variety of matters and additional claims or disputes may arise in the future. Results of legal proceedings are subject to significant uncertainty and, regardless of the merit of the claims, litigation may be expensive, time-consuming, disruptive to our operations and distracting to management. If one or more of these matters were resolved against us, it could have a material adverse impact on our business, financial condition, results of operations or cash flows. Legal proceedings could also result in consent decrees, criminal sanctions or orders requiring a change in our business practices, which could also adversely affect our business and results of operations. For additional information regarding certain legal proceedings in which we are involved, see Note 19, “Contingencies,” of the Notes to Consolidated Financial Statements in Part II, Item 8 of this report.

If our content and service providers fail to perform adequately, or to comply with laws, regulations or contractual covenants, our reputation and our business, financial condition and results of operations could be adversely affected.

We depend on independent content and service providers for communications and information services and for many of the benefits we provide through our software applications and services, including the maintenance of managed care pharmacy guidelines, drug interaction reviews, the routing of transaction data to third-party payers and the hosting of our applications. Our ability to rely on these services could be impaired as a result of the failure of such providers to comply with applicable laws, regulations and contractual covenants, or as a result of events affecting such providers, such as power loss, telecommunication failures, software or hardware errors, computer viruses and similar disruptive problems, fire, flood and natural disasters. Any such failure or event could adversely affect our relationships with our customers and damage our reputation. This would adversely affect our business, financial condition and results of operations. In addition, we may have no means of replacing content or services on a timely basis or at all if they are inadequate or in the event of a service interruption or failure. We also rely on independent content providers for the majority of the clinical, educational and other healthcare information that we provide. In addition, we depend on our content providers to deliver high quality content from reliable sources and to continually upgrade their content in response to demand and evolving healthcare industry trends. If these parties fail to develop and maintain high quality, attractive content, the value of our brand and our business, financial condition and results of operations could be impaired.

We may be liable for use of content we provide.

We provide content for use by healthcare providers in treating patients. Third-party content suppliers provide certain of this content. If this content is incorrect or incomplete, adverse consequences, including death, may occur and give rise to product liability and other claims against us. In addition, certain of our solutions provide applications that relate to patient clinical information, and a court or government agency may take the position that our delivery of health information directly, including through licensed practitioners, or delivery of information by a third party site that a consumer accesses through our websites, exposes us to personal injury liability, or other liability for wrongful delivery or handling of healthcare services or erroneous health information. While we maintain product liability insurance coverage in an amount that we believe is sufficient for our business, we cannot provide assurance that this coverage will prove to be adequate or will continue to be available on acceptable terms, if at all. A claim that is brought against us that is uninsured or under-insured could

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harm our business, financial condition and results of operations. Even unsuccessful claims could result in substantial costs and diversion of management resources.

If our security is breached, we could be subject to liability, and customers could be deterred from using our products and services.

Our business relies on the secure electronic transmission, storage, and hosting of sensitive information, including protected health information, financial information, and other sensitive information relating to our customers, company and workforce. As a result, we face some risk of a deliberate or unintentional incident involving unauthorized access to our computer systems or data that could result in the misappropriation or loss of assets or the disclosure of sensitive information, the corruption of data, or other disruption of our business operations. Similarly, denial-of-service or other Internet-based attacks may range from mere vandalism of our electronic systems to systematic theft of sensitive information and intellectual property.

In light of this risk, we have devoted and continue to devote significant resources to protecting and maintaining the confidentiality of this information, including implementing security and privacy programs and controls, training our workforce, and implementing new technology. We have no guarantee that these programs and controls will be adequate to prevent all possible security threats. We believe that any compromise of our electronic systems, including the unauthorized access, use or disclosure of sensitive information or a significant disruption of our computing assets and networks, would adversely affect our reputation, our ability to fulfill contractual obligations, and would require us to devote significant financial and other resources to mitigate such problems, and increase our future cybersecurity costs including through organizational changes, deploying additional personnel and protection technologies, further training employees, and engaging third party experts and consultants. Moreover, unauthorized access, use, or disclosure of such sensitive information could result in civil or criminal liability or regulatory action, including potential fines and penalties. In addition, any real or perceived compromise of our security or disclosure of sensitive information, may result in lost revenues by, deterring customers from using or purchasing our products and services in the future or to use competing suppliers.

In addition, we use third-party contractors, to store, transmit, or host sensitive information for our customers. While we have contractual relationships with these third-party contractors that require them to have appropriate security programs and controls in place and, frequently, to indemnify us, any compromise or failure of these contractors’ security, could adversely affect our reputation, require us to devote financial and other resources to mitigate these breaches, or subject us to litigation from our customers.

Recently, other companies have experienced many high profile incidents involving data security breaches by entities that transmit and store sensitive information. Lawsuits resulting from these security breaches have sought very significant monetary damages, although many of these suits have yet to be resolved. While we maintain some insurance to cover these types of damages and costs, if we are sued for this type of security breach it is uncertain whether this coverage would be sufficient to cover the costs or damages assessed in this type of lawsuit against us.

If we are unable to obtain additional financing for our future needs, our ability to respond to competitive pressures may be impaired and our business, financial condition and results of operations could be adversely affected.

We cannot be certain that additional financing will be available to us on favorable terms, or at all. If adequate financing is not available or is not available on acceptable terms, our ability to fund our expansion, take advantage of potential acquisition opportunities, develop or enhance services or products, or respond to competitive pressures would be significantly limited.

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If we are forced to reduce our prices, our business, financial condition and results of operations could suffer.

We may be subject to pricing pressures with respect to our future sales arising from various sources, including practices of managed care organizations, group purchasing arrangements made through government programs such as the Regional Extension Centers, and government action affecting reimbursement levels affecting physicians, hospitals, home health professionals or any combination thereof under Medicare, Medicaid and other government health programs. Our customers and the other entities with which we have a business relationship are affected by changes in statutes, regulations and limitations in governmental spending for Medicare, Medicaid and other programs. Recent government actions and future legislative and administrative changes could limit government spending for the Medicare and Medicaid programs, limit payments to hospitals and other providers, increase emphasis on competition, impose price controls, initiate new and expanded value-based reimbursement programs and create other programs that potentially could have an adverse effect on our customers and the other entities with which we have a business relationship. If our pricing experiences significant downward pressure, our business will be less profitable and our results of operations would be adversely affected. In addition, because cash from sales funds some of our working capital requirements, reduced profitability could require us to raise additional capital sooner than we would otherwise need.

If we incur costs exceeding our insurance coverage in lawsuits pending against us or that are brought against us in the future, it could adversely affect our business, financial condition and results of operations.

We are a defendant in lawsuits arising in the ordinary course of business. In the event we are found liable in any lawsuits filed against us, and if our insurance coverage were unavailable or inadequate to satisfy these liabilities, it could have an adverse effect on our business, financial condition and results of operations.

Our failure to license and integrate third-party technologies could harm our business.

We depend upon licenses for some of the technology used in our solutions from third-party vendors, and intend to continue licensing technologies from third parties. These technologies might not continue to be available to us on commercially reasonable terms or at all. Most of these licenses can be renewed only by mutual consent and may be terminated if we breach the terms of the license and fail to cure the breach within a specified period of time. Our inability to obtain, maintain or comply with any of these licenses could delay development until equivalent technology can be identified, licensed and integrated, which would harm our business, financial condition and results of operations.

Most of our third-party licenses are non-exclusive and our competitors may obtain the right to use any of the technology covered by these licenses and use the technology to compete directly with us. Our use of third-party technologies exposes us to increased risks, including, but not limited to, risks associated with the integration of new technology into our solutions, the diversion of our resources from development of our own proprietary technology and our inability to generate revenue from licensed technology sufficient to offset associated acquisition and maintenance costs. In addition, if our vendors choose to discontinue support of the licensed technology in the future or are unsuccessful in their continued research and development efforts, we might not be able to modify or adapt our own solutions.

If we fail to maintain and expand our business with our existing customers, or to effectively transition our customers to newer products, our business, financial condition and results of operations could be adversely affected.

Our business model depends on our success with maintaining our existing customers and selling follow-on and incremental products and services to our existing customers. In addition, our success with certain clients requires our achieving interoperability among the products offered by legacy Allscripts and legacy Eclipsys to provide a single solution that connects healthcare providers across care settings. Also critical to our success is our ability to sell our electronic health record products to our legacy entities’ practice management customer base.

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Additionally, certain of our clinical solutions business unit customers initially purchase one or a limited number of our products and services. These customers might choose not to expand their use of, or purchase, additional modules. Also, as we deploy new applications and features for our existing solutions or introduce new solutions and services, our current customers could choose not to purchase these new offerings. If we fail to generate additional business from our current customers, our revenue could grow at a slower rate or even decrease.

In addition, the transition of our existing customers to current versions of our products presents certain risks, including the risk of data loss or corruption, or delays in completion. If such events occur, our client relationships and reputation could be damaged, which could adversely affect our business and results of operations.

Changes in interoperability and other regulatory standards applicable to our software could require us to incur substantial additional development costs.

Our clients and the industry leaders enacting regulatory requirements are concerned with and often require that our software solutions be interoperable with other third party health IT suppliers. Market forces or governmental/regulatory authorities could create software interoperability standards that would apply to our solutions, and if our software solutions and/or healthcare devices are not consistent with those standards, we could be forced to incur substantial additional development costs. HITECH, which is part of ARRA, provides financial incentives to hospitals and doctors who demonstrate that they are “meaningful electronic health record users,” including a requirement that they use health information technology systems that are “certified” according to a set of standards for functionality, interoperability and security developed under the supervision of the Secretary of the Department of Health and Human Services. HITECH also imposes certain requirements upon governmental agencies to use, and requires health care providers, health plans, and insurers contracting with such agencies to use, systems that are certified according to such standards. The Secretary of the Department of Health and Human Services continues to modify those standards. Achieving HITECH certification is becoming a competitive requirement, resulting in increased software development and administrative expense to conform to these requirements. These standards and specifications, once finalized, will be subject to interpretation by the entities designated to test and certify such technology.

We will incur increased development costs in delivering solutions to upgrade our software and healthcare devices to be in compliance with these varying and evolving standards, and delays may result in connection therewith. If our software solutions are not consistent with these evolving standards, our market position and sales could be impaired and we may have to invest significantly in changes to our software solutions, although we do not expect such costs to be significant in relation to the overall development costs for our solutions.

Changes in CMS diagnosis and inpatient procedure coding require us to make modifications to our products and services, which could result in significant development costs and which if unsuccessful could adversely affect our sales.

The Centers for Medicare and Medicaid Services, or CMS, has mandated the use of new patient codes for reporting medical diagnosis and inpatient procedures, referred to as the ICD-10 codes. CMS is requiring all providers, payers, clearinghouses, and billing services to utilize these ICD-10 codes when submitting claims for payment. ICD-10 codes will affect diagnosis and inpatient procedure coding for everyone covered by the Health Insurance Portability and Accountability Act (HIPAA), not just those who submit Medicare or Medicaid claims. Claims for services provided on or after October 1, 2013 must use ICD-10 codes for medical diagnosis and inpatient procedures or they will not be paid.

If our products and services do not accommodate CMS mandates at any future date, customers may cease to use those products and services that are not compliant or may choose alternative vendors and products that are compliant. This could adversely impact future revenues.

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We are subject to a number of existing laws, regulations and industry initiatives, non-compliance with certain of which could materially adversely affect our operations or otherwise adversely affect our business, financial condition and results of operations, and we are susceptible to a changing regulatory environment.

As a participant in the healthcare industry, our operations and relationships, and those of our customers, are regulated by a number of federal, state and local governmental entities. The impact of this regulation on us is direct, to the extent we are ourselves subject to these laws and regulations, and is also indirect in that, in a number of situations, even though we may not be directly regulated by specific healthcare laws and regulations, our products must be capable of being used by our customers in a manner that complies with those laws and regulations. Inability of our customers to do so could affect the marketability of our products or our compliance with our customer contracts, or even expose us to direct liability under the theory that we had assisted our customers in a violation of healthcare laws or regulations. Because our business relationships with physicians, hospitals and other provider customers are unique and the healthcare information technology industry as a whole is relatively young, the application of many state and federal regulations to our business operations and to our customers is uncertain. Indeed, there are federal and state fraud and abuse laws, including anti-kickback laws and limitations on physician referrals, and laws related to distribution and marketing, including off-label promotion of prescription drugs that may be directly or indirectly applicable to our operations and relationships or the business practices of our customers. It is possible that a review of our business practices or those of our customers by courts or regulatory authorities could result in a determination that could adversely affect us. In addition, the healthcare regulatory environment may change in a way that restricts our existing operations or our growth. The healthcare industry generally and the EHR industry specifically is expected to continue to undergo significant legal and regulatory changes for the foreseeable future, which could have an adverse effect on our business, financial condition and results of operations. We cannot predict the effect of possible future enforcement, legislation and regulation.

Specific risks include, but are not limited to, risks relating to:

• Healthcare Fraud. Federal and state governments continue to enhance regulation of and increase their scrutiny over practices involving healthcare fraud affecting healthcare providers and professionals whose services are reimbursed by Medicare, Medicaid and other government healthcare programs. The healthcare industry is subject to laws and regulations on fraud and abuse which, among other things, prohibit the direct or indirect payment or receipt of any remuneration for patient referrals, or for the purchase or order, or arranging for or recommending referrals or purchases, of any item or service paid for in whole or in part by these federal or state healthcare programs. Federal enforcement personnel have substantial funding, powers and remedies to pursue suspected or perceived fraud and abuse. Moreover, both federal and state laws forbid bribery and similar behavior. Any determination by a regulatory, prosecutorial or judicial authority that any of our activities involving our clients, vendors or channel partners violate any of these laws could subject us to civil or criminal penalties, require us to change or terminate some portions of our business, require us to refund a portion of our license or service fees and disqualify us from providing services to clients doing business with government programs, all of which could have a material adverse effect on our business, financial condition and results of operations. Even an unsuccessful challenge by regulatory or prosecutorial authorities of our activities could result in adverse publicity, could require a costly response from us and could have a material adverse effect on our business, financial condition and results of operations.

• Patient Information. As part of the operation of our business, our customers provide to us patient-identifiable medical information related to the prescription drugs that they prescribe and other aspects of patient treatment. Government and industry legislation and rulemaking, especially HIPAA, HITECH and standards and requirements published by industry groups such as the Joint Commission on Accreditation of Healthcare Organizations, require the use of standard transactions, standard identifiers, security and other standards and requirements for the transmission of certain electronic health information. National standards and procedures under HIPAA include the “Standards for Electronic

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Transactions and Code Sets” (the Transaction Standards); the “Security Standards” (the Security Standards); and the “Standards for Privacy of Individually Identifiable Health Information” (the Privacy Standards). The Transaction Standards require the use of specified data coding, formatting and content in all specified “Health Care Transactions” conducted electronically. The Security Standards require the adoption of specified types of security measures for certain patient identifiable health information (called Protected Health Information) in electronic form. The Privacy Standards grant a number of rights to individuals as to their Protected Health Information and restrict the use and disclosure of Protected Health Information by Covered Entities, defined as “health plans,” “health care providers,” and “health care clearinghouses.”

We have reviewed our activities and believe that we are a Covered Entity to the extent that we maintain a “group health plan” for the benefit of our employees. We have taken steps we believe to be appropriate and required to bring our group health plan into compliance with HIPAA and HITECH. For our operating functions, we believe that we are a hybrid entity, with both covered and non-covered functions under HIPAA. The Payerpath portion of our business qualifies as a health care clearinghouse when it files electronic health care claims on behalf of health care providers that are subject to HIPAA and HITECH and we have instituted policies and procedures to comply with HIPAA and HITECH in that role.

With respect to our other business functions, we do not believe we are a Covered Entity as a health care provider or as a health care clearinghouse; however, the definition of a health care clearinghouse is broad and we cannot offer any assurance that we could not be considered a health care clearinghouse under HIPAA or that, if we are determined to be a healthcare clearinghouse, the consequences would not be adverse to our business, financial condition and results of operations. In addition, certain provisions of the Privacy and Security Standards apply to third parties that create, access, or receive Protected Health Information in order to perform a function or activity on behalf of a Covered Entity. Such third parties are called “Business Associates.” Covered Entities and Business Associates must enter a written “Business Associate Agreement”, containing specified written satisfactory assurances, consistent with the Privacy and Security Standards and HITECH and its implementing regulations, that the third party will safeguard Protected Health Information that it creates or accesses and will fulfill other material obligations. Most of our customers are Covered Entities, and we function in many of our relationships as a Business Associate of those customers. We would face liability under our Business Associate Agreements and HIPAA and HITECH if we do not comply with our Business Associate obligations and applicable provisions of the Privacy and Security Standards and HITECH and its implementing regulations. The penalties for a violation of HIPAA or HITECH are significant and could have an adverse impact upon our business, financial condition and results of operations, if such penalties ever were imposed.

Subject to the discussion set forth above, we believe that the principal effects of HIPAA are, first, to require that our systems be capable of being operated by us and our customers in a manner that is compliant with the Transaction, Security and Privacy Standards and, second, to require us to enter into and comply with Business Associate Agreements with our Covered Entity customers. For most Covered Entities, the deadlines for compliance with the Privacy Standards and the Transaction Standards occurred in 2003, and for the Security Standards occurred in 2005.

Additionally, Covered Entities that are providers are required to adopt a unique standard National Provider Identifier, or NPI, for use in filing and processing health care claims and other transactions. Most Covered Entities were required to use NPIs in standard transactions by May 23, 2007.

We have policies and procedures that we believe comply with federal and state confidentiality requirements for the handling of Protected Health Information that we receive and with our obligations under Business Associate Agreements. In particular, we believe that our systems and products are capable of being used by or for our customers in compliance with the Transaction, Security and Privacy Standards and are capable of being used by or for our customers in compliance with the NPI

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requirements. If, however, we do not follow those procedures and policies, or they are not sufficient to prevent the unauthorized disclosure of Protected Health Information, we could be subject to civil and/or criminal liability, fines and lawsuits, termination of our customer contracts or our operations could be shut down. Moreover, because all HIPAA Standards and HITECH implementing regulations and guidance are subject to change or interpretation, we cannot predict the full future impact of HIPAA, HITECH or their implementing regulations on our business and operations. In the event that HIPAA, HITECH or their implementing regulations change or are interpreted in a way that requires any material change to the way in which we do business, our business, financial condition and results of operations could be adversely affected. Additionally, certain state privacy laws are not preempted by HIPAA and HITECH and may impose independent obligations upon our customers or us. Additional legislation governing the acquisition, storage and transmission or other dissemination of health record information and other personal information, including social security numbers, continues to be proposed and come into force at the state level. There can be no assurance that changes to state or federal laws will not materially restrict the ability of providers to submit information from patient records using our products and services.

On January 25, 2013, the Federal Register published the final omnibus rules of the U.S. Department of Health and Human Services (HHS) which modify the HIPAA Privacy, Security, Breach Notification and Enforcement Rules. These rules impose additional obligations and burdens on covered entities, business associates and subcontractors relating to the privacy and security of Protected Health Information. Much of the Privacy and all of the Security Rule now applies directly to business associates and their subcontractors. These new rules may increase the cost of compliance and could subject us to additional enforcement actions.

• Electronic Prescribing. The use of our software by physicians to perform a variety of functions, including electronic prescribing (ePrescribing), which refers to the electronic routing of prescriptions to pharmacies and the ensuing dispensation, is governed by state and federal law, including fraud and abuse laws. States have differing prescription format requirements, which we have programmed into our software. Many existing laws and regulations, when enacted, did not anticipate methods of e-commerce now being developed. While federal law and the laws of many states permit the electronic transmission of certain prescription orders, the laws of several states neither specifically permit nor specifically prohibit the practice. Restrictions exist at the Federal level, however, on the use of ePrescribing for controlled substances and certain other drugs, including a new regulation enacted by the Drug Enforcement Association (DEA) in mid-2010. Given the rapid growth of electronic transactions in healthcare, and particularly the growth of the Internet, we expect many additional states to directly address these areas with regulation in the near future. In addition, the Department of Health and Human Services published its final “E-Prescribing and the Prescription Drug Program” regulations on November 7, 2005 (effective January 1, 2006), and final regulations governing the standards for ePrescribing Under Medicare Part D on April 7, 2008 (effective June 6, 2008) (E-Prescribing Regulations). These regulations are required by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA). The E-Prescribing Regulations consist of detailed standards and requirements, in addition to the HIPAA Standard discussed above, for prescription and other information transmitted electronically in connection with a drug benefit covered by the MMA’s Prescription Drug Benefit. These standards cover not only transactions between prescribers and dispensers for prescriptions but also electronic eligibility and benefits inquiries and drug formulary and benefit coverage information. The standards apply to prescription drug plans participating in the MMA’s Prescription Drug Benefit. Other rules governing ePrescribing apply to other areas of Medicare and to Medicaid. The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) authorized a new and separate incentive program for individual eligible professionals who are successful electronic prescribers as defined by MIPPA, as well as a set of penalties for those not transmitting a minimum number of electronic prescriptions or participating in the Electronic Health Record Incentive Program (Meaningful Use). This incentive program is separate from and is in addition to the quality reporting incentive program authorized by Division B of the Tax Relief and Health Care Act of 2006—Medicare Improvements and Extension Act of 2006 and which is now known as the Physician

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Quality Reporting System (PQRS). Eligible professionals do not need to participate in PQRS to participate in the ePrescribing Incentive Program. Both programs were in effect throughout 2012 and remain in effect for 2013, with both generating payment adjustments for non-participating providers. To the extent that these new initiatives and regulations foster the accelerated adoption of ePrescribing and Allscripts is a leader in the ePrescribing space, our business benefits from these incentive programs. However HITECH is the most prominent incentive program since its passage, reducing the impact the MIPPA and PQRS programs have in spurring greater adoption of ePrescribing or other health information technology.

In general, regulations in this area impose certain requirements which can be burdensome and evolve regularly, meaning that any potential benefits may be reversed by a newly-promulgated regulation that adversely affects our business model. Aspects of our clinical products are affected by such regulation because of the need of our customers to comply, as discussed above. Compliance with these regulations could be burdensome, time-consuming and expensive. We also are subject, as discussed above, to future legislation and regulations concerning the development and marketing of healthcare software systems or requirements related to product functionality. These could increase the cost and time necessary to market new services and could affect us in other respects not presently foreseeable.

• Electronic Health Records. A number of important federal and state laws govern the use and content of electronic health record systems, including fraud and abuse laws that may affect the donation of such technology. As a company that provides electronic health record systems to a variety of providers of healthcare, our systems and services must be designed in a manner that facilitates our customers’ compliance with these laws. Because this is a topic of increasing state and federal regulation, we continue to monitor legislative and regulatory developments that might affect our business practices as they relate to electronic health record systems, revenue cycle management systems, ePrescribing and others. We cannot predict the content or effect of possible future regulation on our business practices. Also, as described above under “Risks Related to Our Business,” our Sunrise Clinical Manager suite of solutions, Allscripts ED, Allscripts Enterprise EHR, modular and complete, Allscripts Professional EHR, Allscripts MyWay EHR and Allscripts PeakPractice EHR are all certified by an ONC-approved certifying body as meeting the standards for functionality, interoperability and security under HITECH. Our failure to maintain this certification or otherwise meet industry standards would adversely impact our business.

Under HITECH, eligible health care professionals and hospitals may qualify for Medicare and Medicaid payment for the Meaningful Use of certified electronic health record technology that meets specified objectives. The criteria for meaningful use will be staged in at least three stages over the course of several years. Ongoing compliance with regulations related to this evolving program could be expensive and time-consuming.

• Claims Transmission. Our system electronically transmits medical claims by physicians to patients’ payers for immediate approval and reimbursement In addition, we offer revenue cycle management services that include the manual and electronic processing and submission of medical claims by physicians to patients’ payers for approval and reimbursement. Federal law provides that it is both a civil and a criminal violation for any person to submit, or cause to be submitted, a claim to any payer, including, without limitation, Medicare, Medicaid and all private health plans and managed care plans, seeking payment for any services or products that overbills or bills for items that have not been provided to the patient. We have in place policies and procedures that we believe assure that all claims that are transmitted by our system and through our services are accurate and complete, provided that the information given to us by our customers is also accurate and complete. If, however, we do not follow those procedures and policies, or they are not sufficient to prevent inaccurate claims from being submitted, we could be subject to liability. As discussed above, the HIPAA Transaction and Security Standards also affect our claims transmission services, since those services must be structured and provided in a way that supports our customers’ HIPAA compliance obligations. Furthermore, to the extent that there is some type of information security breach, it could have a material adverse effect on our business.

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• Medical Devices. Certain computer software products are regulated as medical devices under the Federal Food, Drug, and Cosmetic Act The FDA may become increasingly active in regulating computer software intended for use in healthcare settings. Depending on the product, we could be required to notify the FDA and demonstrate substantial equivalence to other products on the market before marketing such products or obtain FDA approval by demonstrating safety and effectiveness before marketing a product. Depending on the intended use of a device, the FDA could require us to obtain extensive data from clinical studies to demonstrate safety or effectiveness or substantial equivalence. If the FDA requires these data, we could be required to obtain approval of an investigational device exemption before undertaking clinical trials. Clinical trials can take extended periods of time to complete. We cannot provide assurances that the FDA will approve or clear a device after the completion of such trials. In addition, these products would be subject to the Federal Food, Drug and Cosmetic Act’s general controls. The FDA can impose extensive requirements governing pre—and post-market conditions like approval, labeling and manufacturing. The FDA can impose extensive requirements governing product design controls and quality assurance processes. Failure to comply with FDA requirements can result in criminal and civil fines and penalties, product seizure, injunction, and civil monetary policies—each of which could have an adverse effect on our business.

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 our customers. Some of these provisions (including Accountable Care Organizations and the Comprehensive Primary Care Initiative) may have a positive impact by requiring the expanded use of electronic health records and analytics tools to participate in certain federal programs, for example, while others, such as those mandating reductions in reimbursement for certain types of providers, may have a negative impact by reducing the resources available to purchase our products. Increases in fraud and abuse enforcement and penalties may also adversely affect participants in the healthcare sector, including the Company. Additionally, conversations continue in Congress around the Medicare Sustainable Growth Rate reimbursement model and possible replacement payment methodologies, some of which would further encourage the adoption of health information technology in order to satisfy possible new requirements tying the report of quality measurements to the receipt of payment through Medicare but which also currently raise ambiguity among physician populations and healthcare organizations.

Increased government involvement in healthcare could adversely affect our business.

U.S. healthcare system reform at both the federal and state level could increase government involvement in healthcare, lower reimbursement rates and otherwise change the business environment of our customers and the other entities with which we have a business relationship. We cannot predict whether or when future healthcare reform initiatives at the federal or state level or other initiatives affecting our business will be proposed, enacted or implemented or what impact those initiatives may have on our business, financial condition or results of operations. Our customers and the other entities with which we have a business relationship could react to these initiatives and the uncertainty surrounding these proposals by curtailing or deferring investments, including those for our products and services. Additionally, the government has signaled increased enforcement activity targeting healthcare fraud and abuse, which could adversely impact our business, either directly or indirectly. To the extent that our customers, most of whom are providers, may be affected by this increased enforcement environment, our business could correspondingly be affected. Additionally, government regulation could alter the clinical workflow of physicians, hospitals and other healthcare participants, thereby limiting the utility of our products and services to existing and potential customers and curtailing broad acceptance of our products and services. Further examples of government involvement could include requiring the standardization of technology relating to electronic health records, providing customers with incentives to adopt electronic health record solutions or developing a low-cost government sponsored electronic health record solution, such as the VistA-Office electronic health record. Additionally, certain safe harbors to the federal Anti-Kickback Statute and

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corresponding exceptions to the federal Stark law may alter the competitive landscape. These safe harbors and exceptions are intended to accelerate the adoption of electronic prescription systems and electronic health records systems, and therefore provide new and attractive opportunities for us to work with hospitals and other donors who wish to provide our solutions to physicians. At the same time, such safe harbors and exceptions may result in increased competition from providers of acute electronic health record solutions, whose hospital customers may seek to donate their existing acute electronic health record solutions to physicians for use in ambulatory settings.

If the electronic healthcare information market fails to develop as quickly as expected, our business, financial condition and results of operations will be adversely affected.

The electronic healthcare information market is in the early stages of development and is rapidly evolving. A number of market entrants have introduced or developed products and services that are competitive with one or more components of the solutions we offer. We expect that additional companies will continue to enter this market, especially in response to recent government subsidies. In new and rapidly evolving industries, there is significant uncertainty and risk as to the demand for, and market acceptance of, recently introduced products and services. Because the markets for our products and services are new and evolving, we are not able to predict the size and growth rate of the markets with any certainty. We cannot provide assurance that markets for our products and services will develop or that, if they do, they will be strong and continue to grow at a sufficient pace. If markets fail to develop, develop more slowly than expected or become saturated with competitors, our business, financial condition and results of operations will be adversely affected.

Consolidation in the healthcare industry could adversely affect our business, financial condition and results of operations.

Many healthcare industry participants are consolidating to create integrated healthcare delivery systems with greater market power. As provider networks and managed care organizations consolidate, thus decreasing the number of market participants, competition to provide products and services like ours will become more intense, and the importance of establishing relationships with key industry participants will become greater. These industry participants may try to use their market power to negotiate price reductions for our products and services. Further, consolidation of management and billing services through integrated delivery systems may decrease demand for our products. If we were forced to reduce our prices, our business would become less profitable unless we were able to achieve corresponding reductions in our expenses.

Business disruptions could affect our operating results.

A significant portion of our research and development activities and certain other critical business operations are concentrated in a few geographic areas. We are a highly automated business and a disruption or failure of our systems could cause delays in completing sales and providing services. A major earthquake, fire or other catastrophic event that results in the destruction or disruption of any of our critical business or information technology systems could severely affect our ability to conduct normal business operations and, as a result, our future operating results could be materially and adversely affected.

We may experience customer attrition and incur costs relating to the standardization of our small office electronic health record and practice management systems that could adversely affect our results of operations.

To serve our clients and the healthcare market better, in October 2012 we initiated a plan to standardize our small office electronic health record and practice management systems. As part of this plan, we will converge, over time, our MyWay Electronic Health Record System (MyWay) and Professional Suite Electronic Health Record System (Professional Suite). We plan to upgrade MyWay clients electing to migrate to the converged platform between January 2013 and September 2013, at no additional cost to the MyWay clients. The upgrade

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will position MyWay clients for Meaningful Use Stage 2 and ICD-10 compliance, and prepare them for the shift to value-based care that focuses on costs, quality and outcomes. MyWay clients not electing to upgrade will continue to have use of the application. As a result of this decision, we recorded a non-cash charge to earnings in the quarter ended September 30, 2012 related to the impairment of previously capitalized software development costs for MyWay plus the net carrying value of a perpetual license for certain software code incorporated in MyWay totaling $11 million, on a pre-tax basis. Additional non-recurring period costs will be incurred in future quarters to upgrade the MyWay clients that elect to upgrade. The incremental period costs will be partially offset by cost savings we expect to realize through lower development and support costs. The amount of such costs and anticipated savings are not determinable at this time and will ultimately be based on the number of clients electing to migrate. Additionally, litigation against us has been filed related to the plan we have initiated. A December 2012 complaint seeks to certify a class of MyWay customers and seeks damages for claims of breach of warranty and unjust enrichment. A 2013 complaint filed by a distributor seeks damages for breach of contract. The costs associated with this upgrade initiative and litigation could exceed our expectations and, accordingly, adversely affect our results of operations.

Risks Related to Our International Business Strategy

Our growing operations in India expose us to risks that could have an adverse effect on our results of operations.

We have a significant workforce employed in India engaged in a broad range of development, support and corporate infrastructure activities that are integral to our business and critical to our profitability. Further, while there are certain cost advantages to operating in India, significant growth in the technology sector in India has increased competition to attract and retain skilled employees with commensurate increases in compensation costs. In the future, we may not be able to hire and retain such personnel at compensation levels consistent with our existing compensation and salary structure. Many of the companies with which we compete for hiring experienced employees have greater resources than we have and may be able to offer more attractive terms of employment. In addition, our operations in India require ongoing capital investments and expose us to foreign currency fluctuations, which may significantly reduce or negate any cost benefit anticipated from such expansion.

In addition, our reliance on a workforce in India exposes us to disruptions in the business, political and economic environment in that region. Maintenance of a stable political environment is important to our operations, and terrorist attacks and acts of violence or war may directly affect our physical facilities and workforce or contribute to general instability. Our operations in India may also be affected by trade restrictions, such as tariffs or other trade controls, as well as other factors that may adversely affect our operations.

Our business strategy includes expansion into markets outside North America, which will require increased expenditures and if our international operations are not successfully implemented, such expansion may cause our operating results and reputation to suffer.

We are working to expand operations in markets outside North America. There is no assurance that these efforts will be successful. We have limited experience in marketing, selling, implementing and supporting our software abroad. Expansion of our international sales and operations may require a significant amount of attention from our management, establishment of service delivery and support capabilities to handle that business and commensurate financial resources, and may subject us to risks and challenges that we would not face if we conducted our business only in the United States. We may not generate sufficient revenues from international business to cover these expenses.

The risks and challenges associated with operations outside the United States may include: the need to modify our software to satisfy local requirements and standards, including associated expenses and time delays; laws and business practices favoring local competitors; compliance with multiple, conflicting and changing

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governmental laws and regulations, including healthcare, employment, tax, privacy, healthcare information technology, and data and intellectual property protection laws and regulations; laws regulating exports of technology products from the United States; fluctuations in foreign currency exchange rates; difficulties in setting up foreign operations, including recruiting staff and management; and longer accounts receivable payment cycles and other collection difficulties. One or more of these requirements and risks may preclude us from operating in some markets.

Foreign operations subject us to numerous stringent U.S. and foreign laws, including the Foreign Corrupt Practices Act, or FCPA, and comparable foreign laws and regulations that prohibit improper payments or offers of payments to foreign governments and their officials and political parties by U.S. and other business entities for the purpose of obtaining or retaining business. As we expand our international operations, there is some risk of unauthorized payments or offers of payments by one of our employees, consultants, sales agents or distributors, which could constitute a violation by Allscripts of various laws including the FCPA, even though such parties are not always subject to our control. Safeguards we implement to discourage these practices may prove to be less than effective and violations of the FCPA and other laws may result in severe criminal or civil sanctions, or other liabilities or proceedings against us, including class action law suits and enforcement actions from the SEC, Department of Justice and overseas regulators.

Foreign operations present certain additional risks, including:

• the general economic and political conditions existing in those countries;

• difficulties in staffing and managing our foreign offices, and the increased travel, infrastructure and legal and compliance costs associated with multiple international locations;

• product standards or regulations that differ from country to country and from those imposed upon the country by the United States government;

• devaluations and fluctuations in currency exchange rates;

• imposition of limitations on conversion of foreign currencies or remittance of dividends and other payments by foreign subsidiaries;

• imposition or increase of withholding and other taxes on remittances and other payments by subsidiaries;

• imposition or increase of investment and other restrictions by foreign governments;

• longer payment cycles; and

• greater difficulties in accounts receivable collection.

Risks Related to Our Common Stock

Future sales of our common stock in the public market could adversely affect the trading price of our common stock that we may issue and our ability to raise funds in new securities offerings.

Future sales of substantial amounts of our common stock in the public market, or the perception that such sales could occur, could adversely affect prevailing trading prices of our common stock and could impair our ability to raise capital through future offerings of equity or equity-related securities. As of March 1, 2013, we had approximately:

• 173 million shares of common stock outstanding;

• 3 million shares of common stock reserved and available for issuance pursuant to outstanding stock options (at a weighted average exercise price of $12.06 per share); and

• 7 million shares of common stock reserved and available for issuance to settle outstanding restricted stock units and awards.

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In connection with our acquisition strategy, we may issue shares of our common stock as consideration in other acquisition transactions. We cannot predict the effect, if any, that future sales of shares of common stock or the availability of shares of common stock for future sale will have on the trading price of our common stock.

Any issuance of preferred stock could adversely affect holders of our common stock and discourage a takeover.

Our Board of Directors is authorized to issue up to 1 million shares of preferred stock without any action on the part of our stockholders. Our Board of Directors also has the power, without stockholder approval, to set the terms of any series of preferred stock that may be issued, including voting rights (except that shares of preferred stock may not have more than one vote per share), dividend rights, preferences over our common stock with respect to dividends or in the event of a dissolution, liquidation or winding up and other terms. In the event that we issue preferred stock in the future that has preference over our common stock with respect to payment of dividends or upon our liquidation, dissolution or winding up, or if we issue preferred stock that is convertible into our common stock at greater than a one-to-one ratio, the voting and other rights of the holders of our common stock or the market price of our common stock could be adversely affected. In addition, the ability of our Board of Directors to issue shares of preferred stock without any action on the part of our stockholders may impede a takeover of us and prevent a transaction favorable to the holders of our common stock.

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. Our Board of Directors expects the stockholder rights plan approved on May 7, 2012, to expire under its original terms on May 6, 2013, without being renewed.

Our goodwill could become impaired and adversely affect our net worth and the market value of our common stock.

Goodwill and other acquired intangibles expected to contribute indefinitely to our cash flows are not amortized, but must be evaluated by management at least annually for impairment. If the carrying value of goodwill exceeds its estimated fair value, impairment is deemed to have occurred and the carrying value of goodwill is written down to fair value. Under generally accepted accounting principles (“GAAP”) in the United States of

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America, this would result in a charge to our operating earnings. Accordingly, any determination requiring the write-off of a significant portion of goodwill could have a material impact on our operating results. A further decline in the market value of our common stock resulting in a significant reduction in the market capitalization of the Company could be considered an indicator of potential impairment of our goodwill, causing us to perform an evaluation of the carrying amount of our goodwill which could result in a charge against our earnings.

Failure to maintain effective internal controls in accordance with Section 404 of the Sarbanes-Oxley Act of 2002 could have an adverse effect on our business and the trading price of our common stock.

Section 404 of the Sarbanes-Oxley Act requires us to evaluate annually the effectiveness of our internal controls over financial reporting as of the end of each fiscal year and to include a management report assessing the effectiveness of our internal controls over financial reporting in our annual report. If we fail to maintain the adequacy of our internal controls, as such standards are modified, supplemented, or amended from time to time, we can make no assurance that we will be able to conclude in the future that we have effective internal controls over financial reporting in accordance with Section 404. Additionally, if our independent registered public accounting firm is not satisfied with our internal controls over financial reporting or the level at which these controls are documented, designed and operated, or if our independent registered public accounting firm interprets the requirements, rules or regulations differently than we do, then it may issue an adverse opinion. If we fail to maintain a system of effective internal controls, it could have an adverse effect on our business and stock price and we could be subject to sanctions or investigations by NASDAQ, the SEC or other regulatory authorities, which would require additional financial and management resources.

The market price of our common stock has been and may continue to be volatile.

The market price of our common stock is volatile and could fluctuate significantly in response to the factors described above and other factors, many of which are beyond our control, including:

• actual or anticipated variations in our quarterly operating results;

• announcements of technological innovations or new services or products by our competitors or us;

• changes in financial estimates by securities analysts;

• conditions and trends in the electronic healthcare information, Internet, e-commerce and pharmaceutical markets; and

• general market conditions and other factors.

In addition, the stock markets, especially The NASDAQ Global Select Market, have experienced extreme price and volume fluctuations that have affected the market prices of equity securities of many technology companies and Internet-related companies in particular. These fluctuations have often been unrelated or disproportionate to operating performance. These broad market factors may materially affect the trading price of our common stock. General economic, political and market conditions such as recessions and interest rate fluctuations may also have an adverse effect on the market price of our common stock. Volatility in the market price for our common stock may result in the filing of securities class action litigation.

Our quarterly operating results may vary.

Our quarterly operating results have varied in the past, and we expect that our quarterly operating results will continue to vary in future periods depending on a number of factors, some of which we have no control over, including customers’ budgetary constraints and internal acceptance procedures, seasonal variances in demand for our products and services, the sales, service and implementation cycles for our software products, potential downturns in the healthcare market and in economic conditions generally, and other factors described in this “Risk Factors” section.

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We base our expense levels in part on our expectations concerning future revenue, and these expense levels are relatively fixed in the short term. If we have lower revenue than expected, we may not be able to reduce our spending in the short term in response. Any shortfall in revenue would have a direct impact on our results of operations. In addition, our product sales cycle for larger sales is lengthy and unpredictable, making it difficult to estimate our future bookings for any given period. If we do not achieve projected booking targets for a given period, securities analysts may change their recommendations on our common stock. For these and other reasons, we may not meet the earnings estimates of securities analysts or investors, and our stock price could suffer.

Our indebtedness will decrease business flexibility and increase borrowing costs.

The covenants under the Credit Agreement and our increased indebtedness and higher debt-to-equity ratio in comparison to our debt-to-equity ratio on a recent historical basis could have the effect, among other things, of:

• requiring us to apply a substantial portion of our cash flow from operations to payments on our debt, reducing the availability of cash flow to fund working capital, capital expenditures and other general corporate purposes;

• increasing our vulnerability to adverse general economic and industry conditions;

• limiting our flexibility in planning for, or reacting to, changes in business and the industry in which we operate;

• placing us at a competitive disadvantage compared to competitors that have less debt;

• limiting our ability to borrow additional funds on terms that are satisfactory or at all; and

• increasing our interest rates.

If we fail to comply with financial covenants under our credit facilities, our results of operation and financial condition could be adversely affected.

Our credit facilities contain certain financial covenants, including interest coverage and total leverage ratios. If we fail to comply with these covenants, an event of default may occur, resulting in, among other things, the requirement to immediately repay all outstanding amounts owed thereunder. Depending on borrowing levels in such an event, our liquid assets might not be sufficient to repay in full the debt outstanding under the credit facilities. Such an acceleration also would expose us to the risk of liquidation of collateral assets at unfavorable prices.

Coniston Exchange LLC (successor to Coniston, Inc.) may be liable for significant potential contingent tax liabilities arising out of the Misys Transactions and certain related transactions, or out of prior activities of Coniston Exchange LLC unrelated to those transactions.

Coniston Exchange LLC (successor to Coniston, Inc.), a Delaware limited liability company acquired by us in exchange for approximately 61 million shares of our common stock issued to subsidiaries of Misys (which transaction we refer to as the Exchange), might be subject to significant taxes, which we refer to as Transaction Taxes, arising out of the Exchange, certain share repurchases by us from subsidiaries of Misys and certain related restructuring transactions, which we refer to collectively as the Misys Transactions. In particular, the Exchange or other Misys Transactions might have resulted in the recognition of the built-in gain inherent in our shares of common stock held by Coniston Exchange LLC, which is significant. At the time of the Exchange, Coniston Exchange LLC held approximately 61 million shares of our common stock. Pursuant to the Framework Agreement, Misys agreed to indemnify us against any Transaction Taxes imposed on Coniston Exchange LLC. On November 3, 2010, Coniston Exchange LLC received a letter ruling from the Internal Revenue Service, which we refer to as the IRS, in response to a request submitted to the IRS by Misys on August 9, 2010. The letter ruling confirms, in effect, that the Misys Transactions will not result in the recognition of the built-in gain

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inherent in our shares of common stock held by Coniston Exchange LLC, and addresses certain other tax issues related to the Misys Transactions.

The ability to rely on any letter ruling depends on the accuracy and completeness of the information submitted to the IRS, which was primarily determined by Misys as the party that requested the letter ruling from the IRS. If any factual statements or representations submitted to the IRS were incorrect or untrue in any material respect, the letter ruling could be invalidated. As a result, no assurances can be given that our ability to rely on the letter ruling could not be challenged, in which case we would be required to rely on Misys’ indemnification obligation and ability to satisfy such indemnification obligation.

Item 1B. Unresolved Staff Comments

None.

Item 2. Properties

Our properties consist of approximately 1 million square feet of leased facilities. Our facilities house various sales, services, support, development, data processing, technology functions, certain ancillary functions and other back-office functions for current operations of all segments. We believe that adequate, suitable lease space will continue to be available for our needs. Our corporate headquarters are located in Chicago, Illinois. In addition, we maintain leased facilities in Raleigh and Morrisville, North Carolina; Atlanta, Georgia; Burlington, Vermont; Glen Allen, Virginia; Louisville, Kentucky; Burlington, Massachusetts; Malverne and Pittsburgh, Pennsylvania; St. Louis, Missouri; Richmond, British Columbia, Canada; Vadodara (formerly known as Baroda), Pune and Bangalore, India; and certain other smaller facilities.

Item 3. Legal Proceedings

We hereby incorporate by reference Note 19, “Contingencies,” of the Notes to Consolidated Financial Statements in Part II, Item 8 of this report.

Item 4. Mine Safety Disclosures

Not applicable.

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PART II

Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities Public Market for Common Stock

Our common stock is quoted on the NASDAQ Global Select Market under the symbol “MDRX.” The following table sets forth, for the periods indicated, the high and low sales prices per share of the common stock of Allscripts Healthcare Solutions, Inc. for the applicable periods as reported on the NASDAQ Global Select Market.

	High		Low
Fiscal Year 2012 Quarter Ended
December 31, 2012		$14.23		$8.85
September 30, 2012		$13.17		$8.84
June 30, 2012		$16.90		$8.99
March 31, 2012		$21.66		$16.55
Fiscal Year 2011 Quarter Ended
December 31, 2011		$21.10		$16.13
September 30, 2011		$20.51		$13.85
June 30, 2011		$23.13		$18.27
March 31, 2011		$22.21		$19.20

We had 172 million and 190 million common shares outstanding at December 31, 2012 and 2011, respectively. On March 1, 2013, we had approximately 521 common stock holders of record according to the records of our transfer agent. We currently do not intend to declare or pay cash dividends on our shares of common stock in the foreseeable future. Any future determination to pay cash dividends will be at the discretion of our Board of Directors and will depend upon our results of operations, financial condition, current and anticipated cash needs, contractual restrictions, restrictions imposed by applicable law and other factors that our Board of Directors deems relevant. Our Senior Secured Credit Facility covenants include a restriction on our ability to declare dividends and other payments in respect of our capital stock.

In April 2011, our Board of Directors approved a stock repurchase program under which we may purchase up to $200 million of our common stock over three years expiring on May 9, 2014 or such earlier time that the total dollar amount authorized by these resolutions has been used. In April 2012, our Board of Directors approved the repurchase of an additional $200 million bringing the total repurchase authorization to $400 million. Any share repurchases may be made through open market transactions, block trades, privately negotiated transactions (including accelerated share repurchase transactions) or other means. Any repurchase activity will depend on factors such as our working capital needs, cash requirements for investments, debt repayment obligations, our stock price, and economic and market conditions. Our stock repurchase program may be accelerated, suspended, delayed or discontinued at any time.

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The following table summarizes the stock repurchase activity for the three months ended December 31, 2012 (which consisted of the withholding of shares upon the vesting of restricted stock awards to pay withholding taxes) and the approximate dollar value of shares that may yet be purchased pursuant to our stock repurchase program:

Period	Total Number Of Shares Purchased		Average Price Paid Per Share		Total Number Of Shares Purchased As Part Of Publicly Announced Plans Or Programs		Approximate Dollar Value Of Shares That May Yet Be Purchased Under The Plans Or Programs
	(In thousands, except per share amounts)
10/01/12—10/31/12		0		$0.00		0		$123,044
11/01/12—11/30/12		75		$12.27		0		$123,044
12/01/12—12/31/12		13		$11.18		0		$123,044
		88		$12.11		0

See Stock Repurchases under Liquidity and Capital Resources within Item 7, Management’s Discussion and Analysis of Financial Condition and Results of Operations, within this Annual Report for additional information regarding the share repurchase program.

For equity compensation plan information, please refer to Item 12 in Part III of this Annual Report.

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Performance Graph

The following graph compares the cumulative 5-Year total return to shareholders on Allscripts Healthcare Solutions, Inc.’s common stock relative to the cumulative total returns of the NASDAQ Composite index and the NASDAQ Health Services index. An investment of $100 (with reinvestment of all dividends) is assumed to have been made in the company’s common stock and in each of the indexes on 12/31/2007 and its relative performance is tracked through 12/31/2012.

	12/07		6/08		12/08		6/09		12/09		6/10		12/10		6/11		12/11		6/12		12/12
Allscripts Healthcare Solutions, Inc.		100.00		63.90		100.19		160.18		204.32		162.61		194.62		196.14		191.29		110.39		95.14
NASDAQ Composite		100.00		84.78		59.03		66.79		82.25		76.71		97.32		102.20		98.63		109.52		110.78
NASDAQ Health Services		100.00		80.18		75.94		67.47		86.81		77.33		88.01		92.89		72.95		84.93		83.15

The stock price performance included in this graph is not necessarily indicative of future stock price performance.

The information in this “Performance Graph” section shall not be deemed to be “soliciting material” or to be “filed” with the Securities and Exchange Commission or subject to Regulation 14A or 14C, or to the liabilities of Section 18 of the Securities Exchange Act of 1934.

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Item 6. Selected Financial Data

The selected consolidated financial data shown below should be read in conjunction with “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and our consolidated financial statements and related notes included elsewhere in this report. The consolidated statements of operations data for the years ended December 31, 2012 and 2011, the seven months ended December 31, 2010 and the year ended May 31, 2010, and the consolidated balance sheet data at December 31, 2012 and 2011, are derived from audited consolidated financial statements included elsewhere in this report. The consolidated statements of operations data for the years ended May 31, 2009 and 2008 and the balance sheet data at December 31, 2010 and May 31, 2010, 2009 and 2008 are derived from audited consolidated financial statements that are not included in this report. The historical results are not necessarily indicative of results to be expected for any future period.

	Year Ended December 31,						Seven Months  Ended December 31, 2010(1)			Year Ended May 31,
(In thousands, except per share amounts)	2012			2011						2010			2009(1)			2008(1),(2)
Consolidated Statements of Operations Data:
Revenue		$1,446,325			$1,444,077			$613,309			$704,502			$548,439			$383,771
Cost of revenue		839,790			778,512			315,140			315,658			256,288			176,870
Gross profit		606,535			665,565			298,169			388,844			292,151			206,901
Selling, general and administrative expenses		384,370			387,571			232,788			224,995			199,902			117,566
Research and development		162,158			104,106			43,261			49,206			39,431			37,784
Asset impairment charges		11,101			0			0			0			0			0
Amortization of intangible assets		35,635			37,344			16,235			10,060			6,884			11,320
Income from operations		13,271			136,544			5,885			104,583			45,934			40,231
Interest expense		(16,187	)		(20,750	)		(9,687	)		(1,993	)		(2,162	)		(296	)
Interest income and other (expense), net		(14,544	)		1,685			843			946			626			219
Income (loss) before income taxes		(17,460	)		117,479			(2,959	)		103,536			44,398			40,154
Benefit (provision) for income taxes		16,307			(43,870	)		(2,606	)		(40,666	)		(18,376	)		(14,755	)
Net income (loss)		($1,153	)		$73,609			($5,565	)		$62,870			$26,022			$25,399
Earnings (loss) per share—basic and diluted		($0.01	)		$0.39			($0.03	)		$0.42			$0.21			$0.31

	As of December 31,						As of May 31,
(In thousands)	2012		2011		2010		2010		2009		2008
Consolidated Balance Sheet Data:
Cash and cash equivalents and marketable securities		$105,662		$159,428		$131,136		$145,335		$73,426		$325
Working capital		54,446		160,741		144,385		196,061		96,849		(6,776	)
Goodwill and intangible assets, net		1,466,350		1,529,212		1,591,673		620,032		646,197		91,043
Total assets		2,384,464		2,517,341		2,418,587		1,094,690		952,656		179,268
Long-term debt		362,697		322,664		459,750		0		63,699		0
Total stockholders’ equity		1,284,341		1,476,720		1,383,768		806,825		700,370		110,649

(1) Results of operations for the seven months ended December 31, 2010 include the results of operations of Eclipsys for the period subsequent to the date of the merger, August 24, 2010. Results of operations for the year ended May 31, 2009 include the results of operations of Misys Healthcare Systems (“MHS” or “legacy MHS”) for the full year ended May 31, 2009 and the results of operations of legacy Allscripts are included from the completion of the transactions (the “2008 Transactions”) contemplated by the Agreement and Plan of Merger dated as of March 17, 2008 by and among Misys plc (“Misys”), Allscripts Healthcare Solutions, Inc. (“legacy Allscripts”), MHS and Patriot Merger Company, LLC (“Patriot”) on October 10, 2008 through May 31, 2009. Since the 2008 Transactions constitute a reverse acquisition for accounting purposes, the pre-acquisition combined financial statements of MHS are treated as the historical financial statements of Allscripts. Results of operations for the year ended May 31, 2008 are the results of operations of legacy MHS only.

(2) For the year ended May 31, 2008, the basic and diluted share count includes only the shares issued to Misys in connection with the 2008 Transactions. MHS did not have any shares outstanding prior to the merger, and therefore, the basic and diluted share count is comprised of the Allscripts shares issued on the October 10, 2008 acquisition date for all periods prior to the acquisition date as this reflects the Allscripts shares equivalent of MHS equity prior to the acquisition.

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Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations

The following discussion and analysis should be read together with “Selected Financial Data”, our consolidated financial statements, the accompanying notes to these financial statements, and the other financial information that appears elsewhere in this Annual Report on Form 10-K/A. The consolidated statements of operations data and the consolidated statements of cash flows data for the year ended December 31, 2010 and the seven months ended December 31, 2009 are derived from unaudited comparative financial results. Information for segment operations for the year ended December 31, 2010 is not presented herein as it is impractical for us to derive the information according to the realignment of our reportable segments. Information for segment operations for the year ended May 31, 2009 is presented herein as unaudited information.

Overview

Eclipsys Merger

On August 24, 2010, Allscripts-Misys Healthcare Solutions, Inc. (which changed its name to Allscripts Healthcare Solutions, Inc., “Allscripts” or the “Company”) completed the merger (the “Eclipsys Merger”) contemplated by an Agreement and Plan of Merger dated June 9, 2010 (“Merger Agreement”) by and among Allscripts, Arsenal Merger Corp., a wholly-owned subsidiary of Allscripts, and Eclipsys Corporation, an enterprise provider of solutions and services to hospitals and clinicians (“Eclipsys”). Eclipsys became a wholly-owned subsidiary of Allscripts as a result of the merger. The results of Eclipsys are consolidated with the results of Allscripts from August 24, 2010.

Misys Merger

On October 10, 2008, in accordance with the 2008 Transactions, a reverse acquisition for accounting purposes was completed. As a result of the completion of the 2008 Transactions, MHS became a wholly-owned subsidiary of legacy Allscripts and the newly combined entity was renamed Allscripts-Misys Healthcare Solutions, Inc. The 2008 Transactions were accounted for under the purchase method of accounting for business combinations in accordance with accounting principles generally accepted in the United States. Under the purchase method of accounting, with MHS as the accounting “acquirer,” the assets and liabilities of legacy Allscripts were recorded, as of October 10, 2008, at their fair values and added to those of MHS, which are carried at their book values.

Basis of Presentation

The merger with Eclipsys has been accounted for as a purchase business combination. Under the acquisition method of accounting, the purchase price was allocated to the tangible and intangible assets acquired and liabilities assumed based on their estimated fair values as of the acquisition date. The operating results of Eclipsys are included in the accompanying consolidated statements of operations for periods subsequent to the completion of the merger, August 24, 2010.

The 2008 Transactions constitute a reverse acquisition for accounting purposes. As such, the pre-acquisition combined financial statements of MHS are treated as the historical financial statements of Allscripts. The results of operations of legacy Allscripts are included in the accompanying consolidated statements of operations for periods subsequent to the date of the completion of the 2008 Transactions, October 10, 2008.

Certain prior period amounts in the accompanying consolidated financial statements have been reclassified to conform to the current year presentation. These reclassifications had no effect on previously reported net income or stockholders’ equity.

Business Overview

Allscripts is a leading provider of clinical, financial, connectivity and information solutions and related professional services that empower hospitals, physicians and post-acute organizations to deliver world-class

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outcomes. We deliver innovative solutions that provide physicians and other healthcare professionals with the information, insights and connectivity required to transform healthcare by improving the quality and efficiency of patient care.

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 this year, we used three reportable segments: Clinical Solutions, Hospital Solutions, and Health Solutions. In connection with the integration of the Eclipsys operations, in 2012 we 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 on the information used by management for making operating decisions and assessing performance, we identified the following reportable segments: Software Delivery, Services Delivery, Client Support, Pathway Solutions and IT Outsourcing. On March 16, 2009, we disposed of our prepackaged medications business which was previously reported as a separate operating segment.

We believe a combination of executive and legislative leadership at the federal level, industry standards, and federal incentives that exist today for Meaningful Use, e-prescribing and pay-for-quality initiatives is quickly making electronic health records as common as practice management systems in all provider offices. We believe that HITECH and other provisions provided by ARRA will continue to be a significant driver of healthcare IT adoption. We believe that we are well positioned in the market to take advantage of the material opportunity presented by HITECH.

Management has taken steps to position the Company to have what we believe will be adequate capacity to meet the demand that could result from new orders related to HITECH. These steps include supplementing our internal direct sales force with strategic distribution partners with established sales forces focused on practices with one to five providers. Further, we have taken steps to improve the efficiency of our approach to new system installations. The Company utilizes its Speed-to-Value implementation program, which standardizes certain key processes across customer sites and decreases the number of hours required by our professional services team to enable installations of our clinical and practice management solutions. This strategy is predicated on repeatable, best practice workflows and was designed collaboratively by our services and development teams and is proprietary to the Company. The Speed-to-Value program has significantly reduced installation timeframes for our client base.

For our customers to qualify for HITECH funding, our products must meet various requirements for product certification under the HITECH regulations, and must enable our customers to achieve Meaningful Use, as such term is currently defined under the 2010 and 2012 CMS Final Rules and under any future HITECH regulations and guidance that CMS may release. The CMS Final Rule provides for a phased approach to implementation of the Meaningful Use standards, with Stage 1 underway, Stage 2 set forth in the 2012 Final Rule and Stage 3 reserved for future rulemaking based on the experiences to date. Given that CMS will release future regulations related to electronic health records, our industry is presented with a challenge in preparing for compliance. Similarly, our ability to achieve product certification by CCHIT, the Drummond Group and/or other bodies to be accredited in the future, and the length, if any, of additional related development and other efforts required to meet Meaningful Use standards could materially impact our ability to maximize the market opportunity. All of our market-facing EHR solutions were certified 2011/2012 compliant by an ONC-ATCB, in accordance with the applicable provider or hospital certification criteria adopted by the Secretary of Health and Human Services. The new 2014 Edition criteria required to qualify eligible providers and hospitals for funding under HITECH beginning in 2014 are now available, and given the maturity of our products, management does not believe the incremental development effort required for our acute care and ambulatory EHRs to continue to meet the evolving Meaningful Use standards will present any insurmountable challenges. Management has made product development a strategic focus, with gross research and development funding expected to continue to approximate 10% of revenues in the foreseeable future.

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The market for acute care solutions is highly competitive. Sales cycles can occur over an extended period of time and require hospitals to secure external funding to finance their purchases of new clinical information systems. Several companies that we compete with are privately held which can provide certain advantages in capturing new client relationships. In addition, the market has increasingly moved toward adoption of integrated solutions that connect various venues of care including hospitals, physician offices, clinics, laboratories, post-acute facilities and other care delivery settings. The merger of Allscripts and Eclipsys responded to these emerging market dynamics by providing a full complement of solutions across the community of care. However other vendors may be better known or be perceived as a more integrated solutions provider currently. We have made progress on our integration plans, demonstrating the future direction for integrated solutions as well as current efforts that illustrate interoperability in common client settings. However, it will take more time and resources to finalize the product integration to meet current and evolving market demand for such solutions.

We believe that the HITECH Act and other provisions provided by the American Recovery and Reinvestment Act (ARRA) will continue to be one of the biggest drivers of healthcare IT adoption. Management believes that to date the HITECH program has resulted in additional related new orders for all of our Electronic Health Record (EHR) products. Large physician groups will continue to purchase EHR technology; however, the number of very large practices with over 100 physicians that have not yet acquired such technology is decreasing. Such practices may choose to replace older EHR technology in the future as Meaningful Use regulatory requirements and business realities dictate the need for updates and upgrades, as well as additional features and functionality.

We believe small—and medium-sized physician practices (those with three or fewer physicians, and four to 40 physicians, respectively) are increasingly adopting technology driven by a variety of factors, including a desire to maximize federal incentive payments, align with local hospitals, and merge with other practices, as well as other drivers. These offices typically require less time to implement and train than larger offices, so the need to plan implementations well in advance is not as critical as in larger physician organizations.

We have also seen an evolution of buying decisions toward an increase in local community-based buying activity whereby individual hospitals, health systems and integrated delivery networks are subsidizing the purchase of EHR licenses or related services for local, affiliated physicians and across their employed physician base as part of an offer to leverage buying power and help those practices take advantage of the HITECH incentives. This activity has also resulted in a pull-through effect where smaller practices affiliated with a community hospital are incited to participate in the incentive program while the subsidizing health system expands connectivity within the local provider community. This pull-through effect has resulted in new orders for Allscripts Professional EHR targeting small—and mid-sized physician practices. Management believes that the focus on new orders driven by the HITECH program and related to EHR and community-based activity will continue to expand as physicians in those small—and medium-sized practices who have not yet participated seek to qualify for the HITECH incentives for the first time or experienced practices upgrade in advance of the start of Stage 2 of the program. The associated challenge we face is to successfully position, sell, implement and support our products to the hospital, health system or integrated delivery network that is subsidizing its affiliated physicians. The community programs we have in place will aid us in penetrating this market.

The vast majority of our acute care and ambulatory customers continue to focus on achieving Meaningful Use under HITECH. As a result, during 2012, much of our professional services deployment capacity was consumed by demand from our customers who wished to upgrade to the most current releases of our EHR products which are certified as meeting Meaningful Use requirements, as well as those requesting implementation of any additional modules required to achieve Meaningful Use. Our professional services margins could be impacted as we continue to supplement our staff with third-party resources to help meet the demand. We expect this trend to continue into the near future as customers react to the finalized requirements for Meaningful Use Stage 2.

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

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assurance that it will result in significant new orders for us in the near term, and if it does, that we will have the capacity to meet the additional market demand in a timely fashion.

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, we offer a unified portfolio of clinical, financial, connectivity and information solutions.

Given the 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 our customers. Some of these provisions (including Accountable Care Organizations and the Comprehensive Primary Care Initiative) may have a positive impact by requiring the expanded use of electronic health records and analytics tools to participate in certain federal programs, for example, while others, such as those mandating reductions in reimbursement for certain types of providers, may have a negative impact by reducing the resources available to purchase our products. Increases in fraud and abuse enforcement and penalties may also adversely affect participants in the healthcare sector, including the Company. Additionally, conversations continue in Congress around the Medicare Sustainable Growth Rate reimbursement model and possible replacement payment methodologies, some of which would further encourage the adoption of health information technology in order to satisfy possible new requirements tying the report of quality measurements to the receipt of payment through Medicare but which also currently raise ambiguity among physician populations and healthcare organizations.

Such payment and delivery system reform programs as have been launched related to the Medicare program are also increasingly being rolled out at the state level through Medicaid administrators, as well as through the private sector, presenting additional opportunity for us to provide software and services to our clients who participate. As a result, we expect it is likely that the market will demonstrate a need for new revenue cycle management offerings, such as our Sunrise Financial Manager solution, as organizations consider the larger shifts in reimbursement models being rolled out across the payment spectrum, as well as the ICD-10 transition.

Cost of revenue consists primarily of salaries, bonuses and benefits of Allscripts billable professionals, third-party software costs, hardware costs, third-party transaction processing costs, amortization of acquired proprietary technology and software development costs, depreciation and other direct engagement costs.

Selling, general and administrative expenses consist primarily of salaries, bonuses and benefits for management and administrative personnel, commissions, facilities costs, depreciation and amortization, general operating expenses, and selling and marketing expenses. In addition, selling, general and administrative expenses include certain services performed by Misys under the Shared Services Agreement and Transition Services Agreement. Refer to Note 17 in the Notes to our Consolidated Financial Statements for information regarding expenses incurred under the two agreements.

Research and development expenses consist primarily of salaries, bonuses and benefits, third party contractor costs and other costs directly related to development of new products and upgrading and enhancing existing products.

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Asset impairment charges consist of previously capitalized software development costs for our MyWay application plus the net carrying value of a perpetual license for certain software code incorporated in MyWay.

Amortization of intangibles consists of amortization of customer relationships, trade names and other intangibles acquired under purchase accounting related business combinations.

Interest expense consists primarily of interest on our previously outstanding 3.50% Senior Convertible Debentures (the “Debentures”), interest on capital leases and interest expense on outstanding debt under credit facilities.

Interest income and other, net consists primarily of interest earned on cash and marketable securities, and realized gains on investments.

Summary of Results

Bookings, which reflect the value of executed contracts for our solutions, totaled $731 million for the year ended December 31, 2012 which is lower compared with the prior year amount of $1.1 billion. Bookings for the fourth quarter totaled $180 million which is higher compared with our third quarter bookings of $162 million and lower compared with the prior year fourth-quarter bookings of $327 million. Our current year results were impacted by speculation in the second half of 2012 about Allscripts’ future corporate autonomy and also by clients and prospective clients who continued to evaluate purchase decisions as they wait for new product releases.

Total revenue was essentially unchanged at $1.4 billion compared with the prior year. We realized increases across all revenue categories with the exception of system sales as we experienced a decline in orders for which we continue our efforts to improve product performance and delivery execution.

We generated operating cash flows of approximately $223 million in the current year which compares with $269 million in the prior year.

Gross research and development spending in 2012 totaled $205 million which represents a significant increase compared with the prior year spending of $165 million. During 2012 we also released several important upgrades, product enhancements and innovative solutions.

To serve our clients and the healthcare market better, in October 2012 we publicly announced a plan to standardize our small office electronic health record and practice management systems. As part of this plan, we will converge, over time, our MyWay and Professional Suite applications (the “MyWay Transition”).

We plan to upgrade MyWay clients electing to migrate to the converged platform between February 2013 and September 2013, at no additional cost to the MyWay clients. The upgrade will position MyWay clients for Meaningful Use Stage 2 and ICD-10 compliance, and prepare them for the shift to value-based care that focuses on costs, quality and outcomes. MyWay clients not electing to upgrade will continue to have use of the application.

As a result of the above decision and the related elimination of future cash flows from sales of the MyWay application, we recorded a non-cash charge to earnings in the quarter ended September 30, 2012 related to the impairment of previously capitalized software development costs for MyWay plus the net carrying value of a perpetual license for certain software code incorporated in MyWay totaling $11 million, on a pre-tax basis. Additional non-recurring period costs will be incurred in future quarters to upgrade the MyWay clients that elect to upgrade. The incremental period costs will be partially offset by cost savings we expect to realize through lower development and support costs. The amount of such costs and anticipated savings are not determinable at this time and will ultimately be based on the number of clients electing to migrate.

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Also impacting the financial statements for 2012 is the settlement of an acquired tax position that was included in our liability for uncertain tax benefits prior to the current year. Pursuant to an agreement between Misys plc and Allscripts signed in 2010, Misys agreed to indemnify Allscripts against potential contingent tax liabilities for which it could be potentially liable, arising from Allscripts’ purchase of Allscripts shares from Misys in 2010. During the three months ended September 30, 2012, we recognized a tax benefit of $16 million related to the settlement of the acquired tax position for an amount less than the carrying value of the uncertain tax liability. Prior to this year, our consolidated balance sheet also included a tax indemnification asset related to the uncertain tax liability. Since the settlement amount was less than the carrying value of the indemnification asset, we recorded a write-off of the remaining indemnification asset, which is included in interest income and other (expense), net within the consolidated statement of operations. The resulting charge of $16 million is substantially non-deductible for tax purposes and therefore increases our effective tax rate for the entire year.

On November 8, 2012, we confirmed that in light of the ongoing interest expressed in the Company by third parties, we were evaluating strategic alternatives. On December 19, 2012, we announced that our Board of Directors concluded the evaluation process and determined that the best course is to develop Allscripts’ long-term potential. We also announced changes in our senior leadership. As stated above, our current year bookings were impacted by speculation about Allscripts’ future corporate autonomy and the timing of new product releases. Our ability to successfully execute on product innovation and integration initiatives may impact future bookings and results of operations.

During the three months ended December 31, 2012, we recorded a provision totaling $17 million that represents a non-recurring revenue deferral related to clients who have long-aged accounts receivable balances. The provision is reflected as a reduction to maintenance revenues within our consolidated statement of operations for the year ended December 31, 2012.

Recent Accounting Pronouncements

Refer to Note 1 in the Notes to our Consolidated Financial Statements for a description of new accounting pronouncements.

Critical Accounting Policies and Estimates

Management’s Discussion and Analysis of Financial Condition and Results of Operations discusses our consolidated financial statements, which have been prepared in accordance with generally accepted accounting principles (“GAAP”) in the United States of America. The preparation of these financial statements requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting period. Management bases its estimates and judgments on historical experience and on various other factors that are believed to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates under different assumptions or conditions. Management believes the following critical accounting policies, among others, affect its more significant judgments and estimates used in the preparation of its consolidated financial statements.

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

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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 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 (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 on contractual renewal rates. For income statement presentation, consideration from agreements accounted for under percentage of completion accounting is allocated between system sales and professional 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 on 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 on 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 use 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.

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

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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 result in a requirement to either separate or combine deliverables, such that a delivered item could now meet the separation criteria and qualify as a separate unit of accounting which may lead to an upward or downward adjustment to the amount of revenue recognized under the arrangement on a prospective basis.

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 on 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 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 on 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.

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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.

Allowance for Doubtful Accounts Receivable

We rely on estimates to determine our bad debt expense and the adequacy of our allowance for doubtful accounts. These estimates are based on our historical experience and the industry in which we operate. If the financial condition of our customers were to deteriorate, resulting in an impairment of their ability to make payments, additional allowances and related bad debt expense may be required.

Business Combinations

Goodwill as of the acquisition date is measured as the excess of consideration transferred and the net of the acquisition date fair values of the assets acquired and the liabilities assumed. While we use our best estimates and assumptions as a part of the purchase price allocation process to accurately value assets acquired, including intangible assets, and liabilities assumed at the acquisition date, our estimates are inherently uncertain and subject to refinement. As a result, during the measurement period, which may be up to one year from the acquisition date, we record adjustments to the assets acquired and liabilities assumed, with the corresponding offset to goodwill. Upon the conclusion of the measurement period or final determination of the values of assets acquired or liabilities assumed, whichever comes first, any subsequent adjustments are recorded to our consolidated statements of operations.

Goodwill and Intangible Assets

We evaluate the value of intangible assets based upon the present value of the future economic benefits expected to be derived from the assets. We assess the impairment of the identifiable intangibles and goodwill annually, or more frequently if events or changes in circumstances indicate that the asset might be impaired. If we determine that the value of the intangible assets and goodwill may not be recoverable from future cash flows, a write-down of the value of the asset may be required.

We estimate the useful lives of our intangible assets and amortize the value over that estimated life. If the actual useful life is shorter than our estimated useful life, we will amortize the remaining book value over the remaining useful life or the asset may be deemed to be impaired and, accordingly, a write-down of the value of the asset may be required.

During the three months ended June 30, 2011, we voluntarily changed the date of our annual impairment test for goodwill and indefinite lived intangible assets from May 31 to the first day of the fiscal fourth quarter. This change was preferable under the circumstances as it aligns the timing of the annual goodwill impairment test with our strategic planning and budgeting process, which will enable management to use the updated strategic business plans that result from the budget process in the discounted cash flow analyses that it uses to estimate the fair value of our reporting units. The change did not delay, accelerate or avoid an impairment charge.

For each reporting unit fair value substantially exceeded its carrying value and no indicators of impairment were identified as a result of the annual impairment test performed as of October 1, 2012. Due to a decline in our stock price during the final three months of 2012, which we considered to be an indicator of potential impairment, we re-performed step one of the goodwill impairment test as of December 31, 2012. Based on re-performance of step one, no impairment was identified. A further decline in the market value of our common stock resulting in a significant reduction in the market capitalization of the Company would again cause us to perform an evaluation of the carrying amount of our goodwill which could result in a charge against our earnings.

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Software Capitalization

We capitalize purchased software that is ready for service and software development costs incurred from the time technological feasibility of the software is established until the software is available for general release in accordance with accounting guidance. Research and development costs and other computer software maintenance costs related to software development are expensed as incurred.

The carrying value of capitalized software is dependent on the ability to recover its value through future revenue from the sale of the software. If we determine in the future that the value of the capitalized software could not be recovered, a write-down of the value of the capitalized software to its recoverable value may be required.

We estimate the useful life of our capitalized software and amortize the value over that estimated life. If the actual useful life is shorter than our estimated useful life, we will amortize the remaining book value over the remaining useful life or the asset may be deemed to be impaired and, accordingly, a write-down of the value of the asset may be required.

Income Taxes

We account for income taxes using the liability method, which requires the recognition of deferred tax assets or liabilities for the tax-effected temporary differences between the financial reporting and tax bases of our assets and liabilities and for net operating loss and tax credit carryforwards. The tax expense or benefit for unusual items, or certain adjustments to the valuation allowance, are treated as discrete items in the interim period in which the events occur. The objectives of accounting for income taxes are to recognize the amount of taxes payable or refundable for the current year and deferred tax liabilities and assets for the future tax consequences of events that have been recognized in an entity’s financial statements or tax returns. Judgment is required in addressing the future tax consequences of events that have been recognized in our consolidated financial statements or tax returns.

In addition, 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. The calculation of tax liabilities involves dealing with uncertainties in the application of complex tax regulations. In accordance with authoritative accounting guidance, we recognize liabilities for anticipated tax audit issues based on our estimate of whether, and the extent to which, additional taxes may be required. If we ultimately determine that payment of these amounts is unnecessary, then we reverse the liability and recognize a tax benefit during the period in which we determine that the liability is no longer necessary. We also recognize tax benefits to the extent that it is more likely than not that our positions will be sustained if challenged by the taxing authorities. To the extent we prevail in matters for which liabilities have been established, or are required to pay amounts in excess of our liabilities, our effective tax rate in a given period may be materially affected. An unfavorable tax settlement would require cash payments and may result in an increase in our effective tax rate in the year of resolution. A favorable tax settlement would be recognized as a reduction in our effective tax rate in the year of resolution. We report interest and penalties related to uncertain income tax positions in the provision for income taxes line of our consolidated statements of operations.

Refer to Note 1—Basis of Presentation and Significant Accounting Policies in the Notes to our Consolidated Financial Statements for further discussions of our accounting policies.

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Overview of Consolidated Results

	Year Ended December 31,															Seven Months Ended December 31,									Year Ended May 31,
(Dollar amounts in thousands)	2012			2011			2010			2012 % Change from 2011			2011 % Change from 2010			2010			2009			% Change			2010			2009			% Change
							(Unaudited)												(Unaudited)
Revenue:
System sales		$145,274			$227,906			$179,967			(36.3	%)		26.6	%		$103,873			$69,027			50.5	%		$145,120			$93,337			55.5	%
Professional services		270,541			250,348			130,980			8.1	%		91.1	%		93,875			38,335			144.9	%		75,439			51,827			45.6	%
Maintenance		460,138			438,999			313,285			4.8	%		40.1	%		200,746			145,440			38.0	%		257,978			201,297			28.2	%
Transaction processing and other		570,372			526,824			310,104			8.3	%		69.9	%		214,815			130,677			64.4	%		225,965			187,557			20.5	%
Prepackaged medications		0			0			0			NM			NM			0			0			NM			0			14,421			NM
Total revenue		1,446,325			1,444,077			934,336			0.2	%		54.6	%		613,309			383,479			59.9	%		704,502			548,439			28.5	%
Cost of revenue:
System sales		128,300			144,139			104,946			(11.0	%)		37.3	%		63,392			43,516			45.7	%		85,070			52,039			63.5	%
Professional services		234,869			210,614			113,500			11.5	%		85.6	%		81,572			35,414			130.3	%		66,561			51,327			29.7	%
Maintenance		145,352			135,570			102,501			7.2	%		32.3	%		67,463			47,588			41.8	%		82,348			71,913			14.5	%
Transaction processing and other		331,269			288,189			134,240			14.9	%		114.7	%		102,713			47,094			118.1	%		81,679			69,479			17.6	%
Prepackaged medications		0			0			0			NM			NM			0			0			NM			0			11,530			NM
Total cost of revenue		839,790			778,512			455,187			7.9	%		71.0	%		315,140			173,612			81.5	%		315,658			256,288			23.2	%
Gross profit		606,535			665,565			479,149			(8.9	%)		38.9	%		298,169			209,867			42.1	%		388,844			292,151			33.1	%
% of Revenue		41.9	%		46.1	%		51.3	%								48.6	%		54.7	%					55.2	%		53.3	%
Selling, general and administrative expenses		384,370			387,571			332,413			(0.8	%)		16.6	%		232,788			126,569			83.9	%		224,995			199,902			12.6	%
Research and development		162,158			104,106			65,419			55.8	%		59.1	%		43,261			27,238			58.8	%		49,206			39,431			24.8	%
Asset impairment charges		11,101			0			0			NM			NM			0			0			NM			0			0			NM
Amortization of intangible assets		35,635			37,344			20,381			(4.6	%)		83.2	%		16,235			5,914			174.5	%		10,060			6,884			46.1	%
Income from operations		13,271			136,544			60,936			(90.3	%)		124.1	%		5,885			50,146			(88.3	%)		104,583			45,934			127.7	%
Interest expense		(16,187	)		(20,750	)		(10,992	)		(22.0	%)		88.8	%		(9,687	)		(1,302	)		644.0	%		(1,993	)		(2,162	)		(7.8	%)
Interest income and other (expense), net		(14,544	)		1,685			1,549			NM			8.8	%		843			240			251.3	%		946			626			51.1	%
Income (loss) before income taxes		(17,460	)		117,479			51,493			(114.9	%)		128.1	%		(2,959	)		49,084			(106.0	%)		103,536			44,398			133.2	%
Benefit (provision) for income taxes		16,307			(43,870	)		(24,676	)		(137.2	%)		77.8	%		(2,606	)		(18,596	)		(86.0	%)		(40,666	)		(18,376	)		121.3	%
Effective tax rate		93.4	%		37.3	%		47.9	%								(88.1	%)		37.9	%					39.3	%		41.4	%
Net income (loss)		($1,153	)		$73,609			$26,817			(101.6	%)		174.5	%		($5,565	)		$30,488			(118.3	%)		$62,870			$26,022			141.6	%

NM—not meaningful

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Given the level of integration of the operations and reporting of legacy Allscripts and legacy MHS following the 2008 Transactions, management does not view or manage the business on a legacy business basis. Accordingly, it is not possible or meaningful in every case to quantify the impacts of the inclusion of legacy Allscripts on our financial results on a year-over-year basis within our overview of consolidated results and segment results. The fiscal year ended May 31, 2010 includes the full-year results of both legacy MHS and legacy Allscripts businesses. The fiscal year ended May 31, 2009 includes the full-year results of legacy MHS and the results of operations of legacy Allscripts subsequent to the closing of the 2008 Transactions, October 10, 2008.

Revenue

	Year Ended December 31,												Seven Months Ended December 31,							Year Ended May 31,
(Dollar amounts in thousands)	2012		2011		2010		2012 % Change from 2011			2011 % Change from 2010			2010		2009		% Change			2010		2009		% Change
					(Unaudited)										(Unaudited)
Revenue:
System sales		$145,274		$227,906		$179,967		(36.3	%)		26.6	%		$103,873		$69,027		50.5	%		$145,120		$93,337		55.5	%
Professional services		270,541		250,348		130,980		8.1	%		91.1	%		93,875		38,335		144.9	%		75,439		51,827		45.6	%
Maintenance		460,138		438,999		313,285		4.8	%		40.1	%		200,746		145,440		38.0	%		257,978		201,297		28.2	%
Transaction processing and other		570,372		526,824		310,104		8.3	%		69.9	%		214,815		130,677		64.4	%		225,965		187,557		20.5	%
Prepackaged medications		0		0		0		NM			NM			0		0		NM			0		14,421		NM
Total revenue		1,446,325		1,444,077		934,336		0.2	%		54.6	%		613,309		383,479		59.9	%		704,502		548,439		28.5	%

Year Ended December 31, 2012 Compared with the Year Ended December 31, 2011

Total revenue was essentially unchanged during the year ended December 31, 2012 compared with the prior year as we realized increases in all revenue categories with the exception of system sales. The increase in professional services revenue was driven by increases in implementation and consulting services including the implementation of third-party solutions as compared with the prior year. Maintenance revenue increased primarily due to new system activations, an activation being the point at which the invoicing of maintenance commences. The increase in maintenance revenues was partially offset by a provision totaling $17 million that represents a non-recurring revenue deferral related to clients who have long-aged accounts receivable balances. The increase in transaction processing revenue is attributable to the expansion of IT Outsourcing services to our existing clients and growth in our client base. IT Outsourcing revenues contributed $19 million of the increase in transaction processing and other revenue in addition to increases in SaaS and hosting revenues as we expanded our customer base. Partially offsetting these increases in revenue for the year ended December 31, 2012 is a decrease in system sales which consists of a $60 million decrease in software revenue and a $23 million decrease in hardware revenue as we experienced a decline in orders. Additionally, we continue to experience a shift in sales to smaller physician practices which typically require less robust hardware solutions.

Year Ended December 31, 2011 Compared with the Year Ended December 31, 2010

The increase in total revenue during 2011 was primarily attributable to inclusion of the full-year results of Eclipsys. Also contributing to the increase was higher professional services revenue that 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 “meaningful use” upgrade services. Maintenance revenue and transaction processing revenue both increased primarily related to growth in our customer base. Partially offsetting the increase in maintenance revenue was a decrease in hardware maintenance revenue. SaaS revenues are included in transaction processing and other and contributed $17 million of the

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increase in revenue compared to the year ended December 31, 2010. Partially offsetting the increase in total revenue for the year ended December 31, 2011 was a decrease in system hardware revenue as our system sales shifted to smaller physician practices which typically require less robust hardware solutions.

Seven Months Ended December 31, 2010 Compared with the Seven Months Ended December 31, 2009

Revenue for the seven months ended December 31, 2010 includes the results of Eclipsys from the date of the merger, August 24, 2010. All software and related services revenue categories reflect increases from the prior year comparable period. Excluding the impact of Eclipsys revenue totaling $175 million from August 24, 2010 through December 31, 2010, system sales increased during the seven months ended December 31, 2010 as a result of an increase in customer orders compared with the seven months ended December 31, 2009. Professional services revenue increased primarily from an increase in professional services headcount which increased our ability to provide more billable services. The increase in customer orders also contributed to the increase in professional services revenue. Maintenance revenue and transaction processing revenue both increased primarily related to growth in our customer base and annual maintenance fee increases under existing contracts.

Year Ended May 31, 2010 Compared with the Year Ended May 31, 2009

Revenue increased from the prior year primarily due to the inclusion of full-year results for legacy Allscripts in the fiscal year ended May 31, 2010 as compared with the prior year and an increase in customer orders. All revenue categories reflect increases from the prior year with the exception of prepackaged medications revenue related to the Medications Services segment that was sold during the fourth quarter of fiscal year 2009. System sales and maintenance revenue reflect the most significant increases in revenue. System sales increased as a result of an increase in customer orders compared with the prior year. The increase in maintenance revenue compared to the prior year reflects an overall increase in the customer base as a result of the 2008 Transactions along with continued growth in the customer base from new customer orders.

Gross Profit

	Year Ended December 31,															Seven Months Ended December 31,									Year Ended May 31,
(Dollar amounts in thousands)	2012			2011			2010			2012 % Change from 2011			2011 % Change from 2010			2010			2009			% Change			2010			2009			% Change
							(Unaudited)												(Unaudited)
Total cost of revenue		839,790			778,512			455,187			7.9	%		71.0	%		315,140			173,612			81.5	%		315,658			256,288			23.2	%
Gross profit		606,535			665,565			479,149			(8.9	%)		38.9	%		298,169			209,867			42.1	%		388,844			292,151			33.1	%
% of Revenue		41.9	%		46.1	%		51.3	%								48.6	%		54.7	%					55.2	%		53.3	%

Year Ended December 31, 2012 Compared with the Year Ended December 31, 2011

Gross profit decreased during the year ended December 31, 2012 primarily due to the decline in software sales and an increase in certain costs of revenue compared with the prior year. In the current year, we recognized a $13 million increase in the amortization of software development costs associated with a higher capitalized base. We also realized an increase in professional services cost of revenue primarily due to a higher mix of third-party systems sales that are more costly to implement. Additionally, we experienced a decline in our billable utilization rate as the service hours delivered on various implementation projects exceeded original estimates as we worked to enhance implementation success. Gross profit was further impacted by an increase in transaction processing and other revenue that was offset by higher costs as we added headcount and made infrastructure improvements in response to increased demand for our SaaS and hosting solutions. Gross profit as a percent of revenue declined compared with the prior year due primarily to the decline in higher-margin software sales, the increase in professional services costs discussed above, and the increases in amortization of software development costs and transaction processing-related costs.

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Year Ended December 31, 2011 Compared with the Year Ended December 31, 2010

In addition to the full-year results of Eclipsys, gross profit was also impacted by an increase in software maintenance revenue attributable to an increase in our customer base which was offset by the decrease in system hardware revenues discussed above combined with an increase in the amortization of software development costs. Additionally, we experienced an increase in professional services revenue that was offset by an increase in costs due to the increased use of third party resources to assist us in meeting demand attributable to “meaningful use” upgrade services. Gross profit as a percent of revenue declined compared to the prior period due primarily to the increases in amortization of software development costs, professional services costs and additional transaction processing related costs. These increases were partially offset by fewer lower margin hardware sales during the current year as discussed above.

Seven Months Ended December 31, 2010 Compared with the Seven Months Ended December 31, 2009

Consolidated gross profit for the seven months ended December 31, 2010 includes the results of Eclipsys from the date of the merger, August 24, 2010. Excluding the impact of Eclipsys gross profit totaling $66 million for the period August 24, 2010 through December 31, 2010, the increase in gross profit is attributable to higher system sales that were driven by an increase in software orders during the seven months ended December 31, 2010 compared with the seven months ended December 31, 2009, an increase in professional services revenue due to the increased capacity to deliver billable services and an increase in maintenance revenue due to growth in customers and annual maintenance fee increases under existing contracts. Gross profit as a percent of revenue declined compared with the prior year comparable period due primarily to an increase in the amortization of software development costs of $3 million and additional transaction processing related costs incurred as we increased headcount and improved our infrastructure in response to increased demand for our SaaS solutions.

Year Ended May 31, 2010 Compared with the Year Ended May 31, 2009

Gross profit increased during the year ended May 31, 2010 compared with the prior year due to the inclusion of full-year results for legacy Allscripts and an increase in revenue related to increased customer orders. Excluding the impact of our prepackaged medications business which was sold during the year ended May 31, 2009, gross profit as a percentage of revenue increased compared with the prior year due to improved use of professional services resources as well as an improvement in maintenance margins due to better cost management and a slight reduction in headcount. Additionally, a more favorable system sales revenue mix was realized in fiscal year 2010 compared with prior year with more revenue being contributed from software licenses and less from lower margin hardware sales. This improvement was offset by increased amortization of software development costs.

Selling, General and Administrative Expenses

	Year Ended December 31,												Seven Months Ended December 31,							Year Ended May 31,
(Dollar amounts in thousands)	2012		2011		2010		2012 % Change from 2011			2011 % Change from 2010			2010		2009		% Change			2010		2009		% Change
					(Unaudited)										(Unaudited)
Selling, general and administrative expenses		384,370		387,571		332,413		(0.8	%)		16.6	%		232,788		126,569		83.9	%		224,995		199,902		12.6	%

Year Ended December 31, 2012 Compared with the Year Ended December 31, 2011

During the year ended December 31, 2012, selling, general and administrative expenses decreased compared with the prior year due to a decrease in expenses incurred relating to the Eclipsys Merger and other non-recurring costs and a decrease in people-related expenses. Partially offsetting these decreases are: additional severance costs associated with the termination of certain executives of approximately $10 million, including cash severance of approximately $5 million and stock compensation expense of approximately $5 million; costs

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associated with the MyWay Transition of approximately $4 million; and an increase in professional fees primarily attributable to legal expenses related to general legal matters, including expenses related to addressing legal claims involving the Company.

Year Ended December 31, 2011 Compared with the Year Ended December 31, 2010

The increase in selling, general and administrative expenses during 2011 was primarily attributable to inclusion of the full-year results of Eclipsys, partially offset by a decrease in expenses incurred relating to the Eclipsys Merger and other integration-related costs totaling $16 million as compared to the prior period, and a decrease in headcount-related expenses. Partially offsetting these decreases was an increase in stock compensation expense and an increase in legal expenses related to general legal matters, including negotiating transactions with customers and addressing claims asserted against the Company.

Seven Months Ended December 31, 2010 Compared with the Seven Months Ended December 31, 2009

Selling, general and administrative expenses for the seven months ended December 31, 2010 includes the results of Eclipsys from the date of the merger, August 24, 2010. Excluding the impact of Eclipsys selling, general and administrative expenses totaling $30 million from August 24, 2010 through December 31, 2010, selling, general and administrative expenses increased during the seven months ended December 31, 2010 primarily due to an increase in headcount and employee-related compensation expenses, and expenses incurred related to the Eclipsys Merger, Coniston Transactions, and other integration-related costs.

Year Ended May 31, 2010 Compared with the Year Ended May 31, 2009

The increase in selling, general and administrative costs during the year ended May 31, 2010 was primarily a result of the inclusion of full-year results for legacy Allscripts in the year ended May 31, 2010 as compared with the prior year. Additionally, increases in headcount and employee-related compensation expenses contributed to the overall increase in selling, general and administrative expenses. Additionally, we incurred increased costs related to the proposed Eclipsys Merger and Coniston Transactions, including legal, investment banking and accounting fees. Offsetting these increases are lower costs incurred in 2010 related to the 2008 Transactions and an impairment charge related to the investment in Aprima recognized in the prior year which did not recur in 2010.

Research and Development

	Year Ended December 31,												Seven Months Ended December 31,							Year Ended May 31,
(Dollar amounts in thousands)	2012		2011		2010		2012 % Change from 2011			2011 % Change from 2010			2010		2009		% Change			2010		2009		% Change
					(Unaudited)										(Unaudited)
Research and development		$162,158		$104,106		$65,419		55.8	%		59.1	%		$43,261		$27,238		58.8	%		$49,206		$39,431		24.8	%

Year Ended December 31, 2012 Compared with the Year Ended December 31, 2011

Research and development expenses increased during the year ended December 31, 2012 primarily due to an increase in people-related expenses as we increased headcount in order to accelerate development efforts to improve product 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.

Year Ended December 31, 2011 Compared with the Year Ended December 31, 2010

Research and development expenses increased primarily due to a decrease in the capitalization of software development costs compared to the prior period that was partially offset by a decrease in headcount-related expenses.

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Seven Months Ended December 31, 2010 Compared with the Seven Months Ended December 31, 2009

Research and development expenses for the seven months ended December 31, 2010 includes the results of Eclipsys from the date of the merger, August 24, 2010. Excluding the impact of Eclipsys research and development expenses totaling $12 million from August 24, 2010 through December 31, 2010, research and development expenses increased during the seven months ended December 31, 2010 primarily due to an increase in costs related to a higher number of internal and external research and development resources required to achieve new features and functionality and meet the Meaningful Use guidelines stipulated by healthcare legislation. Increased costs in the current period were partially offset by an increase in the capitalization of software development costs.

Year Ended May 31, 2010 Compared with the Year Ended May 31, 2009

The increase in research and development expenses was primarily due to the inclusion of full-year results for legacy Allscripts in the fiscal year ended May 31, 2010 as compared with the prior year and an increase in headcount. These increases were partially offset by increased capitalization of software development costs compared with the prior year.

Asset Impairment Charges

	Year Ended December 31,										Seven Months Ended December 31,						Year Ended May 31,
(Dollar amounts in thousands)	2012		2011		2010		2012 % Change from 2011		2011 % Change from 2010		2010		2009		% Change		2010		2009		% Change
					(Unaudited)								(Unaudited)
Asset impairment charges		$11,101		$0		$0		NM		NM		$0		$0		NM		$0		$0		NM

Year Ended December 31, 2012, Compared with the Year Ended December 31, 2011

As a result of the MyWay Transition and the related elimination of future cash flows from sales of the MyWay application, we recorded asset impairment charges during 2012 related to the impairment of previously capitalized software development costs for our MyWay application plus the net carrying value of a perpetual license for certain software code incorporated in MyWay.

Amortization of Intangible Assets

	Year Ended December 31,												Seven Months Ended December 31,							Year Ended May 31,
(Dollar amounts in thousands)	2012		2011		2010		2012 % Change from 2011			2011 % Change from 2010			2010		2009		% Change			2010		2009		% Change
					(Unaudited)										(Unaudited)
Amortization of intangible assets		$35,635		$37,344		$20,381		(4.6	%)		83.2	%		$16,235		$5,914		174.5	%		$10,060		$6,884		46.1	%

Year Ended December 31, 2012 Compared with the Year Ended December 31, 2011

Amortization of intangible assets recognized during the year ended December 31, 2012 decreased compared with the prior year comparable period as certain amortization periods ended and intangible asset amounts were fully amortized.

Year Ended December 31, 2011 Compared with the Year Ended December 31, 2010

Amortization of intangible assets increased during the year ended December 31, 2011 as a result of amortization expense related to intangible assets acquired in the Eclipsys Merger totaling $31 million and $11 million for the years ended December 31, 2011 and 2010, respectively.

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Seven Months Ended December 31, 2010 Compared with the Seven Months Ended December 31, 2009

Amortization of intangible assets increased during the seven months ended December 31, 2010 as a result of increased amortization related to intangible assets acquired in the Eclipsys Merger.

Year Ended May 31, 2010 Compared with the Year Ended May 31, 2009

Amortization of intangible assets increased during the year ended May 31, 2010 as a result of recognizing transaction-related expenses for a full year as compared to the prior year when amortization commenced in conjunction with the closing of the 2008 Transactions on October 10, 2008.

Interest Expense

	Year Ended December 31,												Seven Months Ended December 31,							Year Ended May 31,
(Dollar amounts in thousands)	2012		2011		2010		2012 % Change from 2011			2011 % Change from 2010			2010		2009		% Change			2010		2009		% Change
					(Unaudited)										(Unaudited)
Interest expense		$16,187		$20,750		$10,992		(22.0	%)		88.8	%		$9,687		$1,302		644.0	%		$1,993		$2,162		(7.8	%)

Year Ended December 31, 2012 Compared with the Year Ended December 31, 2011

Interest expense for the year ended December 31, 2012 is lower compared with the prior year due to lower weighted average debt balances in 2012 and the reduction of the notional amount of our interest rate swap agreement. Also, interest expense for the year ended December 31, 2011 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.

Year Ended December 31, 2011 Compared with the Year Ended December 31, 2010

Interest expense increased during the year ended December 31, 2011 as compared to the prior comparable period due to interest incurred on the amounts drawn against our credit facilities in order to fund the Coniston Transactions, and the write-off during the current year of previously deferred debt issuance costs totaling $2 million in connection with executing an amendment to our credit facilities.

Seven Months Ended December 31, 2010 Compared with the Seven Months Ended December 31, 2009

Interest expense increased during the seven months ended December 31, 2010 as compared with the prior year comparable period primarily due to interest incurred on the amounts drawn against the Senior Secured Credit Facilities in order to fund the Coniston Transactions.

Year Ended May 31, 2010 Compared with the Year Ended May 31, 2009

Interest expense decreased during the year ended May 31, 2010 as compared with the prior year due to the conversion of outstanding Debentures to common stock in the first fiscal quarter of 2010 and the repayment of the outstanding balance under the Credit Facility during 2010.

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Interest Income and Other (Expense), Net

	Year Ended December 31,												Seven Months Ended December 31,							Year Ended May 31,
(Dollar amounts in thousands)	2012			2011		2010		2012 % Change from 2011		2011 % Change from 2010			2010		2009		% Change			2010		2009		% Change
						(Unaudited)									(Unaudited)
Interest income and other (expense), net		($14,544	)		$1,685		$1,549		NM		8.8	%		$843		$240		251.3	%		$946		$626		51.1	%

Year Ended December 31, 2012 Compared with the Year Ended December 31, 2011

Interest income and other (expense), net for the year ended December 31, 2012 includes a $16 million write-off of a tax indemnification asset due to the settlement of the related acquired tax position indemnified by Misys plc for an amount less than the carrying value of the indemnification asset.

Year Ended December 31, 2011 Compared with the Year Ended December 31, 2010

The increase in interest income and other, net during the year ended December 31, 2011 was primarily due to an increase in the imputed interest income from the indemnification asset provided in connection with the acquired tax positions from the Coniston Transactions.

Seven Months Ended December 31, 2010 Compared with the Seven Months Ended December 31, 2009

The increase in interest income and other, net during the seven month period ended December 31, 2010 is partially due to realized gains on investments and an increase in the cash and marketable securities balance, net of decreases due to lower interest rates earned.

Year Ended May 31, 2010 Compared with the Year Ended May 31, 2009

The increase during 2010 is partially due to realized gains on investments and an increase in the cash and marketable securities balance, net of decreases due to lower interest rates earned on cash in 2010.

Benefit (Provision) for Income Taxes

	Year Ended December 31,															Seven Months Ended December 31,									Year Ended May 31,
(Dollar amounts in thousands)	2012			2011			2010			2012 % Change from 2011			2011 % Change from 2010			2010			2009			% Change			2010			2009			% Change
							(Unaudited)												(Unaudited)
Benefit (provision) for income taxes		$16,307			($43,870	)		($24,676	)		(137.2	%)		77.8	%		($2,606	)		($18,596	)		(86.0	%)		($40,666	)		($18,376	)		121.3	%
Effective tax rate		93.4	%		37.3	%		47.9	%								(88.1	%)		37.9	%					39.3	%		41.4	%

Year Ended December 31, 2012 Compared with the Year Ended December 31, 2011

The benefit (provision) for income taxes for the year ended December 31, 2012 includes a $16 million tax benefit related to the settlement of an acquired tax position for an amount less than the carrying value of the uncertain tax liability. Accordingly, in 2012 we recognized a tax benefit and decreased our liability for unrecognized tax benefits.

The acquired tax position referenced above was indemnified by Misys plc and a related tax indemnification asset was previously included within other assets in our consolidated balance sheet. Since the settlement amount was less than the carrying value of the indemnification asset, we recorded a write-off of the remaining indemnification asset, which is included in interest income and other within the consolidated statement of operations. The resulting charge of $16 million is substantially non-deductible for tax purposes and therefore increases the effective tax rate for the entire year.

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Excluding the effects of these items, our effective tax rate for the year ended December 31, 2012 is lower compared with the prior year due to a higher mix of foreign income taxed at lower rates and lower state tax expense.

On January 2, 2013, the American Taxpayer Relief Act of 2012 was enacted, reinstating retroactively to January 1, 2012 the research and development credit. As this law was not enacted until 2013, the impact of the 2012 credit will not be reflected in our financial statements until the quarter ended March 31, 2013. Our effective tax rate for 2013 will also include the impact of the estimated 2013 credit.

Year Ended December 31, 2011 Compared with the Year Ended December 31, 2010

The effective tax rate for the year ended December 31, 2011 was lower compared to the prior year primarily due to nondeductible expenses incurred in 2010 related to the Eclipsys Merger and Coniston Transactions which increased the effective rate for 2010. The effective rate for 2011 also reflects lower state tax expense, which is expected to recur, compared to the prior year.

Seven Months Ended December 31, 2010 Compared with the Seven Months Ended December 31, 2009

The effective tax rate increased significantly for the seven months ended December 31, 2010 compared with the prior year comparable period primarily due to nondeductible expenses incurred related to the Eclipsys Merger and Coniston Transactions and changes in state tax rates.

Year Ended May 31, 2010 Compared with the Year Ended May 31, 2009

The decrease in the effective tax rate during 2010 is primarily due to a reduction in state income tax expense and the utilization of federal research and development credits.

Segment Operations

Overview of Segment Results

	Year Ended December 31,									Seven Months Ended December 31,									Year Ended May 31,
(Dollar amounts in thousands)	2012			2011			% Change			2010			2009			% Change			2010			2009			% Change
													(Unaudited)									(Unaudited)
Revenue:
Software Delivery		$320,937			$387,996			(17.3	%)		$173,854			$104,971			65.6	%		$210,116			$138,246			52.0	%
Services Delivery		265,166			248,031			6.9	%		96,385			39,829			142.0	%		77,835			53,855			44.5	%
Client Support		458,364			447,715			2.4	%		212,580			146,932			44.7	%		259,166			205,679			26.0	%
Pathway Solutions		172,445			165,385			4.3	%		94,089			91,692			2.6	%		158,239			143,137			10.6	%
IT Outsourcing		161,063			142,240			13.2	%		37,825			0			NM			0			0			NM
Prepackaged medications		0			0			NM			0			0			NM			0			14,421			NM
Remote Hosting		71,513			70,631			1.2	%		23,432			218			10648.6	%		0			0			NM
Unallocated Amounts		(3,163	)		(17,921	)		(82.4	%)		(24,856	)		(163	)		15149.1	%		(854	)		(6,899	)		(87.6	%)
Total revenue		$1,446,325			$1,444,077			0.2	%		$613,309			$383,479			59.9	%		$704,502			$548,439			28.5	%
Income from operations:
Software Delivery		$28,815			$94,864			(69.6	%)		$26,732			$27,976			(4.4	%)		$59,026			$30,300			94.8	%
Services Delivery		31,539			34,080			(7.5	%)		13,728			4,624			196.9	%		12,455			1,525			716.7	%
Client Support		310,424			308,407			0.7	%		140,143			94,239			48.7	%		168,288			123,806			35.9	%
Pathway Solutions		105,179			105,680			(0.5	%)		57,869			56,260			2.9	%		96,241			91,155			5.6	%
IT Outsourcing		34,942			27,337			27.8	%		4,601			0			NM			0			0			NM
Prepackaged medications		0			0			NM			0			0			NM			0			1,121			NM
Remote Hosting		1,377			2,471			(44.3	%)		1,288			218			490.8	%		0			0			NM
Unallocated Amounts		(499,005	)		(436,295	)		14.4	%		(238,476	)		(133,171	)		79.1	%		(231,427	)		(201,973	)		14.6	%
Total income from operations		$13,271			$136,544			(90.3	%)		$5,885			$50,146			(88.3	%)		$104,583			$45,934			127.7	%

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Software Delivery

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

	Year Ended December 31,									Seven Months Ended December 31,									Year Ended May 31,
(Dollar amounts in thousands)	2012			2011			% Change			2010			2009			% Change			2010			2009			% Change
													(Unaudited)									(Unaudited)
Revenue		$320,937			$387,996			(17.3	%)		$173,854			$104,971			65.6	%		$210,116			$138,246			52.0	%
Income from operations		$28,815			$94,864			(69.6	%)		$26,732			$27,976			(4.4	%)		$59,026			$30,300			94.8	%
Operating margin %		9.0	%		24.4	%					15.4	%		26.7	%					28.1	%		21.9	%

Year Ended December 31, 2012 Compared with the Year Ended December 31, 2011

Software delivery revenue decreased during the year ended December 31, 2012 due to a decrease in system sales which consists of a $60 million and $23 million decrease in software and hardware revenue, respectively, as we experienced a decline in orders due in part to speculation in the second half of 2012 about Allscripts’ future corporate autonomy and also as some clients and prospective clients continued to evaluate purchase decisions as they wait for new product releases. Partially offsetting these decreases was an increase in SaaS and subscription-based revenues during the year ended December 31, 2012 as we expanded to new customers.

Software delivery operating margins declined during the year ended December 31, 2012 due to the decline in higher-margin software sales and an increase in SaaS operations and infrastructure costs in response to increased demand for our SaaS solutions compared with 2011.

Seven Months Ended December 31, 2010 Compared with the Seven Months Ended December 31, 2009

Software delivery revenue and operating income for the seven months ended December 31, 2010 is higher than the prior year comparable period primarily due to the inclusion of results for legacy Eclipsys subsequent to the merger with Eclipsys Corporation on August 24, 2010.

Year Ended May 31, 2010 Compared with the Year Ended May 31, 2009

Software delivery revenue and operating income for the year ended May 31, 2010 is higher than the prior year primarily due to the inclusion of full-year results for legacy Allscripts.

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.

	Year Ended December 31,									Seven Months Ended December 31,									Year Ended May 31,
(Dollar amounts in thousands)	2012			2011			% Change			2010			2009			% Change			2010			2009			% Change
													(Unaudited)									(Unaudited)
Revenue		$265,166			$248,031			6.9	%		$96,385			$39,829			142.0	%		$77,835			$53,855			44.5	%
Income from operations		$31,539			$34,080			(7.5	%)		$13,728			$4,624			196.9	%		$12,455			$1,525			716.7	%
Operating margin %		11.9	%		13.7	%					14.2	%		11.6	%					16.0	%		2.8	%

Year Ended December 31, 2012 Compared with the Year Ended December 31, 2011

The increase in services delivery revenue during the year ended December 31, 2012 is attributable to increases in implementation and consulting services including the implementation of third-party solutions as compared with the prior year.

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Operating margin declined during the year ended December 31, 2012 primarily due to the incremental costs incurred to implement a higher mix of third-party systems sales that are more costly to implement. Additionally, we experienced a decline in our billable utilization rate as the service hours delivered on various implementation projects exceeded original estimates as we worked to enhance implementation success.

Seven Months Ended December 31, 2010 Compared with the Seven Months Ended December 31, 2009

Services delivery revenue and operating income for the seven months ended December 31, 2010 is higher than the prior year comparable period primarily due to the inclusion of results for legacy Eclipsys subsequent to the merger with Eclipsys Corporation on August 24, 2010.

Year Ended May 31, 2010 Compared with the Year Ended May 31, 2009

Services delivery revenue and operating income for the year ended May 31, 2010 is higher than the prior year primarily due to the inclusion of full-year results for legacy Allscripts.

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.

	Year Ended December 31,									Seven Months Ended December 31,									Year Ended May 31,
(Dollar amounts in thousands)	2012			2011			% Change			2010			2009			% Change			2010			2009			% Change
													(Unaudited)									(Unaudited)
Revenue		$458,364			$447,715			2.4	%		$212,580			$146,932			44.7	%		$259,166			$205,679			26.0	%
Income from operations		$310,424			$308,407			0.7	%		$140,143			$94,239			48.7	%		$168,288			$123,806			35.9	%
Operating margin %		67.7	%		68.9	%					65.9	%		64.1	%					64.9	%		60.2	%

Year Ended December 31, 2012 Compared with the Year Ended December 31, 2011

Client support revenue increased during the year ended December 31, 2012 due to increases in our client base and customer activations, an activation being the point at which the invoicing of maintenance commences, compared with the prior year comparable period. The increase in maintenance revenues was partially offset by a provision totaling $17 million that represents a non-recurring revenue deferral related to clients who have long-aged accounts receivable balances.

Client support operating margin declined during the year ended December 31, 2012 due to recording the provision for revenue deferral discussed above.

Seven Months Ended December 31, 2010 Compared with the Seven Months Ended December 31, 2009

Client support revenue and operating income for the seven months ended December 31, 2010 is higher than the prior year comparable period primarily due to the inclusion of results for legacy Eclipsys subsequent to the merger with Eclipsys Corporation on August 24, 2010.

Year Ended May 31, 2010 Compared with the Year Ended May 31, 2009

Client support revenue and operating income for the year ended May 31, 2010 is higher than the prior year primarily due to the inclusion of full-year results for legacy Allscripts.

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Pathway Solutions

Pathway solutions includes revenue and the related expenses for financial, administrative, and clinical offerings, including medical claims processing and other revenue cycle solutions, ePrescribe and Patient Portal.

	Year Ended December 31,									Seven Months Ended December 31,									Year Ended May 31,
(Dollar amounts in thousands)	2012			2011			% Change			2010			2009			% Change			2010			2009			% Change
													(Unaudited)									(Unaudited)
Revenue		$172,445			$165,385			4.3	%		$94,089			$91,692			2.6	%		$158,239			$143,137			10.6	%
Income from operations		$105,179			$105,680			(0.5	%)		$57,869			$56,260			2.9	%		$96,241			$91,155			5.6	%
Operating margin %		61.0	%		63.9	%					61.5	%		61.4	%					60.8	%		63.7	%

Year Ended December 31, 2012 Compared with the Year Ended December 31, 2011

During the year ended December 31, 2012 we expanded our Patient Portal client base which contributed to an increase in Pathway solutions revenue compared with the prior year.

Pathway solutions operating margin decreased during the year ended December 31, 2012 as we incurred increased costs in response to demand for our solutions that partially offset the increase in revenues. Additionally, capitalization of software development costs declined by approximately $3 million compared with the prior year.

Seven Months Ended December 31, 2010 Compared with the Seven Months Ended December 31, 2009

Pathway solutions revenue, operating income and operating margin for the seven months ended December 31, 2010 are in line with the respective amounts for the prior year comparable period.

Year Ended May 31, 2010 Compared with the Year Ended May 31, 2009

Pathway solutions revenue and operating income for the year ended May 31, 2010 is higher than the prior year primarily due to the inclusion of full-year results for legacy Allscripts.

IT Outsourcing

IT outsourcing includes revenue from our information technology outsourcing solutions and includes the related expenses incurred to deliver these solutions to our clients.

	Year Ended December 31,									Seven Months Ended December 31,							Year Ended May 31,
(Dollar amounts in thousands)	2012			2011			% Change			2010			2009		% Change		2010		2009		% Change
													(Unaudited)						(Unaudited)
Revenue		$161,063			$142,240			13.2	%		$37,825			$0		NM		$0		$0		NM
Income from operations		$34,942			$27,337			27.8	%		$4,601			$0		NM		$0		$0		NM
Operating margin %		21.7	%		19.2	%					12.2	%		NM				NM		NM

Year Ended December 31, 2012 Compared with the Year Ended December 31, 2011

IT outsourcing revenue increased during the year ended December 31, 2012 primarily due to expanding service to existing customers while also expanding to new customers.

IT outsourcing operating margin increased during the year ended December 31, 2012 as increases in revenue were partially offset by increases in headcount-related costs as we responded to the increased demand for our IT outsourcing solutions.

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Seven Months Ended December 31, 2010 Compared with the Seven Months Ended December 31, 2009

IT outsourcing revenue and operating income for the seven months ended December 31, 2010 reflects the results of our IT outsourcing operations acquired in the merger with Eclipsys Corporation on August 24, 2010.

Prepackaged Medications

	Year Ended May 31, 2009
Revenue		$14,421
Income from operations		$1,121

Prepackaged medications is only included in operating results during the year ended May 31, 2009, as the related business was acquired as part of the 2008 Transactions in the second quarter of fiscal year 2009 and on March 16, 2009, Allscripts completed the sale of its Medications Services business pursuant to the Asset Purchase Agreement (the “Meds Agreement”) with A-S Medication Solutions LLC (“A-S”).

Other Operating Segment and Unallocated Amounts

Corporate general and administrative expenses are centrally managed and solutions research and development expenses, including amortization of capitalized software development costs, are not attributed to an operating segment. As a result, these expenses are not allocated to our reportable segments because they are not part of the segment profitability results reviewed by management.

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

The financial information below includes revenue primarily from our remote hosting operating segment and operating expenses related to this segment are included in income from operations for all applicable periods.

	Year Ended December 31,									Seven Months Ended December 31,									Year Ended May 31,
(Dollar amounts in thousands)	2012			2011			% Change			2010			2009			% Change			2010			2009			% Change
													(Unaudited)									(Unaudited)
Revenue:
Remote Hosting		$71,513			$70,631			1.2	%		$23,432			$218			NM			$0			$0			NM
Unallocated Amounts		(3,163	)		(17,921	)		(82.4	%)		(24,856	)		(163	)		15149.1	%		(854	)		(6,899	)		(87.6	%)
Total revenue		$68,350			$52,710			29.7	%		($1,424	)		$55			2689.1	%		($854	)		($6,899	)		(87.6	%)
Income from operations:
Remote Hosting		$1,377			$2,471			(44.3	%)		$1,288			$218			490.8	%		$0			$0			NM
Unallocated Amounts		(499,005	)		(436,295	)		14.4	%		(238,476	)		(133,171	)		79.1	%		(231,427	)		(201,973	)		14.6	%
Total income from operations		($497,628	)		($433,824	)		14.7	%		($237,188	)		($132,953	)		78.4	%		($231,427	)		($201,973	)		14.6	%

Year Ended December 31, 2012 Compared with the Year Ended December 31, 2011

Remote hosting operating income for the year ended December 31, 2012 decreased compared with the prior year due to increased infrastructure costs incurred to accommodate software upgrades.

Unallocated expenses increased during the year ended December 31, 2012 primarily due to an increase in research and development headcount. Also contributing to the increase are higher legal expenses in connection

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with general legal matters, including expenses related to addressing claims involving the Company, and an $11 million increase in amortization of software development costs compared with the prior year. These increases were partially offset by a decrease in expenses incurred relating to the Eclipsys Merger and other non-recurring costs. Additionally, during the year ended December 31, 2012, we recorded asset impairment charges totaling $11 million that are not allocated to our reportable segments because they are not part of the segment profitability results reviewed by management.

Seven Months Ended December 31, 2010 Compared with the Seven Months Ended December 31, 2009

Remote hosting operating income for the seven months ended December 31, 2010 reflects the results of our primary remote hosting operations acquired in the merger with Eclipsys Corporation on August 24, 2010.

Unallocated expenses during the seven months ended December 31, 2010 increased compared with the seven months ended December 31, 2009 due to an increase in headcount and expenses incurred related to the Eclipsys Merger, Coniston Transactions, and other integration-related costs, in addition to expenses incurred by legacy Eclipsys from the date of the merger, August 24, 2010.

Year Ended May 31, 2010 Compared with the Year Ended May 31, 2009

Unallocated expenses during 2010 increased compared with the prior year due primarily to the inclusion of full-year results for legacy Allscripts in the fiscal year ended May 31, 2010 and an increase in headcount and employee-related compensation expenses. Additionally, we incurred increased costs related to the proposed Eclipsys Merger and Coniston Transactions, including legal, investment banking and accounting fees. Offsetting these increases are lower costs incurred in 2010 related to the 2008 Transactions and an impairment charge related to the investment in Aprima recognized in the prior year that did not recur in 2010.

Contract Backlog

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

(Dollar amounts in millions)	As of December 31, 2012		As of December 31, 2011		% Change
Contract backlog:
System sales		$107		$136		(21.3	%)
Professional services		376		393		(4.3	%)
Maintenance		875		833		5.0	%
Transaction processing and other		1,450		1,492		(2.8	%)
Total contract backlog		$2,808		$2,854		(1.6	%)

Total contract backlog as of December 31, 2012 decreased slightly compared with December 31, 2011 as an increase in maintenance revenue backlog was offset by decreases in systems sales, professional services, transaction processing and other backlog categories. Maintenance revenue backlog increased as a result of new client activations as well as maintenance renewals in our installed base. System sales backlog declined as we experienced a decline in orders during the year ended December 31, 2012; we continue our efforts to improve product performance and delivery execution. We estimate that approximately 44% of the total backlog at December 31, 2012 will be recognized as revenue during 2013.

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Bookings

Bookings reflect the value of executed contracts for software, hardware, services, remote hosting, outsourcing and SaaS. Bookings were as follows:

	Year Ended December 31,
(Dollar amounts in millions)	2012		2011		% Change
Bookings		$731		$1,051		(30.4	%)

We experienced a decline in bookings during the year ended December 31, 2012 compared with the prior year comparable period due in part to speculation in the second half of 2012 about Allscripts’ future corporate autonomy and also as some clients and prospective clients continued to evaluate purchase decisions as they wait for new product releases.

Selected Quarterly Operating Results

The following tables set forth a summary of our quarterly financial information for our last eight quarters. We believe that all necessary adjustments, which consisted only of normal recurring adjustments, have been included in the amounts stated below to present fairly the results of such periods when read in conjunction with the consolidated financial statements and related notes included elsewhere in this Annual Report. The operating results for any quarter should not be relied upon to predict the results for any subsequent period or for the entire fiscal year. You should be aware of possible variances in our future quarterly results. See “Risk Factors—Risks Related to Our Stock—Our quarterly operating results may vary.”

	Quarter Ended
(In thousands, except per share amounts)	December 31, 2012			September 30, 2012			June 30, 2012			March 31, 2012			December 31, 2011			September 30, 2011			June 30, 2011			March 31, 2011
	(Unaudited)
Consolidated Statements of Operations Data:
Revenue		$350,963			$360,694			$369,956			$364,712			$388,202			$363,736			$356,831			$335,308
Cost of revenue		214,631			203,658			212,466			209,035			212,255			201,763			189,036			175,458
Gross profit		136,332			157,036			157,490			155,677			175,947			161,973			167,795			159,850
Selling, general and administrative expenses		104,350			90,412			92,291			97,317			89,739			92,152			101,532			104,148
Research and development		49,994			37,802			38,240			36,122			31,306			26,032			24,764			22,004
Asset impairment charges		0			11,101	(1)		0			0			0			0			0			0
Amortization of intangible assets		8,588			8,537			9,255			9,255			9,273			9,422			9,422			9,227
Income (loss) from operations		(26,600	)		9,184			17,704			12,983			45,629			34,367			32,077			24,471
Interest expense		(4,257	)		(3,718	)		(4,358	)		(3,854	)		(4,027	)		(3,746	)		(5,050	)		(7,927	)
Interest income and other, net		759			(15,845	)(2)		150			392			501			425			355			404
Income (loss) before income taxes		(30,098	)		(10,379	)		13,496			9,521			42,103			31,046			27,382			16,948
(Provision) benefit for income taxes		5,776			19,754	(2)		(5,515	)		(3,708	)		(16,120	)		(11,909	)		(11,506	)		(4,335	)
Net income (loss)		($24,322	)		$9,375			$7,981			$5,813			$25,983			$19,137			$15,876			$12,613
Earnings (loss) per share-basic and diluted		($0.14	)		$0.05			$0.04			$0.03			$0.14			$0.10			$0.08			$0.07

(1) Reflects a non-cash charge to earnings resulting from the MyWay Transition for the impairment of previously capitalized software development costs and the carrying value of a perpetual license for certain software code incorporated in MyWay.

(2) Interest income and other, net, includes a $16 million charge for the write-off of a tax indemnification asset due to the settlement of the related acquired tax position indemnified by Misys plc for an amount less than the carrying value of the indemnification asset. Likewise, (provision) benefit for income taxes includes the $16 million benefit resulting from the settlement of that acquired position for an amount less than the carrying amount of the uncertain tax liability.

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Liquidity and Capital Resources

As of December 31, 2012 and 2011, our principal sources of liquidity consisted of cash and cash equivalents and marketable securities of $106 million and $159 million, respectively, and our revolving credit facility described below. The change in our cash balance is reflective of the following:

Operating Cash Flow Activities

	Year Ended December 31,														Seven Months Ended December 31,									Year Ended May 31,
(In thousands)	2012			2011			2010		2012 $ Change from 2011			2011 $ Change from 2010			2010			2009			$ Change			2010		2009			$ Change
							(Unaudited)											(Unaudited)
Net income (loss)		($1,153	)		$73,609			$26,817		($74,762	)		$46,792			($5,565	)		$30,488			($36,053	)		$62,870		$26,022			$36,848
Non-cash adjustments to net income		186,572			201,242			118,977		(14,670	)		82,265			66,113			33,968			32,145			76,222		39,364			36,858
Cash impact of changes in operating assets and liabilities		37,251			(6,097	)		33,107		43,348			(39,204	)		15,233			(27,682	)		42,915			826		(29,309	)		30,135
Net cash provided by operating activities		$222,670			$268,754			$178,901		($46,084	)		$89,853			$75,781			$36,774			$39,007			$139,918		$36,077			$103,841

Year Ended December 31, 2012 Compared with the Year Ended December 31, 2011

Net cash provided by operating activities decreased during the year ended December 31, 2012 as higher payroll expenditures related to an increase in headcount, and an increase in vendor payments including higher costs related to the implementation of third party system sales were partially offset by an increase in cash received from customers.

Year Ended December 31, 2011 Compared with the Year Ended December 31, 2010

Net cash provided by operating activities increased in the current year primarily due to an increase in our overall profitability in 2011, in part, attributable to the inclusion of Eclipsys operations for all of 2011 and an increase in cash received from customers attributable to the cash contribution by Eclipsys. This increase was partially offset by an increase in operating disbursements also attributable to the full-year effect of the Eclipsys Merger.

Seven Months Ended December 31, 2010 Compared with the Seven Months Ended December 31, 2009

Net cash provided by operating activities increased in the seven months ended December 31, 2010 primarily due to a decrease in the use of cash by working capital activities as compared with the prior year comparable period and the cash contribution by Eclipsys operations from the date of the merger, August 24, 2010. The additional cash provided by Eclipsys operations was partially offset by an increase in expenses related to the Eclipsys Merger, Coniston Transactions, and other integration-related costs incurred during the seven months ended December 31, 2010.

Year Ended May 31, 2010 Compared with the Year Ended May 31, 2009

Cash flow from operations increased in 2010 due to an increase in cash received from customers attributable to the inclusion of full-year results for legacy Allscripts in the fiscal year ended May 31, 2010 as compared with the prior year in addition to fewer payments in 2010 for costs related to the 2008 Transactions. The increase in 2010 was partially offset by an increase in payments for costs related to the proposed Eclipsys Merger and the Coniston Transactions.

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Investing Cash Flow Activities

	Year Ended December 31,															Seven Months Ended December 31,									Year Ended May 31,
(In thousands)	2012			2011			2010			2012 $ Change from 2011			2011 $ Change from 2010			2010			2009			$ Change			2010			2009			$ Change
							(Unaudited)												(Unaudited)
Capital expenditures		($80,166	)		($44,306	)		($33,378	)		($35,860	)		($10,928	)		($24,552	)		($5,069	)		($19,483	)		($13,919	)		($4,970	)		($8,949	)
Capitalized software		(42,965	)		(60,748	)		(47,761	)		17,783			(12,987	)		(36,936	)		(10,272	)		(26,664	)		(21,097	)		(14,001	)		(7,096	)
Net (purchases) sales and maturities of marketable securities and other investments		94			(12,845	)		4,214			12,939			(17,059	)		1,589			383			1,206			3,009			6,181			(3,172	)
Proceeds received from sale of fixed assets		0			20,000			0			(20,000	)		20,000			0			0			0			0			0			0
Change in restricted cash		0			2,225			2,216			(2,225	)		9			2,216			0			2,216			0			0			0
Net cash acquired in merger with Eclipsys		0			0			170,102			0			(170,102	)		170,102			0			170,102			0			0			0
Payment for acquisition of Allscripts, net of cash acquired		0			0			0			0			0			0			0			0			0			(263,766	)		263,766
Net proceeds received from sale of building		0			0			0			0			0			0			0			0			0			6,450			(6,450	)
Net proceeds received from sale of prepackaged medications business		0			0			0			0			0			0			0			0			0			8,000			(8,000	)
Net cash (used in) provided by investing activities		($123,037	)		($95,674	)		$95,393			($27,363	)		($191,067	)		$112,419			($14,958	)		$127,377			($32,007	)		($262,106	)		$230,099

Year Ended December 31, 2012 Compared with the Year Ended December 31, 2011

Net cash used in investing activities increased during the year ended December 31, 2012 due to an increase in capital spending which was partially offset by a decrease in capitalized software development costs. Also, the prior year includes the acquisition of cost method investments, the release of restricted cash, and proceeds from the sale of certain hosting equipment and infrastructure that did not recur in 2012. The increase in capital spending 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.

Year Ended December 31, 2011 Compared with the Year Ended December 31, 2010

Net cash used in investing activities increased during the year ended December 31, 2011 primarily due to increases in capital expenditures and software development expenditures. Also, the prior period includes cash and restricted cash acquired in the Eclipsys Merger. The increase in capital expenditures was 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 increased as a result of the increased level of research and development expenditures during 2011 that was driven by new product initiatives and regulatory updates to existing products related to initial “meaningful use” requirements. Capital expenditures and capitalized software expenditures were also higher in 2011 due to the inclusion of a full year of Eclipsys operations. Our investments in dbMotion Ltd. and Humedica, Inc. also contributed to the increase. These increases were partially offset by proceeds received from the sale of a portion of our hosting equipment and infrastructure related to our Sunrise acute care clients to Affiliated Computer Services, Inc. (“ACS”), and the elimination of our restricted cash balance due to the expiration of certain letters of credit.

Seven Months Ended December 31, 2010 Compared with the Seven Months Ended December 31, 2009

Cash provided by investing activities increased during the seven months ended December 31, 2010 due to the cash and restricted cash acquired in the Eclipsys Merger. This increase was partially offset by increases in

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capital spending and software development spending. The increase in capital spending 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 products. The capitalization of software development costs increased as a result of the increased level of research and development spending during the seven months ended December 31, 2010 that was driven by new product initiatives and regulatory updates to existing products related to Meaningful Use. Capital spending and capitalized software are also higher during the seven months ended December 31, 2010 due to the inclusion of amounts related to Eclipsys operations from the merger date, August 24, 2010.

Year Ended May 31, 2010 Compared with the Year Ended May 31, 2009

Cash used for investing activities decreased compared to the prior year primarily due to the payment in 2009 for the acquisition of legacy Allscripts that did not recur in 2010. This decrease was partially offset by increases in capital spending and software development spending in 2010. The increase in capital spending 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 products. The capitalization of software development costs increased as a result of the increased level of research and development spending during fiscal year 2010 that was driven by new product initiatives.

Financing Cash Flow Activities

	Year Ended December 31,															Seven Months Ended December 31,									Year Ended May 31,
(In thousands)	2012			2011			2010			2012 $ Change from 2011			2011 $ Change from 2010			2010			2009			$ Change			2010			2009			$ Change
							(Unaudited)												(Unaudited)
Proceeds from issuance of common stock		$5,519			$35,119			$11,558			($29,600	)		$23,561			$10,426			$2,462			$7,964			$3,594			$5,620			($2,026	)
Excess tax benefits from stock-based compensation		3,516			8,818			(1,063	)		(5,302	)		9,881			(457	)		6,857			(7,314	)		6,251			5,463			788
Taxes paid related to net share settlement of equity awards		(10,292	)		(11,456	)		0			1,164			(11,456	)		0			0			0			0			0			0
Net payments on debt instruments		(251,696	)		(171,851	)		(106,216	)		(79,845	)		(65,635	)		(81,705	)		(20,993	)		(60,712	)		(45,505	)		(21,475	)		(24,030	)
Credit facility borrowings, net of issuance costs		324,010			47,193			547,744			276,817			(500,551	)		547,744			0			547,744			0			0			0
Change in parent’s net investment		0			0			0			0			0			0			0			0			0			358,802			(358,802	)
Repurchase of common stock		(225,961	)		(51,462	)		(679,000	)		(174,499	)		627,538			(679,000	)		0			(679,000	)		0			(51,547	)		51,547
Net cash (used in) provided by financing activities		($154,904	)		($143,639	)		($226,977	)		($11,265	)		$83,338			($202,992	)		($11,674	)		($191,318	)		($35,660	)		$296,863			($332,523	)

Year Ended December 31, 2012 Compared with the Year Ended December 31, 2011

Net cash used in financing activities increased during the year ended December 31, 2012 due primarily to the increased level of activity under our stock repurchase program. This increase was partially offset by net borrowings under our credit facility that were used to finance stock repurchases during 2012. Proceeds from stock-based compensation activities were lower compared with 2011 and excess tax benefits from stock-based compensation declined as the fair value of equity awards vesting during 2012 was more aligned with the fair value of the awards on the date of grant.

Year Ended December 31, 2011 Compared with the Year Ended December 31, 2010

Net cash used in financing activities decreased during the year ended December 31, 2011 compared to the prior period primarily due to the 2011 increase in proceeds from stock-based compensation activities and considering the prior period effects of the repurchase of common stock related to the reduction of Misys share

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ownership in Allscripts and proceeds from the Senior Secured Credit Facilities which were used to fund the Coniston Transactions in connection with the Eclipsys Merger which did not recur in 2011. Payments on debt instruments increased due to repayment of borrowings under the Senior Secured Credit Facilities which originated in August 2010. Also, additional payments and borrowings, each totaling $49 million, net of $1 million in debt issuance costs, occurred in 2011 in connection with the Amended and Restated Credit Agreement. We repurchased approximately 3 million shares of our common stock for $51 million during 2011 pursuant to our stock repurchase program. As of December 31, 2011, the amount available for repurchase of common stock under the program was $149 million. Finally, during 2011 the majority of restricted stock units and awards that vested were net-share settled such that we withheld shares with a 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. 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.

Seven Months Ended December 31, 2010 Compared with the Seven Months Ended December 31, 2009

Cash used for financing activities increased during the seven months ended December 31, 2010 compared with the prior year comparable period primarily due to the repurchase of common stock related to the reduction of Misys ownership in Allscripts. The increase is partially offset by proceeds from the Senior Secured Credit Facilities that were used to fund the Coniston Transactions and working capital needs. Payments on debt instruments primarily increased due to repayment of borrowings under the Senior Secured Credit Facilities. Additionally, an increase in proceeds from issuance of common stock partially offsets the increases in cash used for financing activities.

Year Ended May 31, 2010 Compared with the Year Ended May 31, 2009

Cash used for financing activities increased compared with the prior year primarily due to the receipt of cash from Misys in 2009 in connection with the 2008 Transactions that did not recur in 2010. Contributing to the increase were payments made to fully liquidate outstanding balances under the Credit Facility during 2010. Partially offsetting these increases are payments in 2009 for the repurchase of senior convertible notes and common stock that did not recur in 2010.

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 that 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.

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We calculate free cash flow as follows:

	Year Ended December 31,															Seven Months Ended December 31,									Year Ended May 31,
(In thousands)	2012			2011			2010			2012 $ Change from 2011			2011 $ Change from 2010			2010			2009			$ Change			2010			2009			$ Change
							(Unaudited)												(Unaudited)
Net cash provided by operating activities		$222,670			$268,754			$178,901			($46,084	)		$89,853			$75,781			$36,774			$39,007			$139,918			$36,077			$103,841
Capital expenditures		(80,166	)		(44,306	)		(33,378	)		(35,860	)		(10,928	)		(24,552	)		(5,069	)		(19,483	)		(13,919	)		(4,970	)		(8,949	)
Capitalized software		(42,965	)		(60,748	)		(47,761	)		17,783			(12,987	)		(36,936	)		(10,272	)		(26,664	)		(21,097	)		(14,001	)		(7,096	)
Free cash flow		$99,539			$163,700			$97,762			($64,161	)		$65,938			$14,293			$21,433			($7,140	)		$104,902			$17,106			$87,796

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

Future Capital Requirements

In connection with the Coniston Transactions, on August 20, 2010 (the “Closing Date”), Allscripts entered into a Credit Agreement with JPMorgan Chase Bank, N.A., as administrative agent, UBS Securities LLC and Barclays Capital, as co-syndication agents, and a syndicate of banks as co-documentation agents (the “Credit Agreement”).

The Credit Agreement provides for a $470 million senior secured term loan facility (the “Term Facility”) and a $250 million senior secured revolving facility (the “Revolving Facility”), each of which has a five year term (collectively the “Senior Secured Credit Facilities”). In connection with the closing of the Coniston Transactions, Allscripts borrowed $470 million under the Term Facility and $100 million under the Revolving Facility. Allscripts incurred $22 million in debt issuance costs related to the Senior Secured Credit Facilities. Allscripts used the net proceeds to finance a portion of the Coniston Transactions. The Revolving Facility is available to finance working capital needs and general corporate purposes.

On March 31, 2011, we entered into an agreement (the “Amended and Restated Credit Agreement”) with participating lenders to amend and restate the Credit Agreement among the Company and certain parties. The Amended and Restated Credit Agreement includes certain changes to the terms of the Credit Agreement. Certain members of the syndicate of banks supporting the Senior Secured Credit Facilities withdrew upon execution of the Amended and Restated Credit Agreement. Accordingly, funds provided by the withdrawing banks totaling $49 million were repaid and the same amount was subsequently borrowed from other banks. We incurred additional debt issuance costs totaling $1 million and wrote off previously deferred debt issuance costs totaling $2 million to interest expense on the consolidated statement of operations during the year ended December 31, 2011 in connection with executing the Amended and Restated Credit Agreement. The additional debt issuance costs incurred were deferred and are included in other assets on the balance sheet.

On June 11, 2012, we entered into an Incremental Assumption Agreement (the “Agreement”) with J. P. Morgan Securities LLC, Mizuho Corporate Bank, LTD., SunTrust Robinson Humphrey, Inc. and other participating lenders to borrow additional amounts under our existing Amended and Restated Credit Agreement in the form of a new incremental term loan. Proceeds from the incremental term loan of $150 million were used to partially refinance the $175 million outstanding under our revolving credit facility, which is provided for in the Credit Agreement. We also made a voluntary repayment of the revolver totaling $20 million at the time of the refinancing. The interest rate charged, debt covenants and other terms that apply to the term loan are defined by the terms of the Credit Agreement. We incurred debt issuance costs totaling $1 million related to the incremental term loan, which were deferred and included within other assets on the balance sheet. Quarterly principal payments on the incremental term loan commenced on September 30, 2012.

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The Amended and Restated Credit Agreement reduced the applicable interest margin for borrowings under the senior credit facilities by 75 basis points at each level of the leverage based pricing grid. In addition, the Commitment Fee was reduced at certain levels of the leverage based pricing grid. The Amended and Restated Credit Agreement also allows the Company to borrow up to $100 million under its revolving credit facility in certain foreign currencies and increases the leverage ratio in which the Company can make unlimited Restricted Payments from 1.75 to 1 to 2.00 to 1.

On February 19, 2013, we entered into the First Amendment to the Amended and Restated Credit Agreement (the “First Amendment”), which, among other things, increased the applicable interest margin for borrowings under the senior credit facilities by 25 basis points at each level of the leverage based pricing grid above a leverage ratio of 2.00 to 1. The First Amendment also increases the leverage ratio in which the Company can make unlimited Restricted Payments and Permitted Acquisitions from 2.00 to 1 to 2.50 to 1. In connection with the First Amendment, we incurred $1 million in fees during the first quarter of 2013.

The maturity date and principal amount of the senior secured credit facilities remains the same as in the Credit Agreement. In addition, the prepayment provisions and covenants included in the Credit Agreement have not changed, except as discussed above.

The Term Facility matures in quarterly installments which commenced on December 31, 2010, provided that, notwithstanding the above, the remaining principal balance shall be due and payable on the fifth anniversary of the Closing Date. The following table summarizes our future payments under the senior secured credit facilities including the incremental term loan as of December 31, 2012:

(Dollar amounts in thousands)	Principal Payments		Interest Payments		Total Payments
Payments due in 2013		$78,770		$11,089		$89,859
Payments due in 2014		104,698		8,418		113,116
Payments due in 2015		199,395		4,720		204,115
Payments due in 2016		58,604		587		59,191
Thereafter		0		0		0
		$441,467		$24,814		$466,281

A total of $50 million of the Revolving Facility is available for the issuance of letters of credit and $10 million of the Revolving Facility is available for swingline loans. Allscripts is also permitted to add one or more incremental revolving and/or term loan facilities in an aggregate amount of up to $250 million, subject to certain conditions.

Borrowings under the Senior Secured Credit Facilities bear interest, at Allscripts’ option, at a rate per annum equal to either (1) the highest of (a) the rate of interest publicly announced by JPMorgan Chase Bank, N.A. as its prime rate in effect at its principal office in New York City, (b) the federal funds effective rate from time to time plus 0.5%, and (c) the rate for Eurodollar deposits as reflected on the applicable Reuters Screen LIBOR01 for a one month interest period, as such rate may be adjusted for certain reserve requirements, plus 1.0%, or (2) the rate for Eurodollar deposits as reflected on the applicable Reuters Screen LIBOR01 for the interest period relevant to such borrowing, as such rate may be adjusted for certain reserve requirements, plus, in each case, the applicable margin. The applicable margin for borrowings under the Senior Secured Credit Facilities was fixed until the date that was three business days after Allscripts’ financial statements were delivered to lenders with respect to the first fiscal period ending after September 30, 2010, and thereafter the applicable margin for borrowings under the Senior Secured Credit Facilities is subject to further adjustment based on an agreed upon leverage grid.

Subject to certain agreed upon exceptions, all obligations under the Senior Secured Credit Facilities are guaranteed by each of Allscripts’ existing and future direct and indirect material domestic subsidiaries, other than Coniston Exchange LLC (successor to Coniston, Inc.) (the “Guarantors”).

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The obligations of Allscripts and each Guarantor under the Senior Secured Credit Facilities, any swap agreements and any cash management arrangements provided by any lender, are secured, subject to permitted liens and other agreed upon exceptions, by a perfected first priority security interest in all of the tangible and intangible assets (including, without limitation, intellectual property, material owned real property and all of the capital stock of each Guarantor and, in the case of foreign subsidiaries, up to 65% of the capital stock of first tier material foreign subsidiaries) of Allscripts and the Guarantors.

Subject to certain exceptions, Allscripts is required to prepay the Term Facility: (i) with 100% of the net cash proceeds received from the incurrence of certain indebtedness for borrowed money; (ii) with 100% of the net cash proceeds of the sale of any assets in excess of $5 million outside the ordinary course of business (including, without limitation, insurance and condemnation proceeds) in any fiscal year, subject to reinvestment rights; and (iii) with 50% of Allscripts’ excess cash flow for each fiscal year, beginning with the 2012 fiscal year. No prepayments under clauses (ii) or (iii) above are required to the extent that Allscripts’ total leverage ratio is less than 2.5 to 1.0. Allscripts may voluntarily prepay outstanding loans under the Senior Secured Credit Facilities, in whole or in part, at Allscripts’ option at any time on prior notice.

The Senior Secured Credit Facilities contain a number of covenants that, among other things, restrict, subject to certain exceptions, Allscripts’ ability to:

• incur indebtedness (including guarantee obligations);

• create liens on and sell assets;

• engage in mergers or consolidations;

• declare dividends and other payments in respect of our capital stock;

• make investments, loans and advances;

• engage in transactions with affiliates;

• enter into sale and leaseback transactions; and

• change lines of business.

In addition, the Senior Secured Credit Facilities include a maximum leverage ratio of 3.0 to 1.0 and a minimum interest coverage ratio of 4.5 to 1.0. The leverage ratio is calculated by dividing total indebtedness by earnings before interest expense, income tax expense, depreciation and amortization expense. The minimum interest coverage ratio is calculated by dividing earnings before interest expense and income tax expense by cash interest expense.

The facilities also contain certain customary events of default, including relating to non-payment, breach of covenants, cross-default, bankruptcy and change of control.

As of December 31, 2012, $441 million in borrowings and $1 million in letters of credit were outstanding under the Amended and Restated Credit Agreement. As of December 31, 2012, the interest rate on the Senior Secured Credit Facilities was LIBOR plus 2.00%, which totaled 2.21%. Refer to Quantitative and Qualitative Disclosures About Market Risk for the interest rate swap agreement. We were in full compliance with the covenants under the Amended and Restated Credit Agreement as of December 31, 2012.

As of December 31, 2012, we had $249 million available, net of outstanding letters of credit, under the Revolving 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 March 31, 2011, we entered into a ten-year agreement with Xerox Consultant Services (Xerox), formerly known as Affiliated Computer Services, Inc., to provide services to support our remote hosting services

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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 Xerox for current Allscripts’ employees to be retained by Xerox from our hosting staff, new remote hosting staff and technology infrastructure, as well as other data center and hosting services, 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 expiring on May 9, 2014 or such earlier time that the total dollar amount authorized by these resolutions has been used. In April 2012, our Board of Directors approved the repurchase of an additional $200 million bringing the total repurchase authorization to $400 million. Any share repurchases may be made through open market transactions, block trades, privately negotiated transactions (including accelerated share repurchase transactions) or other means. Any repurchase activity will depend on factors such as our working capital needs, cash requirements for investments, debt repayment obligations, our stock price, and economic and market conditions. Our stock repurchase program may be accelerated, suspended, delayed or discontinued at any time. Refer to “Unregistered Sales of Equity Securities, Use of Proceeds and Issuer Purchases of Equity Securities” in Part II, Item 2 of this report for additional information regarding our stock repurchase program.

We currently plan to invest over $200 million in research and development efforts during 2013 to improve performance and accelerate product integration and innovation. Our total spending consists of research and development costs directly recorded to expense and also includes capitalized software development costs. To supplement our statement of operations, the table below presents a non-GAAP measure of research and development-related expenses that we believe is a useful metric for evaluating how we are investing in innovation.

	Year Ended December 31,						Seven Months Ended December 31, 2010			Year Ended May  31, 2010
(Dollar amounts in thousands)	2012			2011
Research and development costs directly recorded to expense		$162,158			$104,106			$43,261			$49,206
Capitalized software development costs		42,965			60,748			36,936			21,097
Total non-GAAP R&D-related expense		$205,123			$164,854			$80,197			$70,303
Total revenue		$1,446,325			$1,444,077			$613,309			$704,502
Total expense as a % of total revenue		14	%		11	%		13	%		10	%

Our capital spending during 2013 is expected to be similar to our level of spending in 2012 as we improve our information systems infrastructure, acquire computer equipment and software to accommodate data management and hosting related to our SaaS and hosting solutions, and expand or make leasehold improvements at certain facilities.

In connection with the MyWay Transition, we expect to incur additional non-recurring period costs in future quarters to upgrade the MyWay clients that elect to upgrade. The incremental period costs will be partially offset by cost savings we expect to realize through lower development and support costs. The amount of such costs and anticipated savings are not determinable at this time and will ultimately be based on the number of clients electing to migrate.

On February 18, 2013, we announced a North American site consolidation plan (the “Site Consolidation Plan”) designed to create a more simplified and efficient organization that is aligned more closely with our business priorities. The Site Consolidation Plan includes closure of twelve offices and one warehouse. We are also implementing changes to corporate operating models intended to reduce costs associated with product solutions development. The costs of implementing these changes primarily consist of employee severance and relocation costs, and lease exit costs. The estimated pre-tax costs to implement these changes consist of employee severance of approximately $10 million, relocation costs of up to approximately $16 million, and lease exit costs

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totaling approximately $3 million. Considering the timing of these changes, we estimate that primarily all charges will be recorded in the first quarter of 2013 with the exception of lease exit costs which are expected to be recognized in the third quarter of 2013. We expect to complete the actions by the end of 2013. The amount of the charges noted above and the mix of severance charges and relocation costs are estimates and the actual charges may vary materially based on the level of employee relocations and terminations; the timing and amount of sublease income and other related expenses; and changes in management’s assumptions.

On March 4, 2013, we acquired all of the issued and outstanding share capital of dbMotion pursuant to a Share Purchase Agreement, dated March 4, 2013 (the “Purchase Agreement”), between us, one of our subsidiaries, dbMotion, the sellers party thereto and Shareholder Representative Services LLC for an aggregate purchase price of approximately $235 million, subject to certain adjustments set forth in the Purchase Agreement. Immediately prior to the closing, we owned approximately 4.25% of the issued and outstanding share capital of dbMotion on a fully diluted basis. In addition, we have maintained an ongoing strategic relationship with dbMotion in connection with the development and sale of software solutions to hospitals, physicians and other participants in the healthcare industry. Consideration consisted of (a) cash payable at closing of approximately $139.8 million, (b) 3,823,453 shares of Allscripts common stock, par value $0.01 per share, payable at closing and having a value of approximately $47.9 million, (c) approximately $24.2 million in deferred cash consideration payable on the 18-month anniversary of the closing, (d) approximately $6.7 million in deferred cash consideration payable in the form of a subordinated promissory note having a maturity of 18 months and (e) approximately $7.5 million in deferred cash consideration payable to certain key employees of dbMotion on the 18-month anniversary of the closing, which amounts reflect a proportionate reduction in the purchase price based on our ownership interests in dbMotion immediately prior to the closing. Interest will accrue on the deferred cash consideration and on the promissory note at a 10% annual rate. On March 5, 2013, we borrowed $130 million to fund the cash component of the Purchase Price under our senior secured revolving credit facility.

We believe that our cash and cash equivalents and marketable securities of $106 million as of December 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.

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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.

The following table summarizes our significant contractual obligations as of December 31, 2012 and the effect such obligations are expected to have on our liquidity and cash in future periods assuming all obligations reach maturity:

(In thousands)	Total		2013		2014		2015		2016		2017		Thereafter
Contractual obligations:
Debt:(1)
Principal payments		$441,467		$78,770		$104,698		$199,395		$58,604		$0		$0
Interest payments		24,814		11,089		8,418		4,720		587		0		0
Capital leases		1,439		630		508		244		57		0		0
Non-cancelable operating leases		70,561		15,112		14,120		13,553		13,098		8,303		6,375
Unconditional purchase obligations(2)		23,952		14,397		6,626		1,681		1,013		235		0
Agreement with Xerox Consultant Company, Inc.(3)		400,614		57,723		54,359		52,523		50,376		47,620		138,013
Other contractual obligations (4)		1,283		1,283		0		0		0		0		0
Total contractual obligations		$964,130		$179,004		$188,729		$272,116		$123,735		$56,158		$144,388

The Company believes it has income tax exposure totaling $18 million as of December 31, 2012 related to uncertain tax positions. Liabilities that may result from this exposure have been excluded from the table above since we cannot predict with reasonable reliability the outcome of discussions with the respective taxing jurisdictions, which may or may not result in cash settlements. We have excluded net deferred tax liabilities of $62 million from the amounts presented in the table as the amounts that will be settled in cash are not known and the timing of any payments is uncertain.

During the 2012, we settled the acquired tax position related to the Misys share repurchase that occurred in 2010. Accordingly, we decreased our liability for unrecognized tax benefits by approximately $29 million.

The table above is as of December 31, 2012 and does not reflect the Company’s obligations under the Purchase Agreement relating to the dbMotion transaction discussed above.

(1) Refer to Future Capital Requirements for information regarding our Credit Agreement, and refer to Quantitative and Qualitative Disclosures About Market Risk for a discussion of our interest rate swap agreement.

(2) The unconditional purchase obligations consist of minimum purchase commitments for telecommunication services, computer equipment, maintenance, consulting and other commitments.

(3) On March 31, 2011, and as amended on November 1, 2012, we entered into a ten year agreement with Xerox Consultant Company, Inc. (Xerox), formerly known as Affiliated Computer Services, Inc., 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 Xerox for current Allscripts’ employees to be retained by Xerox from our hosting staff, new remote hosting staff and technology infrastructure, as well as other data center and hosting services.

(4) We have letters of credit outstanding under our Credit Agreement. The letters of credit are provided as security for a corporate facilities lease and to support workers’ compensation insurance policies. No amounts had been drawn on the letters of credit.

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Item 7A. Quantitative and Qualitative Disclosures About Market Risk

We are exposed to market risks, primarily changes in U.S. and LIBOR interest rates. Allscripts is exposed to the risk that our earnings and cash flows could be adversely impacted by fluctuations in interest rates due to the cash borrowed under our Senior Secured Credit Facilities. Based on our balance of $441 million of debt under our Senior Secured Credit Facilities as of December 31, 2012, an increase in interest rates of 1.0% would cause a corresponding increase in our annual interest expense of $4 million. We entered into an interest rate swap agreement with an effective date of October 29, 2010 that has the economic effect of modifying the variable rate component of the interest obligations associated with a portion of our variable rate debt. The initial notional amount of the interest rate swap agreement was $300 million, with scheduled step downs over time, and a final termination date of October 31, 2014. At December 31, 2012, the notional amount of the interest rate swap agreement was $225 million. The interest rate swap agreement converts the one-month LIBOR rate on the corresponding notional amount of debt to an effective fixed rate of 0.896% (exclusive of the applicable margin currently charged under the Senior Secured Credit Facilities). The interest rate swap agreement protects us against changes in interest payments due to benchmark interest rate movements.

Allscripts has international operations; therefore, we are exposed to risks related to foreign currency fluctuations. Foreign currency fluctuations through December 31, 2012 have not had a material impact on our financial position or results of operations. We continually monitor our exposure to foreign currency fluctuations and may use derivative financial instruments and hedging transactions in the future if, in our judgment, the circumstances warrant their use. We believe most of our international operations are naturally hedged for foreign currency risk as our foreign subsidiaries invoice their clients and satisfy their obligations primarily in their local currencies with the exception of our development center in India. Our development center in India is not naturally hedged for foreign currency risk since their obligations are paid in their local currency but are funded in U.S. dollars. There can be no guarantee that the impact of foreign currency fluctuations in the future will not be significant and will not have a material impact on our financial position or results of operations.

As of December 31, 2012, we had cash and cash equivalents and marketable securities in financial instruments of $106 million. Declines in interest rates over time will reduce our interest income from our investments. Based upon our balance of cash and cash equivalents and marketable securities as of December 31, 2012, a decrease in interest rates of 1.0% would cause a corresponding decrease in our annual interest income of $1 million.

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Item 8. Financial Statements and Supplementary Data

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

The Board of Directors and Shareholders

Allscripts Healthcare Solutions, Inc.

We have audited the consolidated balance sheets of Allscripts Healthcare Solutions, Inc. as of December 31, 2012 and 2011, and the related statements of operations, comprehensive income (loss), stockholders’ equity, and cash flows for each of the two years in the period ended December 31, 2012. Our audits also included the financial statement schedule listed in the Index at Item 15(a)(2). These financial statements and schedule are the responsibility of the Company’s management. Our responsibility is to express an opinion on these financial statements based on our audits.

We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.

In our opinion, the financial statements referred to above present fairly, in all material respects, the consolidated financial position of Allscripts Healthcare Solutions, Inc. at December 31, 2012 and 2011, and the consolidated results of its operations and its cash flows for each of the two years in the period ended December 31, 2012, in conformity with U.S. generally accepted accounting principles. Also, in our opinion, the related financial statement schedule, when considered in relation to the basic financial statements taken as a whole, presents fairly in all material respects the information set forth therein.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), Allscripts Healthcare Solutions, Inc.’s internal control over financial reporting as of December 31, 2012, based on criteria established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission and our report dated March 1, 2013 expressed an unqualified opinion thereon.

/s/ Ernst & Young LLP

Chicago, Illinois

March 1, 2013

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REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

The Board of Directors and Shareholders

Allscripts Healthcare Solutions, Inc.

We have audited Allscripts Healthcare Solutions, Inc.’s internal control over financial reporting as of December 31,2012, based on criteria established in Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (the COSO criteria). Allscripts Healthcare Solutions, Inc.’s management is responsible for maintaining effective internal control over financial reporting, and for its assessment of the effectiveness of internal control over financial reporting included in the accompanying Management’s Report on Internal Control Over Financial Reporting. Our responsibility is to express an opinion on the company’s internal control over financial reporting based on our audit.

We conducted our audit in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all material respects. Our audit included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, testing and evaluating the design and operating effectiveness of internal control based on the assessed risk, and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion.

A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of the company’s assets that could have a material effect on the financial statements.

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

In our opinion, Allscripts Healthcare Solutions, Inc. maintained, in all material respects, effective internal control over financial reporting as of December 31, 2012, based on the COSO criteria.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), the consolidated balance sheets of Allscripts Healthcare Solutions, Inc. as of December 31, 2012 and 2011, and the related statements of operations, comprehensive income (loss), stockholders’ equity, and cash flows for each of the two years in the period ended December 31, 2012 of Allscripts Healthcare Solutions, Inc. and our report dated March 1, 2013 expressed an unqualified opinion thereon.

/s/ Ernst & Young LLP

Chicago, Illinois

March 1, 2013

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REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the Board of Directors and Stockholders of

Allscripts Healthcare Solutions, Inc:

In our opinion, the consolidated statements of operations, of comprehensive income, of stockholders’ equity and of cash flows for the seven months in the period ended December 31, 2010 and the year ended May 31, 2010 present fairly, in all material respects, the results of operations and cash flows of Allscripts Healthcare Solutions, Inc. and its subsidiaries for the seven months in the period ended December 31, 2010 and for the year ended May 31, 2010, in conformity with accounting principles generally accepted in the United States of America. In addition, in our opinion, the financial statement schedule for the seven months in the period ended December 31, 2010 and for the year ended May 31, 2010 presents fairly, in all material respects, the information set forth therein when read in conjunction with the related consolidated financial statements. These financial statements and financial statement schedule are the responsibility of the Company’s management. Our responsibility is to express an opinion on these financial statements and financial statement schedule based on our audits. We conducted our audits of these statements in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements, assessing the accounting principles used and significant estimates made by management, and evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.

/s/ PricewaterhouseCoopers LLP

Chicago, Illinois

February 28, 2011, except for the change in the composition of reportable segments discussed in Note 15 to the consolidated financial statements, as to which the date is March 11, 2013

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ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.

CONSOLIDATED BALANCE SHEETS

(In thousands, except per share amounts)	December 31, 2012			December 31, 2011
ASSETS
Current assets:
Cash and cash equivalents		$103,956			$157,753
Accounts receivable, net of allowance of $37,838 and $12,505 at December 31, 2012 and 2011, respectively		337,024			362,793
Deferred taxes, net		56,499			40,600
Prepaid expenses and other current assets		110,023			96,635
Total current assets		607,502			657,781
Long-term marketable securities		1,706			1,675
Fixed assets, net		155,494			122,563
Software development costs, net		95,579			98,378
Intangible assets, net		426,986			489,848
Goodwill		1,039,364			1,039,364
Deferred taxes, net		7,529			5,017
Other assets		50,304			88,998
Total assets		$2,384,464			$2,503,624
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Accounts payable		$45,874			$41,215
Accrued expenses		93,100			89,664
Accrued compensation and benefits		44,124			31,784
Deferred revenue		290,653			288,900
Current maturities of long-term debt and capital lease obligations		79,305			45,477
Total current liabilities		553,056			497,040
Long-term debt		362,697			322,664
Deferred revenue		19,750			18,891
Deferred taxes, net		125,913			119,728
Other liabilities		38,707			68,581
Total liabilities		1,100,123			1,026,904
Commitments and contingencies
Stockholders’ equity:
Preferred stock: $0.01 par value, 1,000 shares authorized, no shares issued and outstanding at December 31, 2012 and 2011		0			0
Common stock: $0.01 par value, 349,000 shares authorized at December 31, 2012 and 2011; 257,087 and 172,415 shares issued and outstanding at December 31, 2012, respectively, 254,691 and 190,382 shares issued and outstanding at December 31, 2011, respectively		2,571			2,547
Treasury stock: at cost, 84,672 and 63,951 shares at December 31, 2012 and 2011, respectively		(278,036	)		(52,075	)
Additional paid-in capital		1,577,260			1,543,167
Accumulated deficit		(17,530	)		(16,377	)
Accumulated other comprehensive income (loss)		76			(542	)
Total stockholders’ equity		1,284,341			1,476,720
Total liabilities and stockholders’ equity		$2,384,464			$2,503,624

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

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ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.

CONSOLIDATED STATEMENTS OF OPERATIONS

	Year Ended December 31,						Seven Months Ended December 31, 2010			Year Ended May  31, 2010
(In thousands, except per share amounts)	2012			2011
Revenue:
System sales		$145,274			$227,906			$103,873			$145,120
Professional services		270,541			250,348			93,875			75,439
Maintenance		460,138			438,999			200,746			257,978
Transaction processing and other		570,372			526,824			214,815			225,965
Total revenue		1,446,325			1,444,077			613,309			704,502
Cost of revenue:
System sales		128,300			144,139			63,392			85,070
Professional services		234,869			210,614			81,572			66,561
Maintenance		145,352			135,570			67,463			82,348
Transaction processing and other		331,269			288,189			102,713			81,679
Total cost of revenue		839,790			778,512			315,140			315,658
Gross profit		606,535			665,565			298,169			388,844
Selling, general and administrative expenses		384,370			387,571			232,788			224,995
Research and development		162,158			104,106			43,261			49,206
Asset impairment charges		11,101			0			0			0
Amortization of intangible assets		35,635			37,344			16,235			10,060
Income from operations		13,271			136,544			5,885			104,583
Interest expense		(16,187	)		(20,750	)		(9,687	)		(1,993	)
Interest income and other (expense), net		(14,544	)		1,685			843			946
Income (loss) before income taxes		(17,460	)		117,479			(2,959	)		103,536
Benefit (provision) for income taxes		16,307			(43,870	)		(2,606	)		(40,666	)
Net income (loss)		($1,153	)		$73,609			($5,565	)		$62,870
Earnings (loss) per share—basic and diluted		($0.01	)		$0.39			($0.03	)		$0.42

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

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ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)

	Year Ended December 31,						Seven Months Ended December 31, 2010			Year Ended May  31, 2010
(In thousands)	2012			2011
Net income (loss)		($1,153	)		$73,609			($5,565	)		$62,870
Other comprehensive income (loss):
Unrealized income (loss) on marketable securities, net of tax		78			(3	)		(1	)		63
Derivatives:
Unrealized (loss) income on derivative financial instruments		(1,563	)		(5,781	)		1,661			0
Reclassification adjustment for loss included in net income		1,783			2,024			342			0
Tax effect		(87	)		1,463			(776	)		0
Unrealized income (loss) on derivative financial instruments, net of tax		133			(2,294	)		1,227			0
Change in foreign currency translation adjustments		407			(578	)		1,063			0
Total other comprehensive income (loss)		618			(2,875	)		2,289			63
Comprehensive income (loss)		($535	)		$70,734			($3,276	)		$62,933

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

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ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.

CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY

	Common Stock Issued						Treasury Stock						Additional Paid-In Capital			Accumulated Deficit			Accumulated Other Comprehensive Income (Loss)
(In thousands)	Shares			Amount			Shares			Amount												Total
Balance at May 31, 2009		142,397			$1,423			0			$0			$846,257			($147,291	)		($19	)		$700,370
Stock-based compensation expense		0			0			0			0			13,918			0			0			13,918
Common stock issued under stock plans		1,519			16			0			0			3,578			0			0			3,594
Excess tax benefit realized upon exercise of stock-based compensation		0			0			0			0			6,251			0			0			6,251
Conversion of debentures		2,451			25			0			0			19,734			0			0			19,759
Net income		0			0			0			0			0			62,870			0			62,870
Unrealized gain on marketable securities, net of tax		0			0			0			0			0			0			63			63
Balance at May 31, 2010		146,367			1,464			0			0			889,738			(84,421	)		44			806,825
Stock-based compensation expense		0			0			0			0			17,968			0			0			17,968
Issuance of shares of common stock for purchase of Eclipsys		69,226			692			0			0			1,230,590			0			0			1,231,282
Common stock issued under stock plans		3,565			35			0			0			10,391			0			0			10,426
Tax benefit deficiency realized upon exercise of stock-based compensation		0			0			0			0			(457	)		0			0			(457	)
Issuance and receipt of shares of common stock related to the Coniston Transactions		61,308			613			(61,308	)		(613	)		0			0			0			0
Repurchase of shares of common stock related to the Coniston Transactions		(29,756	)		(297	)		0			0			(678,703	)		0			0			(679,000	)
Net loss		0			0			0			0			0			(5,565	)		0			(5,565	)
Unrealized loss on marketable securities, net of tax		0			0			0			0			0			0			(1	)		(1	)
Net unrealized gain on derivative financial instruments, net of tax		0			0			0			0			0			0			1,227			1,227
Foreign currency translation adjustment		0			0			0			0			0			0			1,063			1,063
Balance at December 31, 2010		250,710			2,507			(61,308	)		(613	)		1,469,527			(89,986	)		2,333			1,383,768
Stock-based compensation expense		0			0			0			0			41,199			0			0			41,199
Common stock issued under stock plans, net of shares withheld for employee taxes		3,981			40			0			0			23,623			0			0			23,663
Excess tax benefit realized upon exercise of stock-based compensation		0			0			0			0			8,818			0			0			8,818
Repurchase of shares of common stock		0			0			(2,643	)		(51,462	)		0			0			0			(51,462	)
Net income		0			0			0			0			0			73,609			0			73,609
Unrealized loss on marketable securities, net of tax		0			0			0			0			0			0			(3	)		(3	)
Net unrealized loss on derivative financial instruments, net of tax		0			0			0			0			0			0			(2,294	)		(2,294	)
Foreign currency translation adjustment		0			0			0			0			0			0			(578	)		(578	)
Balance at December 31, 2011		254,691			2,547			(63,951	)		(52,075	)		1,543,167			(16,377	)		(542	)		1,476,720
Stock-based compensation expense		0			0			0			0			39,985			0			0			39,985
Common stock issued under stock plans, net of shares withheld for employee taxes		2,396			24			0			0			(4,797	)		0			0			(4,773	)
Tax benefit deficiency realized upon exercise of stock-based compensation		0			0			0			0			(1,095	)		0			0			(1,095	)
Repurchase of shares of common stock		0			0			(20,721	)		(225,961	)		0			0			0			(225,961	)
Net loss		0			0			0			0			0			(1,153	)		0			(1,153	)
Unrealized income on marketable securities, net of tax		0			0			0			0			0			0			78			78
Net unrealized income on derivative financial instruments, net of tax		0			0			0			0			0			0			133			133
Foreign currency translation adjustment		0			0			0			0			0			0			407			407
Balance at December 31, 2012		257,087			$2,571			(84,672	)		($278,036	)		$1,577,260			($17,530	)		$76			$1,284,341

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

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ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

	Year Ended December 31,						Seven Months Ended December 31, 2010			Year Ended May  31, 2010
(In thousands)	2012			2011
Cash flows from operating activities:
Net income (loss)		($1,153	)		$73,609			($5,565	)		$62,870
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Depreciation and amortization		150,234			132,400			50,089			36,522
Stock-based compensation expense		39,126			40,752			18,916			14,849
Excess tax benefits from stock-based compensation		(3,516	)		(8,818	)		457			(6,251	)
Deferred taxes		(12,780	)		33,395			(3,825	)		31,562
Asset impairment charges		11,101			0			0			0
Other losses (gains)		2,407			3,513			476			(460	)
Changes in operating assets and liabilities, net of business combinations:
Accounts receivable, net		26,173			(45,853	)		903			(26,798	)
Prepaid expenses and other assets		(14,430	)		(17,551	)		(11,522	)		(18,695	)
Accounts payable		3,440			(8,546	)		(10,413	)		13,056
Accrued expenses		3,397			8,581			10,377			14,775
Accrued compensation and benefits		13,101			(14,766	)		448			709
Deferred revenue		3,214			72,728			25,288			18,092
Other liabilities		2,356			(690	)		152			(313	)
Net cash provided by operating activities		222,670			268,754			75,781			139,918
Cash flows from investing activities:
Capital expenditures		(80,166	)		(44,306	)		(24,552	)		(13,919	)
Capitalized software		(42,965	)		(60,748	)		(36,936	)		(21,097	)
Purchases of marketable securities and other investments		0			(12,900	)		(9	)		(4,008	)
Sales and maturities of marketable securities and other investments		94			55			1,598			7,017
Proceeds received from sale of fixed assets		0			20,000			0			0
Change in restricted cash		0			2,225			2,216			0
Net cash acquired in merger with Eclipsys		0			0			170,102			0
Net cash (used in) provided by investing activities		(123,037	)		(95,674	)		112,419			(32,007	)
Cash flows from financing activities:
Proceeds from issuance of common stock		5,519			35,119			10,426			3,594
Excess tax benefits from stock-based compensation		3,516			8,818			(457	)		6,251
Taxes paid related to net share settlement of equity awards		(10,292	)		(11,456	)		0			0
Payments of capital lease obligations		(822	)		(1,427	)		(830	)		(1,510	)
Credit facility payments		(250,874	)		(170,424	)		(80,875	)		(43,995	)
Credit facility borrowings, net of issuance costs		324,010			47,193			547,744			0
Repurchase of common stock		(225,961	)		(51,462	)		(679,000	)		0
Net cash used in financing activities		(154,904	)		(143,639	)		(202,992	)		(35,660	)
Effect of exchange rate changes on cash and cash equivalents		1,474			(1,091	)		785			0
Net (decrease) increase in cash and cash equivalents		(53,797	)		28,350			(14,007	)		72,251
Cash and cash equivalents, beginning of period		157,753			129,403			143,410			71,159
Cash and cash equivalents, end of period		$103,956			$157,753			$129,403			$143,410

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

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ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

1. Basis of Presentation and Significant Accounting Policies

Eclipsys Merger

On August 24, 2010, Allscripts-Misys Healthcare Solutions, Inc. (which changed its name to Allscripts Healthcare Solutions, Inc., “Allscripts” or the “Company”) completed the merger (the “Eclipsys Merger”) contemplated by an Agreement and Plan of Merger dated June 9, 2010 (“Merger Agreement”) by and among Allscripts, Arsenal Merger Corp., a wholly-owned subsidiary of Allscripts, and Eclipsys Corporation, an enterprise provider of solutions and services to hospitals and clinicians (“Eclipsys”). Eclipsys became a wholly-owned subsidiary of Allscripts as a result of the merger. The results of Eclipsys are consolidated with the results of Allscripts from August 24, 2010.

The merger with Eclipsys has been accounted for as a purchase business combination. Under the acquisition method of accounting, the purchase price was allocated to the tangible and intangible assets acquired and liabilities assumed based on their estimated fair values as of the acquisition date. The operating results of Eclipsys are included in the accompanying consolidated statements of operations for periods subsequent to the completion of the merger, August 24, 2010.

Change in Fiscal Year

On August 23, 2010, the Board of Directors approved a change of fiscal year end from May 31 to December 31. As such, the two most current periods represent the twelve months ended December 31, 2012 and 2011 reported on the basis of the new fiscal year beginning as of January 1. Our other periods consisted of the seven month transition period beginning June 1, 2010 through December 31, 2010, and the twelve months ended May 31, 2010 presented on the basis of our previous fiscal year end.

Principles of Consolidation

The consolidated financial statements include the accounts of Allscripts Healthcare Solutions, Inc. and our wholly-owned subsidiaries. All significant intercompany balances and transactions have been eliminated.

Certain prior period amounts in the accompanying consolidated financial statements have been reclassified to conform to the current year presentation. These reclassifications had no effect on previously reported net income or stockholders’ equity. The amounts reclassified for each period are as follows:

Reclassifications in the Consolidated Statements of Operations:

					Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
	Year Ended December 31,
(In thousands)	2012		2011
Revenue reclassifications from system sales to maintenance		$0		$14,963		$9,244		$9,477

Reclassifications in the Consolidated Balance Sheets:

	December 31,		December 31,
(In thousands)	2012		2011
Reclassification to other assets from prepaid expenses and other current assets		$0		$9,151
Decrease in prepaid expenses and other assets and accrued expenses		0		13,717

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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 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 (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 system sales and professional 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 use 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.

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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 result in a requirement to either separate or combine deliverables, such that a delivered item could now meet the separation criteria and qualify as a separate unit of accounting which may lead to an upward or downward adjustment to the amount of revenue recognized under the arrangement on a prospective basis.

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 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.

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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. These amounts totaled:

					Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
	Year Ended December 31,
(In thousands)	2012		2011
Reimbursements for out-of-pocket expenses incurred as professional services revenue		$22,656		$20,788		$6,700		$4,777

Revenue earned on contracts in excess of billings, both the current and non-current portions, is included in the balance of accounts receivable and other assets, respectively. Billings are expected to occur according to the contract terms. Revenue earned on contracts in excess of billings and deferred revenue consisted of the following:

	December 31,
(In thousands)	2012		2011
Revenue earned on contracts in excess of billings
Unbilled revenue (current)		$53,988		$75,204
Unbilled revenue (long-term)		2,301		3,329
Total revenue earned on contracts in excess of billings		$56,289		$78,533
Deferred revenue
Prepayments and billings in excess of revenue earned on contracts in progress for software and services		$181,074		$180,123
Prepayments and billings in excess of revenue earned on contracts in progress for support and maintenance		109,579		108,777
Deferred revenue (current)		290,653		288,900
Prepayments and billings in excess of revenue earned on contracts in progress (long-term)		19,750		18,891
Total deferred revenue		$310,403		$307,791

Fair Value Measurements

The fair values of assets and liabilities required to be measured at fair value are categorized based on 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

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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 that are considered to be Level 2 inputs. Our Level 2 derivative financial instrument represents an interest rate swap contract that is valued based on 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	December 31, 2012								December 31, 2011
(In thousands)		Level 1		Level 2			Total			Level 1		Level 2			Total
Money market funds	Cash equivalents		$14,653		$0			$14,653			$14,071		$0			$14,071
Marketable securities	Long-term marketable securities		0		1,706			1,706			0		1,675			1,675
Derivatives	Other liabilities		0		(1,534	)		(1,534	)		0		(1,754	)		(1,754	)
Total			$14,653		$172			$14,825			$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 December 31, 2012 and are included in other assets in the accompanying consolidated balance sheets (see note 22 regarding the subsequent sale of our investment in Humedica, Inc.). 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.

Financial Instruments

We consider all highly liquid investments with an original maturity of three months or less to be cash equivalents. The fair values of these investments approximate their carrying values.

Other investments classified as long-term marketable securities include certain debt instruments. Debt securities are classified as available-for-sale and realized gains and losses are recorded using the specific identification method. Realized and unrealized gains and losses for all periods presented are immaterial. Changes in market value, excluding other-than-temporary impairments, are reflected in other comprehensive income. There were no other-than-temporary impairments for the years ended December 31, 2012 and 2011, the seven months ended December 31, 2010 and for the year ended May 31, 2010.

Derivative instruments are recognized as either assets or liabilities and are measured at fair value. The accounting for changes in the fair value of a derivative depends on the intended use of the derivative and the resulting designation.

For derivative instruments designated as cash-flow hedges, the effective portion of the derivative’s gain (loss) is initially reported as a component of other comprehensive income and is subsequently recognized in earnings when the hedged exposure is recognized in earnings. Gains (losses) on derivatives representing either hedge components excluded from the assessment of effectiveness or hedge ineffectiveness are recognized in earnings. There were no realized gains (losses) on derivatives for the years ended December 31, 2012 and 2011, the seven months ended December 31, 2010 and for the year ended May 31, 2010.

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Allowance for Doubtful Accounts Receivable

Accounts receivable are recorded at the invoiced amounts and do not bear interest. The allowance for doubtful accounts is recorded to provide for estimated losses resulting from uncollectible accounts, and is based principally on specifically identified amounts where collection is deemed doubtful. Additional non-specific allowances are recorded based on historical experience and management’s assessment of a variety of factors related to the general financial condition of Allscripts’ customers, the industry in which we operate and general economic conditions. Allscripts reviews the collectability of individual accounts and assesses the adequacy of the allowance for doubtful accounts. Account balances are charged off against the allowance after all means of collection has been exhausted and the potential for recovery is considered remote. During the fourth quarter of 2012, due to deterioration in its accounts receivable aging, we revised our estimate regarding uncollectible and slow paying accounts and recorded an increase in the allowance for doubtful accounts of approximately $16.8 million. The majority of these aged accounts receivable balances related to maintenance services provided to ongoing customers. Accordingly, this incremental reserve was recorded as a reduction of our maintenance revenues during the three months ended December 31, 2012. If the financial condition of our customers were to deteriorate, resulting in an impairment of their ability to make payments, additional allowances may be required. Allscripts does not have any significant off-balance-sheet credit exposure related to its customers.

Fixed Assets

Fixed assets are stated at cost. Depreciation and amortization are computed on the straight-line method over the estimated useful lives of the related assets. The depreciable life of leasehold improvements is the shorter of the lease term or the useful life. Upon asset retirement or other disposition, cost and the related accumulated depreciation are removed from the accounts, and any gain or loss is included in the consolidated statements of operations. Amounts expended for repairs and maintenance are expensed as incurred.

Business Combinations

Goodwill as of the acquisition date is measured as the excess of consideration transferred and the net of the acquisition date fair values of the assets acquired and the liabilities assumed. While we use our best estimates and assumptions as a part of the purchase price allocation process to accurately value assets acquired, including intangible assets, and liabilities assumed at the acquisition date, our estimates are inherently uncertain and subject to refinement. As a result, during the measurement period, which may be up to one year from the acquisition date, we may record adjustments to the assets acquired and liabilities assumed, with the corresponding offset to goodwill. Upon the conclusion of the measurement period or final determination of the values of assets acquired or liabilities assumed, whichever comes first, any subsequent adjustments are recorded to our consolidated statements of operations.

Goodwill and Intangible Assets

Goodwill and intangible assets acquired in a business combination and determined to have an indefinite useful life are not amortized in accordance with accounting guidance, but accounting guidance requires that we perform an impairment test at least annually. The goodwill impairment analysis is comprised of two steps. In step one the estimated fair value of a reporting unit is compared to its carrying value. Step two is required only if there is a deficiency (the estimated fair value is less than the carrying value). In step two the actual amount of the goodwill impairment is calculated by comparing the implied fair value of the reporting unit’s goodwill with the carrying amount of that goodwill. The implied fair value is determined in the same manner as the amount of goodwill recognized in a business combination. If the carrying value of a reporting unit’s goodwill exceeds its implied fair value, then an impairment loss equal to the difference would be recorded. The recoverability of indefinite lived intangible assets is assessed by comparison of the carrying value of the asset to its estimated fair value. If we determine that the carrying value of the asset exceeds its estimated fair value, an impairment loss would be recorded equal to the excess.

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During the three months ended June 30, 2011, we voluntarily changed the date of our annual impairment test for goodwill and indefinite lived intangible assets from May 31 to the first day of the fiscal fourth quarter. This change is preferable under the circumstances as it aligns the timing of the annual goodwill impairment test with our strategic planning and budgeting process, which will enable management to use the updated strategic business plans that result from the budget process in the discounted cash flow analyses that it uses to estimate the fair value of our reporting units. The change did not delay, accelerate or avoid an impairment charge. This change was not applied retrospectively as it was impracticable to do so because retrospective application would require the application of significant estimates and assumptions with the use of hindsight. Accordingly, the change was applied prospectively. There was no impairment identified as a result of our annual impairment tests.

Accounting guidance also requires that intangible assets with estimable useful lives be amortized over their respective estimated useful lives and reviewed for impairment. We estimate the useful lives of our intangible assets and ratably amortize the value over the remaining estimated economic lives of those assets, including the period being reported on. If the actual useful life is shorter than our estimated useful life, we will amortize the remaining book value over the remaining useful life or the asset may be deemed to be impaired and, accordingly, a write-down of the value of the asset may be required.

Long-Lived Assets and Long-Lived Assets to Be Disposed Of

Allscripts reviews its long-lived assets for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of assets to be held and used is measured by a comparison of the carrying amount of an asset to future net cash flows expected to be generated by the asset. If assets are considered to be impaired, the impairment to be recognized is measured by the amount by which the carrying amount of the assets exceeds the fair value of the assets.

Software Development Costs

Allscripts capitalizes purchased software that is ready for service and software development costs incurred from the time technological feasibility of the software is established until the software is available for general release in accordance with accounting guidance. Research and development costs and other computer software maintenance costs related to software development are expensed as incurred. Upon the establishment of technological feasibility, related software development costs are capitalized. We estimate the useful life of our capitalized software and amortize the value over that estimated life. If the actual useful life is shorter than our estimated useful life, we will amortize the remaining book value over the remaining useful life or the asset may be deemed to be impaired and, accordingly, a write-down of the value of the asset may be required. Upon the availability for general release, Allscripts commences amortization of the software on a product by product basis. Amortization of capitalized software is recorded using the greater of (i) the ratio of current revenues to total and anticipated future revenues for the applicable product or (ii) the straight-line method over the remaining estimated economic life, which is estimated to be three to five years.

At each balance sheet date, the unamortized capitalized costs of a software product are compared with the net realizable value of that product. The amount by which the unamortized capitalized costs of a software product exceed the net realizable value of that asset is written off. The net realizable value is the estimated future gross revenues from that product reduced by the estimated future costs of completing and disposing of that product, including the costs of performing maintenance and customer support required to satisfy Allscripts’ responsibility set forth at the time of sale. The carrying value of capitalized software depends on the ability to recover its value through future revenue from the sale of the software. If we determine in the future that the value of the capitalized software could not be recovered, a write-down of the value of the capitalized software to its recoverable value may be required.

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The unamortized balances of capitalized software were as follows:

	December 31,
(In thousands)	2012			2011
Software development costs		$156,703			$132,714
Less: accumulated amortization		(61,124	)		(34,336	)
Software development costs, net		$95,579			$98,378

Capitalized software development costs, write-offs and amortization of capitalized software development costs included in system sales cost of revenue and impairments were as follows:

					Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
	Year Ended December 31,
(In thousands)	2012		2011
Capitalized software development costs		$42,965		$60,748		$36,936		$21,097
Write-offs of capitalized software development costs		$8,699		$0		$0		$0
Amortization of capitalized software development costs		$37,065		$23,669		$5,538		$4,712

Income Taxes

We account for income taxes using the liability method, which requires the recognition of deferred tax assets or liabilities for the tax-effected temporary differences between the financial reporting and tax bases of our assets and liabilities and for net operating loss and tax credit carryforwards. The tax expense or benefit for unusual items, or certain adjustments to the valuation allowance, are treated as discrete items in the interim period in which the events occur. The objectives of accounting for income taxes are to recognize the amount of taxes payable or refundable for the current year and deferred tax liabilities and assets for the future tax consequences of events that have been recognized in an entity’s financial statements or tax returns. Judgment is required in addressing the future tax consequences of events that have been recognized in our consolidated financial statements or tax returns.

In addition, 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.

The calculation of tax liabilities involves dealing with uncertainties in the application of complex tax regulations. In accordance with authoritative accounting guidance, we recognize liabilities for anticipated tax audit issues based on our estimate of whether, and the extent to which, additional taxes may be required. If we ultimately determine that payment of these amounts is unnecessary, then we reverse the liability and recognize a tax benefit during the period in which we determine that the liability is no longer necessary. We also recognize tax benefits to the extent that it is more likely than not that our positions will be sustained if challenged by the taxing authorities. To the extent we prevail in matters for which liabilities have been established, or are required to pay amounts in excess of our liabilities, our effective tax rate in a given period may be materially affected. An unfavorable tax settlement would require cash payments and may result in an increase in our effective tax rate in the year of resolution. A favorable tax settlement would be recognized as a reduction in our effective tax rate in the year of resolution. We report interest and penalties related to uncertain income tax positions in the provision for income taxes line of our consolidated statements of operations.

We file income tax returns in the U.S. federal jurisdiction, numerous states and multiple international countries.

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Earnings Per Share

Basic income per share is computed by dividing net income by the weighted-average shares of outstanding common stock, as adjusted for income allocated to participating securities. 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, restricted stock unit awards and conversion of the 3.5% Senior Convertible Debentures (the “Debentures”) using the treasury stock method.

The calculations of earnings per share are as follows:

						Seven Months  Ended December 31, 2010			Year Ended May  31, 2010
	Year Ended December 31,
(In thousands, except per share amounts)	2012			2011
Basic Earnings (Loss) per Common Share:
Net income (loss)		($1,153	)		$73,609		($5,565	)		$62,870
Less: Income allocated to participating securities		0			0		0			(1,308	)
Net income (loss) available to common shareholders		($1,153	)		$73,609		($5,565	)		$61,562
Weighted average common shares outstanding		178,699			189,254		168,110			145,146
Basic Earnings (Loss) per Common Share		($0.01	)		$0.39		($0.03	)		$0.42
Earnings (Loss) per Common Share Assuming Dilution:
Net income (loss)		($1,153	)		$73,609		($5,565	)		$62,870
Less: Income allocated to participating securities		0			0		0			(1,281	)
Add: Interest expense on Debentures, net of tax		0			0		0			69
Net income (loss) available to common shareholders		($1,153	)		$73,609		($5,565	)		$61,658
Weighted average common shares outstanding		178,699			189,254		168,110			145,146
Dilutive effect of stock options and restricted stock units awards		0			1,786		0			2,782
Dilutive effect of Debentures		0			0		0			456
Weighted average common shares outstanding assuming dilution		178,699			191,040		168,110			148,384
Earnings (Loss) per Common Share Assuming Dilution:		($0.01	)		$0.39		($0.03	)		$0.42

The as-if converted shares and interest expense related to our Debentures were included for the year ended May 31, 2010.

The as-if converted shares totaling 3 million were not included in the seven months ended December 31, 2010 as the effects were anti-dilutive.

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:

					Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
	Year Ended December 31,
(In thousands)	2012		2011
Shares subject to anti-dilutive stock options and share awards excluded from calculation		2,878		1,203		772		26

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Stock-Based Compensation

Under the fair value recognition provisions of accounting guidance related to stock-based payment arrangements, 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, 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.

The net proceeds from stock-based compensation activities are reflected as a financing activity within the consolidated statements of cash flows. Allscripts settles employee stock option exercises and stock awards with newly issued common shares.

Stockholder Rights Plan

The Company is authorized to issue up to 1 million shares of preferred stock, of which 349 thousand shares have been designated as Series A Junior Participating Preferred Stock. As of December 31, 2012 and December 31, 2011, no shares of preferred stock were issued or outstanding.

On May 5, 2012, our Board of Directors adopted a stockholder 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 first public announcement of the Rights Plan. 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.

Retirement Savings Plan

We sponsor an employee benefit plan (the “Plan”) pursuant to Section 401(k) of the Internal Revenue Code of 1986, as amended. We contributed the following amounts to the Plan:

					Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
	Year Ended December 31,
(In thousands)	2012		2011
Company contributions to employee benefit plan		$13,776		$11,182		$4,838		$5,007

Foreign Currency

The financial position and results of operations of the Company’s subsidiaries, with the exception of its subsidiary in India, are measured using the currency of the respective countries as the functional currency. Assets and liabilities are translated at the foreign exchange rate in effect at the balance sheet date, while revenues and

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expenses for the year are translated at the average exchange rate in effect during the year. Translation gains and losses are not included in determining net income or loss but are accumulated and reported as a separate component of stockholders’ equity.

The functional currency of the Indian subsidiary is the U.S. dollar, with monetary assets and liabilities remeasured into U.S. dollars at year-end exchange rates, and revenues and expenses remeasured at average rates prevailing during the year.

Allscripts has not entered into any foreign currency hedging contracts during the years ended December 31, 2012 and 2011, the seven months ended December 31, 2010 and for the year ended May 31, 2010.

Concentrations of Credit Risk

Financial instruments that potentially subject Allscripts to a concentration of credit risk consist of cash and cash equivalents, marketable securities and trade receivables. Allscripts primarily maintains its cash balances with two major commercial banks and its cash equivalents and marketable securities in interest-bearing, investment-grade securities.

Allscripts sells its products and services to healthcare providers. Credit risk with respect to trade receivables is generally diversified due to the large number of customers and their geographic dispersion. To reduce credit risk, Allscripts performs ongoing credit evaluations of significant customers and their payment histories. In general, Allscripts does not require collateral from its customers, but it does enter into advance deposit, security or guarantee agreements, if appropriate. Bad debt expense was as follows:

					Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
	Year Ended December 31,
(In thousands)	2012		2011
Bad debt expense		$22,947		$10,059		$6,140		$7,785

The majority of revenue is derived from customers located in the United States. The majority of long-lived assets are located in the United States. No customers accounted for greater than 10% of revenue in the years ended December 31, 2012 and 2011, the seven months ended December 31, 2010 and for the year ended May 31, 2010. No customer represented more than 10% of accounts receivable as of December 31, 2012 or 2011.

Use of Estimates

The preparation of consolidated financial statements in conformity with generally accepted accounting principles (“GAAP”) in the United States of America 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.

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. This guidance did 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

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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.

2. Business Combinations and Divestitures

Merger with Eclipsys Corporation

On August 24, 2010, the transactions contemplated by the Merger Agreement were completed and Eclipsys became a wholly-owned subsidiary of Allscripts, the accounting acquirer. Pursuant to the terms of the Merger Agreement, each outstanding share of Eclipsys common stock, other than shares held by Eclipsys in its treasury, by any wholly owned subsidiary of Eclipsys, by Allscripts or by any wholly owned subsidiary of Allscripts, was converted into the right to receive 1.2 shares (the “Exchange Ratio”) of Allscripts common stock (plus cash in lieu of fractional shares). Additionally, each outstanding Eclipsys stock option, restricted stock award, restricted stock unit, deferred stock unit and performance stock unit award was converted into an Allscripts option, restricted stock award, restricted stock unit, deferred stock unit or performance stock unit award, as the case may be, with appropriate adjustments to the number of shares subject to the award and, if applicable, the per share exercise price to reflect the Exchange Ratio.

Under the acquisition method of accounting, the purchase price was allocated to the tangible and intangible assets acquired and liabilities assumed based on their estimated fair values as of the acquisition date. The fair value of the assets acquired and liabilities assumed represent management’s estimate of fair value.

The results of Eclipsys are included in the accompanying consolidated statements of operations for periods subsequent to the completion of the merger, August 24, 2010.

The total purchase price for the acquisition is comprised of the following:

(Dollar amounts in thousands, except per share amounts)
Fair value of Eclipsys (69 million Allscripts common shares at $17.47, the closing stock price of Allscripts on August 24, 2010)	$1,209,366
Share-based compensation value	21,914
Total purchase price	$1,231,280

Acquisition and integration-related costs included in selling, general and administrative expenses for the years ended December 31, 2012 and December 31, 2011, the seven months ended December 31, 2010 and the year ended May 31, 2010 totaled $4 million, $36 million, $57 million and $4 million, respectively.

The purchase price has been allocated to the tangible and intangible assets acquired and liabilities assumed based on management’s estimates of their current fair values as follows:

(In thousands)
Acquired cash and cash equivalents, and restricted cash	$174,543
Accounts receivable, net	136,198
Prepaid expenses and other current assets	31,520
Fixed assets and other long-term assets	83,680
Goodwill	623,614
Intangible assets	377,000
Deferred tax liabilities, net	(13,128	)
Accounts payable and accrued liabilities	(59,166	)
Deferred revenue	(106,344	)
Other liabilities	(16,637	)
Net assets acquired	$1,231,280

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Goodwill was determined based on the residual difference between the purchase price and the value assigned to tangible and intangible assets and liabilities, and is not deductible for tax purposes. Among the factors that contributed to a purchase price resulting in the recognition of goodwill were Eclipsys’ history of profitability and high operating margins, strong sales force and overall employee base, and its position in the healthcare information technology market. During the year ended December 31, 2011, we recorded goodwill purchase accounting adjustments primarily related to fair value adjustments of certain tax liabilities totaling approximately $2 million. These adjustments are not reflected in the table above.

The acquired intangible assets are being amortized on a straight-line basis over their useful lives and consist of the following:

(Dollar amounts in thousands)	Useful Life in Years		Fair Value
Description
Maintenance and outsourcing agreements		20		$59,000
Hosting agreements		15		26,000
Services agreements		12		37,000
Developed technology		7		69,000
Core technology		12		95,000
Trade name		3		13,000
Maintenance and outsourcing contract backlog		5		48,000
Hosting contract backlog		6		16,000
Services backlog		2		14,000
				$377,000

The following unaudited pro forma information assumes the Eclipsys Merger occurred as of the beginning of the earliest periods presented. The pro forma financial information for all periods presented also includes the business combination accounting effects resulting from the Eclipsys Merger including our amortization charges from acquired intangible assets, the elimination of certain intangible asset amortization incurred by Eclipsys, stock-based compensation charges for equity awards assumed, adjustments to interest expense for certain borrowings, adjustments for transaction-related expenses and the related tax effects as though the aforementioned companies were combined at the beginning of the earliest period presented. The unaudited pro forma supplemental results have been prepared based on estimates and assumptions, which we believe are reasonable and are not necessarily indicative of the consolidated financial position or results of operations had the merger occurred at the beginning of the earliest period presented, nor of future results of operations. For pro forma purposes, quarterly financial results of legacy Eclipsys have been combined in order to align with the historical financial reporting periods of Allscripts. Accordingly, the financial results of legacy Eclipsys for the twelve months ended June 30, 2010 have been combined with the results of Allscripts for the year ended May 31, 2010. The unaudited pro forma results are as follows:

			Supplemental Pro Forma Data
(In thousands, except per share amounts)	August 24, 2010 through December 31, 2010		Seven Months Ended December 31, 2010		Year Ended May 31, 2010
Total revenue	$	174,677	$	720,176	$	1,224,279
Net (loss) income	$	(9,707)	$	55,894	$	66,134
Earnings per share—basic and diluted			$	0.29	$	0.35

The unaudited pro forma information for the seven months ended December 31, 2010 and the year ended May 31, 2010 include the following adjustments:

• Net increase in revenues and net increase in net income representing legacy Eclipsys pre-merger revenues and net income as follows: revenues of $80 million and net income of $3 million for the seven months ended December 31, 2010; revenues of $522 million and net income of $15 million for the twelve months ended June 30, 2010.

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• Increase in revenues for the seven months ended December 31, 2010 of $27 million and a decrease in revenues for the year ended May 31, 2010 of approximately $2 million relating to deferred revenue acquisition accounting adjustments.

• Increase to amortization expense for the seven months ended December 31, 2010 and the year ended May 31, 2010 of approximately $1 million and $21 million, respectively, related to management’s estimate of the fair value of intangible assets acquired as a result of the Eclipsys Merger. These increases reflect the elimination of all legacy Eclipsys historical intangible asset and capitalized software amortization for all applicable periods.

• Increase to interest expense for the seven months ended December 31, 2010 and the year ended May 31, 2010 of approximately $3 million and $22 million, respectively, related to the debt used to finance a portion of the stock transactions and contingent share repurchase contemplated by the Framework Agreement (“Coniston Transactions”). These increases reflect the elimination of previously recognized interest expense of legacy Allscripts and legacy Eclipsys.

• Decrease to stock-based compensation expense for the seven months ended December 31, 2010 of approximately $0 and an increase for the year ended May 31, 2010 of $7 million related to equity awards of legacy Eclipsys assumed as part of the Eclipsys Merger.

• Operating expenses reflect decreases of $72 million in the seven months ended December 31, 2010, which includes $15 million of transaction expenses included in the pre-merger results of legacy Eclipsys, and $14 million for the year ended May 31, 2010 to reflect transaction-related expenses of legacy Allscripts and legacy Eclipsys as if the merger occurred as of the beginning of the earliest period presented.

Excluding the net pre-merger impacts of legacy Eclipsys described above, all pro forma adjustments are reflected in pro forma earnings (loss) assuming an effective income tax rate of 39%.

3. Reduction of Misys Share Ownership

On June 9, 2010, Allscripts entered into a Framework Agreement with Misys plc (“Misys”), which was subsequently amended on July 26, 2010 (as amended, the “Framework Agreement”). Pursuant to the Framework Agreement, Allscripts and Misys agreed to reduce Misys’ existing indirect ownership interest in Allscripts through a series of transactions, which we refer to as the “Coniston Transactions.” As of June 8, 2010, Misys held indirectly 80 million shares of Allscripts’ common stock, representing approximately 55% of the aggregate voting power of Allscripts’ capital stock.

The Coniston Transactions were completed on August 27, 2010; accordingly, Misys’ equity stake in Allscripts was reduced to approximately 10% of the outstanding shares of Allscripts common stock. The repurchased stock was retired and the associated excess of the repurchase price over par totaling $679 million was allocated to additional paid-in capital.

On November 17, 2010, Kapiti Limited and ACT Sigmex Limited, each a wholly-owned subsidiary of Misys, sold shares of common stock of Allscripts resulting in Misys holding approximately 4% of the outstanding shares of our common stock.

On February 24, 2011, Misys announced that it had disposed of its remaining investment in Allscripts common stock.

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4. Fixed Assets

Fixed assets consist of the following:

(Dollar amounts in thousands)	Estimated Useful Life	December 31, 2012			December 31, 2011
Computer equipment and software	3 to 7 years		$227,092			$157,845
Facility furniture, fixtures and equipment	5 to 7 years		22,779			18,128
Leasehold improvements	7 to 8 years, or life of lease if shorter		24,472			22,243
Assets under capital lease	3 to 5 years		9,419			9,580
			283,762			207,796
Less: accumulated depreciation and amortization			(128,268	)		(85,233	)
Fixed assets, net			$155,494			$122,563

Fixed assets depreciation and amortization expense were as follows:

	Year Ended December 31,				Seven Months Ended December 31, 2010		Year Ended May  31, 2010
(In thousands)	2012		2011
Fixed assets depreciation and amortization expense		$43,126		$35,794		$12,588		$9,161

5. Goodwill and Intangible Assets

Goodwill and intangible assets consist of the following:

	December 31, 2012							December 31, 2011
(In thousands)	Gross Assets		Accumulated Amortization			Intangible Assets, Net		Gross Assets		Accumulated Amortization			Intangible Assets, Net
Intangible assets
Intangible assets subject to amortization
Proprietary technology		$361,660		($197,383	)		$164,277		$361,660		($170,157	)		$191,503
Customer contracts and relationships		312,600		(101,891	)		210,709		534,355		(288,010	)		246,345
Total intangible assets subject to amortization		674,260		(299,274	)		374,986		896,015		(458,167	)		437,848
Indefinite lived and non-amortizable registered trademarks		52,000		0			52,000		52,000		0			52,000
Total intangible assets		$726,260		($299,274	)		$426,986		$726,260		($236,412	)		$489,848
Goodwill		$1,039,364		$0			$1,039,364		$1,039,364		$0			$1,039,364

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 reportable segments: Software Delivery, Services Delivery, Client Support, Pathway Solutions and IT Outsourcing. Refer to Note 15 Business Segments for additional information.

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As a result of the changes to our operating segments, we assessed our new reporting units and allocated goodwill. As part of this assessment, we determined the fair value of each of our reporting units using both a discounted cash flow analysis and a market approach considering benchmark company market multiples. We also considered our market capitalization on the date of the analysis. We then allocated goodwill to each reporting unit based on their relative fair values. The resulting allocation of goodwill to individual reporting units is shown below.

There were no changes in the total carrying value of goodwill during 2012. During 2011, the total carrying value of goodwill increased by approximately $2 million due to purchase accounting adjustments related to the Eclipsys Merger. Following the realignment of our business segments during 2012, the carrying amounts of goodwill by reportable segment at December 31, 2012 were as follows (Remote Hosting is an operating segment that does not meet the quantitative thresholds for determining reportable segments; however, we have presented the portion of goodwill allocated to this segment within our reconciliation to consolidated amounts in the table below):

(In thousands)	Software Delivery		Services Delivery		Client Support		Pathway Solutions		IT Outsourcing		Remote Hosting		Total
Balance as of December 31, 2012
Goodwill		$320,299		$87,665		$327,793		$208,795		$59,029		$35,783		$1,039,364
Accumulated impairment losses		0		0		0		0		0		0		0
		$320,299		$87,665		$327,793		$208,795		$59,029		$35,783		$1,039,364

In conjunction with the allocation of goodwill to our revised reporting units, we performed step one of the annual goodwill impairment test as of July 1, 2012. For each reporting unit, fair value exceeded its carrying value and no indicators of impairment were identified as a result of the interim step one test. We again performed step one of the goodwill impairment test as of October 1, 2012, our annual testing date. For each reporting unit, fair value exceeded its carrying value and no impairment was identified.

Due to a decline in our stock price during the final three months of 2012, which we considered to be an indicator of potential impairment, we re-performed step one of the goodwill impairment test as of December 31, 2012. Based on re-performance of step one, no impairment was identified.

Intangible assets are being amortized over their estimated useful lives. Allscripts recorded amortization expense related to the intangible assets as follows:

	Year Ended December  31,				Seven Months Ended December 31, 2010		Year Ended May  31, 2010
(In thousands)	2012		2011
Proprietary technology amortization included in cost of revenue, system sales		$27,226		$27,478		$12,719		$11,064
Intangible amortization included in operating expenses		35,635		37,344		16,235		10,060
Total intangible amortization expense		$62,861		$64,822		$28,954		$21,124

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Estimated future amortization expense for the intangible assets that exist as of December 31, 2012 is as follows:

(Dollar amounts in thousands)	Year Ended December 31,
2013		$55,102
2014		52,286
2015		47,466
2016		35,421
2017		30,220
Thereafter		154,491
Total		$374,986

6. Asset Impairment Charges

On October 3, 2012, to serve our clients and the healthcare market better, we publicly announced a plan to standardize our small office electronic health record and practice management systems. As part of this plan, we will converge, over time, our MyWay Electronic Health Record System (“MyWay”) and Professional Suite Electronic Health Record System.

We plan to upgrade MyWay clients electing to migrate to the converged platform between January 2013 and September 2013, at no additional cost to the MyWay clients. The upgrade will position MyWay clients for Meaningful Use Stage 2 and ICD-10 compliance, and prepare them for the shift to value-based care that focuses on costs, quality and outcomes. MyWay clients not electing to upgrade will continue to have use of the application.

As a result of the above decision and the related elimination of future cash flows from sales of the MyWay application, we recorded a non-cash charge to earnings in 2012 related to the impairment of previously capitalized software development costs for MyWay plus the net carrying value of a perpetual license for certain software code incorporated in MyWay as follows:

	Year Ended December 31,				Seven Months Ended December 31, 2010		Year Ended May  31, 2010
(In thousands)	2012		2011
Asset impairment charges		$11,101		$0		$0		$0

The write-downs of the capitalized software development costs and the perpetual license related to MyWay are based on our estimates of their fair values, which we believe to be zero. The inputs into these fair value estimates reflect our market assumptions and are not observable. Consequently, the inputs are considered to be Level 3 as specified in the fair value hierarchy (refer to “Fair Value Measurements” under Note 2 regarding the hierarchical levels of fair value inputs).

7. Accrued Expenses

Accrued expenses consist of the following:

(In thousands)	December 31, 2012		December 31, 2011
Royalties, certain third party product costs and licenses		$31,795		$33,795
Other		61,305		55,869
Total accrued expenses		$93,100		$89,664

Other consists of various accrued expenses and no individual item accounted for more than 5% of the current liabilities balance at the respective balance sheet dates.

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8. Debt

Debt outstanding consisted of the following:

(In thousands)	December 31, 2012		December 31, 2011
Senior Secured Credit Facilities (long-term portion)		$362,697		$322,664
Senior Secured Credit Facilities (current portion)		78,770		44,677
Total debt		$441,467		$367,341

Interest expense consisted of the following:

	Year Ended December 31,				Seven Months Ended December 31, 2010		Year Ended May  31, 2010
(In thousands)	2012		2011
Interest expense		$11,121		$13,546		$7,796		$1,481
Debt cost amortization		5,066		5,264		1,891		512
Write off of unamortized deferred debt issuance costs		0		1,940		0		0
Total interest expense		$16,187		$20,750		$9,687		$1,993

Credit Facility

In connection with the Coniston Transactions, on August 20, 2010 (the “Closing Date”), Allscripts entered into a Credit Agreement with JPMorgan Chase Bank, N.A., as administrative agent, UBS Securities LLC and Barclays Capital, as co-syndication agents, and a syndicate of banks as co-documentation agents (the “Credit Agreement”).

The Credit Agreement provides for a $470 million senior secured term loan facility (the “Term Facility”) and a $250 million senior secured revolving facility (the “Revolving Facility”), each of which has a five year term (collectively the “Senior Secured Credit Facilities”). In connection with the closing of the Coniston Transactions, Allscripts borrowed $470 million under the Term Facility and $100 million under the Revolving Facility. Allscripts incurred $22 million in debt issuance costs related to the Senior Secured Credit Facilities. The net proceeds were used by Allscripts to finance a portion of the Coniston Transactions. The Revolving Facility is available to finance working capital needs and general corporate purposes.

On March 31, 2011, we entered into an agreement (the “Amended and Restated Credit Agreement”) with participating lenders to amend and restate the Credit Agreement among the Company and certain parties. The Amended and Restated Credit Agreement includes certain changes to the terms of the Credit Agreement. Certain members of the syndicate of banks supporting the Senior Secured Credit Facilities withdrew upon execution of the Amended and Restated Credit Agreement. Accordingly, funds provided by the withdrawing banks totaling $49 million were repaid and the same amount was subsequently borrowed from other banks. We incurred additional debt issuance costs totaling $1 million and wrote off previously deferred debt issuance costs totaling $2 million to interest expense on the consolidated statement of operations during the year ended December 31, 2011 in connection with executing the Amended and Restated Credit Agreement. The additional debt issuance costs incurred were deferred and are included in other assets on the balance sheet at December 31, 2011.

On June 11, 2012, we entered into an Incremental Assumption Agreement (the “Agreement”) with J. P. Morgan Securities LLC, Mizuho Corporate Bank, LTD., SunTrust Robinson Humphrey, Inc. and other participating lenders to borrow additional amounts under our existing Amended and Restated Credit Agreement in the form of a new incremental term loan. Proceeds from the incremental term loan of $150 million were used to partially refinance the $175 million outstanding under our revolving credit facility, which is provided for in the Credit Agreement. We also made a voluntary repayment of the revolver totaling $20 million at the time of the

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refinancing. The interest rate charged, debt covenants and other terms that apply to the term loan are defined by the terms of the Credit Agreement. We incurred debt issuance costs totaling $1 million related to the incremental term loan, which were deferred and included within other assets on the balance sheet. Quarterly principal payments on the incremental term loan commenced on September 30, 2012.

The Amended and Restated Credit Agreement reduced the applicable interest margin for borrowings under the senior credit facilities by 75 basis points at each level of the leverage based pricing grid. In addition, the Commitment Fee was reduced at certain levels of the leverage based pricing grid. The Amended and Restated Credit Agreement also allows the Company to borrow up to $100 million under its revolving credit facility in certain foreign currencies and increases the leverage ratio in which the Company can make unlimited Restricted Payments from 1.75 to 1 to 2.00 to 1.

On February 19, 2013, we entered into the First Amendment to the Amended and Restated Credit Agreement (the “First Amendment”), which, among other things, increased the applicable interest margin for borrowings under the senior credit facilities by 25 basis points at each level of the leverage based pricing grid above a leverage ratio of 2.00 to 1. The First Amendment also increases the leverage ratio in which the Company can make unlimited Restricted Payments and Permitted Acquisitions from 2.00 to 1 to 2.50 to 1. In connection with the First Amendment, we incurred $1 million in fees during the first quarter of 2013.

The maturity date and principal amount of the senior secured credit facilities remains the same as in the Credit Agreement. In addition, the prepayment provisions and covenants included in the Credit Agreement have not changed, except as discussed above.

The Term Facility matures in quarterly installments which commenced on December 31, 2010, provided that, notwithstanding the above, the remaining principal balance shall be due and payable on the fifth anniversary of the Closing Date. The following table summarizes our future payments under the senior secured credit facilities including the incremental term loan as of December 31, 2012:

(Dollar amounts in thousands)	Principal Payments
Payments due in 2013		$78,770
Payments due in 2014		104,698
Payments due in 2015		199,395
Payments due in 2016		58,604
Thereafter		0
		441,467
Senior Secured Credit Facilities (current portion)		78,770
Senior Secured Credit Facilities (long-term portion)		$362,697

A total of $50 million of the Revolving Facility is available for the issuance of letters of credit and $10 million of the Revolving Facility is available for swingline loans. Allscripts is also permitted to add one or more incremental revolving and/or term loan facilities in an aggregate amount of up to $250 million, subject to certain conditions.

Borrowings under the Senior Secured Credit Facilities bear interest, at Allscripts’ option, at a rate per annum equal to either (1) the highest of (a) the rate of interest publicly announced by JPMorgan Chase Bank, N.A. as its prime rate in effect at its principal office in New York City, (b) the federal funds effective rate from time to time plus 0.5%, and (c) the rate for Eurodollar deposits as reflected on the applicable Reuters Screen LIBOR01 for a one month interest period, as such rate may be adjusted for certain reserve requirements, plus 1.0%, or (2) the rate for Eurodollar deposits as reflected on the applicable Reuters Screen LIBOR01 for the interest period relevant to such borrowing, as such rate may be adjusted for certain reserve requirements, plus, in each case, the applicable margin. The applicable margin for borrowings under the Senior Secured Credit Facilities was fixed until the date that was three business days after Allscripts’ financial statements were

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delivered to lenders with respect to the first fiscal period ending after September 30, 2010, and thereafter the applicable margin for borrowings under the Senior Secured Credit Facilities is subject to further adjustment based on an agreed upon leverage grid.

Subject to certain agreed upon exceptions, all obligations under the Senior Secured Credit Facilities are guaranteed by each of Allscripts’ existing and future direct and indirect material domestic subsidiaries, other than Coniston Exchange LLC (successor to Coniston, Inc.) (the “Guarantors”).

The obligations of Allscripts and each Guarantor under the Senior Secured Credit Facilities, any swap agreements and any cash management arrangements provided by any lender, are secured, subject to permitted liens and other agreed upon exceptions, by a perfected first priority security interest in all of the tangible and intangible assets (including, without limitation, intellectual property, material owned real property and all of the capital stock of each Guarantor and, in the case of foreign subsidiaries, up to 65% of the capital stock of first tier material foreign subsidiaries) of Allscripts and the Guarantors.

Subject to certain exceptions, Allscripts is required to prepay the Term Facility: (i) with 100% of the net cash proceeds received from the incurrence of certain indebtedness for borrowed money; (ii) with 100% of the net cash proceeds of the sale of any assets in excess of $5 million outside the ordinary course of business (including, without limitation, insurance and condemnation proceeds) in any fiscal year, subject to reinvestment rights; and (iii) with 50% of Allscripts’ excess cash flow for each fiscal year, beginning with the 2012 fiscal year. No prepayments under clauses (ii) or (iii) above are required to the extent that Allscripts’ total leverage ratio is less than 2.5 to 1.0. Allscripts may voluntarily prepay outstanding loans under the Senior Secured Credit Facilities, in whole or in part, at Allscripts’ option at any time upon prior notice.

The Senior Secured Credit Facilities contain a number of covenants that, among other things, restrict, subject to certain exceptions, Allscripts’ ability to:

• incur indebtedness (including guarantee obligations);

• create liens on and sell assets;

• engage in mergers or consolidations;

• declare dividends and other payments in respect of our capital stock;

• make investments, loans and advances;

• engage in transactions with affiliates;

• enter into sale and leaseback transactions; and

• change lines of business.

In addition, the Senior Secured Credit Facilities include a maximum leverage ratio of 3.0 to 1.0 and a minimum interest coverage ratio of 4.5 to 1.0. The leverage ratio is calculated by dividing total indebtedness by earnings before interest expense, income tax expense, depreciation and amortization expense. The minimum interest coverage ratio is calculated by dividing earnings before interest expense and income tax expense by cash interest expense.

The facilities also contain certain customary events of default, including relating to non-payment, breach of covenants, cross-default, bankruptcy and change of control.

As of December 31, 2012, $441 million in borrowings and $1 million in letters of credit were outstanding under the Amended and Restated Credit Agreement. As of December 31, 2012, the interest rate on the Senior Secured Credit Facilities was LIBOR plus 2.00%, which totaled 2.21%. Refer to Note 13 for the discussion of the interest rate swap agreement. We were in full compliance with the covenants under the Amended and Restated Credit Agreement as of December 31, 2012. As of December 31, 2012, the unamortized deferred debt issuance costs totaled $11 million, and are included within prepaid expenses and other current assets and other assets on the balance sheet.

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As of December 31, 2012, we had $249 million available, net of outstanding letters of credit, under the Revolving 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.

Senior Convertible Debentures

In July 2004, Allscripts completed a private placement of $83 million of the Debentures. Holders of $55 million principal amount of the Debentures exercised their right to convert the Debentures into an aggregate of 5 million shares of Allscripts common stock.

On November 7, 2008, Allscripts launched an offer to purchase for cash the Debentures then outstanding at a purchase price equal to 100% of the principal amount of the Debentures being repurchased plus any accrued and unpaid interest, pursuant to the terms of the indenture governing the Debentures. The offer to purchase the outstanding Debentures expired on December 9, 2008, with $8 million of the outstanding Debentures being repurchased for cash.

During July 2009, Allscripts exercised its call option on the remaining $20 million of Debentures for redemption. As a result of the call exercised by Allscripts, the holders of the Debentures had the right to convert the Debentures into common stock prior to payment redemption. During July and August 2009, holders of all of the outstanding Debentures exercised their right to convert the Debentures into an aggregate of 2 million shares of Allscripts common stock. There were no outstanding Debentures as of December 31, 2012 and 2011.

9. Income Taxes

The following is a geographic breakdown of income (loss) before the provision for income taxes:

	Year Ended December 31,					Seven Months Ended December 31, 2010			Year Ended May  31, 2010
(In thousands)	2012			2011
United States		($36,933	)		$106,348		($5,314	)		$103,536
Foreign		19,473			11,131		2,355			0
Total income (loss) before income taxes		($17,460	)		$117,479		($2,959	)		$103,536

The following is a summary of the components of the provision for income taxes:

	Year Ended December 31,						Seven Months Ended December 31, 2010			Year Ended May  31, 2010
(In thousands)	2012			2011
Current tax provision
Federal		$1,610			$2,827			($2,353	)		$8,119
State		3,793			4,685			1,245			6,324
Foreign		5,184			2,483			510			0
		10,587			9,995			(598	)		14,443
Deferred tax provision
Federal		(24,196	)		36,637			3,376			24,458
State		(2,473	)		(2,391	)		(238	)		1,765
Foreign		(225	)		(371	)		66			0
		(26,894	)		33,875			3,204			26,223
Provision for income taxes		($16,307	)		$43,870			$2,606			$40,666

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Taxes computed at the statutory federal income tax rate of 35% are reconciled to the provision for income taxes as follows:

	Year Ended December 31,						Seven Months Ended December 31, 2010			Year Ended May  31, 2010
(In thousands)	2012			2011
United States federal tax at statutory rate		35.0	%		35.0	%		35.0	%		35.0	%
Items affecting federal income tax rate
Non-deductible acquisition and reorganization expenses		0.0	%		0.0	%		(59.5	%)		2.3	%
Research credits		14.5	%		(2.7	%)		33.1	%		(0.1	%)
Change in unrecognized tax benefits		(6.6	%)		1.8	%		(28.9	%)		0.0	%
State income taxes, net of federal benefit		5.8	%		4.6	%		(27.0	%)		5.1	%
Compensation		(3.9	%)		1.4	%		(26.2	%)		0.0	%
Meals and entertainment		(6.1	%)		0.9	%		(20.9	%)		0.9	%
Impact of foreign operations		10.7	%		(1.6	%)		16.7	%		0.0	%
Federal, state and local rate changes		(11.3	%)		(3.2	%)		(12.8	%)		0.0	%
Change in unrecognized tax benefit, Coniston		91.4	%		0.0	%		0.0	%		0.0	%
Indemnification asset settlement, Coniston		(28.2	%)		0.0	%		0.0	%		0.0	%
Domestic manufacturing deduction		0.0	%		0.0	%		7.2	%		(0.5	%)
Non-deductible items		(0.5	%)		0.2	%		(4.4	%)		0.0	%
Valuation allowance		(4.0	%)		0.0	%		(0.4	%)		0.0	%
True-up of capitalized software deferred tax		(2.3	%)		0.0	%		0.0	%		0.0	%
Other		(1.1	%)		0.9	%		0.0	%		(3.4	%)
Provision for income taxes		93.4	%		37.3	%		(88.1	%)		39.3	%

Significant components of the Company’s deferred tax assets and liabilities consist of the following:

(In thousands)	December 31, 2012			December 31, 2011
Deferred tax assets
Accruals and reserves, net		$16,925			$14,006
Allowance for doubtful accounts		14,931			5,853
Stock-based compensation, net		7,309			6,839
Deferred compensation		151			148
Deferred revenue		6,205			0
Net operating loss carryforwards		63,256			93,474
Research and development tax credit		15,573			16,253
AMT credits		7,532			3,400
Other		10,330			9,443
Less: Valuation allowance		(832	)		0
Total deferred tax assets		141,380			149,416
Deferred tax liabilities
Prepaid expense		(16,664	)		(13,094	)
Property and equipment, net		(1,344	)		(2,220	)
Acquired intangibles, net		(185,257	)		(205,775	)
Deferred revenue		0			(2,438	)
Total deferred tax liabilities		(203,265	)		(223,527	)
Net deferred tax liabilities		($61,885	)		($74,111	)

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The deferred tax assets (liabilities) are classified in the consolidated balance sheets as follows:

(In thousands)	December 31, 2012			December 31, 2011
Current deferred tax assets, net		$56,499			$40,600
Non-current deferred tax assets, net		7,529			5,017
Non-current deferred tax liabilities, net		(125,913	)		(119,728	)
Non-current deferred tax assets (liabilities), net		(118,384	)		(114,711	)
Net deferred tax liabilities		($61,885	)		($74,111	)

As of December 31, 2012, the Company had federal and state net operating loss carryforwards of $169 million and $7 million, respectively. Of the total federal net operating loss carryforwards, approximately $7 million relates to stock compensation tax deductions that will be tax-effected and the related benefit credited to additional paid-in capital when realized. The net operating loss carryforwards expire in various amounts starting in 2024 for both federal and state tax purposes. The utilization of the federal net operating loss carryforwards is subject to limitation under the rules regarding changes in stock ownership as determined by the Internal Revenue Code. Historical federal net operating losses of Allscripts are subject to annual limitation on usage of approximately $62 million per year. In connection with the Eclipsys Merger, the Company acquired federal net operating losses totaling approximately $265 million. Due to the change in control in Eclipsys, these net operating losses are subject to annual limitation on utilization of approximately $48 million per year. Net operating losses incurred subsequent to the Eclipsys Merger have no restrictions on utilization. The Company has Canadian net operating loss carryovers of approximately $12 million that expire in 2026.

We use the tax law ordering approach for determining when tax benefits derived from stock-based awards are utilized. Under this approach, the utilization of excess tax deductions associated with stock-based awards is dictated by provisions in the tax law that identify the sequence in which such benefits are utilized for tax purposes when net operating losses exist.

For federal purposes, 1993 to 2012 tax years remain subject to income tax examination by federal authorities. Due to net operating loss carry forwards, in some cases the tax years continue to remain subject to examination with respect to such NOLs. For the Company’s state tax jurisdictions, 2003 to 2012 tax years remain open to income tax examination by state tax authorities. In Canada, the 2003 to 2012 tax years remain open for examination and in India the 2009 to 2012 tax years remain open.

The Company has a subsidiary in India that is entitled to a tax holiday that allows for tax-free operations during the holiday, which slightly reduces income tax expense. The tax holiday for the subsidiary began to partially expire in 2012 and will fully expire in 2017. Tax savings realized from this holiday for the years ended December 31, 2012 and 2011 totaled $1 million and $1 million, respectively, which increased the Company’s diluted earnings per share by $0.01 and $0.01, respectively. The amount realized during the seven months ended December 31, 2010 was not material.

On June 1, 2007, the Company adopted the provisions of accounting guidance for uncertainty in income taxes recognized in the Company’s financial statements. These principles prescribe a threshold of more-likely-than-not to be sustained upon examination for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. These principles also provide guidance on de-recognition, classification, interest and penalties, accounting in interim periods, disclosure and transition.

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The following table reconciles unrecognized tax benefits:

(In thousands)	Year Ended December 31,						Seven Months Ended December 31, 2010			Year Ended May  31, 2010
	2012			2011
Beginning balance at January 1, 2012 and 2011 and June 1, 2010 and 2009, respectively		$43,284			$42,840			$2,808			$3,124
Increases for tax positions related to the current year		46			719			882			228
Decreases for tax positions related to prior years		(13,944	)		0			0			0
Increases for tax positions related to prior years		656			282			0			0
Decreases relating to settlements with taxing authorities		(11,925	)		0			0			0
Increases acquired in business acquisitions		0			0			13,340			0
Increases acquired in Coniston Transactions		0			0			25,863			0
Foreign currency translation		97			(215	)		224			0
Reductions due to lapsed statute of limitations		(74	)		(342	)		(277	)		(544	)
Ending balance at December 31, 2012, 2011 and 2010, and May 31, 2010, respectively		$18,140			$43,284			$42,840			$2,808

As of December 31, 2011, we had accrued approximately $29 million related to uncertain tax positions resulting from the Framework Agreement with Misys dated June 9, 2010, which was subsequently amended on July 26, 2010. Pursuant to the Framework Agreement, Allscripts and Misys agreed to reduce Misys’ existing indirect ownership interest in Allscripts through a series of transactions which are referred to as the Coniston Transactions. The acquired tax position related to the Coniston Transactions was indemnified by Misys in accordance with the Framework Agreement. Accordingly, we had an indemnification asset totaling $29 million, including related interest, which is included in other assets in the accompanying consolidated balance sheet as of December 31, 2011.

During 2012, we settled an IRS examination for the period May 2007 through May 2010 which primarily resulted in a tax assessment of $13 million that is indemnified by Misys pursuant to the Framework Agreement. The remaining tax liability related to the Coniston Transactions totaling $16 million was reversed, as reflected in the table above, and recognized as a tax benefit in the accompanying consolidated statements of operations for the year ended December 31, 2012.

Since the settlement amount with the IRS was less than the carrying value of the related indemnification asset, we recorded a write-off of the remaining indemnification asset, which is included in interest income and other (expense), net within the accompanying consolidated statements of operations. The resulting charge of $16 million is substantially non-deductible for tax purposes and therefore increases the effective tax rate for the entire year.

Excluding the effects of these items, our effective tax rate for the year ended December 31, 2012 is lower compared to the prior year due to a higher mix of foreign income taxed at lower rates and lower state tax expense.

If any portion of our unrecognized tax benefits is recognized, the entire amount would impact our effective tax rate. Although the results and timing of the resolution of income tax audits is highly uncertain, we believe it is reasonably possible that approximately $4 million of gross unrecognized tax benefits will change in the next 12 months due to resolution of transfer pricing positions with various taxing authorities.

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.

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We intend to indefinitely reinvest the undistributed earnings of our foreign subsidiaries. Accordingly, no deferred taxes have been recorded for the difference between the financial and tax basis investment in our foreign subsidiaries. If these earnings were distributed to the United States in the form of dividends or otherwise, we would have additional U.S. taxable income and, depending on our tax position in the year of repatriation, may have to pay additional U.S. income taxes. Withholding taxes may also apply to the repatriated earnings. Determination of the amount of unrecognized income tax liability related to these permanently reinvested and undistributed foreign subsidiary earnings is currently not practicable.

As of December 31, 2012, we determined that approximately $37 million of these foreign subsidiaries’ undistributed earnings are now indefinitely reinvested outside the United States. As management has determined that the earnings of these subsidiaries are not required as a source of funding for U.S. operations, such earnings are not planned to be distributed to the United States in the foreseeable future.

We recognized interest and penalties related to uncertain tax positions in our consolidated statements of operations as follows:

	Year Ended December 31,					Seven Months Ended December 31, 2010		Year Ended May  31, 2010
(In thousands)	2012			2011
Interest and penalties included in provision for income taxes		($2,539	)		$1,174		$473		$0

The amount of interest and penalties included in our consolidated balance sheets is as follows:

(In thousands)	December 31, 2012		December 31, 2011
Interest and penalties included in the liability for uncertain income taxes		$2,199		$4,737

10. Stock Award Plans

The Company’s 2011 Stock Incentive Plan (“Plan”) provides for the granting of stock options, service-based share awards and performance-based share awards, among other awards. As of December 31, 2012, there were 6.6 million shares of common stock reserved for issuance under future share-based awards to be granted to any employee, officer or director or independent consultant of the Company at terms and prices to be determined by the Board of Directors, subject to the terms of the Plan.

We recorded stock-based compensation expense as follows:

	Year Ended December 31,				Seven Months Ended December 31, 2010		Year Ended May  31, 2010
(In thousands)	2012		2011
Total stock-based compensation expense		$39,985		$40,752		$18,916		$14,849

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 years ended December 31, 2012 and 2011, seven months ended December 31, 2010 and the year ended May 31, 2010. The estimated income tax benefit of stock-based compensation expense included in the provision for income taxes for the year ended December 31, 2012 is $7 million. As of December 31, 2012, $64.8 million of unearned compensation related to non-vested awards and options was netted against the balance of additional paid in capital and will be recognized over the remaining vesting terms. These costs are expected to be recognized over a weighted average period of 2.8 years.

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In connection with the Eclipsys Merger, we assumed all of the outstanding stock options and other stock awards of Eclipsys’ respective plans. These stock options and stock awards, as converted based on the same share exchange ratio defined in the Merger Agreement, generally retain all the rights, terms and conditions as originally granted.

We issue service-based awards, performance-based, and market-based awards in the form of restricted stock units or restricted stock. A description of each category of awards is presented below.

Service-based Share Awards

Service-based share awards include restricted stock units and shares and typically vest over a four-year period commencing on the date of grant subject to continued service to the Company. Upon termination of an employee’s employment, any unvested service-based share awards will be forfeited unless otherwise provided in an employee’s employment agreement. Deferred share units are awarded to directors and generally vest within one year when issued in lieu of annual share awards or immediately when issued in lieu of cash.

At December 31, 2012, there was $55.2 million of total estimated unrecognized compensation cost, assuming an estimated forfeiture rate, related to the service-based share awards which is expected to be recognized through December 31, 2016.

Performance-based Share Awards

Performance-based share awards include restricted stock units and shares. The purpose of such awards is to align management with the Company’s financial performance and other operational objectives and, in certain cases, to retain key employees over a specified performance period. Awards granted under this category are based on the achievement of various targeted financial measures including non-GAAP income per share and adjusted net income as defined in the grant agreements. The awards are earned based on actual results achieved compared to targeted amounts. Stock-based compensation expense related to these awards will be recognized over three-year and four-year vesting periods under the accelerated attribution method.

At December 31, 2012, there was $6.5 million of total estimated unrecognized compensation cost, assuming an estimated forfeiture rate and various target attainments related to the performance-based share awards, which is expected to be recognized through December 2016.

Market-based Share Awards

Market-based share awards include restricted stock units. The purpose of such awards is to align management with the performance of the Company’s common stock relative to the market. Awards granted under this category are dependent on our total shareholder returns relative to a specified peer group of companies over three-year performance periods with vesting based on three annual performance segments from the grant dates. Fair values of the awards were estimated at the date of the grants using the Monte Carlo pricing model. Following completion of the three-year performance periods, the Compensation Committee will determine the number of awards that would vest considering overall performance over the three-year performance periods. If the numbers of shares that would vest under this scenario are greater than the amount vesting under the three annual performance segments, then such greater numbers of awards shall vest, reduced by the number of awards previously vested. Stock-based compensation expense related to these awards will be recognized over three-year vesting periods under the accelerated attribution method.

At December 31, 2012, there was $3.1 million of total estimated unrecognized compensation cost, assuming an estimated forfeiture rate and various target attainments related to the market-based share awards, which is expected to be recognized through December 2015.

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The following table summarizes the activity for restricted stock units during the periods presented.

(In thousands, except per share amounts)	Shares			Weighted-Average Grant Date Fair Value
Unvested restricted stock units at May 31, 2009		3,168			$8.65
Awarded		1,502			$17.35
Vested		(925	)		$8.88
Forfeited		(244	)		$12.04
Unvested restricted stock units at May 31, 2010		3,501			$12.13
Awarded		1,227			$17.54
Assumed		502			$16.07
Vested		(1,192	)		$12.33
Forfeited		(375	)		$13.42
Unvested restricted stock units at December 31, 2010		3,663			$14.35
Awarded		2,247			$20.53
Vested		(1,237	)		$13.08
Forfeited		(491	)		$16.03
Unvested restricted stock units at December 31, 2011		4,182			$17.83
Awarded		5,574			$11.78
Vested		(1,898	)		$16.11
Forfeited		(1,130	)		$17.16
Unvested restricted stock units at December 31, 2012		6,728			$13.43

The following table summarizes the activity for restricted stock awards during the periods presented.

(In thousands, except per share amounts)	Shares			Weighted-Average Grant Date Fair Value
Unvested restricted stock awards at May 31, 2010		0			$0.00
Awarded		928			$17.09
Assumed		495			$14.43
Vested		(224	)		$15.06
Forfeited		(31	)		$16.41
Unvested restricted stock awards at December 31, 2010		1,168			$17.20
Vested		(622	)		$16.39
Forfeited		(135	)		$16.77
Unvested restricted stock awards at December 31, 2011		411			$16.95
Vested		(254	)		$16.27
Forfeited		(137	)		$16.72
Unvested restricted stock awards at December 31, 2012		20			$15.94

No restricted stock awards were granted prior to the year ended May 31, 2010.

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 and 2011 were net-share settled such that we withheld shares with value equivalent to the employees’ minimum statutory obligation

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for the applicable income and other employment taxes and remitted the cash to the appropriate taxing authorities. The total shares withheld were 860 thousand and 660 thousand for the years ended December 31, 2012 and 2011, respectively, and were based on the value of the restricted stock units and awards on their vesting date as determined by our closing stock price. Total payments for the employees’ tax obligations to the taxing authorities are reflected as a financing activity within the consolidated statements of cash flows. These net-share settlements had the effect of share repurchases by us as they reduced the number of shares that would have otherwise been issued as a result of the vesting.

Stock Options

The following table summarizes the status of stock options outstanding and the changes during the periods presented:

(In thousands, except per share amounts)	Options Outstanding			Weighted-Average Exercise Price		Options Exercisable		Weighted-Average Exercise Price
Balance at May 31, 2009		4,222			$5.17		4,222		$5.17
Options exercised		(732	)		$7.79
Options forfeited		(220	)		$18.56
Balance at May 31, 2010		3,270			$3.42		3,270		$3.42
Options exercised		(1,382	)		$7.43
Options assumed		5,865			$13.64
Options forfeited		(78	)		$8.38
Balance at December 31, 2010		7,675			$10.46		6,434		$9.80
Options exercised		(3,469	)		$10.21
Options forfeited		(230	)		$14.49
Balance at December 31, 2011		3,976			$10.31		3,499		$9.87
Options exercised		(1,138	)		$5.32
Options forfeited		(171	)		$16.62
Balance at December 31, 2012		2,667			$12.04		2,548		$11.88

Accounting guidance requires forfeitures to be estimated at the time of grant and revised, if necessary, in subsequent periods if actual forfeitures differ from those estimates.

We estimate the fair value of our share-based payments using the Black-Scholes option-pricing model. Option valuation models, including the Black-Scholes option-pricing model, require the input of assumptions, including stock price volatility. Changes in the input assumptions can materially affect the fair value estimates and ultimately how much we recognize as stock-based compensation expense. The fair value of stock options assumed in the Eclipsys Merger was estimated at the date of acquisition. The weighted average input assumptions used were as follows:

Expected option life (in years)	0.11 – 4.54
Risk-free interest rate	0.17% – 1.36%
Volatility	30.5% – 54.04%
Dividend yield	0%

The expected life input is based on historical exercise patterns and post-vesting termination behavior, the risk-free interest rate input is based on United States Treasury instruments and the volatility input is calculated based on the implied volatility of our common stock.

The aggregate intrinsic value of stock options outstanding and exercisable as of December 31, 2012 was $4 million and $4 million, respectively, based on Allscripts’ closing stock price of $9.42 as of December 31, 2012. The intrinsic value of stock options outstanding represents the amount that would have been received by the option holders had all option holders exercised their stock options as of that date.

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The following activity occurred under our plans:

					Seven Months Ended December 31,		Year Ended May 31,
	Year Ended December 31,
(In thousands)	2012		2011		2010		2010
Total intrinsic value of stock options exercised		$7,756		$33,016		$15,001		$13,131
Total fair value of share awards vested		$28,600		$36,137		$27,633		$19,976

Information regarding stock options outstanding at December 31, 2012 is as follows:

(In thousands, except per share amounts) Range of Exercise Prices	Number of Options Outstanding		Weighted- Average Exercise Price		Number of Options Exercisable		Weighted- Average Exercise Price
$1.33 to $5.09		322,923		$3.21		322,923		$3.21
$5.13 to $12.32		1,237,993		$9.11		1,222,048		$9.14
$12.50 to $15.99		105,373		$13.72		98,456		$13.70
$16.73 to $18.40		548,697		$16.54		452,333		$16.65
$18.45 to $20.94		452,027		$18.41		452,027		$18.41
		2,667,013				2,547,787

The weighted average remaining contractual life of the options outstanding and exercisable as of December 31, 2012 is 2.14 years.

Employee Stock Purchase Plan

The Employee Stock Purchase Plan (“ESPP”) allows eligible employees to authorize payroll deductions of up to 20% of their base salary to be applied toward the purchase of full shares of common stock on the last day of the offering period. Offering periods under the ESPP are three months in duration and begin on each March 1, June 1, September 1, and December 1. Shares will be purchased on the last day of each offering period at a discount of 5% of fair market value of the common stock on such date as reported on NASDAQ. The aggregate number of shares of Allscripts common stock that may be issued under the ESPP may not exceed 500 thousand shares and no one employee may purchase any shares under the ESPP having a collective fair market value greater than $25 thousand in any one calendar year. The shares available for purchase under the ESPP may be drawn from either authorized but previously unissued shares of common stock or from reacquired shares of common stock, including shares purchased by Allscripts in the open market and held as treasury shares.

Allscripts treats the ESPP as a non-compensatory plan in accordance with accounting guidance. There were 288 thousand and 140 thousand shares purchased under the ESPP during the years ended December 31, 2012 and 2011, respectively.

Misys Stock Plan

Certain employees of Allscripts previously participated in share-based compensation plans offered by Misys. Awards under the plans include market price awards (options priced at fair value of Misys stock at date of grant) and nil cost awards (zero strike price). Certain of the awards included performance based vesting conditions; otherwise, options vested over a service period that was generally three years. Upon completion of the Coniston Transactions and the related reduction of Misys’ ownership interests in Allscripts, the vesting of certain options previously granted to Allscripts’ employees was accelerated and the participation of Allscripts’ employees in the Misys stock plans terminated. All outstanding options held by employees of Allscripts on August 20, 2010 were assessed to determine the eligible grants that would fully vest as well as the options that would lapse. As a result of the assessment, we recognized expense of approximately $1 million due to the accelerated vesting of options during the seven months ended December 31, 2010. This charge was offset by approximately $1 million for options that were canceled. Stock-based compensation expense was approximately $2 million for the year ended May 31, 2010. We recognized no stock-based compensation expense related to the Misys stock plans during the years ended December 31, 2012 and 2011.

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Prior to the completion of the Coniston Transactions, the fair value of share options granted to employees of Allscripts was recorded as compensation cost over the term of vesting period.

The fair value of awards that contain performance-based vesting conditions was estimated at the date of grant using the Monte Carlo option pricing model. For all other awards, the fair value of each option grant was estimated at the date of grant using the Black-Scholes option pricing model.

The following assumptions have been used in the option pricing models:

	Seven Months Ended December 31,			Year Ended May 31,
	2010			2010
Risk-free interest rate		1.22	%		2.04	%
Dividend yield		0	%		0	%
Volatility
Market value awards		N/A			N/A
Nil cost awards		47	%		46	%
Expected life (years)
Market value awards		N/A			N/A
Nil cost awards		3			3

Volatility was calculated using Misys share price history for the period equivalent to the expected life. For awards with performance-based service conditions, vesting is tied to either total shareholder return, Misys earnings per share or Misys stock price. Additional variables used in the Monte Carlo option pricing model related to market benchmarked performance conditions include volatility of N/A and 42% and a correlation coefficient of N/A and N/A for the seven months ended December 31, 2010 and the year ended May 31, 2010, respectively.

Additional information with respect to the plan activity related to Allscripts for years ended December 31, 2012 and 2011, the seven months ended December 31, 2010 and for the year ended May 31, 2010 is summarized as follows:

	Nil Costs					Market Value
(In thousands, except per share amounts)	Shares			Weighted-Average Grant Date Fair Value		Shares			Weighted-Average Exercise Price		Weighted-Average Grant Date Fair Value
At May 31, 2009		3,915					3,632			$2.25
Granted		24			$2.76		0			$0.00		$0.00
Exercised		(487	)				(113	)		$2.76
Canceled or expired		(193	)				(950	)		$4.28
Transfers		312					548			$2.94
At May 31, 2010		3,571					3,117			$4.02
Granted		9			$4.14		0			$0.00		$0.00
Exercised		(1,817	)				(991	)		$3.31
Canceled or expired		(1,741	)				(1,087	)		$5.16
At December 31, 2010		22					1,039			$4.19
Exercised		0					(585	)		$4.12
Canceled or expired		0					(450	)		$4.69
Transfers		(22	)				(4	)		$5.57
At December 31, 2011		0					0			$0.00
At December 31, 2012		0					0			$0.00
Options exercisable		0					0			$0.00

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The weighted-average fair value of all options granted during the seven months ended December 31, 2010 and the year ended May 31, 2010 was $4.14 and $2.76 per share, respectively. The total intrinsic value of options exercised during the years ended December 31, 2012 and 2011, the seven months ended December 31, 2010 and for the year ended May 31, 2010 was $8 million, $1 million, $20 million and $9 million, respectively.

11. Stock Repurchases

On February 10, 2009, the Company announced that its Board of Directors approved a stock repurchase program under which the Company may purchase up to $150 million of its common stock over two years. Repurchases may be made pursuant to Rule 10b5-1 or 10b-18 of the Securities Exchange Act of 1934, as amended. Repurchases also have been made from Misys pursuant to the Stock Repurchase Agreement, dated as of February 10, 2009 (the “Stock Repurchase Agreement”), by and among Misys, Misys Patriot Ltd., Misys Patriot US Holdings LLC and Allscripts. The aggregate amount of shares purchased pursuant to the repurchase plan, whether pursuant to any 10b5-1 plan, Rule 10b-18 or the Stock Repurchase Agreement, will not exceed the lesser of $150 million (including commissions) or 15 million shares. Pursuant to the Stock Repurchase Agreement, Allscripts had agreed to purchase from Misys, and Misys had agreed to sell to Allscripts, the number of shares of Allscripts’ common stock needed to keep Misys’ ownership percentage in Allscripts unaffected by certain open market repurchases being made by Allscripts. As of December 31, 2011 we had repurchased 5 million shares of common stock for an aggregate purchase price of $52 million. There were no shares repurchased under this stock repurchase program during the year ended December 31, 2011 and the seven months ended December 31, 2010. In connection with the closing of the Coniston Transactions, the Stock Repurchase Agreement was terminated (Note 3). We incurred no early termination penalties in connection with the termination of the Stock Repurchase Agreement. The remaining authorized amount for stock repurchase was $98 million when the program terminated on February 10, 2011.

In April 2011, our Board of Directors approved a stock repurchase program under which we may purchase up to $200 million of our common stock over three years expiring on May 9, 2014 or such earlier time that the total dollar amount authorized by these resolutions has been used. In April 2012, our Board of Directors approved the repurchase of an additional $200 million bringing the total repurchase authorization to $400 million. Any share repurchases may be made through open market transactions, block trades, privately negotiated transactions (including accelerated share repurchase transactions) or other means. Any repurchase activity will depend on factors such as our working capital needs, cash requirements for investments, debt repayment obligations, our stock price, and economic and market conditions. Our stock repurchase program may be accelerated, suspended, delayed or discontinued at any time.

During the years ended December 31, 2012 and 2011, we repurchased approximately 21 million and 3 million shares of our common stock, respectively. The aggregate purchase price paid to acquire these shares pursuant to this stock repurchase program was approximately $226 million and $51 million during the years ended December 31, 2012 and 2011, respectively. The average price paid per share during the years ended December 31, 2012 and 2011was $10.89 and $19.45, respectively. As of December 31, 2012, the amount available for repurchase of common stock under this program was approximately $123 million.

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12. Accumulated Other Comprehensive Income

The following table summarizes, as of each balance sheet date, the components of our accumulated other comprehensive income:

(In thousands)	December 31, 2012			December 31, 2011
Unrealized gain on marketable securities		$192			$67
Tax effect		(74	)		(27	)
Unrealized gain on marketable securities, net of tax		118			40
Unrealized loss on derivative financial instruments		(1,534	)		(1,754	)
Tax effect		600			687
Unrealized loss on derivative financial instruments, net of tax		(934	)		(1,067	)
Foreign currency translation adjustment		892			485
Total accumulated other comprehensive income		$76			($542	)

13. 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 original variable rate term loan. The initial notional amount of the interest rate swap agreement was $300 million, with scheduled step downs over time, and a final termination date of October 31, 2014. At December 31, 2012, the notional amount of the interest rate swap agreement was $225 million. The interest rate swap agreement converts the one-month LIBOR rate on the corresponding notional amount of debt to an effective fixed rate of 0.896% (exclusive of the applicable margin currently charged under the Senior Secured Credit 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)	December 31, 2012			December 31, 2011
Fair value of interest rate swap agreement		($1,534	)		($1,754	)

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

	Year Ended December 31,						Seven Months  Ended December 31, 2010			Year Ended May  31, 2010
(In thousands)	2012			2011
Effective Portion
Gain (loss) recognized in OCI		$220			($3,757	)		$2,003			$0
Tax effect		(87	)		1,463			(776	)		0
Net		$133			($2,294	)		$1,227			$0
Loss reclassified from OCI to interest expense		$1,783			$2,024			$342			$0
Amount excluded from Effectiveness Assessment and Ineffective Portion
Gain (loss) recognized in other income (expense)		$0			$0			$0			$0

We estimate that approximately $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 2.21% as of December 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 years ended December 31, 2012 and 2011 and the seven months ended December 31, 2010. We held no other derivative instruments during the years ended December 31, 2012 and 2011 and the seven months ended December 31, 2010.

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

14. Commitments

Allscripts conducts its operations from leased premises under several operating leases. Total rent expense was as follows:

	Year Ended December 31,				Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
(In thousands)	2012		2011
Rent expense		$18,493		$20,223		$11,003		$10,328

The long-term portion of capital lease obligations is included on the balance sheet under other liabilities. Our future commitments under capital and operating leases are as follows:

(Dollar amounts in thousands)	Capital Leases			Operating Leases
2013		$630			$15,112
2014		508			14,120
2015		244			13,553
2016		57			13,098
2017		0			8,303
Thereafter		0			6,375
		1,439			$70,561
Less amount representing interest		(163	)
		1,276
Current maturities of capital lease obligations		535
Capital lease obligations, net of current maturities		$741

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15. Business Segments

Prior to 2012, we used 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 on the information used by the chief operating decision maker to allocate resources, make operating decisions and assess performance, we now use the following reportable segments: Software Delivery, Services Delivery, Client Support, Pathway Solutions and IT Outsourcing.

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. 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. Client support derives its revenue through software and hardware maintenance contracts and includes the related expenses incurred to provide support to our customers. Pathway solutions includes revenue and the related expenses incurred from EDI medical claims processing for clients and our patient portal SaaS solution, and IT outsourcing derives its revenue from services provided to clients where we assume partial to total responsibility for a healthcare organization’s IT operations using our employees and assets, and includes the related expenses incurred to deliver IT outsourcing solutions to our clients. Segment data for prior periods presented below has been restated to conform to the current presentation.

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

Corporate general and administrative expenses are centrally managed and solutions research and development expenses, including the amortization of software development costs, are not attributed to an operating segment. Additionally, during 2012 we recorded certain asset impairment charges related to the convergence of our MyWay and Professional applications (refer to Note 6 Asset Impairment Charges for additional information) that are not attributable to an operating segment. As a result, these expenses are not allocated to our reportable segments because they are not part of the segment profitability results reviewed by our chief operating decision maker. Additionally, we do not track our assets by segment.

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Remote Hosting is an operating segment that does not meet the quantitative thresholds for determining reportable segments; however, we have presented the revenues and income from operations related to this segment within our reconciliation to consolidated amounts in the table below.

	Year Ended December 31,						Seven Months  Ended December 31, 2010			Year Ended May  31, 2010
(In thousands)	2012			2011
Revenue:
Software Delivery		$320,937			$387,996			$173,854			$210,116
Services Delivery		265,166			248,031			96,385			77,835
Client Support		458,364			447,715			212,580			259,166
Pathway Solutions		172,445			165,385			94,089			158,239
IT Outsourcing		161,063			142,240			37,825			0
Remote Hosting		71,513			70,631			23,432			0
Unallocated Amounts		(3,163	)		(17,921	)		(24,856	)		(854	)
Total revenue		$1,446,325			$1,444,077			$613,309			$704,502
Income from operations:
Software Delivery		$28,815			$94,864			$26,732			$59,026
Services Delivery		31,539			34,080			13,728			12,455
Client Support		310,424			308,407			140,143			168,288
Pathway Solutions		105,179			105,680			57,869			96,241
IT Outsourcing		34,942			27,337			4,601			0
Remote Hosting		1,377			2,471			1,288			0
Unallocated Amounts		(499,005	)		(436,295	)		(238,476	)		(231,427	)
Total income from operations		$13,271			$136,544			$5,885			$104,583

16. Supplemental Disclosure of Cash Flow Information

						Seven Months Ended December 31,		Year Ended May 31,
	Year Ended December 31,
(In thousands)	2012		2011			2010		2010
Cash paid (received) during the period for:
Interest		$11,218		$13,630			$7,555		$2,302
Income taxes paid (refund), net		$7,040		($1,013	)		$11,923		$10,714

17. Related Party Transactions

Shared Services Agreement and Transition Services Agreement

On March 1, 2009, Allscripts and Misys entered into a Shared Services Agreement dated as of March 1, 2009 and effective as of October 10, 2008 (the “Shared Services Agreement”). The Shared Services Agreement was approved by the Audit Committee of Allscripts’ Board of Directors. The services provided to Allscripts under the Shared Services Agreement included: (1) human resource functions such as administration, selection of benefit plans and designing employee survey and training programs, (2) management services, (3) procurement services such as travel arrangements, disaster recovery and vendor management, (4) research and development services such as software development, (5) access to information technology, telephony, facilities and other related services at Misys’ customer support center located in Manila, The Philippines; and (6) information system services such as planning, support and database administration. Under the Shared Services Agreement, Allscripts has provided Misys with certain tax, facility space and payroll processing services. The Shared Services Agreement expired in accordance with its terms on August 20, 2010.

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Pursuant to the Framework Agreement, on August 20, 2010, Allscripts and Misys entered into a Transition Services Agreement (the “Transition Services Agreement”) pursuant to which each party will continue to provide to the other certain services and personnel to support the other’s business, which services were previously provided under the Shared Services Agreement. The services that Misys agreed to provide Allscripts under the Transition Services Agreement include research and development services, customer support services and information systems services while Allscripts agreed to provide Misys financial services and tax services.

Revenue earned (expenses incurred) under these services agreements were as follows:

						Seven Months Ended December 31,			Year Ended May 31,
	Year Ended December 31,
(In thousands)	2012		2011			2010			2010
Revenue earned (expenses incurred) under services agreements		$38		($1,603	)		($7,866	)		($14,403	)

Repurchase Agreement and Share Reduction

Refer to Note 11 for the Stock Repurchase Agreement with Misys and its Affiliates, and refer to Note 3 for the Reduction of Misys Share Ownership.

Misys Stock Award Plans

Allscripts employees participated in several share based compensation plans maintained by Misys (see Note 10).

18. Geographic Information

Revenues are attributed to geographic regions based on the location where the sale originated. The Company’s revenues by geographic area are summarized below:

					Seven Months Ended December 31,		Year Ended May 31,
	Year Ended December 31,
(In thousands)	2012		2011		2010		2010
United States		$1,387,304		$1,389,215		$598,403		$704,502
Canada		23,909		27,076		11,742		0
Other International		35,112		27,786		3,164		0
Total		$1,446,325		$1,444,077		$613,309		$704,502

A summary of the Company’s long-lived assets, comprised of fixed assets by geographic area, is summarized below:

(In thousands)	December 31, 2012		December 31, 2011
United States		$144,526		$113,791
India		9,182		6,677
Canada		1,553		1,896
Other international		233		199
Total		$155,494		$122,563

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19. Contingencies

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 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. Both motions are expected to be heard by the court in March of 2013. Discovery in this matter is ongoing. The case is currently expected to be set for trial in November 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.

On December 27, 2012, Pain Clinic of Northwest Florida, Inc. (“Pain Clinic”) filed a Complaint in the Circuit Court of the 11^th Judicial Circuit in and for Miami-Dade County, Florida, against the Company. The Complaint seeks to certify a class of all similarly situated physician-customers that purchased the MyWay product and seeks damages for claims of breach of warranty and unjust enrichment. On February 5, 2013, the Company filed a motion to compel arbitration and to dismiss or stay the lawsuit during arbitration, and a motion to stay discovery during arbitration. The Company intends to vigorously defend this matter.

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 the foregoing litigation is inherently uncertain, and we may incur substantial defense costs and expenses. Therefore, if these legal matters were resolved against the Company for an amount 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. On November 19, 2012, we received a letter from the U.S. Department of Justice indicating that we are not the subject or the target of this investigation. We are cooperating with the United States Attorney’s Office in connection with such subpoena.

On May 1, 2012, Physicians Healthsource, Inc. (“PHI”) filed a class action Complaint in U.S. District Court for the Northern District of Illinois against the Company. 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 PHI’s Motion for Class Certification on May 7, 2012 and the Company responded by filing a Motion to Dismiss, which was denied but the Court requested that Allscripts file a second Motion to Dismiss, which was also denied. Discovery in this matter has been stayed pending a decision of the 7th Circuit Court of Appeals in the case of Holtzman v. Turza. The Company has also filed a Motion requesting denial of PHI’s Motion for Class certification. 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, the former Chief Financial Officer of the Company, by

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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. A lead plaintiff has been appointed and on January 10, 2013, Plaintiff filed an amended complaint. The Company intends to vigorously defend against these claims.

On June 27, 2012, a purported shareholder, Richard Devereaux, filed a shareholder derivative action in the Circuit Court of Cook County Illinois against Glen Tullman, William Davis, Paul Black, Dennis Chookaszian, Robert Cindrich, Marcel Gamache, Philip Green, Michael Kluger, and Allscripts as nominal defendant. The suit alleges breach of fiduciary duties and unjust enrichment against former and current executives of Allscripts who allegedly made misleading claims about the Company’s business and financial state, causing its stock prices to be artificially inflated and then drop sharply when the Company reported earnings below expectations and disclosed a “leadership dispute” in an SEC filing. At present, the Company’s time to respond to the complaint is tolled pending the filing of an amended complaint in this case.

In the opinion of management, there is a reasonable possibility the Company may incur losses with respect to the three matters immediately above. However, given the current early stage of the matters, 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.

20. Commitment with Strategic Partner

On March 31, 2011, and as amended November 1, 2012, we entered into a ten year agreement with Xerox Consultant Services, Inc. (Xerox), formerly known as Affiliated Computer Services, Inc., 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 Xerox for current Allscripts’ employees to be retained by Xerox from our hosting staff, new remote hosting staff and technology infrastructure, as well as other data center and hosting services, in the amount of approximately $50 million per year. During April 2011, in connection with the agreement we sold a portion of our hosting equipment and infrastructure related to our Sunrise acute care clients to Xerox for cash at a value approximating book value of such assets totaling $20 million. Expenses incurred under this agreement are included in cost of revenue and were as follows:

	Year Ended December 31,
(In thousands)	2012		2011
Expenses incurred under Xerox agreement		$55,987		$28,132

126

21. Transition Period Comparative Data

The following table presents certain financial information for the seven months ended December 31, 2010 and 2009, respectively.

	Seven Months Ended December  31,
(In thousands, except per share amounts)	2010			2009
				(Unaudited)
Revenue:
System sales		$103,873			$69,027
Professional services		93,875			38,335
Maintenance		200,746			145,440
Transaction processing and other		214,815			130,677
Total revenue		613,309			383,479
Cost of revenue:
System sales		63,392			43,516
Professional services		81,572			35,414
Maintenance		67,463			47,588
Transaction processing and other		102,713			47,094
Total cost of revenue		315,140			173,612
Gross profit		298,169			209,867
Selling, general and administrative expenses		232,788			126,569
Research and development		43,261			27,238
Asset impairment charges		0			0
Amortization of intangible assets		16,235			5,914
Income from operations		5,885			50,146
Interest expense		(9,687	)		(1,302	)
Interest income and other (expense), net		843			240
(Loss) income before income taxes		(2,959	)		49,084
Provision for income taxes		(2,606	)		(18,596	)
Net (loss) income		($5,565	)		$30,488
(Loss) earnings per share:
Basic		($0.03	)		$0.21
Diluted		($0.03	)		$0.20
Weighted average common shares outstanding:
Basic		168,110			144,440
Diluted		168,110			147,927

22. Subsequent Events

Humedica Sale

During January 2013, Humedica, Inc. (Humedica) was purchased by United Healthcare. As a result of the sale, we received cash of $13 million related to our initial investment of $10 million. We will record a gain on the sale of this investment during the first quarter of 2013.

Site Consolidation Plan

On February 18, 2013, we announced a North American site consolidation plan (the “Site Consolidation Plan”) designed to create a more simplified and efficient organization that is aligned more closely with our

127

business priorities. The Site Consolidation Plan includes closure of twelve offices and one warehouse. We are also implementing changes to corporate operating models intended to reduce costs associated with product solutions development. The costs of implementing these changes primarily consist of employee severance and relocation costs, and lease exit costs.

The estimated pre-tax costs to implement these changes consist of employee severance of approximately $10 million, relocation costs of up to approximately $16 million, and lease exit costs totaling approximately $3 million. Considering the timing of these changes, we estimate that primarily all charges will be recorded in the first quarter of 2013 with the exception of lease exit costs which are expected to be recognized in the third quarter of 2013. We expect to complete the actions by the end of 2013.

The amount of the charges noted above and the mix of severance charges and relocation costs are estimates and the actual charges may vary materially based on the level of employee relocations and terminations; the timing and amount of sublease income and other related expenses; and changes in management’s assumptions.

Amendment to Credit Agreement

On February 19, 2013, we entered into the First Amendment to the Amended and Restated Credit Agreement for our senior secured credit facilities. Refer to Note 8 for additional information regarding this amendment.

Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

None.

Item 9A. Controls and Procedures

Conclusion Regarding the Effectiveness of Disclosure Controls and Procedures

Under the supervision and with the participation of our management, including our principal executive officer and principal financial officer, we conducted an evaluation of our disclosure controls and procedures, as such term is defined under Rule 13a-15(e) promulgated under the Securities Exchange Act of 1934, as amended (the Exchange Act). Based on this evaluation, our principal executive officer and our principal financial officer concluded that our disclosure controls and procedures were effective as of the end of the period covered by this annual report.

Management’s Report on Internal Control Over Financial Reporting

Our management is responsible for establishing and maintaining adequate internal control over financial reporting as defined in Rule 13a-15(f) under the Exchange Act.

Management assessed the effectiveness of the Company’s internal control over its financial reporting as of December 31, 2012. In undertaking this assessment, management used the criteria established by the Committee of the Sponsoring Organizations (COSO) of the Treadway Commission contained in the Internal Control—Integrated Framework.

Based on its assessment, management has concluded that as of December 31, 2012, the Company’s internal control over financial reporting is effective based on the COSO criteria. Ernst & Young LLP, an independent registered public accounting firm, also performed an audit of the effectiveness of Allscripts’ internal control over financial reporting as of December 31, 2012. Their report expresses an unqualified opinion on the effectiveness of Allscripts’ internal control over financial reporting as of December 31, 2012. This report appears under Item 8. Financial Statements and Supplementary Data under the heading Report of Independent Registered Public Accounting Firm.

128

Changes in Internal Control over Financial Reporting

There has been no change in our internal control over financial reporting during the quarter ended December 31, 2012 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

Item 9B. Other Information

None.

129

PART III

Item 10. Directors, Executive Officers and Corporate Governance

Information regarding directors, executive officers and other key employees called for by this item is incorporated by reference to “Election of Directors” and “Executive Officers” in our proxy statement to be filed with the SEC within 120 days of the end of our fiscal year ended December 31, 2012 for the 2013 Annual Meeting of Stockholders (the “2013 Proxy Statement”). Information regarding the audit committee members and any audit committee financial experts called for by this item is incorporated by reference to “Meetings and Committees of the Board of Directors” in the 2013 Proxy Statement.

Information regarding Section 16(a) reporting compliance called for by this item is incorporated by reference to “Section 16(a) Beneficial Ownership Reporting Compliance” in the 2013 Proxy Statement.

We have adopted a code of conduct that applies to our directors, officers and employees, including our principal executive officer, principal accounting officer, controller, or persons performing similar functions (the “senior financial officers”). A copy of this code of conduct is posted on the investor relations portion of our website at www.allscripts.com. In the event the code of conduct is revised, or any waiver is granted under the code of conduct with respect to any director, executive officer or senior financial officer, notice of such revision or waiver will be posted on our website. Stockholders may request a written copy of the code of conduct by contacting our Chief Financial Officer, Richard Poulton, at Allscripts Healthcare Solutions, Inc., 222 Merchandise Mart Plaza, Suite 2024, Chicago, IL 60654.

Item 11. Executive Compensation

Information regarding executive and director compensation called for by this item is incorporated by reference to “Director Compensation” and “Executive Compensation” in the 2013 Proxy Statement. Information included under the caption “Compensation Committee Report” in the 2013 Proxy Statement is incorporated by reference herein; however, this information shall not be deemed to be “soliciting material” or to be “filed” with the SEC or subject to Regulation 14A or 14C, or the liabilities of Section 18 of the Securities Exchange Act of 1934.

Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters

Information regarding security ownership called for by this item is incorporated by reference to “Ownership of Allscripts Common Stock” in the 2013 Proxy Statement.

Information regarding securities authorized for issuance under equity compensation plans called for by this item is incorporated by reference to “Equity Compensation Plan Information” in the 2013 Proxy Statement.

Item 13. Certain Relationships and Related Transactions and Director Independence

Information regarding certain relationships and related party transactions called for by this item is incorporated by reference to “Certain Relationships and Related Party Transactions” in the 2013 Proxy Statement. Information regarding director independence called for by this item is incorporated by reference to “Governance—Director Independence” in the 2013 Proxy Statement.

Item 14. Principal Accountant Fees and Services

Information regarding principal accountant fees and services called for by this item is incorporated by reference to “Ratification of Ernst & Young LLP” in the 2013 Proxy Statement.

130

PART IV

Item 15. Exhibits and Financial Statement Schedules

(a)(1) Financial Statements

The following consolidated financial statements of Allscripts Healthcare Solutions, Inc. and its subsidiaries are included in Part II of this report:

	Page
Report of Independent Registered Public Accounting Firm		81
Report of Independent Registered Public Accounting Firm		82
Report of Independent Registered Public Accounting Firm		83
Consolidated Balance Sheets as of December 31, 2012 and 2011		84
Consolidated Statements of Operations for the years ended December  31, 2012 and 2011, the seven months ended December 31, 2010 and for the year ended May 31, 2010		85
Consolidated Statements of Comprehensive Income (Loss) for the years ended December  31, 2012 and 2011, the seven months ended December 31, 2010 and for the year ended May 31, 2010		86
Consolidated Statements of Stockholders’ Equity for the years ended December  31, 2012 and 2011, the seven months ended December 31, 2010 and for the year ended May 31, 2010		87
Consolidated Statements of Cash Flows for the years ended December  31, 2012 and 2011, the seven months ended December 31, 2010 and for the year ended May 31, 2010		88
Notes to Consolidated Financial Statements		89

(2) Financial Statement Schedules

Schedule II—Valuation and Qualifying Accounts

(In thousands)	Balance at Beginning of Year		Charged to Expenses/ Against Revenue		Write-Offs, Net of Recoveries			Balance at End of Year
Allowance for doubtful accounts and sales credits
Year ended December 31, 2012		$12,505		37,447		(12,114	)		$37,838
Year ended December 31, 2011		$11,321		10,059		(8,875	)		$12,505
Seven months ended December 31, 2010		$8,531		6,140		(3,350	)		$11,321
Year ended May 31, 2010		$6,870		7,785		(6,124	)		$8,531

All other schedules are omitted, since the required information is not applicable or is not present in amounts sufficient to require submission of the schedule, or because the information required is included in the consolidated financial statements and notes thereto.

(b) Exhibits

131

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 March 11, 2013.

ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.
BY:	/S/ PAUL M. BLACK
	Paul M. Black President and Chief Executive Officer

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below on March 11, 2013 by the following persons on behalf of the Registrant in the capacities indicated.

Signature	Title
/S/ PAUL M. BLACK Paul M. Black	President, Chief Executive Officer and Director (Principal Executive Officer)
/S/ RICHARD J. POULTON Richard J. Poulton	Chief Financial Officer (Principal Financial and Accounting Officer)
/S/ DENNIS H. CHOOKASZIAN Dennis H. Chookaszian	Chairman of the Board and Director
/S/ STUART L. BASCOMB Stuart L. Bascomb	Director
/S/ ROBERT J. CINDRICH Robert J. Cindrich	Director
/S/ DAVID D. STEVENS David D. Stevens	Director
/S/ RANDY THURMAN Randy Thurman	Director

132

			Incorporated by Reference
Exhibit Number	Exhibit Description	Filed Herewith	Form	Exhibit	Filing Date	Filed By
2.1	Agreement and Plan of Merger, dated as of March 17, 2008, by and among Misys plc, Misys Healthcare Systems, LLC, Allscripts Healthcare Solutions, Inc. and Patriot Merger Company, LLC		8-K	2.1	March 19, 2008	Allscripts Healthcare Solutions, Inc.
2.2	Agreement and Plan of Merger, dated June 9, 2010, by and among Allscripts-Misys Healthcare Solutions, Inc., Arsenal Merger Corp. and Eclipsys Corporation		8-K	2.1	June 9, 2010	Allscripts Healthcare Solutions, Inc.
2.3	Share Purchase Agreement, dated as of March 4, 2013, among Allscripts Healthcare Solutions, Inc., Allscripts Healthcare International Holdings, LLC, dbMotion, Ltd., the Sellers party thereto and Shareholder Representative Services LLC, as representative of the Sellers		8-K	2.1	March 4, 2013	Allscripts Healthcare Solutions, Inc.
3.1	Fourth Amended and Restated Certificate of Incorporation of Allscripts Healthcare Solutions, Inc.		8-K	3.1	August 23, 2010	Allscripts Healthcare Solutions, Inc.
3.2	By-Laws of Allscripts Healthcare Solutions, Inc.		10-K	3.2	March 1, 2013	Allscripts Healthcare Solutions, Inc.
4.1	Rights Agreement, dated as of May 7, 2012, between Allscripts Healthcare Solutions, Inc. and Computershare Shareowner Services LLC, as rights agent, which includes the Form of Rights Certificate as Exhibit B thereto.		8-A	4.1	May 7, 2012	Allscripts Healthcare Solutions, Inc.
10.1	Credit Agreement by and among Allscripts Healthcare Solutions, Inc., as borrower, UBS Loan Finance LLC and Barclays Capital, as co-syndication agents, Fifth Third Bank, U.S. Bank, N.A., BBVA Compass Bank, Keybank National Association, Mizuho Corporate Bank, Ltd., RBS Citizens, N.A., Sumitomo Mitsui Banking Corporation, Suntrust Bank, The Bank of Nova Scotia and Wells Fargo Bank, N.A., as co-documentation agents, and JPMorgan Chase Bank, N.A., as administrative agent, dated August 20, 2010, as Amended and Restated as of March 31, 2011		8-K	10.1	April 6, 2011	Allscripts Healthcare Solutions, Inc.

				Incorporated by Reference
Exhibit Number		Exhibit Description	Filed Herewith	Form	Exhibit	Filing Date	Filed By
10.2		Incremental Assumption Agreement by and among Allscripts Healthcare Solutions, Inc. and Allscripts Healthcare, LLC (individually and collectively as the borrower), J. P. Morgan Securities LLC, Mizuho Corporate Bank, LTD., SunTrust Robinson Humphrey, Inc., and other participating lenders as the lenders, and JPMorgan Chase Bank, N.A., as administrative agent, dated June 11, 2012		8-K	10.1	June 12, 2012	Allscripts Healthcare Solutions, Inc.
10.3		First Amendment, dated as of February 19, 2013, to the Credit Agreement by and among Allscripts Healthcare Solutions, Inc., as borrower, UBS Loan Finance LLC and Barclays Capital, as co-syndication agents, Fifth Third Bank, U.S. Bank, N.A., BBVA Compass Bank, Keybank National Association, Mizuho Corporate Bank, Ltd., RBS Citizens, N.A., Sumitomo Mitsui Banking Corporation, Suntrust Bank, The Bank of Nova Scotia and Wells Fargo Bank, N.A., as co-documentation agents, and JPMorgan Chase Bank, N.A., as administrative agent, dated August 20, 2010, as Amended and Restated as of March 31, 2011		10-K	10.3	March 1, 2013	Allscripts Healthcare Solutions, Inc.
10.4	†	Misys Omnibus Share Plan dated as of September 30, 2008		10-Q	10.2	April 9, 2009	Allscripts Healthcare Solutions, Inc.
10.5	†	Allscripts Healthcare Solutions, Inc., Amended and Restated 1993 Stock Incentive Plan (as amended and restated effective October 8, 2009)		10-Q	10.3	October 13, 2009	Allscripts Healthcare Solutions, Inc.
10.6	†	Allscripts Healthcare Solutions, Inc. 2001 Non-Statutory Stock Option Plan		10-K	10.19	March 31, 2003	Allscripts Healthcare Solutions, Inc.
10.7	†	Amendments to the Allscripts Healthcare Solutions, Inc. 2001 Nonstatutory Stock Option Plan		10-Q	10.12	November 10, 2008	Allscripts Healthcare Solutions, Inc.
10.8	†	Allscripts-Misys Healthcare Solutions, Inc. Incentive Plan		10-Q	10.2	October 13, 2009	Allscripts Healthcare Solutions, Inc.

				Incorporated by Reference
Exhibit Number		Exhibit Description	Filed Herewith	Form	Exhibit	Filing Date	Filed By
10.9	†	Allscripts Healthcare Solutions, Inc. Retention Plan, as amended		10-Q	10.24	November 9, 2010	Allscripts Healthcare Solutions, Inc.
10.10	†	Allscripts Healthcare Solutions, Inc. Director Deferred Compensation Plan		10-KT	10.17	March 1, 2011	Allscripts Healthcare Solutions, Inc.
10.11	†	Eclipsys Corporation Amended and Restated 2000 Stock Incentive Plan		10-Q	10.1	May 10, 2005	Eclipsys Corporation
10.12	†	Amendment Number One to the Eclipsys Corporation Amended and Restated 2000 Stock Incentive Plan		10-Q	10.13	November 9, 2010	Allscripts Healthcare Solutions, Inc.
10.13	†	Allscripts Healthcare Solutions, Inc. 2011 Stock Incentive Plan		8-K	10.1	May 26, 2011	Allscripts Healthcare Solutions, Inc.
10.14	†	Amendment to Allscripts Healthcare Solutions, Inc. 2011 Stock Incentive Plan		10-K	10.57	February 29, 2012	Allscripts Healthcare Solutions, Inc.
10.15	†	Eclipsys Corporation 2005 Stock Incentive Plan		8-K	10.1	July 6, 2005	Eclipsys Corporation
10.16	†	Amendment Number One to the Eclipsys Corporation 2005 Stock Incentive Plan		10-Q	10.15	November 9, 2010	Allscripts Healthcare Solutions, Inc.
10.17	†	Eclipsys Corporation Amended and Restated 2005 Inducement Grant Stock Incentive Plan		10-Q	10.1	May 12, 2008	Eclipsys Corporation
10.18	†	Amendment Number One to the Eclipsys Corporation Amended and Restated 2005 Inducement Grant Stock Incentive Plan		10-Q	10.17	November 9, 2010	Allscripts Healthcare Solutions, Inc.
10.19	†	Eclipsys Corporation 2008 Omnibus Incentive Plan		10-Q	10.1	August 7, 2008	Eclipsys Corporation
10.20	†	Amendment Number One to the Eclipsys Corporation 2008 Omnibus Incentive Plan		10-Q	10.19	November 9, 2010	Allscripts Healthcare Solutions, Inc.
10.21	†	Eclipsys Corporation Inducement Grant Omnibus Incentive Plan		S-1	4.2	August 6, 2009	Eclipsys Corporation
10.22	†	Amendment Number One to the Eclipsys Corporation Inducement Grant Omnibus Incentive Plan		10-Q	10.21	November 9, 2010	Allscripts Healthcare Solutions, Inc.
10.23	†	Eclipsys Corporation Retention Plan		10-Q	10.25	November 9, 2010	Allscripts Healthcare Solutions, Inc.

				Incorporated by Reference
Exhibit Number		Exhibit Description	Filed Herewith	Form	Exhibit	Filing Date	Filed By
10.24	†	Form of Allscripts Healthcare Solutions, Inc. Nonqualified Incentive Stock Option Agreement		8-K	10.1	January 5, 2005	Allscripts Healthcare Solutions, Inc.
10.25	†	Form of Restricted Stock Award Agreement (Directors)		10-K	10.29	March 15, 2006	Allscripts Healthcare Solutions, Inc.
10.26	†	Form of Restricted Stock Award Agreement (Officers and Employees)		10-K	10.30	March 15, 2006	Allscripts Healthcare Solutions, Inc.
10.27	†	Amendment to Form of Restricted Stock Award Agreement		10-K	10.31	March 1, 2007	Allscripts Healthcare Solutions, Inc.
10.28	†	Form of Restricted Stock Unit Agreement (Directors)		10-K	10.37	February 29, 2008	Allscripts Healthcare Solutions, Inc.
10.29	†	Form of Restricted Stock Unit Agreement (Officers and Employees)		8-K	10.1	October 23, 2008	Allscripts Healthcare Solutions, Inc.
10.30	†	Form of Performance- Based Restricted Stock Unit Award		10-Q	10.4	October 13, 2009	Allscripts Healthcare Solutions, Inc.
10.31	†	Form of Restricted Stock Unit Award Agreement (September 2010)		10-Q	10.23	November 9, 2010	Allscripts Healthcare Solutions, Inc.
10.32	†	Form of Restricted Stock Unit Award Agreement (Directors)		10-KT	10.37	March 1, 2011	Allscripts Healthcare Solutions, Inc.
10.33	†	Form of Restricted Stock Unit Award Agreement (February 2011)		10-KT	10.38	March 1, 2011	Allscripts Healthcare Solutions, Inc.
10.34	†	Form of Performance-Based Restricted Stock Unit Award Agreement		10-KT	10.39	March 1, 2011	Allscripts Healthcare Solutions, Inc.
10.35	†	Form of Performance-Based Restricted Stock Unit Award Agreement (TSR)		10-KT	10.40	March 1, 2011	Allscripts Healthcare Solutions, Inc.
10.36	†	Form of Restricted Stock Unit Award Agreement for Non-Employee Directors (2011 Stock Incentive Plan)		10-Q	10.4	August 9, 2011	Allscripts Healthcare Solutions, Inc.
10.37	†	Form of Time-Based Vesting Restricted Stock Unit Award Agreement for Employees (2011 Stock Incentive Plan)		10-Q	10.5	August 9, 2011	Allscripts Healthcare Solutions, Inc.
10.38	†	Form of Stock Option Agreement		10-K	10.38	March 1, 2013	Allscripts Healthcare Solutions, Inc.

				Incorporated by Reference
Exhibit Number		Exhibit Description	Filed Herewith	Form	Exhibit	Filing Date	Filed By
10.39	†	Form of Performance-Based Restricted Stock Unit Award Agreement (TSR)		10-K	10.39	March 1, 2013	Allscripts Healthcare Solutions, Inc.
10.40	†	Form of Performance-Based Restricted Stock Unit Award Agreement (TSR) for Paul M. Black		10-K	10.40	March 1, 2013	Allscripts Healthcare Solutions, Inc.
10.41	†	Form of Restricted Stock Unit Award Agreement for Paul M. Black		10-K	10.41	March 1, 2013	Allscripts Healthcare Solutions, Inc.
10.42	†	Eclipsys Corporation Form of Performance Stock Unit Agreement		8-K	10.1	March 19, 2010	Eclipsys Corporation
10.43	†	Employment Agreement, dated as of July 31, 2010, by and between Allscripts-Misys Healthcare Solutions, Inc. and Glen E. Tullman		8-K	10.1	August 2, 2010	Allscripts Healthcare Solutions, Inc.
10.44	†	Employment Agreement, dated as of March 17, 2008 but effective as of October 10, 2008 between Allscripts Healthcare Solutions, Inc. and Lee Shapiro		10-Q	10.3	August 8, 2008	Allscripts Healthcare Solutions, Inc.
10.45	†	Amendment to Employment Agreement, dated as of July 28, 2010, by and between Allscripts-Misys Healthcare Solutions, Inc. and Lee A. Shapiro		8-K	10.2	August 2, 2010	Allscripts Healthcare Solutions, Inc.
10.46	†	Employment Agreement, dated as of March 17, 2008 but effective as of October 10, 2008 between Allscripts Healthcare Solutions, Inc. and William J. Davis		10-Q	10.4	August 8, 2008	Allscripts Healthcare Solutions, Inc.
10.47	†	Amendment to Employment Agreement, dated as of July 30, 2010, by and between Allscripts-Misys Healthcare Solutions, Inc. and William J. Davis		8-K	10.3	August 2, 2010	Allscripts Healthcare Solutions, Inc.
10.48	†	Employment Agreement, dated as of June 9, 2010, by and between Allscripts-Misys Healthcare Solutions, Inc. and Philip M. Pead		8-K	10.1	June 14, 2010	Allscripts Healthcare Solutions, Inc.
10.49	†	Amended and Restated Employment Agreement dated as of July 11, 2011 between Allscripts Healthcare Solutions, Inc. and Diane Adams		8-K	10.2	July 13, 2011	Allscripts Healthcare Solutions, Inc.

				Incorporated by Reference
Exhibit Number		Exhibit Description	Filed Herewith	Form	Exhibit	Filing Date	Filed By
10.50	†	Separation Agreement dated as of April 25, 2012 between the Company and Philip M. Pead		8-K	10.1	April 26, 2012	Allscripts Healthcare Solutions, Inc.
10.51		Agreement, dated as of May 31, 2012, among Allscripts Healthcare Solutions, Inc., HealthCor Offshore Master Fund, L.P., Healthcore Hybrid Offshore Master Fund, L.P., Healthcor Long Offshore Master Fund, L.P. and Healthcor Management, L.P.		8-K	10.1	June 1, 2012	Allscripts Healthcare Solutions, Inc.
10.52	†	First Amendment to Employment Agreement, dated as of June 5, 2012, by and between Allscripts Healthcare Solutions, Inc. and Glen E. Tullman		8-K	10.1	June 6, 2012	Allscripts Healthcare Solutions, Inc.
10.53	†	Second Amendment to Employment Agreement, dated as of June 5, 2012, by and between Allscripts Healthcare Solutions, Inc. and Lee Shapiro		8-K	10.2	June 6, 2012	Allscripts Healthcare Solutions, Inc.
10.54	†	First Amendment to Employment Agreement, dated as of June 5, 2012, by and between Allscripts Healthcare Solutions, Inc. and Diane Adams		8-K	10.3	June 6, 2012	Allscripts Healthcare Solutions, Inc.
10.55	†	Employment Agreement, dated as of May 16, 2012 but effective as of May 21, 2012, between Allscripts Healthcare Solutions, Inc. and W. David Morgan		10-Q	10.1	November 21, 2012	Allscripts Healthcare Solutions, Inc.
10.56	†	Employment Agreement, dated as of December 19, 2012, between Allscripts Healthcare Solutions, Inc. and Paul M. Black		8-K	10.1	December 19, 2012	Allscripts Healthcare Solutions, Inc.
10.57	†	Separation Agreement, dated as of December 19, 2012, between Allscripts Healthcare Solutions, Inc. and Glen E. Tullman		10-K	10.57	March 1, 2013	Allscripts Healthcare Solutions, Inc.
10.58	†	Separation Agreement, dated as of December 19, 2012, between Allscripts Healthcare Solutions, Inc. and Lee Shapiro		10-K	10.58	March 1, 2013	Allscripts Healthcare Solutions, Inc.
10.59	†	Consulting Agreement, dated as of December 19, 2012, between Allscripts Healthcare Solutions, Inc. and Glen E. Tullman		8-K	10.4	December 19, 2012	Allscripts Healthcare Solutions, Inc.

				Incorporated by Reference
Exhibit Number		Exhibit Description	Filed Herewith	Form	Exhibit	Filing Date	Filed By
10.60	†	Consulting Agreement, dated as of December 19, 2012, between Allscripts Healthcare Solutions, Inc. and Lee Shapiro		8-K	10.5	December 19, 2012	Allscripts Healthcare Solutions, Inc.
10.61	†	Separation Agreement, dated as of December 28, 2012, between Allscripts Healthcare Solutions, Inc. and Diane Adams		8-K	10.1	December 28, 2012	Allscripts Healthcare Solutions, Inc.
10.62	†	Employment Agreement, dated as of June 17, 2011 but effective as of July 11, 2011, between Allscripts Healthcare Solutions, Inc. and Clifford B. Meltzer		10-K	10.62	March 1, 2013	Allscripts Healthcare Solutions, Inc.
10.63	†	First Amendment to Employment Agreement, dated as of May 8, 2012, by and between Allscripts Healthcare Solutions, Inc. and Clifford B. Meltzer		10-K	10.63	March 1, 2013	Allscripts Healthcare Solutions, Inc.
10.64	†	Employment Agreement, dated as of July 14, 2011 but effective as of July 19, 2011, between Allscripts Healthcare Solutions, Inc. and Stephen Shute		10-K	10.64	March 1, 2013	Allscripts Healthcare Solutions, Inc.
10.65	†	First Amendment to Employment Agreement, dated as of May 4, 2012, by and between Allscripts Healthcare Solutions, Inc. and Stephen Shute		10-K	10.65	March 1, 2013	Allscripts Healthcare Solutions, Inc.
10.66	†	Separation Agreement, dated as of January 1, 2013, between Allscripts Healthcare Solutions, Inc. and W. David Morgan		10-K	10.66	March 1, 2013	Allscripts Healthcare Solutions, Inc.
10.67	†	Employment Agreement, dated as of October 10, 2012 but effective as of October 29, 2012, between Allscripts Healthcare Solutions, Inc. and Richard Poulton		10-K	10.67	March 1, 2013	Allscripts Healthcare Solutions, Inc.
12.1		Ratio of Earnings to Fixed Charges		10-K	12.1	March 1, 2013	Allscripts Healthcare Solutions, Inc.
18.1		Preferability letter dated August 9, 2011 from Independent Registered Public Accounting Firm		10-Q	18.1	August 9, 2011	Allscripts Healthcare Solutions, Inc.
21.1		Subsidiaries	X
23.1		Consent of Ernst & Young LLP	X
23.2		Consent of PricewaterhouseCoopers LLP	X

			Incorporated by Reference
Exhibit Number	Exhibit Description	Filed Herewith	Form	Exhibit	Filing Date	Filed By
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 (Loss), (iv) Consolidated Statements of Stockholders’ Equity, (v) Consolidated Statements of Cash Flows, and (vi) Notes to Consolidated Financial Statements	X

† Indicates management contract or compensatory plan.

EX-21.1

EXHIBIT 21.1

ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.

SUBSIDIARIES

Subsidiary	Jurisdiction or State of Organization
Allscripts Holdings, LLC	Delaware
Allscripts Holdings 2, LLC	Delaware
Coniston Exchange, LLC	Delaware
Allscripts Healthcare US, LP	Delaware
Allscripts Healthcare, LLC	North Carolina
Allscripts Software, LLC	Delaware
Allscripts Canada Corporation	Canada
Eclipsys International Holdings, LLC	Delaware
Allscripts (Mauritius) Limited	Mauritius
Allscripts (India) Private Limited	India
Eclipsys ME, FZ-LLC	Dubai, UAE
Allscripts Malaysia SDN. BHD.	Malaysia
Allscripts Healthcare IT (Singapore) PTE. LTD.	Singapore
Allscripts Healthcare IT (Australia) PTY. LTD.	Australia
Allscripts Healthcare (IT) UK LTD.	United Kingdom
dbMotion, Ltd.	Israel

EX-23.1

EXHIBIT 23.1

CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

We consent to the incorporation by reference in the following Registration Statements:

(1) (Form S-3 No. 333-167412) pertaining to Allscripts-Misys Healthcare Solutions, Inc.,

(2) Registration Statement (Form S-8 No. 333-37238) pertaining to the Allscripts, Inc. Amended and Restated 1993 Stock Incentive Plan,

(3) Registration Statement (Form S-8 No. 333-90129) pertaining to the Allscripts, Inc. Amended and Restated 1993 Stock Incentive Plan,

(4) Registration Statement (Form S-8 No. 333-104416) pertaining to the Allscripts Healthcare Solutions, Inc. Amended and Restated 1993 Stock Incentive Plan and the Allscripts Healthcare Solutions., Inc. 2001 Nonstatutory Stock Option Plan,

(5) Registration Statement (Form S-8 No. 333-107793) pertaining to the Advanced Imaging Concepts, Inc. 2000 Stock Plan, (6) Registration Statement (Form S-8 No. 333-59212) pertaining to the Allscripts Healthcare Solutions, Inc. Amended and Restated 1993 Stock Incentive Plan, the Allscripts Healthcare Solutions, Inc. 2001 Nonstatutory Stock Option Plan and the Allscripts Healthcare Solutions, Inc./ChannelHealth Incorporated 1999 Stock Option Plan,

(7) Registration Statement (Form S-8 No. 333-135282) pertaining to the Allscripts Healthcare Solutions, Inc. Amended and Restated 1993 Stock Incentive Plan and the Allscripts Healthcare Solutions, Inc. Employee Stock Purchase Plan,

(8) Registration Statement (Form S-8 No. 333-141600) pertaining to the Allscripts Healthcare Solutions, Inc. Amended and Restated 1993 Stock Incentive Plan,

(9) Registration Statement (Form S-8 No. 333-154775) pertaining to the Allscripts Healthcare Solutions, Inc. Amended and Restated 1993 Stock Incentive Plan,

(10) Registration Statement (Form S-8 No. 333-164294) pertaining to the Allscripts-Misys Healthcare Solutions, Inc. Employee Stock Purchase Plan,

(11) Registration Statement (Form S-8 No. 333-167846) pertaining to the Eclipsys Corporation 2008 Omnibus Incentive Plan, the Eclipsys Corporation Inducement Grant Omnibus Incentive Plan, the Eclipsys Corporation 2005 Stock Incentive Plan, the Eclipsys Corporation Amended and Restated 2005 Inducement Grant Stock Incentive Plan, and the Eclipsys Corporation Amended and Restated 2000 Stock Incentive Plan,

(12) Registration Statement (Form S-8 No. 333-175053) pertaining to the Allscripts Healthcare Solutions, Inc.2011 Stock Incentive Plan, and

(13) Registration Statement (Form S-8 No. 333-175819) pertaining to the Allscripts Healthcare Solutions, Inc. Amended and Restated Employee Stock Purchase Plan;

of our reports dated March 1, 2013, with respect to the consolidated financial statements and schedule of Allscripts Healthcare Solutions, Inc., and the effectiveness of internal control over financial reporting of Allscripts Healthcare Solutions, Inc., included in this Annual Report (Form 10-K/A) of Allscripts Healthcare Solutions, Inc. for the year ended December 31, 2012.

/s/ Ernst & Young LLP

Chicago, Illinois

March 11, 2013

EX-23.2

Exhibit 23.2

CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

We hereby consent to the incorporation by reference in the Registration Statement on Form S-3 (No. 333-167412) and Form S-8 (Nos. 333-37238, 333-90129, 333-104416, 333-107793, 333-59212, 333-135282, 333-141600, 333-154775, 333-164294, 333-167846, 333-175053 and 333-175819) of Allscripts Healthcare Solutions, Inc. of our report dated February 28, 2011, except for the change in the composition of reportable segments discussed in Note 15 to the consolidated financial statements, as to which the date is March 11, 2013, relating to the financial statements and financial statement schedule, which appears in this Form 10-K/A.

/s/ PricewaterhouseCoopers LLP

Chicago, Illinois

March 11, 2013

EX-31.1

EXHIBIT 31.1

CERTIFICATION

I, Paul M. Black, certify that:

1. I have reviewed this annual report on Form 10-K/A of Allscripts Healthcare Solutions, Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a. designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b. designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c. evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d. disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting;

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s Board of Directors (or persons performing the equivalent functions):

a. all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting, which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b. any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date: March 11, 2013	/s/ Paul M. Black
	President and Chief Executive Officer

EX-31.2

EXHIBIT 31.2

CERTIFICATION

I, Richard J. Poulton, certify that:

1. I have reviewed this annual report on Form 10-K/A of Allscripts Healthcare Solutions, Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a. designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b. designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c. evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d. disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting;

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s Board of Directors (or persons performing the equivalent functions):

a. all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting, which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b. any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date: March 11, 2013	/s/ Richard J. Poulton
	Chief Financial Officer

EX-32.1

EXHIBIT 32.1

The following statement is being made to the Securities and Exchange Commission solely for purposes of Section 906 of the Sarbanes-Oxley Act of 2002 (18 U.S.C. 1350), which carries with it certain criminal penalties in the event of a knowing or willful misrepresentation.

Securities and Exchange Commission

450 Fifth Street, NW

Washington, D.C. 20549

Re: Allscripts Healthcare Solutions, Inc.

Ladies and Gentlemen:

In accordance with the requirements of Section 906 of the Sarbanes-Oxley Act of 2002 (18 USC 1350), each of the undersigned hereby certifies that:

(i) this annual report on Form 10-K/A for the year ended December 31, 2012, which this statement accompanies, fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m or 78o(d); and

(ii) the information contained in this annual report on Form 10-K/A for the year ended December 31, 2012, fairly presents, in all material respects, the financial condition and results of operations of Allscripts Healthcare Solutions, Inc.

Date: March 11, 2013

/s/ PAUL M. BLACK	/s/ RICHARD J. POULTON
Paul M. Black President and Chief Executive Officer	Richard J. Poulton Chief Financial Officer

A signed original of this written statement required by Section 906 has been provided to Allscripts Healthcare Solutions, Inc. and will be retained by Allscripts Healthcare Solutions, Inc. and furnished to the Securities and Exchange Commission or its staff upon request.

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Income Taxes (Tables)

12 Months Ended

Dec. 31, 2012

Geographic Breakdown of Income (Loss) Before Provision for Income Taxes

The following is a geographic breakdown of income (loss) before the provision for income taxes:

	Year Ended December 31,					Seven Months Ended December 31, 2010			Year Ended May  31, 2010
(In thousands)	2012			2011
United States		($36,933	)		$106,348		($5,314	)		$103,536
Foreign		19,473			11,131		2,355			0
Total income (loss) before income taxes		($17,460	)		$117,479		($2,959	)		$103,536

Components of Provision for Income Taxes

The following is a summary of the components of the provision for income taxes:

	Year Ended December 31,						Seven Months Ended December 31, 2010			Year Ended May  31, 2010
(In thousands)	2012			2011
Current tax provision
Federal		$1,610			$2,827			($2,353	)		$8,119
State		3,793			4,685			1,245			6,324
Foreign		5,184			2,483			510			0
		10,587			9,995			(598	)		14,443
Deferred tax provision
Federal		(24,196	)		36,637			3,376			24,458
State		(2,473	)		(2,391	)		(238	)		1,765
Foreign		(225	)		(371	)		66			0
		(26,894	)		33,875			3,204			26,223
Provision for income taxes		($16,307	)		$43,870			$2,606			$40,666

Taxes Computed at Statutory Federal Income Tax Rate Reconciled to Provision for Income Taxes

Taxes computed at the statutory federal income tax rate of 35% are reconciled to the provision for income taxes as follows:

	Year Ended December 31,						Seven Months Ended December 31, 2010			Year Ended May  31, 2010
(In thousands)	2012			2011
United States federal tax at statutory rate		35.0	%		35.0	%		35.0	%		35.0	%
Items affecting federal income tax rate
Non-deductible acquisition and reorganization expenses		0.0	%		0.0	%		(59.5	%)		2.3	%
Research credits		14.5	%		(2.7	%)		33.1	%		(0.1	%)
Change in unrecognized tax benefits		(6.6	%)		1.8	%		(28.9	%)		0.0	%
State income taxes, net of federal benefit		5.8	%		4.6	%		(27.0	%)		5.1	%
Compensation		(3.9	%)		1.4	%		(26.2	%)		0.0	%
Meals and entertainment		(6.1	%)		0.9	%		(20.9	%)		0.9	%
Impact of foreign operations		10.7	%		(1.6	%)		16.7	%		0.0	%
Federal, state and local rate changes		(11.3	%)		(3.2	%)		(12.8	%)		0.0	%
Change in unrecognized tax benefit, Coniston		91.4	%		0.0	%		0.0	%		0.0	%
Indemnification asset settlement, Coniston		(28.2	%)		0.0	%		0.0	%		0.0	%
Domestic manufacturing deduction		0.0	%		0.0	%		7.2	%		(0.5	%)
Non-deductible items		(0.5	%)		0.2	%		(4.4	%)		0.0	%
Valuation allowance		(4.0	%)		0.0	%		(0.4	%)		0.0	%
True-up of capitalized software deferred tax		(2.3	%)		0.0	%		0.0	%		0.0	%
Other		(1.1	%)		0.9	%		0.0	%		(3.4	%)
Provision for income taxes		93.4	%		37.3	%		(88.1	%)		39.3	%

Components of Deferred Tax Assets and Liabilities

Significant components of the Company’s deferred tax assets and liabilities consist of the following:

(In thousands)	December 31, 2012			December 31, 2011
Deferred tax assets
Accruals and reserves, net		$16,925			$14,006
Allowance for doubtful accounts		14,931			5,853
Stock-based compensation, net		7,309			6,839
Deferred compensation		151			148
Deferred revenue		6,205			0
Net operating loss carryforwards		63,256			93,474
Research and development tax credit		15,573			16,253
AMT credits		7,532			3,400
Other		10,330			9,443
Less: Valuation allowance		(832	)		0
Total deferred tax assets		141,380			149,416
Deferred tax liabilities
Prepaid expense		(16,664	)		(13,094	)
Property and equipment, net		(1,344	)		(2,220	)
Acquired intangibles, net		(185,257	)		(205,775	)
Deferred revenue		0			(2,438	)
Total deferred tax liabilities		(203,265	)		(223,527	)
Net deferred tax liabilities		($61,885	)		($74,111	)

Deferred Tax Assets (Liabilities) Classified in Consolidated Balance Sheets

The deferred tax assets (liabilities) are classified in the consolidated balance sheets as follows:

(In thousands)	December 31, 2012			December 31, 2011
Current deferred tax assets, net		$56,499			$40,600
Non-current deferred tax assets, net		7,529			5,017
Non-current deferred tax liabilities, net		(125,913	)		(119,728	)
Non-current deferred tax assets (liabilities), net		(118,384	)		(114,711	)
Net deferred tax liabilities		($61,885	)		($74,111	)

Reconciliation of Unrecognized Tax Benefits

The following table reconciles unrecognized tax benefits:

(In thousands)	Year Ended December 31,						Seven Months Ended December 31, 2010			Year Ended May  31, 2010
	2012			2011
Beginning balance at January 1, 2012 and 2011 and June 1, 2010 and 2009, respectively		$43,284			$42,840			$2,808			$3,124
Increases for tax positions related to the current year		46			719			882			228
Decreases for tax positions related to prior years		(13,944	)		0			0			0
Increases for tax positions related to prior years		656			282			0			0
Decreases relating to settlements with taxing authorities		(11,925	)		0			0			0
Increases acquired in business acquisitions		0			0			13,340			0
Increases acquired in Coniston Transactions		0			0			25,863			0
Foreign currency translation		97			(215	)		224			0
Reductions due to lapsed statute of limitations		(74	)		(342	)		(277	)		(544	)
Ending balance at December 31, 2012, 2011 and 2010, and May 31, 2010, respectively		$18,140			$43,284			$42,840			$2,808

Recognized Interest and Penalties Related to Uncertain Tax Positions

We recognized interest and penalties related to uncertain tax positions in our consolidated statements of operations as follows:

	Year Ended December 31,					Seven Months Ended December 31, 2010		Year Ended May  31, 2010
(In thousands)	2012			2011
Interest and penalties included in provision for income taxes		($2,539	)		$1,174		$473		$0

Amount of Interest and Penalties Included in Consolidated Balance Sheets

The amount of interest and penalties included in our consolidated balance sheets is as follows:

(In thousands)	December 31, 2012		December 31, 2011
Interest and penalties included in the liability for uncertain income taxes		$2,199		$4,737

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Long-Lived Assets by Geographic Area (Detail) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011
Long-Lived Assets by Geographical Areas [Line Items]
Long lived assets	$ 155,494	$ 122,563
UNITED STATES
Long-Lived Assets by Geographical Areas [Line Items]
Long lived assets	144,526	113,791
INDIA
Long-Lived Assets by Geographical Areas [Line Items]
Long lived assets	9,182	6,677
CANADA
Long-Lived Assets by Geographical Areas [Line Items]
Long lived assets	1,553	1,896
Other International
Long-Lived Assets by Geographical Areas [Line Items]
Long lived assets	$ 233	$ 199

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Summary of Financial Assets and Liabilities Measured at Fair Value on Recurring Basis (Detail) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Assets, Fair Value Disclosure	$ 14,825	$ 13,992
Money Market Funds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash equivalents	14,653	14,071
Marketable securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Long-term marketable securities	1,706	1,675
Derivatives
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Other liabilities	(1,534)	(1,754)
Level 1
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Assets, Fair Value Disclosure	14,653	14,071
Level 1 | Money Market Funds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash equivalents	14,653	14,071
Level 1 | Marketable securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Long-term marketable securities	0	0
Level 1 | Derivatives
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Other liabilities	0	0
Level 2
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Assets, Fair Value Disclosure	172	(79)
Level 2 | Money Market Funds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash equivalents	0	0
Level 2 | Marketable securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Long-term marketable securities	1,706	1,675
Level 2 | Derivatives
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Other liabilities	$ (1,534)	$ (1,754)

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Commitment with Strategic Partner (Tables)

12 Months Ended

Dec. 31, 2012

Expense Incurred under Acs Agreement

Expenses incurred under this agreement are included in cost of revenue and were as follows:

	Year Ended December 31,
(In thousands)	2012		2011
Expenses incurred under Xerox agreement		$55,987		$28,132

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Goodwill and Intangible Assets (Detail) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011
Schedule Of Goodwill And Intangible Assets [Line Items]
Gross Assets	$ 674,260	$ 896,015
Accumulated Amortization	(299,274)	(458,167)
Intangible Assets, Net	374,986	437,848
Indefinite lived and non-amortizable registered trademarks	52,000	52,000
Goodwill	1,039,364	1,039,364
Total intangible assets excluding goodwill, gross	726,260	726,260
Total intangible assets excluding goodwill, net	426,986	489,848
Proprietary Technology
Schedule Of Goodwill And Intangible Assets [Line Items]
Gross Assets	361,660	361,660
Accumulated Amortization	(197,383)	(170,157)
Intangible Assets, Net	164,277	191,503
Customer Contracts and Relationships
Schedule Of Goodwill And Intangible Assets [Line Items]
Gross Assets	312,600	534,355
Accumulated Amortization	(101,891)	(288,010)
Intangible Assets, Net	$ 210,709	$ 246,345

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Unamortized Balances of Capitalized Software (Detail) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011
Capitalized Software [Line Items]
Software development costs	$ 156,703	$ 132,714
Less: accumulated amortization	(61,124)	(34,336)
Software development costs, net	$ 95,579	$ 98,378

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Debt Outstanding (Detail) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011
Debt Instrument [Line Items]
Senior Secured Credit Facilities (long-term portion)	$ 362,697	$ 322,664
Senior Secured Credit Facilities (current portion)	78,770	44,677
Total debt	$ 441,467	$ 367,341

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Fair Value of Derivative Instrument (Detail) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011
Derivative [Line Items]
Fair value of interest rate swap agreement	$ (1,534)	$ (1,754)

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Related Party Transactions (Tables)

12 Months Ended

Dec. 31, 2012

Revenue Earned under Services Agreements

Revenue earned (expenses incurred) under these services agreements were as follows:

						Seven Months Ended December 31,			Year Ended May 31,
	Year Ended December 31,
(In thousands)	2012		2011			2010			2010
Revenue earned (expenses incurred) under services agreements		$38		($1,603	)		($7,866	)		($14,403	)

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Business Combinations and Divestitures (Tables)

12 Months Ended

Dec. 31, 2012

Purchase Price of Acquisition

The total purchase price for the acquisition is comprised of the following:

(Dollar amounts in thousands, except per share amounts)
Fair value of Eclipsys (69 million Allscripts common shares at $17.47, the closing stock price of Allscripts on August 24, 2010)	$1,209,366
Share-based compensation value	21,914
Total purchase price	$1,231,280

Assets Acquired and Liabilities Assumed

The purchase price has been allocated to the tangible and intangible assets acquired and liabilities assumed based on management’s estimates of their current fair values as follows:

(In thousands)
Acquired cash and cash equivalents, and restricted cash	$174,543
Accounts receivable, net	136,198
Prepaid expenses and other current assets	31,520
Fixed assets and other long-term assets	83,680
Goodwill	623,614
Intangible assets	377,000
Deferred tax liabilities, net	(13,128	)
Accounts payable and accrued liabilities	(59,166	)
Deferred revenue	(106,344	)
Other liabilities	(16,637	)
Net assets acquired	$1,231,280

Acquired Intangible Assets Amortization

The acquired intangible assets are being amortized on a straight-line basis over their useful lives and consist of the following:

(Dollar amounts in thousands)	Useful Life in Years		Fair Value
Description
Maintenance and outsourcing agreements		20		$59,000
Hosting agreements		15		26,000
Services agreements		12		37,000
Developed technology		7		69,000
Core technology		12		95,000
Trade name		3		13,000
Maintenance and outsourcing contract backlog		5		48,000
Hosting contract backlog		6		16,000
Services backlog		2		14,000
				$377,000

Pro Forma Results

The unaudited pro forma results are as follows:

			Supplemental Pro Forma Data
(In thousands, except per share amounts)	August 24, 2010 through December 31, 2010		Seven Months Ended December 31, 2010		Year Ended May 31, 2010
Total revenue	$	174,677	$	720,176	$	1,224,279
Net (loss) income	$	(9,707)	$	55,894	$	66,134
Earnings per share—basic and diluted			$	0.29	$	0.35

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Interest Expense (Detail) (USD $) In Thousands, unless otherwise specified	7 Months Ended		12 Months Ended
	Dec. 31, 2010	Dec. 31, 2009	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Debt Instrument [Line Items]
Interest expense	$ 7,796		$ 11,121	$ 13,546	$ 1,481
Debt cost amortization	1,891		5,066	5,264	512
Write off of unamortized deferred debt issuance costs	0		0	1,940	0
Total interest expense	$ 9,687	$ 1,302	$ 16,187	$ 20,750	$ 1,993

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Valuation And Qualifying Accounts (Detail) (USD $) In Thousands, unless otherwise specified	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Valuation and Qualifying Accounts Disclosure [Line Items]
Beginning Balance	$ 8,531	$ 12,505	$ 11,321	$ 6,870
Charged to Expenses/Against Revenue	6,140	37,447	10,059	7,785
Write-Offs, Net of Recoveries	(3,350)	(12,114)	(8,875)	(6,124)
Ending Balance	$ 11,321	$ 37,838	$ 12,505	$ 8,531

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Amortization Expense Related to Intangible Assets (Detail) (USD $) In Thousands, unless otherwise specified	7 Months Ended		12 Months Ended
	Dec. 31, 2010	Dec. 31, 2009	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Goodwill And Intangible Assets [Line Items]
Proprietary technology amortization included in cost of revenue, system sales	$ 12,719		$ 27,226	$ 27,478	$ 11,064
Intangible amortization included in operating expenses	16,235	5,914	35,635	37,344	10,060
Total intangible amortization expense	$ 28,954		$ 62,861	$ 64,822	$ 21,124

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Recognized Interest and Penalties Related to Uncertain Tax Positions (Detail) (USD $) In Thousands, unless otherwise specified	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Income Tax Uncertainties [Line Items]
Interest and penalties included in provision for income taxes	$ 473	$ (2,539)	$ 1,174	$ 0

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Calculations of Earnings Per Share (Detail) (USD $) In Thousands, except Per Share data, unless otherwise specified	7 Months Ended		12 Months Ended
	Dec. 31, 2010	Dec. 31, 2009	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Earnings Per Share [Line Items]
Net income (loss)	$ (5,565)	$ 30,488	$ (1,153)	$ 73,609	$ 62,870
Less: Income allocated to participating securities	0		0	0	(1,308)
Net income (loss) available to common shareholders	(5,565)		(1,153)	73,609	61,562
Weighted average common shares outstanding	168,110	144,440	178,699	189,254	145,146
Basic Earnings (Loss) per Common Share	$ (0.03)	$ 0.21	$ (0.01)	$ 0.39	$ 0.42
Less: Income allocated to participating securities	0		0	0	(1,281)
Add: Interest expense on Debentures, net of tax	0		0	0	69
Net income (loss) available to common shareholders	$ (5,565)		$ (1,153)	$ 73,609	$ 61,658
Dilutive effect of stock options and restricted stock units awards	0		0	1,786	2,782
Dilutive effect of Debentures	0		0	0	456
Weighted average common shares outstanding assuming dilution	168,110	147,927	178,699	191,040	148,384
Earnings (Loss) per Common Share Assuming Dilution	$ (0.03)	$ 0.20	$ (0.01)	$ 0.39	$ 0.42

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Supplemental Disclosure of Cash Flow Information (Detail) (USD $) In Thousands, unless otherwise specified	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Cash Flow Supplemental Disclosures [Line Items]
Interest	$ 7,555	$ 11,218	$ 13,630	$ 2,302
Income taxes paid (refund), net	$ 11,923	$ 7,040	$ (1,013)	$ 10,714

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Accrued Expenses (Detail) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011
Accrued Expenses [Line Items]
Royalties, certain third party product costs and licenses	$ 31,795	$ 33,795
Other	61,305	55,869
Total accrued expenses	$ 93,100	$ 89,664

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Components of Deferred Tax Assets and Liabilities (Detail) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011
Deferred tax assets
Accruals and reserves, net	$ 16,925	$ 14,006
Allowance for doubtful accounts	14,931	5,853
Stock-based compensation, net	7,309	6,839
Deferred compensation	151	148
Deferred revenue	6,205	0
Net operating loss carryforwards	63,256	93,474
Research and development tax credit	15,573	16,253
AMT credits	7,532	3,400
Other	10,330	9,443
Less: Valuation allowance	(832)	0
Total deferred tax assets	141,380	149,416
Deferred tax liabilities
Prepaid expense	(16,664)	(13,094)
Property and equipment, net	(1,344)	(2,220)
Acquired intangibles, net	(185,257)	(205,775)
Deferred revenue	0	(2,438)
Total deferred tax liabilities	(203,265)	(223,527)
Net deferred tax liabilities	$ (61,885)	$ (74,111)

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Summary of Future Payments Under Senior Secured Credit Facilities Including Incremental Term Loan (Detail) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011
Debt Instrument [Line Items]
Remaining payments due in 2013	$ 78,770
Remaining payments due in 2014	104,698
Remaining payments due in 2015	199,395
Remaining payments due in 2016	58,604
Thereafter	0
Total debt	441,467	367,341
Senior Secured Credit Facilities (current portion)	78,770	44,677
Senior Secured Credit Facilities (long-term portion)	$ 362,697	$ 322,664

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Deferred Tax Assets (Liabilities) Classified in Consolidated Balance Sheets (Detail) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011
Deferred Tax Assets And Liabilities [Line Items]
Current deferred tax assets, net	$ 56,499	$ 40,600
Non-current deferred tax assets, net	7,529	5,017
Non-current deferred tax liabilities, net	(125,913)	(119,728)
Non-current deferred tax assets (liabilities), net	(118,384)	(114,711)
Net deferred tax liabilities	$ (61,885)	$ (74,111)

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Accrued Expenses - Additional Information (Detail)	Dec. 31, 2012
Accrued Expenses [Line Items]
Maximum percentage accounted by individual expenses of total current liabilities	5.00%

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Goodwill and Intangible Assets - Additional Information (Detail) (USD $) In Millions, unless otherwise specified	12 Months Ended
	Dec. 31, 2011
Schedule Of Goodwill And Intangible Assets [Line Items]
Increase in carrying value of goodwill	$ 2

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Geographic Information

12 Months Ended

Dec. 31, 2012

Geographic Information

18. Geographic Information

Revenues are attributed to geographic regions based on the location where the sale originated. The Company’s revenues by geographic area are summarized below:

					Seven Months Ended December 31,		Year Ended May 31,
	Year Ended December 31,
(In thousands)	2012		2011		2010		2010
United States		$1,387,304		$1,389,215		$598,403		$704,502
Canada		23,909		27,076		11,742		0
Other International		35,112		27,786		3,164		0
Total		$1,446,325		$1,444,077		$613,309		$704,502

A summary of the Company’s long-lived assets, comprised of fixed assets by geographic area, is summarized below:

(In thousands)	December 31, 2012		December 31, 2011
United States		$144,526		$113,791
India		9,182		6,677
Canada		1,553		1,896
Other international		233		199
Total		$155,494		$122,563

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Basis of Presentation and Significant Accounting Policies - Additional Information (Detail) (USD $) In Millions, except Share data, unless otherwise specified	1 Months Ended	3 Months Ended	7 Months Ended	12 Months Ended
	May 05, 2012	Dec. 31, 2012	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Summary Of Significant Accounting Policies [Line Items]
Non-marketable equity securities		$ 13		$ 13
Increase in the allowance for doubtful accounts		$ 16.8
Anti-dilutive shares excluded from calculation			3,000,000
Preferred stock, shares authorized		1,000,000		1,000,000	1,000,000
Stockholder Rights Plan, record date				May 17, 2012
Stockholder Rights Plan, exercisability threshold percentage	10.00%
Stockholder Rights Plan, percent discount of common stock	50.00%
Day on which stockholder rights plan may be redeemed following first public announcement of acquisition by a person or group of 10% or more of common stock	10 days
Stockholder Rights Plan, expiration date	May 06, 2013
Percentage of revenues			No customers accounted for greater than 10% of revenue in the years ended December 31, 2012 and 2011, the seven months ended December 31, 2010 and for the year ended May 31, 2010.	No customers accounted for greater than 10% of revenue in the years ended December 31, 2012 and 2011, the seven months ended December 31, 2010 and for the year ended May 31, 2010.	No customers accounted for greater than 10% of revenue in the years ended December 31, 2012 and 2011, the seven months ended December 31, 2010 and for the year ended May 31, 2010.	No customers accounted for greater than 10% of revenue in the years ended December 31, 2012 and 2011, the seven months ended December 31, 2010 and for the year ended May 31, 2010.
Percentage of accounts receivable				No customer represented more than 10% of accounts receivable as of December 31, 2012 or 2011.	No customer represented more than 10% of accounts receivable as of December 31, 2012 or 2011.
Series A Junior Participating Preferred Stock
Summary Of Significant Accounting Policies [Line Items]
Preferred stock, shares authorized		349,000		349,000
Stockholder Rights Plan, exercise price per right	45.00
Stockholder Rights Plan, purchase entitlement number of shares per right	0.001
Eclipsys
Summary Of Significant Accounting Policies [Line Items]
Merger agreement date				Aug. 24, 2010
Agreement and plan of merger date				Jun. 09, 2010
Maximum
Summary Of Significant Accounting Policies [Line Items]
Outsourcing services arrangements period				10 years
Capitalized software estimated economic life				5 years
Minimum
Summary Of Significant Accounting Policies [Line Items]
Outsourcing services arrangements period				5 years
Capitalized software estimated economic life				3 years

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Derivative Financial Instruments (Tables)

12 Months Ended

Dec. 31, 2012

Fair Value of Derivative Instrument

The fair value of the derivative instrument was as follows:

(In thousands)	December 31, 2012			December 31, 2011
Fair value of interest rate swap agreement		($1,534	)		($1,754	)

Activity Related to Interest Rate Swap Agreement

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

	Year Ended December 31,						Seven Months  Ended December 31, 2010			Year Ended May  31, 2010
(In thousands)	2012			2011
Effective Portion
Gain (loss) recognized in OCI		$220			($3,757	)		$2,003			$0
Tax effect		(87	)		1,463			(776	)		0
Net		$133			($2,294	)		$1,227			$0
Loss reclassified from OCI to interest expense		$1,783			$2,024			$342			$0
Amount excluded from Effectiveness Assessment and Ineffective Portion
Gain (loss) recognized in other income (expense)		$0			$0			$0			$0

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Asset Impairment Charges (Detail) (USD $) In Thousands, unless otherwise specified	7 Months Ended		12 Months Ended
	Dec. 31, 2010	Dec. 31, 2009	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Asset Impairment And Lease Termination Charges [Line Items]
Asset impairment charges	$ 0	$ 0	$ 11,101	$ 0	$ 0

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Stock Option Activity (Detail) (USD $) In Thousands, unless otherwise specified	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Total intrinsic value of stock options exercised	$ 15,001	$ 7,756	$ 33,016	$ 13,131
Total fair value of share awards vested	$ 27,633	$ 28,600	$ 36,137	$ 19,976

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Accrued Expenses (Tables)

12 Months Ended

Dec. 31, 2012

Accrued Expenses

Accrued expenses consist of the following:

(In thousands)	December 31, 2012		December 31, 2011
Royalties, certain third party product costs and licenses		$31,795		$33,795
Other		61,305		55,869
Total accrued expenses		$93,100		$89,664

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Reimbursements for Out-of-Pocket Expenses Incurred as Professional Services Revenue (Detail) (USD $) In Thousands, unless otherwise specified	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Revenue Recognition, Allowances [Line Items]
Reimbursements for out-of-pocket expenses incurred as professional services revenue	$ 6,700	$ 22,656	$ 20,788	$ 4,777

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Reduction of Misys Share Ownership - Additional Information (Detail) (USD $) In Thousands, except Share data in Millions, unless otherwise specified	7 Months Ended	1 Months Ended
	Dec. 31, 2010	Nov. 17, 2010 Misys	Aug. 27, 2010 Misys	Jun. 08, 2010 Misys
Business Acquisition [Line Items]
Common stock shares held by Misys				80
Aggregate voting power percentage				55.00%
Outstanding shares reduced ownership, percentage		4.00%	10.00%
Repurchase of shares of common stock related to the Coniston Transactions	$ 679,000		$ 679,000

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Revenues by Geographic Area (Detail) (USD $) In Thousands, unless otherwise specified	7 Months Ended		12 Months Ended
	Dec. 31, 2010	Dec. 31, 2009	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Schedule Of Revenues From External Customers [Line Items]
Total revenue	$ 613,309	$ 383,479	$ 1,446,325	$ 1,444,077	$ 704,502
UNITED STATES
Schedule Of Revenues From External Customers [Line Items]
Total revenue	598,403		1,387,304	1,389,215	704,502
CANADA
Schedule Of Revenues From External Customers [Line Items]
Total revenue	11,742		23,909	27,076	0
Other International
Schedule Of Revenues From External Customers [Line Items]
Total revenue	$ 3,164		$ 35,112	$ 27,786	$ 0

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Business Combinations and Divestitures - Additional Information (Detail) (USD $) In Millions, unless otherwise specified	12 Months Ended	7 Months Ended	12 Months Ended				7 Months Ended	12 Months Ended
	Dec. 31, 2011	Dec. 31, 2010 Eclipsys	Dec. 31, 2012 Eclipsys	Dec. 31, 2011 Eclipsys	May 31, 2010 Eclipsys	Aug. 24, 2010 Eclipsys	Dec. 31, 2010 Eclipsys Pro Forma Adjustment	Jun. 30, 2010 Eclipsys Pro Forma Adjustment	May 31, 2010 Eclipsys Pro Forma Adjustment
Business Acquisition [Line Items]
Merger, stock conversion ratio						1.2
Acquisition and integration-related costs		$ 57	$ 4	$ 36	$ 4		$ 15		$ 14
Goodwill adjustment related to tax liabilities	2
Net increase in revenue							80	522
Net increase in net income							3	15
Increase in revenue							27
Decrease in revenue									2
Increase to amortization expense							1		21
Increase to interest expense							3		22
Increase (decrease) in stock-based compensation expense							0		7
Increase (decrease) in operating expenses							$ (72)
Assumed effective income tax rate							39.00%

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Geographic Information (Tables)

12 Months Ended

Dec. 31, 2012

Revenues by Geographic Area

The Company’s revenues by geographic area are summarized below:

					Seven Months Ended December 31,		Year Ended May 31,
	Year Ended December 31,
(In thousands)	2012		2011		2010		2010
United States		$1,387,304		$1,389,215		$598,403		$704,502
Canada		23,909		27,076		11,742		0
Other International		35,112		27,786		3,164		0
Total		$1,446,325		$1,444,077		$613,309		$704,502

Long-Lived Assets by Geographic Area

A summary of the Company’s long-lived assets, comprised of fixed assets by geographic area, is summarized below:

(In thousands)	December 31, 2012		December 31, 2011
United States		$144,526		$113,791
India		9,182		6,677
Canada		1,553		1,896
Other international		233		199
Total		$155,494		$122,563

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Business Combinations and Divestitures

12 Months Ended

Dec. 31, 2012

Business Combinations and Divestitures

2. Business Combinations and Divestitures

Merger with Eclipsys Corporation

On August 24, 2010, the transactions contemplated by the Merger Agreement were completed and Eclipsys became a wholly-owned subsidiary of Allscripts, the accounting acquirer. Pursuant to the terms of the Merger Agreement, each outstanding share of Eclipsys common stock, other than shares held by Eclipsys in its treasury, by any wholly owned subsidiary of Eclipsys, by Allscripts or by any wholly owned subsidiary of Allscripts, was converted into the right to receive 1.2 shares (the “Exchange Ratio”) of Allscripts common stock (plus cash in lieu of fractional shares). Additionally, each outstanding Eclipsys stock option, restricted stock award, restricted stock unit, deferred stock unit and performance stock unit award was converted into an Allscripts option, restricted stock award, restricted stock unit, deferred stock unit or performance stock unit award, as the case may be, with appropriate adjustments to the number of shares subject to the award and, if applicable, the per share exercise price to reflect the Exchange Ratio.

Under the acquisition method of accounting, the purchase price was allocated to the tangible and intangible assets acquired and liabilities assumed based on their estimated fair values as of the acquisition date. The fair value of the assets acquired and liabilities assumed represent management’s estimate of fair value.

The results of Eclipsys are included in the accompanying consolidated statements of operations for periods subsequent to the completion of the merger, August 24, 2010.

The total purchase price for the acquisition is comprised of the following:

(Dollar amounts in thousands, except per share amounts)
Fair value of Eclipsys (69 million Allscripts common shares at $17.47, the closing stock price of Allscripts on August 24, 2010)	$1,209,366
Share-based compensation value	21,914
Total purchase price	$1,231,280

Acquisition and integration-related costs included in selling, general and administrative expenses for the years ended December 31, 2012 and December 31, 2011, the seven months ended December 31, 2010 and the year ended May 31, 2010 totaled $4 million, $36 million, $57 million and $4 million, respectively.

The purchase price has been allocated to the tangible and intangible assets acquired and liabilities assumed based on management’s estimates of their current fair values as follows:

(In thousands)
Acquired cash and cash equivalents, and restricted cash	$174,543
Accounts receivable, net	136,198
Prepaid expenses and other current assets	31,520
Fixed assets and other long-term assets	83,680
Goodwill	623,614
Intangible assets	377,000
Deferred tax liabilities, net	(13,128	)
Accounts payable and accrued liabilities	(59,166	)
Deferred revenue	(106,344	)
Other liabilities	(16,637	)
Net assets acquired	$1,231,280

Goodwill was determined based on the residual difference between the purchase price and the value assigned to tangible and intangible assets and liabilities, and is not deductible for tax purposes. Among the factors that contributed to a purchase price resulting in the recognition of goodwill were Eclipsys’ history of profitability and high operating margins, strong sales force and overall employee base, and its position in the healthcare information technology market. During the year ended December 31, 2011, we recorded goodwill purchase accounting adjustments primarily related to fair value adjustments of certain tax liabilities totaling approximately $2 million. These adjustments are not reflected in the table above.

The acquired intangible assets are being amortized on a straight-line basis over their useful lives and consist of the following:

(Dollar amounts in thousands)	Useful Life in Years		Fair Value
Description
Maintenance and outsourcing agreements		20		$59,000
Hosting agreements		15		26,000
Services agreements		12		37,000
Developed technology		7		69,000
Core technology		12		95,000
Trade name		3		13,000
Maintenance and outsourcing contract backlog		5		48,000
Hosting contract backlog		6		16,000
Services backlog		2		14,000
				$377,000

The following unaudited pro forma information assumes the Eclipsys Merger occurred as of the beginning of the earliest periods presented. The pro forma financial information for all periods presented also includes the business combination accounting effects resulting from the Eclipsys Merger including our amortization charges from acquired intangible assets, the elimination of certain intangible asset amortization incurred by Eclipsys, stock-based compensation charges for equity awards assumed, adjustments to interest expense for certain borrowings, adjustments for transaction-related expenses and the related tax effects as though the aforementioned companies were combined at the beginning of the earliest period presented. The unaudited pro forma supplemental results have been prepared based on estimates and assumptions, which we believe are reasonable and are not necessarily indicative of the consolidated financial position or results of operations had the merger occurred at the beginning of the earliest period presented, nor of future results of operations. For pro forma purposes, quarterly financial results of legacy Eclipsys have been combined in order to align with the historical financial reporting periods of Allscripts. Accordingly, the financial results of legacy Eclipsys for the twelve months ended June 30, 2010 have been combined with the results of Allscripts for the year ended May 31, 2010. The unaudited pro forma results are as follows:

			Supplemental Pro Forma Data
(In thousands, except per share amounts)	August 24, 2010 through December 31, 2010		Seven Months Ended December 31, 2010		Year Ended May 31, 2010
Total revenue	$	174,677	$	720,176	$	1,224,279
Net (loss) income	$	(9,707)	$	55,894	$	66,134
Earnings per share—basic and diluted			$	0.29	$	0.35

The unaudited pro forma information for the seven months ended December 31, 2010 and the year ended May 31, 2010 include the following adjustments:

• Net increase in revenues and net increase in net income representing legacy Eclipsys pre-merger revenues and net income as follows: revenues of $80 million and net income of $3 million for the seven months ended December 31, 2010; revenues of $522 million and net income of $15 million for the twelve months ended June 30, 2010.

• Increase in revenues for the seven months ended December 31, 2010 of $27 million and a decrease in revenues for the year ended May 31, 2010 of approximately $2 million relating to deferred revenue acquisition accounting adjustments.

• Increase to amortization expense for the seven months ended December 31, 2010 and the year ended May 31, 2010 of approximately $1 million and $21 million, respectively, related to management’s estimate of the fair value of intangible assets acquired as a result of the Eclipsys Merger. These increases reflect the elimination of all legacy Eclipsys historical intangible asset and capitalized software amortization for all applicable periods.

• Increase to interest expense for the seven months ended December 31, 2010 and the year ended May 31, 2010 of approximately $3 million and $22 million, respectively, related to the debt used to finance a portion of the stock transactions and contingent share repurchase contemplated by the Framework Agreement (“Coniston Transactions”). These increases reflect the elimination of previously recognized interest expense of legacy Allscripts and legacy Eclipsys.

• Decrease to stock-based compensation expense for the seven months ended December 31, 2010 of approximately $0 and an increase for the year ended May 31, 2010 of $7 million related to equity awards of legacy Eclipsys assumed as part of the Eclipsys Merger.

• Operating expenses reflect decreases of $72 million in the seven months ended December 31, 2010, which includes $15 million of transaction expenses included in the pre-merger results of legacy Eclipsys, and $14 million for the year ended May 31, 2010 to reflect transaction-related expenses of legacy Allscripts and legacy Eclipsys as if the merger occurred as of the beginning of the earliest period presented.

Excluding the net pre-merger impacts of legacy Eclipsys described above, all pro forma adjustments are reflected in pro forma earnings (loss) assuming an effective income tax rate of 39%.

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Presentation of Financial Information (Detail) (USD $) In Thousands, except Per Share data, unless otherwise specified	7 Months Ended		12 Months Ended
	Dec. 31, 2010	Dec. 31, 2009	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Revenue:
System sales	$ 103,873	$ 69,027	$ 145,274	$ 227,906	$ 145,120
Professional services	93,875	38,335	270,541	250,348	75,439
Maintenance	200,746	145,440	460,138	438,999	257,978
Transaction processing and other	214,815	130,677	570,372	526,824	225,965
Total revenue	613,309	383,479	1,446,325	1,444,077	704,502
Cost of revenue:
System sales	63,392	43,516	128,300	144,139	85,070
Professional services	81,572	35,414	234,869	210,614	66,561
Maintenance	67,463	47,588	145,352	135,570	82,348
Transaction processing and other	102,713	47,094	331,269	288,189	81,679
Total cost of revenue	315,140	173,612	839,790	778,512	315,658
Gross profit	298,169	209,867	606,535	665,565	388,844
Selling, general and administrative expenses	232,788	126,569	384,370	387,571	224,995
Research and development	43,261	27,238	162,158	104,106	49,206
Asset impairment charges	0	0	11,101	0	0
Amortization of intangible assets	16,235	5,914	35,635	37,344	10,060
Income from operations	5,885	50,146	13,271	136,544	104,583
Interest expense	(9,687)	(1,302)	(16,187)	(20,750)	(1,993)
Interest income and other (expense), net	843	240	(14,544)	1,685	946
(Loss) income before income taxes	(2,959)	49,084	(17,460)	117,479	103,536
Provision for income taxes	(2,606)	(18,596)	16,307	(43,870)	(40,666)
Net (loss) income	$ (5,565)	$ 30,488	$ (1,153)	$ 73,609	$ 62,870
(Loss) earnings per share:
Basic	$ (0.03)	$ 0.21	$ (0.01)	$ 0.39	$ 0.42
Diluted	$ (0.03)	$ 0.20	$ (0.01)	$ 0.39	$ 0.42
Weighted average common shares outstanding:
Basic	168,110	144,440	178,699	189,254	145,146
Diluted	168,110	147,927	178,699	191,040	148,384

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Purchase Price of Acquisition (Detail) (Eclipsys, USD $) In Thousands, unless otherwise specified	Aug. 24, 2010
Eclipsys
Business Acquisition [Line Items]
Fair value of acquired entity	$ 1,209,366
Share-based compensation value	21,914
Total purchase price	$ 1,231,280

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Commitments (Tables)

12 Months Ended

Dec. 31, 2012

Rent Expense

Total rent expense was as follows:

	Year Ended December 31,				Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
(In thousands)	2012		2011
Rent expense		$18,493		$20,223		$11,003		$10,328

Future Commitments under Capital and Operating Leases

The long-term portion of capital lease obligations is included on the balance sheet under other liabilities. Our future commitments under capital and operating leases are as follows:

(Dollar amounts in thousands)	Capital Leases			Operating Leases
2013		$630			$15,112
2014		508			14,120
2015		244			13,553
2016		57			13,098
2017		0			8,303
Thereafter		0			6,375
		1,439			$70,561
Less amount representing interest		(163	)
		1,276
Current maturities of capital lease obligations		535
Capital lease obligations, net of current maturities		$741

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Subsequent Events

12 Months Ended

Dec. 31, 2012

Subsequent Events

22. Subsequent Events

Humedica Sale

During January 2013, Humedica, Inc. (Humedica) was purchased by United Healthcare. As a result of the sale, we received cash of $13 million related to our initial investment of $10 million. We will record a gain on the sale of this investment during the first quarter of 2013.

Site Consolidation Plan

On February 18, 2013, we announced a North American site consolidation plan (the “Site Consolidation Plan”) designed to create a more simplified and efficient organization that is aligned more closely with our business priorities. The Site Consolidation Plan includes closure of twelve offices and one warehouse. We are also implementing changes to corporate operating models intended to reduce costs associated with product solutions development. The costs of implementing these changes primarily consist of employee severance and relocation costs, and lease exit costs.

The estimated pre-tax costs to implement these changes consist of employee severance of approximately $10 million, relocation costs of up to approximately $16 million, and lease exit costs totaling approximately $3 million. Considering the timing of these changes, we estimate that primarily all charges will be recorded in the first quarter of 2013 with the exception of lease exit costs which are expected to be recognized in the third quarter of 2013. We expect to complete the actions by the end of 2013.

The amount of the charges noted above and the mix of severance charges and relocation costs are estimates and the actual charges may vary materially based on the level of employee relocations and terminations; the timing and amount of sublease income and other related expenses; and changes in management’s assumptions.

Amendment to Credit Agreement

On February 19, 2013, we entered into the First Amendment to the Amended and Restated Credit Agreement for our senior secured credit facilities. Refer to Note 8 for additional information regarding this amendment.

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Transition Period Comparative Data

12 Months Ended

Dec. 31, 2012

Transition Period Comparative Data

21. Transition Period Comparative Data

The following table presents certain financial information for the seven months ended December 31, 2010 and 2009, respectively.

	Seven Months Ended December  31,
(In thousands, except per share amounts)	2010			2009
				(Unaudited)
Revenue:
System sales		$103,873			$69,027
Professional services		93,875			38,335
Maintenance		200,746			145,440
Transaction processing and other		214,815			130,677
Total revenue		613,309			383,479
Cost of revenue:
System sales		63,392			43,516
Professional services		81,572			35,414
Maintenance		67,463			47,588
Transaction processing and other		102,713			47,094
Total cost of revenue		315,140			173,612
Gross profit		298,169			209,867
Selling, general and administrative expenses		232,788			126,569
Research and development		43,261			27,238
Asset impairment charges		0			0
Amortization of intangible assets		16,235			5,914
Income from operations		5,885			50,146
Interest expense		(9,687	)		(1,302	)
Interest income and other (expense), net		843			240
(Loss) income before income taxes		(2,959	)		49,084
Provision for income taxes		(2,606	)		(18,596	)
Net (loss) income		($5,565	)		$30,488
(Loss) earnings per share:
Basic		($0.03	)		$0.21
Diluted		($0.03	)		$0.20
Weighted average common shares outstanding:
Basic		168,110			144,440
Diluted		168,110			147,927

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Additional Information of Plan Activity (Detail) (USD $)	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010	May 31, 2009
Options Outstanding, beginning balance	3,270,000	3,976,000	7,675,000	4,222,000
Shares, Exercised	(1,382,000)	(1,138,000)	(3,469,000)	(732,000)
Options Outstanding, ending balance	7,675,000	2,667,013	3,976,000	3,270,000
Weighted-average exercise price, beginning balance	$ 3.42	$ 10.31	$ 10.46	$ 5.17
Options Exercisable	6,434,000	2,547,787	3,499,000	3,270,000	4,222,000
Weighted-Average Grant Date Fair Value, Granted	$ 4.14			$ 2.76
Weighted-Average Exercise Price, Exercised	$ 7.43	$ 5.32	$ 10.21	$ 7.79
Weighted-average exercise price, ending balance	$ 10.46	$ 12.04	$ 10.31	$ 3.42
Weighted-Average Exercise Price, Options exercisable	$ 9.80	$ 11.88	$ 9.87	$ 3.42	$ 5.17
Market Value Awards
Options Outstanding, beginning balance	3,117,000		1,039,000	3,632,000
Shares, Granted	0			0
Shares, Exercised	(991,000)		(585,000)	(113,000)
Shares, Canceled Or Expired	(1,087,000)		(450,000)	(950,000)
Shares, Transfers			4,000	548,000
Options Outstanding, ending balance	1,039,000	0	0	3,117,000
Weighted-average exercise price, beginning balance	$ 4.02		$ 4.19	$ 2.25
Options Exercisable		0
Weighted-Average Grant Date Fair Value, Granted	$ 0.00			$ 0.00
Weighted-Average Exercise Price, Granted	$ 0.00			$ 0.00
Weighted-Average Exercise Price, Exercised	$ 3.31		$ 4.12	$ 2.76
Weighted-Average Exercise Price, Canceled Or Expired	$ 5.16		$ 4.69	$ 4.28
Weighted-Average Exercise Price, Transfers			$ 5.57	$ 2.94
Weighted-average exercise price, ending balance	$ 4.19	$ 0.00	$ 0.00	$ 4.02
Weighted-Average Exercise Price, Options exercisable		$ 0.00
Nil Cost Awards
Options Outstanding, beginning balance	3,571,000		22,000	3,915,000
Shares, Granted	9,000			24,000
Shares, Exercised	(1,817,000)		0	(487,000)
Shares, Canceled Or Expired	(1,741,000)		0	(193,000)
Shares, Transfers			22,000	312,000
Options Outstanding, ending balance	22,000	0	0	3,571,000
Options Exercisable		0
Weighted-Average Grant Date Fair Value, Granted	$ 4.14			$ 2.76

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Capitalized Software Development Costs, Write Offs and Amortization of Capitalized Software Development Costs Included in System Sales Cost of Revenue (Detail) (USD $) In Thousands, unless otherwise specified	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Capitalized Software [Line Items]
Capitalized software development costs	$ 36,936	$ 42,965	$ 60,748	$ 21,097
Write-offs of capitalized software development costs	0	8,699	0	0
Amortization of capitalized software development costs	$ 5,538	$ 37,065	$ 23,669	$ 4,712

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Business Segments (Tables)

12 Months Ended

Dec. 31, 2012

Revenues and Income from Operations Related to Segment Within Reconciliation to Consolidated Amounts

Remote Hosting is an operating segment that does not meet the quantitative thresholds for determining reportable segments; however, we have presented the revenues and income from operations related to this segment within our reconciliation to consolidated amounts in the table below.

	Year Ended December 31,						Seven Months  Ended December 31, 2010			Year Ended May  31, 2010
(In thousands)	2012			2011
Revenue:
Software Delivery		$320,937			$387,996			$173,854			$210,116
Services Delivery		265,166			248,031			96,385			77,835
Client Support		458,364			447,715			212,580			259,166
Pathway Solutions		172,445			165,385			94,089			158,239
IT Outsourcing		161,063			142,240			37,825			0
Remote Hosting		71,513			70,631			23,432			0
Unallocated Amounts		(3,163	)		(17,921	)		(24,856	)		(854	)
Total revenue		$1,446,325			$1,444,077			$613,309			$704,502
Income from operations:
Software Delivery		$28,815			$94,864			$26,732			$59,026
Services Delivery		31,539			34,080			13,728			12,455
Client Support		310,424			308,407			140,143			168,288
Pathway Solutions		105,179			105,680			57,869			96,241
IT Outsourcing		34,942			27,337			4,601			0
Remote Hosting		1,377			2,471			1,288			0
Unallocated Amounts		(499,005	)		(436,295	)		(238,476	)		(231,427	)
Total income from operations		$13,271			$136,544			$5,885			$104,583

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Schedule II-Valuation and Qualifying Account

12 Months Ended

Dec. 31, 2012

Schedule II-Valuation and Qualifying Account

Schedule II—Valuation and Qualifying Accounts

(In thousands)	Balance at Beginning of Year		Charged to Expenses/ Against Revenue		Write-Offs, Net of Recoveries			Balance at End of Year
Allowance for doubtful accounts and sales credits
Year ended December 31, 2012		$12,505		37,447		(12,114	)		$37,838
Year ended December 31, 2011		$11,321		10,059		(8,875	)		$12,505
Seven months ended December 31, 2010		$8,531		6,140		(3,350	)		$11,321
Year ended May 31, 2010		$6,870		7,785		(6,124	)		$8,531

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Basis of Presentation and Significant Accounting Policies (Policies)

12 Months Ended

Dec. 31, 2012

Principles of Consolidation

Principles of Consolidation

The consolidated financial statements include the accounts of Allscripts Healthcare Solutions, Inc. and our wholly-owned subsidiaries. All significant intercompany balances and transactions have been eliminated.

Certain prior period amounts in the accompanying consolidated financial statements have been reclassified to conform to the current year presentation. These reclassifications had no effect on previously reported net income or stockholders’ equity. The amounts reclassified for each period are as follows:

Reclassifications in the Consolidated Statements of Operations:

					Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
	Year Ended December 31,
(In thousands)	2012		2011
Revenue reclassifications from system sales to maintenance		$0		$14,963		$9,244		$9,477

Reclassifications in the Consolidated Balance Sheets:

	December 31,		December 31,
(In thousands)	2012		2011
Reclassification to other assets from prepaid expenses and other current assets		$0		$9,151
Decrease in prepaid expenses and other assets and accrued expenses		0		13,717

Revenue Recognition

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 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 (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 system sales and professional 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 use 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.

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 result in a requirement to either separate or combine deliverables, such that a delivered item could now meet the separation criteria and qualify as a separate unit of accounting which may lead to an upward or downward adjustment to the amount of revenue recognized under the arrangement on a prospective basis.

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 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. These amounts totaled:

					Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
	Year Ended December 31,
(In thousands)	2012		2011
Reimbursements for out-of-pocket expenses incurred as professional services revenue		$22,656		$20,788		$6,700		$4,777

Revenue earned on contracts in excess of billings, both the current and non-current portions, is included in the balance of accounts receivable and other assets, respectively. Billings are expected to occur according to the contract terms. Revenue earned on contracts in excess of billings and deferred revenue consisted of the following:

	December 31,
(In thousands)	2012		2011
Revenue earned on contracts in excess of billings
Unbilled revenue (current)		$53,988		$75,204
Unbilled revenue (long-term)		2,301		3,329
Total revenue earned on contracts in excess of billings		$56,289		$78,533
Deferred revenue
Prepayments and billings in excess of revenue earned on contracts in progress for software and services		$181,074		$180,123
Prepayments and billings in excess of revenue earned on contracts in progress for support and maintenance		109,579		108,777
Deferred revenue (current)		290,653		288,900
Prepayments and billings in excess of revenue earned on contracts in progress (long-term)		19,750		18,891
Total deferred revenue		$310,403		$307,791

Fair Value Measurements

Fair Value Measurements

The fair values of assets and liabilities required to be measured at fair value are categorized based on 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 that are considered to be Level 2 inputs. Our Level 2 derivative financial instrument represents an interest rate swap contract that is valued based on 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	December 31, 2012								December 31, 2011
(In thousands)		Level 1		Level 2			Total			Level 1		Level 2			Total
Money market funds	Cash equivalents		$14,653		$0			$14,653			$14,071		$0			$14,071
Marketable securities	Long-term marketable securities		0		1,706			1,706			0		1,675			1,675
Derivatives	Other liabilities		0		(1,534	)		(1,534	)		0		(1,754	)		(1,754	)
Total			$14,653		$172			$14,825			$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 December 31, 2012 and are included in other assets in the accompanying consolidated balance sheets (see note 22 regarding the subsequent sale of our investment in Humedica, Inc.). 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.

Financial Instruments

Financial Instruments

We consider all highly liquid investments with an original maturity of three months or less to be cash equivalents. The fair values of these investments approximate their carrying values.

Other investments classified as long-term marketable securities include certain debt instruments. Debt securities are classified as available-for-sale and realized gains and losses are recorded using the specific identification method. Realized and unrealized gains and losses for all periods presented are immaterial. Changes in market value, excluding other-than-temporary impairments, are reflected in other comprehensive income. There were no other-than-temporary impairments for the years ended December 31, 2012 and 2011, the seven months ended December 31, 2010 and for the year ended May 31, 2010.

Derivative instruments are recognized as either assets or liabilities and are measured at fair value. The accounting for changes in the fair value of a derivative depends on the intended use of the derivative and the resulting designation.

For derivative instruments designated as cash-flow hedges, the effective portion of the derivative’s gain (loss) is initially reported as a component of other comprehensive income and is subsequently recognized in earnings when the hedged exposure is recognized in earnings. Gains (losses) on derivatives representing either hedge components excluded from the assessment of effectiveness or hedge ineffectiveness are recognized in earnings. There were no realized gains (losses) on derivatives for the years ended December 31, 2012 and 2011, the seven months ended December 31, 2010 and for the year ended May 31, 2010.

Allowance for Doubtful Accounts Receivable

Allowance for Doubtful Accounts Receivable

Accounts receivable are recorded at the invoiced amounts and do not bear interest. The allowance for doubtful accounts is recorded to provide for estimated losses resulting from uncollectible accounts, and is based principally on specifically identified amounts where collection is deemed doubtful. Additional non-specific allowances are recorded based on historical experience and management’s assessment of a variety of factors related to the general financial condition of Allscripts’ customers, the industry in which we operate and general economic conditions. Allscripts reviews the collectability of individual accounts and assesses the adequacy of the allowance for doubtful accounts. Account balances are charged off against the allowance after all means of collection has been exhausted and the potential for recovery is considered remote. During the fourth quarter of 2012, due to deterioration in its accounts receivable aging, we revised our estimate regarding uncollectible and slow paying accounts and recorded an increase in the allowance for doubtful accounts of approximately $16.8 million. The majority of these aged accounts receivable balances related to maintenance services provided to ongoing customers. Accordingly, this incremental reserve was recorded as a reduction of our maintenance revenues during the three months ended December 31, 2012. If the financial condition of our customers were to deteriorate, resulting in an impairment of their ability to make payments, additional allowances may be required. Allscripts does not have any significant off-balance-sheet credit exposure related to its customers.

Fixed Assets

Fixed Assets

Fixed assets are stated at cost. Depreciation and amortization are computed on the straight-line method over the estimated useful lives of the related assets. The depreciable life of leasehold improvements is the shorter of the lease term or the useful life. Upon asset retirement or other disposition, cost and the related accumulated depreciation are removed from the accounts, and any gain or loss is included in the consolidated statements of operations. Amounts expended for repairs and maintenance are expensed as incurred.

Business Combinations

Business Combinations

Goodwill as of the acquisition date is measured as the excess of consideration transferred and the net of the acquisition date fair values of the assets acquired and the liabilities assumed. While we use our best estimates and assumptions as a part of the purchase price allocation process to accurately value assets acquired, including intangible assets, and liabilities assumed at the acquisition date, our estimates are inherently uncertain and subject to refinement. As a result, during the measurement period, which may be up to one year from the acquisition date, we may record adjustments to the assets acquired and liabilities assumed, with the corresponding offset to goodwill. Upon the conclusion of the measurement period or final determination of the values of assets acquired or liabilities assumed, whichever comes first, any subsequent adjustments are recorded to our consolidated statements of operations.

Goodwill and Intangible Assets

Goodwill and Intangible Assets

Goodwill and intangible assets acquired in a business combination and determined to have an indefinite useful life are not amortized in accordance with accounting guidance, but accounting guidance requires that we perform an impairment test at least annually. The goodwill impairment analysis is comprised of two steps. In step one the estimated fair value of a reporting unit is compared to its carrying value. Step two is required only if there is a deficiency (the estimated fair value is less than the carrying value). In step two the actual amount of the goodwill impairment is calculated by comparing the implied fair value of the reporting unit’s goodwill with the carrying amount of that goodwill. The implied fair value is determined in the same manner as the amount of goodwill recognized in a business combination. If the carrying value of a reporting unit’s goodwill exceeds its implied fair value, then an impairment loss equal to the difference would be recorded. The recoverability of indefinite lived intangible assets is assessed by comparison of the carrying value of the asset to its estimated fair value. If we determine that the carrying value of the asset exceeds its estimated fair value, an impairment loss would be recorded equal to the excess.

During the three months ended June 30, 2011, we voluntarily changed the date of our annual impairment test for goodwill and indefinite lived intangible assets from May 31 to the first day of the fiscal fourth quarter. This change is preferable under the circumstances as it aligns the timing of the annual goodwill impairment test with our strategic planning and budgeting process, which will enable management to use the updated strategic business plans that result from the budget process in the discounted cash flow analyses that it uses to estimate the fair value of our reporting units. The change did not delay, accelerate or avoid an impairment charge. This change was not applied retrospectively as it was impracticable to do so because retrospective application would require the application of significant estimates and assumptions with the use of hindsight. Accordingly, the change was applied prospectively. There was no impairment identified as a result of our annual impairment tests.

Accounting guidance also requires that intangible assets with estimable useful lives be amortized over their respective estimated useful lives and reviewed for impairment. We estimate the useful lives of our intangible assets and ratably amortize the value over the remaining estimated economic lives of those assets, including the period being reported on. If the actual useful life is shorter than our estimated useful life, we will amortize the remaining book value over the remaining useful life or the asset may be deemed to be impaired and, accordingly, a write-down of the value of the asset may be required.

Long-Lived Assets and Long-Lived Assets to Be Disposed Of

Long-Lived Assets and Long-Lived Assets to Be Disposed Of

Allscripts reviews its long-lived assets for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of assets to be held and used is measured by a comparison of the carrying amount of an asset to future net cash flows expected to be generated by the asset. If assets are considered to be impaired, the impairment to be recognized is measured by the amount by which the carrying amount of the assets exceeds the fair value of the assets.

Software Development Costs

Software Development Costs

Allscripts capitalizes purchased software that is ready for service and software development costs incurred from the time technological feasibility of the software is established until the software is available for general release in accordance with accounting guidance. Research and development costs and other computer software maintenance costs related to software development are expensed as incurred. Upon the establishment of technological feasibility, related software development costs are capitalized. We estimate the useful life of our capitalized software and amortize the value over that estimated life. If the actual useful life is shorter than our estimated useful life, we will amortize the remaining book value over the remaining useful life or the asset may be deemed to be impaired and, accordingly, a write-down of the value of the asset may be required. Upon the availability for general release, Allscripts commences amortization of the software on a product by product basis. Amortization of capitalized software is recorded using the greater of (i) the ratio of current revenues to total and anticipated future revenues for the applicable product or (ii) the straight-line method over the remaining estimated economic life, which is estimated to be three to five years.

At each balance sheet date, the unamortized capitalized costs of a software product are compared with the net realizable value of that product. The amount by which the unamortized capitalized costs of a software product exceed the net realizable value of that asset is written off. The net realizable value is the estimated future gross revenues from that product reduced by the estimated future costs of completing and disposing of that product, including the costs of performing maintenance and customer support required to satisfy Allscripts’ responsibility set forth at the time of sale. The carrying value of capitalized software depends on the ability to recover its value through future revenue from the sale of the software. If we determine in the future that the value of the capitalized software could not be recovered, a write-down of the value of the capitalized software to its recoverable value may be required.

The unamortized balances of capitalized software were as follows:

	December 31,
(In thousands)	2012			2011
Software development costs		$156,703			$132,714
Less: accumulated amortization		(61,124	)		(34,336	)
Software development costs, net		$95,579			$98,378

Capitalized software development costs, write-offs and amortization of capitalized software development costs included in system sales cost of revenue and impairments were as follows:

					Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
	Year Ended December 31,
(In thousands)	2012		2011
Capitalized software development costs		$42,965		$60,748		$36,936		$21,097
Write-offs of capitalized software development costs		$8,699		$0		$0		$0
Amortization of capitalized software development costs		$37,065		$23,669		$5,538		$4,712

Income Taxes

Income Taxes

We account for income taxes using the liability method, which requires the recognition of deferred tax assets or liabilities for the tax-effected temporary differences between the financial reporting and tax bases of our assets and liabilities and for net operating loss and tax credit carryforwards. The tax expense or benefit for unusual items, or certain adjustments to the valuation allowance, are treated as discrete items in the interim period in which the events occur. The objectives of accounting for income taxes are to recognize the amount of taxes payable or refundable for the current year and deferred tax liabilities and assets for the future tax consequences of events that have been recognized in an entity’s financial statements or tax returns. Judgment is required in addressing the future tax consequences of events that have been recognized in our consolidated financial statements or tax returns.

In addition, 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.

The calculation of tax liabilities involves dealing with uncertainties in the application of complex tax regulations. In accordance with authoritative accounting guidance, we recognize liabilities for anticipated tax audit issues based on our estimate of whether, and the extent to which, additional taxes may be required. If we ultimately determine that payment of these amounts is unnecessary, then we reverse the liability and recognize a tax benefit during the period in which we determine that the liability is no longer necessary. We also recognize tax benefits to the extent that it is more likely than not that our positions will be sustained if challenged by the taxing authorities. To the extent we prevail in matters for which liabilities have been established, or are required to pay amounts in excess of our liabilities, our effective tax rate in a given period may be materially affected. An unfavorable tax settlement would require cash payments and may result in an increase in our effective tax rate in the year of resolution. A favorable tax settlement would be recognized as a reduction in our effective tax rate in the year of resolution. We report interest and penalties related to uncertain income tax positions in the provision for income taxes line of our consolidated statements of operations.

We file income tax returns in the U.S. federal jurisdiction, numerous states and multiple international countries.

Earnings Per Share

Earnings Per Share

Basic income per share is computed by dividing net income by the weighted-average shares of outstanding common stock, as adjusted for income allocated to participating securities. 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, restricted stock unit awards and conversion of the 3.5% Senior Convertible Debentures (the “Debentures”) using the treasury stock method.

The calculations of earnings per share are as follows:

						Seven Months  Ended December 31, 2010			Year Ended May  31, 2010
	Year Ended December 31,
(In thousands, except per share amounts)	2012			2011
Basic Earnings (Loss) per Common Share:
Net income (loss)		($1,153	)		$73,609		($5,565	)		$62,870
Less: Income allocated to participating securities		0			0		0			(1,308	)
Net income (loss) available to common shareholders		($1,153	)		$73,609		($5,565	)		$61,562
Weighted average common shares outstanding		178,699			189,254		168,110			145,146
Basic Earnings (Loss) per Common Share		($0.01	)		$0.39		($0.03	)		$0.42
Earnings (Loss) per Common Share Assuming Dilution:
Net income (loss)		($1,153	)		$73,609		($5,565	)		$62,870
Less: Income allocated to participating securities		0			0		0			(1,281	)
Add: Interest expense on Debentures, net of tax		0			0		0			69
Net income (loss) available to common shareholders		($1,153	)		$73,609		($5,565	)		$61,658
Weighted average common shares outstanding		178,699			189,254		168,110			145,146
Dilutive effect of stock options and restricted stock units awards		0			1,786		0			2,782
Dilutive effect of Debentures		0			0		0			456
Weighted average common shares outstanding assuming dilution		178,699			191,040		168,110			148,384
Earnings (Loss) per Common Share Assuming Dilution:		($0.01	)		$0.39		($0.03	)		$0.42

The as-if converted shares and interest expense related to our Debentures were included for the year ended May 31, 2010.

The as-if converted shares totaling 3 million were not included in the seven months ended December 31, 2010 as the effects were anti-dilutive.

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:

					Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
	Year Ended December 31,
(In thousands)	2012		2011
Shares subject to anti-dilutive stock options and share awards excluded from calculation		2,878		1,203		772		26

Stock-Based Compensation

Stock-Based Compensation

Under the fair value recognition provisions of accounting guidance related to stock-based payment arrangements, 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, 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.

The net proceeds from stock-based compensation activities are reflected as a financing activity within the consolidated statements of cash flows. Allscripts settles employee stock option exercises and stock awards with newly issued common shares.

Stockholder Rights Plan

Stockholder Rights Plan

The Company is authorized to issue up to 1 million shares of preferred stock, of which 349 thousand shares have been designated as Series A Junior Participating Preferred Stock. As of December 31, 2012 and December 31, 2011, no shares of preferred stock were issued or outstanding.

On May 5, 2012, our Board of Directors adopted a stockholder 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 first public announcement of the Rights Plan. 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.

Retirement Savings Plan

Retirement Savings Plan

We sponsor an employee benefit plan (the “Plan”) pursuant to Section 401(k) of the Internal Revenue Code of 1986, as amended. We contributed the following amounts to the Plan:

					Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
	Year Ended December 31,
(In thousands)	2012		2011
Company contributions to employee benefit plan		$13,776		$11,182		$4,838		$5,007

Foreign Currency

Foreign Currency

The financial position and results of operations of the Company’s subsidiaries, with the exception of its subsidiary in India, are measured using the currency of the respective countries as the functional currency. Assets and liabilities are translated at the foreign exchange rate in effect at the balance sheet date, while revenues and expenses for the year are translated at the average exchange rate in effect during the year. Translation gains and losses are not included in determining net income or loss but are accumulated and reported as a separate component of stockholders’ equity.

The functional currency of the Indian subsidiary is the U.S. dollar, with monetary assets and liabilities remeasured into U.S. dollars at year-end exchange rates, and revenues and expenses remeasured at average rates prevailing during the year.

Allscripts has not entered into any foreign currency hedging contracts during the years ended December 31, 2012 and 2011, the seven months ended December 31, 2010 and for the year ended May 31, 2010.

Concentrations of Credit Risk

Concentrations of Credit Risk

Financial instruments that potentially subject Allscripts to a concentration of credit risk consist of cash and cash equivalents, marketable securities and trade receivables. Allscripts primarily maintains its cash balances with two major commercial banks and its cash equivalents and marketable securities in interest-bearing, investment-grade securities.

Allscripts sells its products and services to healthcare providers. Credit risk with respect to trade receivables is generally diversified due to the large number of customers and their geographic dispersion. To reduce credit risk, Allscripts performs ongoing credit evaluations of significant customers and their payment histories. In general, Allscripts does not require collateral from its customers, but it does enter into advance deposit, security or guarantee agreements, if appropriate. Bad debt expense was as follows:

					Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
	Year Ended December 31,
(In thousands)	2012		2011
Bad debt expense		$22,947		$10,059		$6,140		$7,785

The majority of revenue is derived from customers located in the United States. The majority of long-lived assets are located in the United States. No customers accounted for greater than 10% of revenue in the years ended December 31, 2012 and 2011, the seven months ended December 31, 2010 and for the year ended May 31, 2010. No customer represented more than 10% of accounts receivable as of December 31, 2012 or 2011.

Use of Estimates

Use of Estimates

The preparation of consolidated financial statements in conformity with generally accepted accounting principles (“GAAP”) in the United States of America 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.

Recent Accounting Pronouncements

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. This guidance did 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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Basis of Presentation and Significant Accounting Policies

12 Months Ended

Dec. 31, 2012

Basis of Presentation and Significant Accounting Policies

1. Basis of Presentation and Significant Accounting Policies

Eclipsys Merger

On August 24, 2010, Allscripts-Misys Healthcare Solutions, Inc. (which changed its name to Allscripts Healthcare Solutions, Inc., “Allscripts” or the “Company”) completed the merger (the “Eclipsys Merger”) contemplated by an Agreement and Plan of Merger dated June 9, 2010 (“Merger Agreement”) by and among Allscripts, Arsenal Merger Corp., a wholly-owned subsidiary of Allscripts, and Eclipsys Corporation, an enterprise provider of solutions and services to hospitals and clinicians (“Eclipsys”). Eclipsys became a wholly-owned subsidiary of Allscripts as a result of the merger. The results of Eclipsys are consolidated with the results of Allscripts from August 24, 2010.

The merger with Eclipsys has been accounted for as a purchase business combination. Under the acquisition method of accounting, the purchase price was allocated to the tangible and intangible assets acquired and liabilities assumed based on their estimated fair values as of the acquisition date. The operating results of Eclipsys are included in the accompanying consolidated statements of operations for periods subsequent to the completion of the merger, August 24, 2010.

Change in Fiscal Year

On August 23, 2010, the Board of Directors approved a change of fiscal year end from May 31 to December 31. As such, the two most current periods represent the twelve months ended December 31, 2012 and 2011 reported on the basis of the new fiscal year beginning as of January 1. Our other periods consisted of the seven month transition period beginning June 1, 2010 through December 31, 2010, and the twelve months ended May 31, 2010 presented on the basis of our previous fiscal year end.

Principles of Consolidation

The consolidated financial statements include the accounts of Allscripts Healthcare Solutions, Inc. and our wholly-owned subsidiaries. All significant intercompany balances and transactions have been eliminated.

Certain prior period amounts in the accompanying consolidated financial statements have been reclassified to conform to the current year presentation. These reclassifications had no effect on previously reported net income or stockholders’ equity. The amounts reclassified for each period are as follows:

Reclassifications in the Consolidated Statements of Operations:

					Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
	Year Ended December 31,
(In thousands)	2012		2011
Revenue reclassifications from system sales to maintenance		$0		$14,963		$9,244		$9,477

Reclassifications in the Consolidated Balance Sheets:

	December 31,		December 31,
(In thousands)	2012		2011
Reclassification to other assets from prepaid expenses and other current assets		$0		$9,151
Decrease in prepaid expenses and other assets and accrued expenses		0		13,717

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 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 (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 system sales and professional 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 use 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.

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 result in a requirement to either separate or combine deliverables, such that a delivered item could now meet the separation criteria and qualify as a separate unit of accounting which may lead to an upward or downward adjustment to the amount of revenue recognized under the arrangement on a prospective basis.

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 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. These amounts totaled:

					Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
	Year Ended December 31,
(In thousands)	2012		2011
Reimbursements for out-of-pocket expenses incurred as professional services revenue		$22,656		$20,788		$6,700		$4,777

Revenue earned on contracts in excess of billings, both the current and non-current portions, is included in the balance of accounts receivable and other assets, respectively. Billings are expected to occur according to the contract terms. Revenue earned on contracts in excess of billings and deferred revenue consisted of the following:

	December 31,
(In thousands)	2012		2011
Revenue earned on contracts in excess of billings
Unbilled revenue (current)		$53,988		$75,204
Unbilled revenue (long-term)		2,301		3,329
Total revenue earned on contracts in excess of billings		$56,289		$78,533
Deferred revenue
Prepayments and billings in excess of revenue earned on contracts in progress for software and services		$181,074		$180,123
Prepayments and billings in excess of revenue earned on contracts in progress for support and maintenance		109,579		108,777
Deferred revenue (current)		290,653		288,900
Prepayments and billings in excess of revenue earned on contracts in progress (long-term)		19,750		18,891
Total deferred revenue		$310,403		$307,791

Fair Value Measurements

The fair values of assets and liabilities required to be measured at fair value are categorized based on 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 that are considered to be Level 2 inputs. Our Level 2 derivative financial instrument represents an interest rate swap contract that is valued based on 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	December 31, 2012								December 31, 2011
(In thousands)		Level 1		Level 2			Total			Level 1		Level 2			Total
Money market funds	Cash equivalents		$14,653		$0			$14,653			$14,071		$0			$14,071
Marketable securities	Long-term marketable securities		0		1,706			1,706			0		1,675			1,675
Derivatives	Other liabilities		0		(1,534	)		(1,534	)		0		(1,754	)		(1,754	)
Total			$14,653		$172			$14,825			$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 December 31, 2012 and are included in other assets in the accompanying consolidated balance sheets (see note 22 regarding the subsequent sale of our investment in Humedica, Inc.). 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.

Financial Instruments

We consider all highly liquid investments with an original maturity of three months or less to be cash equivalents. The fair values of these investments approximate their carrying values.

Other investments classified as long-term marketable securities include certain debt instruments. Debt securities are classified as available-for-sale and realized gains and losses are recorded using the specific identification method. Realized and unrealized gains and losses for all periods presented are immaterial. Changes in market value, excluding other-than-temporary impairments, are reflected in other comprehensive income. There were no other-than-temporary impairments for the years ended December 31, 2012 and 2011, the seven months ended December 31, 2010 and for the year ended May 31, 2010.

Derivative instruments are recognized as either assets or liabilities and are measured at fair value. The accounting for changes in the fair value of a derivative depends on the intended use of the derivative and the resulting designation.

For derivative instruments designated as cash-flow hedges, the effective portion of the derivative’s gain (loss) is initially reported as a component of other comprehensive income and is subsequently recognized in earnings when the hedged exposure is recognized in earnings. Gains (losses) on derivatives representing either hedge components excluded from the assessment of effectiveness or hedge ineffectiveness are recognized in earnings. There were no realized gains (losses) on derivatives for the years ended December 31, 2012 and 2011, the seven months ended December 31, 2010 and for the year ended May 31, 2010.

Allowance for Doubtful Accounts Receivable

Accounts receivable are recorded at the invoiced amounts and do not bear interest. The allowance for doubtful accounts is recorded to provide for estimated losses resulting from uncollectible accounts, and is based principally on specifically identified amounts where collection is deemed doubtful. Additional non-specific allowances are recorded based on historical experience and management’s assessment of a variety of factors related to the general financial condition of Allscripts’ customers, the industry in which we operate and general economic conditions. Allscripts reviews the collectability of individual accounts and assesses the adequacy of the allowance for doubtful accounts. Account balances are charged off against the allowance after all means of collection has been exhausted and the potential for recovery is considered remote. During the fourth quarter of 2012, due to deterioration in its accounts receivable aging, we revised our estimate regarding uncollectible and slow paying accounts and recorded an increase in the allowance for doubtful accounts of approximately $16.8 million. The majority of these aged accounts receivable balances related to maintenance services provided to ongoing customers. Accordingly, this incremental reserve was recorded as a reduction of our maintenance revenues during the three months ended December 31, 2012. If the financial condition of our customers were to deteriorate, resulting in an impairment of their ability to make payments, additional allowances may be required. Allscripts does not have any significant off-balance-sheet credit exposure related to its customers.

Fixed Assets

Fixed assets are stated at cost. Depreciation and amortization are computed on the straight-line method over the estimated useful lives of the related assets. The depreciable life of leasehold improvements is the shorter of the lease term or the useful life. Upon asset retirement or other disposition, cost and the related accumulated depreciation are removed from the accounts, and any gain or loss is included in the consolidated statements of operations. Amounts expended for repairs and maintenance are expensed as incurred.

Business Combinations

Goodwill as of the acquisition date is measured as the excess of consideration transferred and the net of the acquisition date fair values of the assets acquired and the liabilities assumed. While we use our best estimates and assumptions as a part of the purchase price allocation process to accurately value assets acquired, including intangible assets, and liabilities assumed at the acquisition date, our estimates are inherently uncertain and subject to refinement. As a result, during the measurement period, which may be up to one year from the acquisition date, we may record adjustments to the assets acquired and liabilities assumed, with the corresponding offset to goodwill. Upon the conclusion of the measurement period or final determination of the values of assets acquired or liabilities assumed, whichever comes first, any subsequent adjustments are recorded to our consolidated statements of operations.

Goodwill and Intangible Assets

Goodwill and intangible assets acquired in a business combination and determined to have an indefinite useful life are not amortized in accordance with accounting guidance, but accounting guidance requires that we perform an impairment test at least annually. The goodwill impairment analysis is comprised of two steps. In step one the estimated fair value of a reporting unit is compared to its carrying value. Step two is required only if there is a deficiency (the estimated fair value is less than the carrying value). In step two the actual amount of the goodwill impairment is calculated by comparing the implied fair value of the reporting unit’s goodwill with the carrying amount of that goodwill. The implied fair value is determined in the same manner as the amount of goodwill recognized in a business combination. If the carrying value of a reporting unit’s goodwill exceeds its implied fair value, then an impairment loss equal to the difference would be recorded. The recoverability of indefinite lived intangible assets is assessed by comparison of the carrying value of the asset to its estimated fair value. If we determine that the carrying value of the asset exceeds its estimated fair value, an impairment loss would be recorded equal to the excess.

During the three months ended June 30, 2011, we voluntarily changed the date of our annual impairment test for goodwill and indefinite lived intangible assets from May 31 to the first day of the fiscal fourth quarter. This change is preferable under the circumstances as it aligns the timing of the annual goodwill impairment test with our strategic planning and budgeting process, which will enable management to use the updated strategic business plans that result from the budget process in the discounted cash flow analyses that it uses to estimate the fair value of our reporting units. The change did not delay, accelerate or avoid an impairment charge. This change was not applied retrospectively as it was impracticable to do so because retrospective application would require the application of significant estimates and assumptions with the use of hindsight. Accordingly, the change was applied prospectively. There was no impairment identified as a result of our annual impairment tests.

Accounting guidance also requires that intangible assets with estimable useful lives be amortized over their respective estimated useful lives and reviewed for impairment. We estimate the useful lives of our intangible assets and ratably amortize the value over the remaining estimated economic lives of those assets, including the period being reported on. If the actual useful life is shorter than our estimated useful life, we will amortize the remaining book value over the remaining useful life or the asset may be deemed to be impaired and, accordingly, a write-down of the value of the asset may be required.

Long-Lived Assets and Long-Lived Assets to Be Disposed Of

Allscripts reviews its long-lived assets for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of assets to be held and used is measured by a comparison of the carrying amount of an asset to future net cash flows expected to be generated by the asset. If assets are considered to be impaired, the impairment to be recognized is measured by the amount by which the carrying amount of the assets exceeds the fair value of the assets.

Software Development Costs

Allscripts capitalizes purchased software that is ready for service and software development costs incurred from the time technological feasibility of the software is established until the software is available for general release in accordance with accounting guidance. Research and development costs and other computer software maintenance costs related to software development are expensed as incurred. Upon the establishment of technological feasibility, related software development costs are capitalized. We estimate the useful life of our capitalized software and amortize the value over that estimated life. If the actual useful life is shorter than our estimated useful life, we will amortize the remaining book value over the remaining useful life or the asset may be deemed to be impaired and, accordingly, a write-down of the value of the asset may be required. Upon the availability for general release, Allscripts commences amortization of the software on a product by product basis. Amortization of capitalized software is recorded using the greater of (i) the ratio of current revenues to total and anticipated future revenues for the applicable product or (ii) the straight-line method over the remaining estimated economic life, which is estimated to be three to five years.

At each balance sheet date, the unamortized capitalized costs of a software product are compared with the net realizable value of that product. The amount by which the unamortized capitalized costs of a software product exceed the net realizable value of that asset is written off. The net realizable value is the estimated future gross revenues from that product reduced by the estimated future costs of completing and disposing of that product, including the costs of performing maintenance and customer support required to satisfy Allscripts’ responsibility set forth at the time of sale. The carrying value of capitalized software depends on the ability to recover its value through future revenue from the sale of the software. If we determine in the future that the value of the capitalized software could not be recovered, a write-down of the value of the capitalized software to its recoverable value may be required.

The unamortized balances of capitalized software were as follows:

	December 31,
(In thousands)	2012			2011
Software development costs		$156,703			$132,714
Less: accumulated amortization		(61,124	)		(34,336	)
Software development costs, net		$95,579			$98,378

Capitalized software development costs, write-offs and amortization of capitalized software development costs included in system sales cost of revenue and impairments were as follows:

					Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
	Year Ended December 31,
(In thousands)	2012		2011
Capitalized software development costs		$42,965		$60,748		$36,936		$21,097
Write-offs of capitalized software development costs		$8,699		$0		$0		$0
Amortization of capitalized software development costs		$37,065		$23,669		$5,538		$4,712

Income Taxes

We account for income taxes using the liability method, which requires the recognition of deferred tax assets or liabilities for the tax-effected temporary differences between the financial reporting and tax bases of our assets and liabilities and for net operating loss and tax credit carryforwards. The tax expense or benefit for unusual items, or certain adjustments to the valuation allowance, are treated as discrete items in the interim period in which the events occur. The objectives of accounting for income taxes are to recognize the amount of taxes payable or refundable for the current year and deferred tax liabilities and assets for the future tax consequences of events that have been recognized in an entity’s financial statements or tax returns. Judgment is required in addressing the future tax consequences of events that have been recognized in our consolidated financial statements or tax returns.

In addition, 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.

The calculation of tax liabilities involves dealing with uncertainties in the application of complex tax regulations. In accordance with authoritative accounting guidance, we recognize liabilities for anticipated tax audit issues based on our estimate of whether, and the extent to which, additional taxes may be required. If we ultimately determine that payment of these amounts is unnecessary, then we reverse the liability and recognize a tax benefit during the period in which we determine that the liability is no longer necessary. We also recognize tax benefits to the extent that it is more likely than not that our positions will be sustained if challenged by the taxing authorities. To the extent we prevail in matters for which liabilities have been established, or are required to pay amounts in excess of our liabilities, our effective tax rate in a given period may be materially affected. An unfavorable tax settlement would require cash payments and may result in an increase in our effective tax rate in the year of resolution. A favorable tax settlement would be recognized as a reduction in our effective tax rate in the year of resolution. We report interest and penalties related to uncertain income tax positions in the provision for income taxes line of our consolidated statements of operations.

We file income tax returns in the U.S. federal jurisdiction, numerous states and multiple international countries.

Earnings Per Share

Basic income per share is computed by dividing net income by the weighted-average shares of outstanding common stock, as adjusted for income allocated to participating securities. 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, restricted stock unit awards and conversion of the 3.5% Senior Convertible Debentures (the “Debentures”) using the treasury stock method.

The calculations of earnings per share are as follows:

						Seven Months  Ended December 31, 2010			Year Ended May  31, 2010
	Year Ended December 31,
(In thousands, except per share amounts)	2012			2011
Basic Earnings (Loss) per Common Share:
Net income (loss)		($1,153	)		$73,609		($5,565	)		$62,870
Less: Income allocated to participating securities		0			0		0			(1,308	)
Net income (loss) available to common shareholders		($1,153	)		$73,609		($5,565	)		$61,562
Weighted average common shares outstanding		178,699			189,254		168,110			145,146
Basic Earnings (Loss) per Common Share		($0.01	)		$0.39		($0.03	)		$0.42
Earnings (Loss) per Common Share Assuming Dilution:
Net income (loss)		($1,153	)		$73,609		($5,565	)		$62,870
Less: Income allocated to participating securities		0			0		0			(1,281	)
Add: Interest expense on Debentures, net of tax		0			0		0			69
Net income (loss) available to common shareholders		($1,153	)		$73,609		($5,565	)		$61,658
Weighted average common shares outstanding		178,699			189,254		168,110			145,146
Dilutive effect of stock options and restricted stock units awards		0			1,786		0			2,782
Dilutive effect of Debentures		0			0		0			456
Weighted average common shares outstanding assuming dilution		178,699			191,040		168,110			148,384
Earnings (Loss) per Common Share Assuming Dilution:		($0.01	)		$0.39		($0.03	)		$0.42

The as-if converted shares and interest expense related to our Debentures were included for the year ended May 31, 2010.

The as-if converted shares totaling 3 million were not included in the seven months ended December 31, 2010 as the effects were anti-dilutive.

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:

					Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
	Year Ended December 31,
(In thousands)	2012		2011
Shares subject to anti-dilutive stock options and share awards excluded from calculation		2,878		1,203		772		26

Stock-Based Compensation

Under the fair value recognition provisions of accounting guidance related to stock-based payment arrangements, 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, 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.

The net proceeds from stock-based compensation activities are reflected as a financing activity within the consolidated statements of cash flows. Allscripts settles employee stock option exercises and stock awards with newly issued common shares.

Stockholder Rights Plan

The Company is authorized to issue up to 1 million shares of preferred stock, of which 349 thousand shares have been designated as Series A Junior Participating Preferred Stock. As of December 31, 2012 and December 31, 2011, no shares of preferred stock were issued or outstanding.

On May 5, 2012, our Board of Directors adopted a stockholder 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 first public announcement of the Rights Plan. 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.

Retirement Savings Plan

We sponsor an employee benefit plan (the “Plan”) pursuant to Section 401(k) of the Internal Revenue Code of 1986, as amended. We contributed the following amounts to the Plan:

					Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
	Year Ended December 31,
(In thousands)	2012		2011
Company contributions to employee benefit plan		$13,776		$11,182		$4,838		$5,007

Foreign Currency

The financial position and results of operations of the Company’s subsidiaries, with the exception of its subsidiary in India, are measured using the currency of the respective countries as the functional currency. Assets and liabilities are translated at the foreign exchange rate in effect at the balance sheet date, while revenues and expenses for the year are translated at the average exchange rate in effect during the year. Translation gains and losses are not included in determining net income or loss but are accumulated and reported as a separate component of stockholders’ equity.

The functional currency of the Indian subsidiary is the U.S. dollar, with monetary assets and liabilities remeasured into U.S. dollars at year-end exchange rates, and revenues and expenses remeasured at average rates prevailing during the year.

Allscripts has not entered into any foreign currency hedging contracts during the years ended December 31, 2012 and 2011, the seven months ended December 31, 2010 and for the year ended May 31, 2010.

Concentrations of Credit Risk

Financial instruments that potentially subject Allscripts to a concentration of credit risk consist of cash and cash equivalents, marketable securities and trade receivables. Allscripts primarily maintains its cash balances with two major commercial banks and its cash equivalents and marketable securities in interest-bearing, investment-grade securities.

Allscripts sells its products and services to healthcare providers. Credit risk with respect to trade receivables is generally diversified due to the large number of customers and their geographic dispersion. To reduce credit risk, Allscripts performs ongoing credit evaluations of significant customers and their payment histories. In general, Allscripts does not require collateral from its customers, but it does enter into advance deposit, security or guarantee agreements, if appropriate. Bad debt expense was as follows:

					Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
	Year Ended December 31,
(In thousands)	2012		2011
Bad debt expense		$22,947		$10,059		$6,140		$7,785

The majority of revenue is derived from customers located in the United States. The majority of long-lived assets are located in the United States. No customers accounted for greater than 10% of revenue in the years ended December 31, 2012 and 2011, the seven months ended December 31, 2010 and for the year ended May 31, 2010. No customer represented more than 10% of accounts receivable as of December 31, 2012 or 2011.

Use of Estimates

The preparation of consolidated financial statements in conformity with generally accepted accounting principles (“GAAP”) in the United States of America 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.

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. This guidance did 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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Basis of Presentation and Significant Accounting Policies (Tables)

12 Months Ended

Dec. 31, 2012

Amounts Reclassified

The amounts reclassified for each period are as follows:

Reclassifications in the Consolidated Statements of Operations:

					Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
	Year Ended December 31,
(In thousands)	2012		2011
Revenue reclassifications from system sales to maintenance		$0		$14,963		$9,244		$9,477

Reclassifications in the Consolidated Balance Sheets:

	December 31,		December 31,
(In thousands)	2012		2011
Reclassification to other assets from prepaid expenses and other current assets		$0		$9,151
Decrease in prepaid expenses and other assets and accrued expenses		0		13,717

Reimbursements for Out-of-Pocket Expenses Incurred as Professional Services Revenue

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

					Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
	Year Ended December 31,
(In thousands)	2012		2011
Reimbursements for out-of-pocket expenses incurred as professional services revenue		$22,656		$20,788		$6,700		$4,777

Revenue Earned on Contracts in Excess of Billings and Deferred Revenue

Revenue earned on contracts in excess of billings and deferred revenue consisted of the following:

	December 31,
(In thousands)	2012		2011
Revenue earned on contracts in excess of billings
Unbilled revenue (current)		$53,988		$75,204
Unbilled revenue (long-term)		2,301		3,329
Total revenue earned on contracts in excess of billings		$56,289		$78,533
Deferred revenue
Prepayments and billings in excess of revenue earned on contracts in progress for software and services		$181,074		$180,123
Prepayments and billings in excess of revenue earned on contracts in progress for support and maintenance		109,579		108,777
Deferred revenue (current)		290,653		288,900
Prepayments and billings in excess of revenue earned on contracts in progress (long-term)		19,750		18,891
Total deferred revenue		$310,403		$307,791

Summary of Financial Assets and Liabilities Measured at Fair Value on Recurring Basis

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	December 31, 2012								December 31, 2011
(In thousands)		Level 1		Level 2			Total			Level 1		Level 2			Total
Money market funds	Cash equivalents		$14,653		$0			$14,653			$14,071		$0			$14,071
Marketable securities	Long-term marketable securities		0		1,706			1,706			0		1,675			1,675
Derivatives	Other liabilities		0		(1,534	)		(1,534	)		0		(1,754	)		(1,754	)
Total			$14,653		$172			$14,825			$14,071		($79	)		$13,992

Unamortized Balances of Capitalized Software

The unamortized balances of capitalized software were as follows:

	December 31,
(In thousands)	2012			2011
Software development costs		$156,703			$132,714
Less: accumulated amortization		(61,124	)		(34,336	)
Software development costs, net		$95,579			$98,378

Capitalized Software Development Costs, Write Offs and Amortization of Capitalized Software Development Costs Included in System Sales Cost of Revenue

Capitalized software development costs, write-offs and amortization of capitalized software development costs included in system sales cost of revenue and impairments were as follows:

					Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
	Year Ended December 31,
(In thousands)	2012		2011
Capitalized software development costs		$42,965		$60,748		$36,936		$21,097
Write-offs of capitalized software development costs		$8,699		$0		$0		$0
Amortization of capitalized software development costs		$37,065		$23,669		$5,538		$4,712

Calculations of Earnings Per Share

The calculations of earnings per share are as follows:

						Seven Months  Ended December 31, 2010			Year Ended May  31, 2010
	Year Ended December 31,
(In thousands, except per share amounts)	2012			2011
Basic Earnings (Loss) per Common Share:
Net income (loss)		($1,153	)		$73,609		($5,565	)		$62,870
Less: Income allocated to participating securities		0			0		0			(1,308	)
Net income (loss) available to common shareholders		($1,153	)		$73,609		($5,565	)		$61,562
Weighted average common shares outstanding		178,699			189,254		168,110			145,146
Basic Earnings (Loss) per Common Share		($0.01	)		$0.39		($0.03	)		$0.42
Earnings (Loss) per Common Share Assuming Dilution:
Net income (loss)		($1,153	)		$73,609		($5,565	)		$62,870
Less: Income allocated to participating securities		0			0		0			(1,281	)
Add: Interest expense on Debentures, net of tax		0			0		0			69
Net income (loss) available to common shareholders		($1,153	)		$73,609		($5,565	)		$61,658
Weighted average common shares outstanding		178,699			189,254		168,110			145,146
Dilutive effect of stock options and restricted stock units awards		0			1,786		0			2,782
Dilutive effect of Debentures		0			0		0			456
Weighted average common shares outstanding assuming dilution		178,699			191,040		168,110			148,384
Earnings (Loss) per Common Share Assuming Dilution:		($0.01	)		$0.39		($0.03	)		$0.42

Anti-Dilutive Stock Options and Share Awards Excluded from Computation of Diluted Earnings Per Share

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:

					Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
	Year Ended December 31,
(In thousands)	2012		2011
Shares subject to anti-dilutive stock options and share awards excluded from calculation		2,878		1,203		772		26

Company Contributions to Employee Benefit Plan

We sponsor an employee benefit plan (the “Plan”) pursuant to Section 401(k) of the Internal Revenue Code of 1986, as amended. We contributed the following amounts to the Plan:

					Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
	Year Ended December 31,
(In thousands)	2012		2011
Company contributions to employee benefit plan		$13,776		$11,182		$4,838		$5,007

Bad Debt Expense

Bad debt expense was as follows:

					Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
	Year Ended December 31,
(In thousands)	2012		2011
Bad debt expense		$22,947		$10,059		$6,140		$7,785

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Components of Provision for Income Taxes (Detail) (USD $) In Thousands, unless otherwise specified	7 Months Ended		12 Months Ended
	Dec. 31, 2010	Dec. 31, 2009	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Income Loss From Operations Before Provision Benefit For Income Taxes [Line Items]
Current tax provision, Federal	$ (2,353)		$ 1,610	$ 2,827	$ 8,119
Current tax provision, State	1,245		3,793	4,685	6,324
Current tax provision, Foreign	510		5,184	2,483	0
Current tax provision	(598)		10,587	9,995	14,443
Deferred tax provision, Federal	3,376		(24,196)	36,637	24,458
Deferred tax provision, State	(238)		(2,473)	(2,391)	1,765
Deferred tax provision, Foreign	66		(225)	(371)	0
Deferred tax provision	3,204		(26,894)	33,875	26,223
Provision for income taxes	$ 2,606	$ 18,596	$ (16,307)	$ 43,870	$ 40,666

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Commitment with Strategic Partner - Additional Information (Detail) (USD $) In Millions, unless otherwise specified	1 Months Ended
	Apr. 30, 2011	Mar. 31, 2011 Y
Commitment And Contingencies [Line Items]
Remote hosting service support agreement term (in years)		10
Annual payment obligation for data center and hosting services		$ 50
Proceeds from sale of hosting equipment and infrastructure	$ 20

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Stock Award Plans (Tables)

12 Months Ended

Dec. 31, 2012

Stock-Based Compensation Expense

We recorded stock-based compensation expense as follows:

	Year Ended December 31,				Seven Months Ended December 31, 2010		Year Ended May  31, 2010
(In thousands)	2012		2011
Total stock-based compensation expense		$39,985		$40,752		$18,916		$14,849

Stock Options Outstanding

The following table summarizes the status of stock options outstanding and the changes during the periods presented:

(In thousands, except per share amounts)	Options Outstanding			Weighted-Average Exercise Price		Options Exercisable		Weighted-Average Exercise Price
Balance at May 31, 2009		4,222			$5.17		4,222		$5.17
Options exercised		(732	)		$7.79
Options forfeited		(220	)		$18.56
Balance at May 31, 2010		3,270			$3.42		3,270		$3.42
Options exercised		(1,382	)		$7.43
Options assumed		5,865			$13.64
Options forfeited		(78	)		$8.38
Balance at December 31, 2010		7,675			$10.46		6,434		$9.80
Options exercised		(3,469	)		$10.21
Options forfeited		(230	)		$14.49
Balance at December 31, 2011		3,976			$10.31		3,499		$9.87
Options exercised		(1,138	)		$5.32
Options forfeited		(171	)		$16.62
Balance at December 31, 2012		2,667			$12.04		2,548		$11.88

Weighted Average Input Assumptions

The fair value of stock options assumed in the Eclipsys Merger was estimated at the date of acquisition. The weighted average input assumptions used were as follows:

Expected option life (in years)	0.11 – 4.54
Risk-free interest rate	0.17% – 1.36%
Volatility	30.5% – 54.04%
Dividend yield	0%

Stock Option Activity

The following activity occurred under our plans:

					Seven Months Ended December 31,		Year Ended May 31,
	Year Ended December 31,
(In thousands)	2012		2011		2010		2010
Total intrinsic value of stock options exercised		$7,756		$33,016		$15,001		$13,131
Total fair value of share awards vested		$28,600		$36,137		$27,633		$19,976

Stock Option Awards

Information regarding stock options outstanding at December 31, 2012 is as follows:

(In thousands, except per share amounts) Range of Exercise Prices	Number of Options Outstanding		Weighted- Average Exercise Price		Number of Options Exercisable		Weighted- Average Exercise Price
$1.33 to $5.09		322,923		$3.21		322,923		$3.21
$5.13 to $12.32		1,237,993		$9.11		1,222,048		$9.14
$12.50 to $15.99		105,373		$13.72		98,456		$13.70
$16.73 to $18.40		548,697		$16.54		452,333		$16.65
$18.45 to $20.94		452,027		$18.41		452,027		$18.41
		2,667,013				2,547,787

Assumptions in Option Pricing Models

The following assumptions have been used in the option pricing models:

	Seven Months Ended December 31,			Year Ended May 31,
	2010			2010
Risk-free interest rate		1.22	%		2.04	%
Dividend yield		0	%		0	%
Volatility
Market value awards		N/A			N/A
Nil cost awards		47	%		46	%
Expected life (years)
Market value awards		N/A			N/A
Nil cost awards		3			3

Additional Information of Plan Activity

Additional information with respect to the plan activity related to Allscripts for years ended December 31, 2012 and 2011, the seven months ended December 31, 2010 and for the year ended May 31, 2010 is summarized as follows:

	Nil Costs					Market Value
(In thousands, except per share amounts)	Shares			Weighted-Average Grant Date Fair Value		Shares			Weighted-Average Exercise Price		Weighted-Average Grant Date Fair Value
At May 31, 2009		3,915					3,632			$2.25
Granted		24			$2.76		0			$0.00		$0.00
Exercised		(487	)				(113	)		$2.76
Canceled or expired		(193	)				(950	)		$4.28
Transfers		312					548			$2.94
At May 31, 2010		3,571					3,117			$4.02
Granted		9			$4.14		0			$0.00		$0.00
Exercised		(1,817	)				(991	)		$3.31
Canceled or expired		(1,741	)				(1,087	)		$5.16
At December 31, 2010		22					1,039			$4.19
Exercised		0					(585	)		$4.12
Canceled or expired		0					(450	)		$4.69
Transfers		(22	)				(4	)		$5.57
At December 31, 2011		0					0			$0.00
At December 31, 2012		0					0			$0.00
Options exercisable		0					0			$0.00

Performance-Based Share Awards

Activity for Restricted Stock Awards

The following table summarizes the activity for restricted stock awards during the periods presented.

(In thousands, except per share amounts)	Shares			Weighted-Average Grant Date Fair Value
Unvested restricted stock awards at May 31, 2010		0			$0.00
Awarded		928			$17.09
Assumed		495			$14.43
Vested		(224	)		$15.06
Forfeited		(31	)		$16.41
Unvested restricted stock awards at December 31, 2010		1,168			$17.20
Vested		(622	)		$16.39
Forfeited		(135	)		$16.77
Unvested restricted stock awards at December 31, 2011		411			$16.95
Vested		(254	)		$16.27
Forfeited		(137	)		$16.72
Unvested restricted stock awards at December 31, 2012		20			$15.94

Service-Based Share Awards

Activity for Restricted Stock Awards

The following table summarizes the activity for restricted stock units during the periods presented.

(In thousands, except per share amounts)	Shares			Weighted-Average Grant Date Fair Value
Unvested restricted stock units at May 31, 2009		3,168			$8.65
Awarded		1,502			$17.35
Vested		(925	)		$8.88
Forfeited		(244	)		$12.04
Unvested restricted stock units at May 31, 2010		3,501			$12.13
Awarded		1,227			$17.54
Assumed		502			$16.07
Vested		(1,192	)		$12.33
Forfeited		(375	)		$13.42
Unvested restricted stock units at December 31, 2010		3,663			$14.35
Awarded		2,247			$20.53
Vested		(1,237	)		$13.08
Forfeited		(491	)		$16.03
Unvested restricted stock units at December 31, 2011		4,182			$17.83
Awarded		5,574			$11.78
Vested		(1,898	)		$16.11
Forfeited		(1,130	)		$17.16
Unvested restricted stock units at December 31, 2012		6,728			$13.43

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Revenue Earned on Contracts in Excess of Billings and Deferred Revenue (Detail) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011
Revenue Recognition [Line Items]
Unbilled revenue (current)	$ 53,988	$ 75,204
Unbilled revenue (long-term)	2,301	3,329
Total revenue earned on contracts in excess of billings	56,289	78,533
Deferred revenue	290,653	288,900
Prepayments and billings in excess of revenue earned on contracts in progress (long-term)	19,750	18,891
Total deferred revenue	310,403	307,791
Contracts In Progress For Software And Services
Revenue Recognition [Line Items]
Deferred revenue	181,074	180,123
Contracts In Progress For Support And Maintenance
Revenue Recognition [Line Items]
Deferred revenue	$ 109,579	$ 108,777

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Changes in Carrying Amount of Goodwill (Detail) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011
Schedule Of Goodwill And Intangible Assets [Line Items]
Goodwill	$ 1,039,364
Accumulated impairment losses	0
Goodwill, Net	1,039,364	1,039,364
Software Delivery
Schedule Of Goodwill And Intangible Assets [Line Items]
Goodwill	320,299
Accumulated impairment losses	0
Goodwill, Net	320,299
Services Delivery
Schedule Of Goodwill And Intangible Assets [Line Items]
Goodwill	87,665
Accumulated impairment losses	0
Goodwill, Net	87,665
Client Support
Schedule Of Goodwill And Intangible Assets [Line Items]
Goodwill	327,793
Accumulated impairment losses	0
Goodwill, Net	327,793
Pathway Solutions
Schedule Of Goodwill And Intangible Assets [Line Items]
Goodwill	208,795
Accumulated impairment losses	0
Goodwill, Net	208,795
IT Outsourcing
Schedule Of Goodwill And Intangible Assets [Line Items]
Goodwill	59,029
Accumulated impairment losses	0
Goodwill, Net	59,029
Remote Hosting
Schedule Of Goodwill And Intangible Assets [Line Items]
Goodwill	35,783
Accumulated impairment losses	0
Goodwill, Net	$ 35,783

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CONSOLIDATED BALANCE SHEETS (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011
Current assets:
Cash and cash equivalents	$ 103,956	$ 157,753
Accounts receivable, net of allowance of $37,838 and $12,505 at December 31, 2012 and 2011, respectively	337,024	362,793
Deferred taxes, net	56,499	40,600
Prepaid expenses and other current assets	110,023	96,635
Total current assets	607,502	657,781
Long-term marketable securities	1,706	1,675
Fixed assets, net	155,494	122,563
Software development costs, net	95,579	98,378
Intangible assets, net	426,986	489,848
Goodwill	1,039,364	1,039,364
Deferred taxes, net	7,529	5,017
Other assets	50,304	88,998
Total assets	2,384,464	2,503,624
Current liabilities:
Accounts payable	45,874	41,215
Accrued expenses	93,100	89,664
Accrued compensation and benefits	44,124	31,784
Deferred revenue	290,653	288,900
Current maturities of long-term debt and capital lease obligations	79,305	45,477
Total current liabilities	553,056	497,040
Long-term debt	362,697	322,664
Deferred revenue	19,750	18,891
Deferred taxes, net	125,913	119,728
Other liabilities	38,707	68,581
Total liabilities	1,100,123	1,026,904
Commitments and contingencies
Stockholders' equity:
Preferred stock: $0.01 par value, 1,000 shares authorized, no shares issued and outstanding at December 31, 2012 and 2011	0	0
Common stock: $0.01 par value, 349,000 shares authorized at December 31, 2012 and 2011; 257,087 and 172,415 shares issued and outstanding at December 31, 2012, respectively, 254,691 and 190,382 shares issued and outstanding at December 31, 2011, respectively	2,571	2,547
Treasury stock: at cost, 84,672 and 63,951 shares at December 31, 2012 and 2011, respectively	(278,036)	(52,075)
Additional paid-in capital	1,577,260	1,543,167
Accumulated deficit	(17,530)	(16,377)
Accumulated other comprehensive income (loss)	76	(542)
Total stockholders' equity	1,284,341	1,476,720
Total liabilities and stockholders' equity	$ 2,384,464	$ 2,503,624

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Supplemental Disclosure of Cash Flow Information (Tables)

12 Months Ended

Dec. 31, 2012

Supplemental Disclosure of Cash Flow Information

						Seven Months Ended December 31,		Year Ended May 31,
	Year Ended December 31,
(In thousands)	2012		2011			2010		2010
Cash paid (received) during the period for:
Interest		$11,218		$13,630			$7,555		$2,302
Income taxes paid (refund), net		$7,040		($1,013	)		$11,923		$10,714

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Weighted Average Input Assumptions (Detail) (Eclipsys)	12 Months Ended
	Dec. 31, 2012
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Dividend yield	0.00%
Maximum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected option life (in years)	4 years 6 months 15 days
Risk-free interest rate	1.36%
Volatility	54.04%
Minimum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected option life (in years)	1 month 10 days
Risk-free interest rate	0.17%
Volatility	30.50%

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Contingencies - Additional Information (Detail) (USD $)	May 01, 2012
Loss Contingencies [Line Items]
Damages sought per alleged violation of the TCPA	$ 500

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CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY (USD $) In Thousands	Total	Common Stock Issued	Treasury Stock	Additional Paid-In Capital	Accumulated Deficit	Accumulated Other Comprehensive Income (Loss)
Beginning Balance at May. 31, 2009	$ 700,370	$ 1,423	$ 0	$ 846,257	$ (147,291)	$ (19)
Beginning Balance (in shares) at May. 31, 2009		142,397	0
Stock-based compensation expense	13,918	0	0	13,918	0	0
Common stock issued under stock plans, net of shares withheld for employee taxes (in shares)		1,519	0
Common stock issued under stock plans, net of shares withheld for employee taxes	3,594	16	0	3,578	0	0
Tax benefit deficiency realized upon exercise of stock-based compensation	6,251	0	0	6,251	0	0
Conversion of debentures (in shares)		2,451	0
Conversion of debentures	19,759	25	0	19,734	0	0
Net income loss	62,870	0	0	0	62,870	0
Unrealized gain (loss) on marketable securities, net of tax	63	0	0	0	0	63
Net unrealized gain (loss) on derivative financial instruments, net of tax	0
Ending Balance at May. 31, 2010	806,825	1,464	0	889,738	(84,421)	44
Ending Balance (in shares) at May. 31, 2010		146,367	0
Stock-based compensation expense	17,968	0	0	17,968	0	0
Issuance of shares of common stock for purchase of Eclipsys (in shares)		69,226	0
Issuance of shares of common stock for purchase of Eclipsys	1,231,282	692	0	1,230,590	0	0
Common stock issued under stock plans, net of shares withheld for employee taxes (in shares)		3,565	0
Common stock issued under stock plans, net of shares withheld for employee taxes	10,426	35	0	10,391	0	0
Tax benefit deficiency realized upon exercise of stock-based compensation	(457)	0	0	(457)	0	0
Issuance and receipt of shares of common stock related to the Coniston Transactions,(shares)		61,308	(61,308)
Issuance and receipt of shares of common stock related to the Coniston Transactions	0	613	(613)	0	0	0
Repurchase of shares of common stock related to the Coniston Transactions, (in shares)		(29,756)	0
Repurchase of shares of common stock related to the Coniston Transactions	(679,000)	(297)	0	(678,703)	0	0
Net income loss	(5,565)	0	0	0	(5,565)	0
Unrealized gain (loss) on marketable securities, net of tax	(1)	0	0	0	0	(1)
Net unrealized gain (loss) on derivative financial instruments, net of tax	1,227	0	0	0	0	1,227
Foreign currency translation adjustment	1,063	0	0	0	0	1,063
Ending Balance at Dec. 31, 2010	1,383,768	2,507	(613)	1,469,527	(89,986)	2,333
Ending Balance (in shares) at Dec. 31, 2010		250,710	(61,308)
Stock-based compensation expense	41,199	0	0	41,199	0	0
Common stock issued under stock plans, net of shares withheld for employee taxes (in shares)		3,981	0
Common stock issued under stock plans, net of shares withheld for employee taxes	23,663	40	0	23,623	0	0
Tax benefit deficiency realized upon exercise of stock-based compensation	8,818	0	0	8,818	0	0
Repurchase of shares of common stock, (in shares)		0	(2,643)
Repurchase of shares of common stock	(51,462)	0	(51,462)	0	0	0
Net income loss	73,609	0	0	0	73,609	0
Unrealized gain (loss) on marketable securities, net of tax	(3)	0	0	0	0	(3)
Net unrealized gain (loss) on derivative financial instruments, net of tax	(2,294)	0	0	0	0	(2,294)
Foreign currency translation adjustment	(578)	0	0	0	0	(578)
Ending Balance at Dec. 31, 2011	1,476,720	2,547	(52,075)	1,543,167	(16,377)	(542)
Ending Balance (in shares) at Dec. 31, 2011		254,691	(63,951)
Stock-based compensation expense	39,985	0	0	39,985	0	0
Common stock issued under stock plans, net of shares withheld for employee taxes (in shares)		2,396	0
Common stock issued under stock plans, net of shares withheld for employee taxes	(4,773)	24	0	(4,797)	0	0
Tax benefit deficiency realized upon exercise of stock-based compensation	(1,095)	0	0	(1,095)	0	0
Repurchase of shares of common stock, (in shares)		0	(20,721)
Repurchase of shares of common stock	(225,961)	0	(225,961)	0	0	0
Net income loss	(1,153)	0	0	0	(1,153)	0
Unrealized gain (loss) on marketable securities, net of tax	78	0	0	0	0	78
Net unrealized gain (loss) on derivative financial instruments, net of tax	133	0	0	0	0	133
Foreign currency translation adjustment	407	0	0	0	0	407
Ending Balance at Dec. 31, 2012	$ 1,284,341	$ 2,571	$ (278,036)	$ 1,577,260	$ (17,530)	$ 76
Ending Balance (in shares) at Dec. 31, 2012		257,087	(84,672)

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Activity for Restricted Stock Awards (Detail) (Performance-Based Share Awards, USD $) In Thousands, except Per Share data, unless otherwise specified	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011
Performance-Based Share Awards
Shares
Shares, Unvested service-based/performance-based share awards at beginning balance	0	411	1,168
Shares, Awarded	928
Shares, Assumed	495
Shares, Vested	(224)	(254)	(622)
Shares, Forfeited	(31)	(137)	(135)
Shares, Unvested service-based/performance-based share awards at ending balance	1,168	20	411
Weighted-Average Grant Date Fair Value
Weighted-Average Grant Date Fair Value, Unvested Service-based/Performance-based share awards at beginning balance	$ 0	$ 16.95	$ 17.20
Weighted-Average Grant Date Fair Value, Awarded	$ 17.09
Weighted-Average Grant Date Fair Value, Assumed	$ 14.43
Weighted-Average Grant Date Fair Value, Vested	$ 15.06	$ 16.27	$ 16.39
Weighted-Average Grant Date Fair Value, Forfeited	$ 16.41	$ 16.72	$ 16.77
Weighted-Average Grant Date Fair Value, Unvested Service-based/Performance-based share awards at ending balance	$ 17.20	$ 15.94	$ 16.95

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Company Contributions to Employee Benefit Plan (Detail) (USD $) In Thousands, unless otherwise specified	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Basis Of Presentation And Summary Of Significant Accounting Policies [Line Items]
Company contributions to employee benefit plan	$ 4,838	$ 13,776	$ 11,182	$ 5,007

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Assumptions in Option Pricing Models (Detail) (Misys Stock Plan)	7 Months Ended	12 Months Ended
	Dec. 31, 2010	May 31, 2010
Discounted Cash Flow Pricing Model, by Assumption [Line Items]
Risk-free interest rate	1.22%	2.04%
Dividend yield	0.00%	0.00%
Nil Cost Awards
Discounted Cash Flow Pricing Model, by Assumption [Line Items]
Volatility	47.00%	46.00%
Expected life (years)	3 years	3 years

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Goodwill and Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2012

Goodwill and Intangible Assets

Goodwill and intangible assets consist of the following:

	December 31, 2012							December 31, 2011
(In thousands)	Gross Assets		Accumulated Amortization			Intangible Assets, Net		Gross Assets		Accumulated Amortization			Intangible Assets, Net
Intangible assets
Intangible assets subject to amortization
Proprietary technology		$361,660		($197,383	)		$164,277		$361,660		($170,157	)		$191,503
Customer contracts and relationships		312,600		(101,891	)		210,709		534,355		(288,010	)		246,345
Total intangible assets subject to amortization		674,260		(299,274	)		374,986		896,015		(458,167	)		437,848
Indefinite lived and non-amortizable registered trademarks		52,000		0			52,000		52,000		0			52,000
Total intangible assets		$726,260		($299,274	)		$426,986		$726,260		($236,412	)		$489,848
Goodwill		$1,039,364		$0			$1,039,364		$1,039,364		$0			$1,039,364

Changes In Carrying Amount of Goodwill

Following the realignment of our business segments during 2012, the carrying amounts of goodwill by reportable segment at December 31, 2012 were as follows (Remote Hosting is an operating segment that does not meet the quantitative thresholds for determining reportable segments; however, we have presented the portion of goodwill allocated to this segment within our reconciliation to consolidated amounts in the table below):

(In thousands)	Software Delivery		Services Delivery		Client Support		Pathway Solutions		IT Outsourcing		Remote Hosting		Total
Balance as of December 31, 2012
Goodwill		$320,299		$87,665		$327,793		$208,795		$59,029		$35,783		$1,039,364
Accumulated impairment losses		0		0		0		0		0		0		0
		$320,299		$87,665		$327,793		$208,795		$59,029		$35,783		$1,039,364

Amortization Expense Related to Intangible Assets

Intangible assets are being amortized over their estimated useful lives. Allscripts recorded amortization expense related to the intangible assets as follows:

	Year Ended December  31,				Seven Months Ended December 31, 2010		Year Ended May  31, 2010
(In thousands)	2012		2011
Proprietary technology amortization included in cost of revenue, system sales		$27,226		$27,478		$12,719		$11,064
Intangible amortization included in operating expenses		35,635		37,344		16,235		10,060
Total intangible amortization expense		$62,861		$64,822		$28,954		$21,124

Estimated Future Amortization Expense for Intangible Assets

Estimated future amortization expense for the intangible assets that exist as of December 31, 2012 is as follows:

(Dollar amounts in thousands)	Year Ended December 31,
2013		$55,102
2014		52,286
2015		47,466
2016		35,421
2017		30,220
Thereafter		154,491
Total		$374,986

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Acquired Intangible Assets Amortization (Detail) (Eclipsys, USD $) In Thousands, unless otherwise specified	1 Months Ended
	Aug. 24, 2010
Business Acquisition [Line Items]
Intangible assets, fair Value	$ 377,000
Maintenance and Outsourcing Agreements
Business Acquisition [Line Items]
Intangible assets, useful Life (in years)	20 years
Intangible assets, fair Value	59,000
Hosting Agreements
Business Acquisition [Line Items]
Intangible assets, useful Life (in years)	15 years
Intangible assets, fair Value	26,000
Service Agreements
Business Acquisition [Line Items]
Intangible assets, useful Life (in years)	12 years
Intangible assets, fair Value	37,000
Developed Technology
Business Acquisition [Line Items]
Intangible assets, useful Life (in years)	7 years
Intangible assets, fair Value	69,000
Core Technology
Business Acquisition [Line Items]
Intangible assets, useful Life (in years)	12 years
Intangible assets, fair Value	95,000
Trade Names
Business Acquisition [Line Items]
Intangible assets, useful Life (in years)	3 years
Intangible assets, fair Value	13,000
Maintenance And Outsourcing Contract Backlog
Business Acquisition [Line Items]
Intangible assets, useful Life (in years)	5 years
Intangible assets, fair Value	48,000
Hosting Contract Backlog
Business Acquisition [Line Items]
Intangible assets, useful Life (in years)	6 years
Intangible assets, fair Value	16,000
Services Backlog
Business Acquisition [Line Items]
Intangible assets, useful Life (in years)	2 years
Intangible assets, fair Value	$ 14,000

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Business Segments

12 Months Ended

Dec. 31, 2012

Business Segments

15. Business Segments

Prior to 2012, we used 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 on the information used by the chief operating decision maker to allocate resources, make operating decisions and assess performance, we now use the following reportable segments: Software Delivery, Services Delivery, Client Support, Pathway Solutions and IT Outsourcing.

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. 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. Client support derives its revenue through software and hardware maintenance contracts and includes the related expenses incurred to provide support to our customers. Pathway solutions includes revenue and the related expenses incurred from EDI medical claims processing for clients and our patient portal SaaS solution, and IT outsourcing derives its revenue from services provided to clients where we assume partial to total responsibility for a healthcare organization’s IT operations using our employees and assets, and includes the related expenses incurred to deliver IT outsourcing solutions to our clients. Segment data for prior periods presented below has been restated to conform to the current presentation.

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

Corporate general and administrative expenses are centrally managed and solutions research and development expenses, including the amortization of software development costs, are not attributed to an operating segment. Additionally, during 2012 we recorded certain asset impairment charges related to the convergence of our MyWay and Professional applications (refer to Note 6 Asset Impairment Charges for additional information) that are not attributable to an operating segment. As a result, these expenses are not allocated to our reportable segments because they are not part of the segment profitability results reviewed by our chief operating decision maker. Additionally, we do not track our assets by segment.

Remote Hosting is an operating segment that does not meet the quantitative thresholds for determining reportable segments; however, we have presented the revenues and income from operations related to this segment within our reconciliation to consolidated amounts in the table below.

	Year Ended December 31,						Seven Months  Ended December 31, 2010			Year Ended May  31, 2010
(In thousands)	2012			2011
Revenue:
Software Delivery		$320,937			$387,996			$173,854			$210,116
Services Delivery		265,166			248,031			96,385			77,835
Client Support		458,364			447,715			212,580			259,166
Pathway Solutions		172,445			165,385			94,089			158,239
IT Outsourcing		161,063			142,240			37,825			0
Remote Hosting		71,513			70,631			23,432			0
Unallocated Amounts		(3,163	)		(17,921	)		(24,856	)		(854	)
Total revenue		$1,446,325			$1,444,077			$613,309			$704,502
Income from operations:
Software Delivery		$28,815			$94,864			$26,732			$59,026
Services Delivery		31,539			34,080			13,728			12,455
Client Support		310,424			308,407			140,143			168,288
Pathway Solutions		105,179			105,680			57,869			96,241
IT Outsourcing		34,942			27,337			4,601			0
Remote Hosting		1,377			2,471			1,288			0
Unallocated Amounts		(499,005	)		(436,295	)		(238,476	)		(231,427	)
Total income from operations		$13,271			$136,544			$5,885			$104,583

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Asset Impairment Charges (Tables)

12 Months Ended

Dec. 31, 2012

Asset Impairment Charges

As a result of the above decision and the related elimination of future cash flows from sales of the MyWay application, we recorded a non-cash charge to earnings in 2012 related to the impairment of previously capitalized software development costs for MyWay plus the net carrying value of a perpetual license for certain software code incorporated in MyWay as follows:

	Year Ended December 31,				Seven Months Ended December 31, 2010		Year Ended May  31, 2010
(In thousands)	2012		2011
Asset impairment charges		$11,101		$0		$0		$0

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Stock Option Awards (Detail) (USD $)						12 Months Ended
	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010	May 31, 2010	May 31, 2009	Dec. 31, 2012 $1.33 to $5.09	Dec. 31, 2012 $5.13 to $12.32	Dec. 31, 2012 $12.50 to $15.99	Dec. 31, 2012 $16.73 to $18.40	Dec. 31, 2012 $18.45 to $20.94
Schedule Of Stock Options [Line Items]
Range of exercise prices, lower limit						$ 1.33	$ 5.13	$ 12.50	$ 16.73	$ 18.45
Range of exercise prices, upper limit						$ 5.09	$ 12.32	$ 15.99	$ 18.40	$ 20.94
Number of options Outstanding	2,667,013	3,976,000	7,675,000	3,270,000	4,222,000	322,923	1,237,993	105,373	548,697	452,027
Weighted-average exercise price, outstanding	$ 12.04	$ 10.31	$ 10.46	$ 3.42	$ 5.17	$ 3.21	$ 9.11	$ 13.72	$ 16.54	$ 18.41
Number of options exercisable	2,547,787	3,499,000	6,434,000	3,270,000	4,222,000	322,923	1,222,048	98,456	452,333	452,027
Weighted-average exercise price, exercisable	$ 11.88	$ 9.87	$ 9.80	$ 3.42	$ 5.17	$ 3.21	$ 9.14	$ 13.70	$ 16.65	$ 18.41

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Related Party Transactions

12 Months Ended

Dec. 31, 2012

Related Party Transactions

17. Related Party Transactions

Shared Services Agreement and Transition Services Agreement

On March 1, 2009, Allscripts and Misys entered into a Shared Services Agreement dated as of March 1, 2009 and effective as of October 10, 2008 (the “Shared Services Agreement”). The Shared Services Agreement was approved by the Audit Committee of Allscripts’ Board of Directors. The services provided to Allscripts under the Shared Services Agreement included: (1) human resource functions such as administration, selection of benefit plans and designing employee survey and training programs, (2) management services, (3) procurement services such as travel arrangements, disaster recovery and vendor management, (4) research and development services such as software development, (5) access to information technology, telephony, facilities and other related services at Misys’ customer support center located in Manila, The Philippines; and (6) information system services such as planning, support and database administration. Under the Shared Services Agreement, Allscripts has provided Misys with certain tax, facility space and payroll processing services. The Shared Services Agreement expired in accordance with its terms on August 20, 2010.

Pursuant to the Framework Agreement, on August 20, 2010, Allscripts and Misys entered into a Transition Services Agreement (the “Transition Services Agreement”) pursuant to which each party will continue to provide to the other certain services and personnel to support the other’s business, which services were previously provided under the Shared Services Agreement. The services that Misys agreed to provide Allscripts under the Transition Services Agreement include research and development services, customer support services and information systems services while Allscripts agreed to provide Misys financial services and tax services.

Revenue earned (expenses incurred) under these services agreements were as follows:

						Seven Months Ended December 31,			Year Ended May 31,
	Year Ended December 31,
(In thousands)	2012		2011			2010			2010
Revenue earned (expenses incurred) under services agreements		$38		($1,603	)		($7,866	)		($14,403	)

Repurchase Agreement and Share Reduction

Refer to Note 11 for the Stock Repurchase Agreement with Misys and its Affiliates, and refer to Note 3 for the Reduction of Misys Share Ownership.

Misys Stock Award Plans

Allscripts employees participated in several share based compensation plans maintained by Misys (see Note 10).

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Fixed Assets (Detail) (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2012	Dec. 31, 2011
Property, Plant and Equipment [Line Items]
Fixed assets, gross	$ 283,762	$ 207,796
Less: accumulated depreciation and amortization	(128,268)	(85,233)
Fixed assets, net	155,494	122,563
Computer Equipment and Software
Property, Plant and Equipment [Line Items]
Fixed assets, gross	227,092	157,845
Computer Equipment and Software | Minimum
Property, Plant and Equipment [Line Items]
Estimated useful life (in years)	3 years
Computer Equipment and Software | Maximum
Property, Plant and Equipment [Line Items]
Estimated useful life (in years)	7 years
Facility Furniture, Fixtures and Equipment
Property, Plant and Equipment [Line Items]
Fixed assets, gross	22,779	18,128
Facility Furniture, Fixtures and Equipment | Minimum
Property, Plant and Equipment [Line Items]
Estimated useful life (in years)	5 years
Facility Furniture, Fixtures and Equipment | Maximum
Property, Plant and Equipment [Line Items]
Estimated useful life (in years)	7 years
Leasehold Improvements
Property, Plant and Equipment [Line Items]
Fixed assets, gross	24,472	22,243
Estimated useful life, description	7 to 8 years, or life of lease if shorter
Leasehold Improvements | Minimum
Property, Plant and Equipment [Line Items]
Estimated useful life (in years)	7 years
Leasehold Improvements | Maximum
Property, Plant and Equipment [Line Items]
Estimated useful life (in years)	8 years
Assets Held under Capital Leases
Property, Plant and Equipment [Line Items]
Fixed assets, gross	$ 9,419	$ 9,580
Assets Held under Capital Leases | Minimum
Property, Plant and Equipment [Line Items]
Estimated useful life (in years)	3 years
Assets Held under Capital Leases | Maximum
Property, Plant and Equipment [Line Items]
Estimated useful life (in years)	5 years

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Revenues and Income from Operations Related to Segment Within Reconciliation to Consolidated Amounts (Detail) (USD $) In Thousands, unless otherwise specified	7 Months Ended		12 Months Ended
	Dec. 31, 2010	Dec. 31, 2009	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Segment Reporting Information [Line Items]
Revenue	$ 613,309	$ 383,479	$ 1,446,325	$ 1,444,077	$ 704,502
Income from operations	5,885	50,146	13,271	136,544	104,583
Software Delivery
Segment Reporting Information [Line Items]
Revenue	173,854		320,937	387,996	210,116
Income from operations	26,732		28,815	94,864	59,026
Services Delivery
Segment Reporting Information [Line Items]
Revenue	96,385		265,166	248,031	77,835
Income from operations	13,728		31,539	34,080	12,455
Client Support
Segment Reporting Information [Line Items]
Revenue	212,580		458,364	447,715	259,166
Income from operations	140,143		310,424	308,407	168,288
Pathway Solutions
Segment Reporting Information [Line Items]
Revenue	94,089		172,445	165,385	158,239
Income from operations	57,869		105,179	105,680	96,241
IT Outsourcing
Segment Reporting Information [Line Items]
Revenue	37,825		161,063	142,240	0
Income from operations	4,601		34,942	27,337	0
Remote Hosting
Segment Reporting Information [Line Items]
Revenue	23,432		71,513	70,631	0
Income from operations	1,288		1,377	2,471	0
Unallocated Amounts
Segment Reporting Information [Line Items]
Revenue	(24,856)		(3,163)	(17,921)	(854)
Income from operations	$ (238,476)		$ (499,005)	$ (436,295)	$ (231,427)

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CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $) In Thousands, unless otherwise specified	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Cash flows from operating activities:
Net income (loss)	$ (5,565)	$ (1,153)	$ 73,609	$ 62,870
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Depreciation and amortization	50,089	150,234	132,400	36,522
Stock-based compensation expense	18,916	39,126	40,752	14,849
Excess tax benefits from stock-based compensation	457	(3,516)	(8,818)	(6,251)
Deferred taxes	(3,825)	(12,780)	33,395	31,562
Asset impairment charges	0	11,101	0	0
Other losses (gains)	476	2,407	3,513	(460)
Changes in operating assets and liabilities, net of business combinations:
Accounts receivable, net	903	26,173	(45,853)	(26,798)
Prepaid expenses and other assets	(11,522)	(14,430)	(17,551)	(18,695)
Accounts payable	(10,413)	3,440	(8,546)	13,056
Accrued expenses	10,377	3,397	8,581	14,775
Accrued compensation and benefits	448	13,101	(14,766)	709
Deferred revenue	25,288	3,214	72,728	18,092
Other liabilities	152	2,356	(690)	(313)
Net cash provided by operating activities	75,781	222,670	268,754	139,918
Cash flows from investing activities:
Capital expenditures	(24,552)	(80,166)	(44,306)	(13,919)
Capitalized software	(36,936)	(42,965)	(60,748)	(21,097)
Purchases of marketable securities and other investments	(9)	0	(12,900)	(4,008)
Sales and maturities of marketable securities and other investments	1,598	94	55	7,017
Proceeds received from sale of fixed assets	0	0	20,000	0
Change in restricted cash	2,216	0	2,225	0
Net cash acquired in merger with Eclipsys	170,102	0	0	0
Net cash (used in) provided by investing activities	112,419	(123,037)	(95,674)	(32,007)
Cash flows from financing activities:
Proceeds from issuance of common stock	10,426	5,519	35,119	3,594
Excess tax benefits from stock-based compensation	(457)	3,516	8,818	6,251
Taxes paid related to net share settlement of equity awards	0	(10,292)	(11,456)	0
Payments of capital lease obligations	(830)	(822)	(1,427)	(1,510)
Credit facility payments	(80,875)	(250,874)	(170,424)	(43,995)
Credit facility borrowings, net of issuance costs	547,744	324,010	47,193	0
Repurchase of common stock	(679,000)	(225,961)	(51,462)	0
Net cash used in financing activities	(202,992)	(154,904)	(143,639)	(35,660)
Effect of exchange rate changes on cash and cash equivalents	785	1,474	(1,091)	0
Net (decrease) increase in cash and cash equivalents	(14,007)	(53,797)	28,350	72,251
Cash and cash equivalents, beginning of period	143,410	157,753	129,403	71,159
Cash and cash equivalents, end of period	$ 129,403	$ 103,956	$ 157,753	$ 143,410

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CONSOLIDATED BALANCE SHEETS (Parenthetical) (USD $) In Thousands, except Per Share data, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011
Accounts receivable, allowance	$ 37,838	$ 12,505
Preferred stock, par value	$ 0.01	$ 0.01
Preferred stock, shares authorized	1,000	1,000
Preferred stock, shares issued
Preferred stock, shares outstanding
Common stock, par value	$ 0.01	$ 0.01
Common stock, shares authorized	349,000	349,000
Common stock, shares issued	257,087	254,691
Common stock, shares outstanding	172,415	190,382
Treasury stock at cost, shares	84,672	63,951

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Stock Award Plans

12 Months Ended

Dec. 31, 2012

Stock Award Plans

10. Stock Award Plans

The Company’s 2011 Stock Incentive Plan (“Plan”) provides for the granting of stock options, service-based share awards and performance-based share awards, among other awards. As of December 31, 2012, there were 6.6 million shares of common stock reserved for issuance under future share-based awards to be granted to any employee, officer or director or independent consultant of the Company at terms and prices to be determined by the Board of Directors, subject to the terms of the Plan.

We recorded stock-based compensation expense as follows:

	Year Ended December 31,				Seven Months Ended December 31, 2010		Year Ended May  31, 2010
(In thousands)	2012		2011
Total stock-based compensation expense		$39,985		$40,752		$18,916		$14,849

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 years ended December 31, 2012 and 2011, seven months ended December 31, 2010 and the year ended May 31, 2010. The estimated income tax benefit of stock-based compensation expense included in the provision for income taxes for the year ended December 31, 2012 is $7 million. As of December 31, 2012, $64.8 million of unearned compensation related to non-vested awards and options was netted against the balance of additional paid in capital and will be recognized over the remaining vesting terms. These costs are expected to be recognized over a weighted average period of 2.8 years.

In connection with the Eclipsys Merger, we assumed all of the outstanding stock options and other stock awards of Eclipsys’ respective plans. These stock options and stock awards, as converted based on the same share exchange ratio defined in the Merger Agreement, generally retain all the rights, terms and conditions as originally granted.

We issue service-based awards, performance-based, and market-based awards in the form of restricted stock units or restricted stock. A description of each category of awards is presented below.

Service-based Share Awards

Service-based share awards include restricted stock units and shares and typically vest over a four-year period commencing on the date of grant subject to continued service to the Company. Upon termination of an employee’s employment, any unvested service-based share awards will be forfeited unless otherwise provided in an employee’s employment agreement. Deferred share units are awarded to directors and generally vest within one year when issued in lieu of annual share awards or immediately when issued in lieu of cash.

At December 31, 2012, there was $55.2 million of total estimated unrecognized compensation cost, assuming an estimated forfeiture rate, related to the service-based share awards which is expected to be recognized through December 31, 2016.

Performance-based Share Awards

Performance-based share awards include restricted stock units and shares. The purpose of such awards is to align management with the Company’s financial performance and other operational objectives and, in certain cases, to retain key employees over a specified performance period. Awards granted under this category are based on the achievement of various targeted financial measures including non-GAAP income per share and adjusted net income as defined in the grant agreements. The awards are earned based on actual results achieved compared to targeted amounts. Stock-based compensation expense related to these awards will be recognized over three-year and four-year vesting periods under the accelerated attribution method.

At December 31, 2012, there was $6.5 million of total estimated unrecognized compensation cost, assuming an estimated forfeiture rate and various target attainments related to the performance-based share awards, which is expected to be recognized through December 2016.

Market-based Share Awards

Market-based share awards include restricted stock units. The purpose of such awards is to align management with the performance of the Company’s common stock relative to the market. Awards granted under this category are dependent on our total shareholder returns relative to a specified peer group of companies over three-year performance periods with vesting based on three annual performance segments from the grant dates. Fair values of the awards were estimated at the date of the grants using the Monte Carlo pricing model. Following completion of the three-year performance periods, the Compensation Committee will determine the number of awards that would vest considering overall performance over the three-year performance periods. If the numbers of shares that would vest under this scenario are greater than the amount vesting under the three annual performance segments, then such greater numbers of awards shall vest, reduced by the number of awards previously vested. Stock-based compensation expense related to these awards will be recognized over three-year vesting periods under the accelerated attribution method.

At December 31, 2012, there was $3.1 million of total estimated unrecognized compensation cost, assuming an estimated forfeiture rate and various target attainments related to the market-based share awards, which is expected to be recognized through December 2015.

The following table summarizes the activity for restricted stock units during the periods presented.

(In thousands, except per share amounts)	Shares			Weighted-Average Grant Date Fair Value
Unvested restricted stock units at May 31, 2009		3,168			$8.65
Awarded		1,502			$17.35
Vested		(925	)		$8.88
Forfeited		(244	)		$12.04
Unvested restricted stock units at May 31, 2010		3,501			$12.13
Awarded		1,227			$17.54
Assumed		502			$16.07
Vested		(1,192	)		$12.33
Forfeited		(375	)		$13.42
Unvested restricted stock units at December 31, 2010		3,663			$14.35
Awarded		2,247			$20.53
Vested		(1,237	)		$13.08
Forfeited		(491	)		$16.03
Unvested restricted stock units at December 31, 2011		4,182			$17.83
Awarded		5,574			$11.78
Vested		(1,898	)		$16.11
Forfeited		(1,130	)		$17.16
Unvested restricted stock units at December 31, 2012		6,728			$13.43

The following table summarizes the activity for restricted stock awards during the periods presented.

(In thousands, except per share amounts)	Shares			Weighted-Average Grant Date Fair Value
Unvested restricted stock awards at May 31, 2010		0			$0.00
Awarded		928			$17.09
Assumed		495			$14.43
Vested		(224	)		$15.06
Forfeited		(31	)		$16.41
Unvested restricted stock awards at December 31, 2010		1,168			$17.20
Vested		(622	)		$16.39
Forfeited		(135	)		$16.77
Unvested restricted stock awards at December 31, 2011		411			$16.95
Vested		(254	)		$16.27
Forfeited		(137	)		$16.72
Unvested restricted stock awards at December 31, 2012		20			$15.94

No restricted stock awards were granted prior to the year ended May 31, 2010.

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 and 2011 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 860 thousand and 660 thousand for the years ended December 31, 2012 and 2011, respectively, and were based on the value of the restricted stock units and awards on their vesting date as determined by our closing stock price. Total payments for the employees’ tax obligations to the taxing authorities are reflected as a financing activity within the consolidated statements of cash flows. These net-share settlements had the effect of share repurchases by us as they reduced the number of shares that would have otherwise been issued as a result of the vesting.

Stock Options

The following table summarizes the status of stock options outstanding and the changes during the periods presented:

(In thousands, except per share amounts)	Options Outstanding			Weighted-Average Exercise Price		Options Exercisable		Weighted-Average Exercise Price
Balance at May 31, 2009		4,222			$5.17		4,222		$5.17
Options exercised		(732	)		$7.79
Options forfeited		(220	)		$18.56
Balance at May 31, 2010		3,270			$3.42		3,270		$3.42
Options exercised		(1,382	)		$7.43
Options assumed		5,865			$13.64
Options forfeited		(78	)		$8.38
Balance at December 31, 2010		7,675			$10.46		6,434		$9.80
Options exercised		(3,469	)		$10.21
Options forfeited		(230	)		$14.49
Balance at December 31, 2011		3,976			$10.31		3,499		$9.87
Options exercised		(1,138	)		$5.32
Options forfeited		(171	)		$16.62
Balance at December 31, 2012		2,667			$12.04		2,548		$11.88

Accounting guidance requires forfeitures to be estimated at the time of grant and revised, if necessary, in subsequent periods if actual forfeitures differ from those estimates.

We estimate the fair value of our share-based payments using the Black-Scholes option-pricing model. Option valuation models, including the Black-Scholes option-pricing model, require the input of assumptions, including stock price volatility. Changes in the input assumptions can materially affect the fair value estimates and ultimately how much we recognize as stock-based compensation expense. The fair value of stock options assumed in the Eclipsys Merger was estimated at the date of acquisition. The weighted average input assumptions used were as follows:

Expected option life (in years)	0.11 – 4.54
Risk-free interest rate	0.17% – 1.36%
Volatility	30.5% – 54.04%
Dividend yield	0%

The expected life input is based on historical exercise patterns and post-vesting termination behavior, the risk-free interest rate input is based on United States Treasury instruments and the volatility input is calculated based on the implied volatility of our common stock.

The aggregate intrinsic value of stock options outstanding and exercisable as of December 31, 2012 was $4 million and $4 million, respectively, based on Allscripts’ closing stock price of $9.42 as of December 31, 2012. The intrinsic value of stock options outstanding represents the amount that would have been received by the option holders had all option holders exercised their stock options as of that date.

The following activity occurred under our plans:

					Seven Months Ended December 31,		Year Ended May 31,
	Year Ended December 31,
(In thousands)	2012		2011		2010		2010
Total intrinsic value of stock options exercised		$7,756		$33,016		$15,001		$13,131
Total fair value of share awards vested		$28,600		$36,137		$27,633		$19,976

Information regarding stock options outstanding at December 31, 2012 is as follows:

(In thousands, except per share amounts) Range of Exercise Prices	Number of Options Outstanding		Weighted- Average Exercise Price		Number of Options Exercisable		Weighted- Average Exercise Price
$1.33 to $5.09		322,923		$3.21		322,923		$3.21
$5.13 to $12.32		1,237,993		$9.11		1,222,048		$9.14
$12.50 to $15.99		105,373		$13.72		98,456		$13.70
$16.73 to $18.40		548,697		$16.54		452,333		$16.65
$18.45 to $20.94		452,027		$18.41		452,027		$18.41
		2,667,013				2,547,787

The weighted average remaining contractual life of the options outstanding and exercisable as of December 31, 2012 is 2.14 years.

Employee Stock Purchase Plan

The Employee Stock Purchase Plan (“ESPP”) allows eligible employees to authorize payroll deductions of up to 20% of their base salary to be applied toward the purchase of full shares of common stock on the last day of the offering period. Offering periods under the ESPP are three months in duration and begin on each March 1, June 1, September 1, and December 1. Shares will be purchased on the last day of each offering period at a discount of 5% of fair market value of the common stock on such date as reported on NASDAQ. The aggregate number of shares of Allscripts common stock that may be issued under the ESPP may not exceed 500 thousand shares and no one employee may purchase any shares under the ESPP having a collective fair market value greater than $25 thousand in any one calendar year. The shares available for purchase under the ESPP may be drawn from either authorized but previously unissued shares of common stock or from reacquired shares of common stock, including shares purchased by Allscripts in the open market and held as treasury shares.

Allscripts treats the ESPP as a non-compensatory plan in accordance with accounting guidance. There were 288 thousand and 140 thousand shares purchased under the ESPP during the years ended December 31, 2012 and 2011, respectively.

Misys Stock Plan

Certain employees of Allscripts previously participated in share-based compensation plans offered by Misys. Awards under the plans include market price awards (options priced at fair value of Misys stock at date of grant) and nil cost awards (zero strike price). Certain of the awards included performance based vesting conditions; otherwise, options vested over a service period that was generally three years. Upon completion of the Coniston Transactions and the related reduction of Misys’ ownership interests in Allscripts, the vesting of certain options previously granted to Allscripts’ employees was accelerated and the participation of Allscripts’ employees in the Misys stock plans terminated. All outstanding options held by employees of Allscripts on August 20, 2010 were assessed to determine the eligible grants that would fully vest as well as the options that would lapse. As a result of the assessment, we recognized expense of approximately $1 million due to the accelerated vesting of options during the seven months ended December 31, 2010. This charge was offset by approximately $1 million for options that were canceled. Stock-based compensation expense was approximately $2 million for the year ended May 31, 2010. We recognized no stock-based compensation expense related to the Misys stock plans during the years ended December 31, 2012 and 2011.

Prior to the completion of the Coniston Transactions, the fair value of share options granted to employees of Allscripts was recorded as compensation cost over the term of vesting period.

The fair value of awards that contain performance-based vesting conditions was estimated at the date of grant using the Monte Carlo option pricing model. For all other awards, the fair value of each option grant was estimated at the date of grant using the Black-Scholes option pricing model.

The following assumptions have been used in the option pricing models:

	Seven Months Ended December 31,			Year Ended May 31,
	2010			2010
Risk-free interest rate		1.22	%		2.04	%
Dividend yield		0	%		0	%
Volatility
Market value awards		N/A			N/A
Nil cost awards		47	%		46	%
Expected life (years)
Market value awards		N/A			N/A
Nil cost awards		3			3

Volatility was calculated using Misys share price history for the period equivalent to the expected life. For awards with performance-based service conditions, vesting is tied to either total shareholder return, Misys earnings per share or Misys stock price. Additional variables used in the Monte Carlo option pricing model related to market benchmarked performance conditions include volatility of N/A and 42% and a correlation coefficient of N/A and N/A for the seven months ended December 31, 2010 and the year ended May 31, 2010, respectively.

Additional information with respect to the plan activity related to Allscripts for years ended December 31, 2012 and 2011, the seven months ended December 31, 2010 and for the year ended May 31, 2010 is summarized as follows:

	Nil Costs					Market Value
(In thousands, except per share amounts)	Shares			Weighted-Average Grant Date Fair Value		Shares			Weighted-Average Exercise Price		Weighted-Average Grant Date Fair Value
At May 31, 2009		3,915					3,632			$2.25
Granted		24			$2.76		0			$0.00		$0.00
Exercised		(487	)				(113	)		$2.76
Canceled or expired		(193	)				(950	)		$4.28
Transfers		312					548			$2.94
At May 31, 2010		3,571					3,117			$4.02
Granted		9			$4.14		0			$0.00		$0.00
Exercised		(1,817	)				(991	)		$3.31
Canceled or expired		(1,741	)				(1,087	)		$5.16
At December 31, 2010		22					1,039			$4.19
Exercised		0					(585	)		$4.12
Canceled or expired		0					(450	)		$4.69
Transfers		(22	)				(4	)		$5.57
At December 31, 2011		0					0			$0.00
At December 31, 2012		0					0			$0.00
Options exercisable		0					0			$0.00

The weighted-average fair value of all options granted during the seven months ended December 31, 2010 and the year ended May 31, 2010 was $4.14 and $2.76 per share, respectively. The total intrinsic value of options exercised during the years ended December 31, 2012 and 2011, the seven months ended December 31, 2010 and for the year ended May 31, 2010 was $8 million, $1 million, $20 million and $9 million, respectively.

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Derivative Financial Instruments - Additional Information (Detail) (USD $)	1 Months Ended	7 Months Ended	12 Months Ended
	Oct. 29, 2010	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011
Derivative [Line Items]
Interest rate swap agreement effective date	Oct. 29, 2010
Notional amount of interest rate swap agreement	$ 300,000,000		$ 225,000,000
Interest rate swap agreement termination date	Oct. 31, 2014
Effective fixed interest rate for swap agreement			0.896%
Derivative losses included in OCI to be reclassified into earnings within next 12 months			1,000,000
Variable effective interest rate for swap agreement			2.21%
Gains (losses) reclassified from OCI into earnings due to forecasted transactions that failed to occur		0	0	0
Realized gains (losses) on derivatives			$ 0	$ 0

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Activity for Restricted Stock Units (Detail) (Service-Based Share Awards, USD $) In Thousands, except Per Share data, unless otherwise specified	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Service-Based Share Awards
Shares
Shares, Unvested service-based/performance-based share awards at beginning balance	3,501	4,182	3,663	3,168
Shares, Awarded	1,227	5,574	2,247	1,502
Shares, Assumed	502
Shares, Vested	(1,192)	(1,898)	(1,237)	(925)
Shares, Forfeited	(375)	(1,130)	(491)	(244)
Shares, Unvested service-based/performance-based share awards at ending balance	3,663	6,728	4,182	3,501
Weighted-Average Grant Date Fair Value
Weighted-Average Grant Date Fair Value, Unvested Service-based/Performance-based share awards at beginning balance	$ 12.13	$ 17.83	$ 14.35	$ 8.65
Weighted-Average Grant Date Fair Value, Awarded	$ 17.54	$ 11.78	$ 20.53	$ 17.35
Weighted-Average Grant Date Fair Value, Assumed	$ 16.07
Weighted-Average Grant Date Fair Value, Vested	$ 12.33	$ 16.11	$ 13.08	$ 8.88
Weighted-Average Grant Date Fair Value, Forfeited	$ 13.42	$ 17.16	$ 16.03	$ 12.04
Weighted-Average Grant Date Fair Value, Unvested Service-based/Performance-based share awards at ending balance	$ 14.35	$ 13.43	$ 17.83	$ 12.13

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Stock Award Plans - Additional Information (Detail) (USD $)	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Common stock shares reserved for issuance under future share-based awards		6,600,000
Stock-based compensation expense included in provision for income taxes		$ 7,000,000
Unrecognized compensation cost		64,800,000
Unrecognized compensation expense expected to recognized over weighted-average period, in years		2 years 9 months 18 days
Period target attainment expected to be recognized		December 2016
Shares settled for tax withholding		860,000	660,000
Aggregate intrinsic value of stock options outstanding		4,000,000
Aggregate intrinsic value of stock options exercisable		4,000,000
Aggregate intrinsic value of stock options exercisable, Weighted-Average		$ 9.42
Weighted average remaining contractual life of options outstanding, in years		2 years 1 month 21 days
Weighted average remaining contractual life of options exercisable, in years		2 years 1 month 21 days
Payroll deductions		20.00%
Offering price percentage		5.00%
Weighted-Average Grant Date Fair Value, Granted	$ 4.14			$ 2.76
Total intrinsic value of options exercised	20,000,000	8,000,000	1,000,000	9,000,000
Annual Maximum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Common stock issued under stock plans, shares		500,000
Maximum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Annual fair value limit on shares purchased		25,000
Plan Maximum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Common stock issued under stock plans, shares		288,000	140,000
Service-based share awards include restricted stock units
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share based compensation award vesting period		4 years
Deferred share units awarded to directors
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share based compensation award vesting period		1 year
Service-Based Share Awards
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Unrecognized compensation cost		55,200,000
Total Shareholders Return
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share based compensation award vesting period		3 years
Misys Stock Plan
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share based compensation award vesting period		3 years
Expense recognized for acceleration of options vested	1,000,000
Expense recognized for acceleration of options vested, reversal for cancellations	1,000,000
Stock-based compensation expense				2,000,000
Awards Granted Under Financial Performance | Maximum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share based compensation award vesting period		4 years
Awards Granted Under Financial Performance | Minimum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share based compensation award vesting period		3 years
Performance-Based Share Awards
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Unrecognized compensation cost		$ 6,500,000
Monte Carlo Option Pricing Model
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Volatility				42.00%
Correlation coefficient

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Document and Entity Information (USD $)	12 Months Ended
	Dec. 31, 2012	Mar. 01, 2013	Jun. 30, 2012
Document Information [Line Items]
Document Type	10-K/A
Amendment Flag	true
AmendmentDescription	This Amendment No. 1 on Form 10-K/A (this “Form 10-K/A”) to the registrant’s Annual Report on Form 10-K for the fiscal year ended December 31, 2012, initially filed with the Securities and Exchange Commission on March 1, 2013 (the “Original Filing”), is being filed to provide certain information that was omitted from the Original Filing, including (x) the audited consolidated statements of operations, of comprehensive income (loss), of stockholders’ equity, and of cash flows for the seven months in the period ended December 31, 2010 and the year ended May 31, 2010, and the financial statement schedule for the seven months in the period ended December 31, 2010 and for the year ended May 31, 2010 (collectively, the “Subject Financial Statements”), which were unaudited in the Original Filing, and (y) the report of PricewaterhouseCoopers LLP (“PwC”) in respect of the Subject Financial Statements. In addition, this Form 10-K/A includes consents of Ernst & Young LLP and PwC as exhibits, and includes certain updates relating to the registrant’s recently announced acquisition of dbMotion, Ltd.
Document Period End Date	Dec. 31, 2012
Document Fiscal Year Focus	2012
Document Fiscal Period Focus	FY
Trading Symbol	MDRX
Entity Registrant Name	ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.
Entity Central Index Key	0001124804
Current Fiscal Year End Date	--12-31
Entity Well-known Seasoned Issuer	Yes
Entity Current Reporting Status	Yes
Entity Voluntary Filers	No
Entity Filer Category	Large Accelerated Filer
Entity Common Stock, Shares Outstanding		172,715,295
Entity Public Float			$ 1,821,664,594

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Stock Repurchases

12 Months Ended

Dec. 31, 2012

Stock Repurchases

11. Stock Repurchases

On February 10, 2009, the Company announced that its Board of Directors approved a stock repurchase program under which the Company may purchase up to $150 million of its common stock over two years. Repurchases may be made pursuant to Rule 10b5-1 or 10b-18 of the Securities Exchange Act of 1934, as amended. Repurchases also have been made from Misys pursuant to the Stock Repurchase Agreement, dated as of February 10, 2009 (the “Stock Repurchase Agreement”), by and among Misys, Misys Patriot Ltd., Misys Patriot US Holdings LLC and Allscripts. The aggregate amount of shares purchased pursuant to the repurchase plan, whether pursuant to any 10b5-1 plan, Rule 10b-18 or the Stock Repurchase Agreement, will not exceed the lesser of $150 million (including commissions) or 15 million shares. Pursuant to the Stock Repurchase Agreement, Allscripts had agreed to purchase from Misys, and Misys had agreed to sell to Allscripts, the number of shares of Allscripts’ common stock needed to keep Misys’ ownership percentage in Allscripts unaffected by certain open market repurchases being made by Allscripts. As of December 31, 2011 we had repurchased 5 million shares of common stock for an aggregate purchase price of $52 million. There were no shares repurchased under this stock repurchase program during the year ended December 31, 2011 and the seven months ended December 31, 2010. In connection with the closing of the Coniston Transactions, the Stock Repurchase Agreement was terminated (Note 3). We incurred no early termination penalties in connection with the termination of the Stock Repurchase Agreement. The remaining authorized amount for stock repurchase was $98 million when the program terminated on February 10, 2011.

In April 2011, our Board of Directors approved a stock repurchase program under which we may purchase up to $200 million of our common stock over three years expiring on May 9, 2014 or such earlier time that the total dollar amount authorized by these resolutions has been used. In April 2012, our Board of Directors approved the repurchase of an additional $200 million bringing the total repurchase authorization to $400 million. Any share repurchases may be made through open market transactions, block trades, privately negotiated transactions (including accelerated share repurchase transactions) or other means. Any repurchase activity will depend on factors such as our working capital needs, cash requirements for investments, debt repayment obligations, our stock price, and economic and market conditions. Our stock repurchase program may be accelerated, suspended, delayed or discontinued at any time.

During the years ended December 31, 2012 and 2011, we repurchased approximately 21 million and 3 million shares of our common stock, respectively. The aggregate purchase price paid to acquire these shares pursuant to this stock repurchase program was approximately $226 million and $51 million during the years ended December 31, 2012 and 2011, respectively. The average price paid per share during the years ended December 31, 2012 and 2011was $10.89 and $19.45, respectively. As of December 31, 2012, the amount available for repurchase of common stock under this program was approximately $123 million.

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Debt - Additional Information (Detail) (USD $) Share data in Millions, unless otherwise specified	7 Months Ended	12 Months Ended				1 Months Ended	3 Months Ended	1 Months Ended					1 Months Ended							1 Months Ended	3 Months Ended	12 Months Ended			12 Months Ended		1 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010	Dec. 31, 2012 LIBOR	Feb. 19, 2013 Subsequent Event [Member] First Amended And Restated Credit Agreement BasisPoint	Mar. 31, 2013 Subsequent Event [Member] First Amended And Restated Credit Agreement	Feb. 19, 2013 Pre-Amendment Subsequent Event [Member] First Amended And Restated Credit Agreement	Feb. 19, 2013 Post-Amendment Subsequent Event [Member] First Amended And Restated Credit Agreement	Dec. 31, 2012 Term Loan Facility	Aug. 20, 2010 Term Loan Facility Y	Dec. 31, 2012 Term Loan Facility Minimum	Jun. 11, 2012 Senior Secured Revolving Facility	Aug. 20, 2010 Senior Secured Revolving Facility Y	Dec. 31, 2012 Senior Secured Revolving Facility	Dec. 31, 2012 Senior Secured Revolving Facility Federal Funds Rate	Dec. 31, 2012 Senior Secured Revolving Facility LIBOR	Dec. 31, 2012 Senior Secured Revolving Facility Minimum	Dec. 31, 2012 Senior Secured Revolving Facility Maximum	Mar. 31, 2011 Amended and Restated Credit Agreement	Mar. 31, 2011 Amended and Restated Credit Agreement	Dec. 31, 2011 Amended and Restated Credit Agreement	Dec. 31, 2012 Amended and Restated Credit Agreement	Dec. 31, 2012 Amended and Restated Credit Agreement Revolving Credit Facility Foreign Currency	Dec. 31, 2012 Amended and Restated Credit Agreement Pre-Amendment	Dec. 31, 2012 Amended and Restated Credit Agreement Post-Amendment	Jul. 31, 2009 Senior Convertible Debentures	Nov. 07, 2008 Senior Convertible Debentures	Jul. 31, 2004 Senior Convertible Debentures	Jun. 11, 2012 Term Loan Credit Facility	Mar. 31, 2011 Letter of Credit	Mar. 31, 2011 Line of Credit	Mar. 31, 2011 Senior Secured Revolving Facility And/Or Term Loan Facility
Debt Instrument [Line Items]
Credit facility, maximum borrowing capacity											$ 470,000,000			$ 250,000,000
Senior secured credit facilities term, years											5			5
Amounts initially borrowed under senior secured facilities											470,000,000			100,000,000
Debt issuance costs													1,000,000	22,000,000						1,000,000
Repayments of long-term debt																					49,000,000
Proceeds borrowed from other banks																					49,000,000
Amended credit agreement write off of deferred debt issuance cost																						2,000,000
Credit facility, amount borrowed													175,000,000
Repayment of credit facility	80,875,000	250,874,000	170,424,000	43,995,000									20,000,000
Aggregate principal amount of incremental term loan																														150,000,000
Decrease in applicable interest margin																							0.75%
Credit facility, maximum borrowing capacity, foreign currencies																								100,000,000
Change in leverage ratio related to restricted payments								2.00	2.50																1.75	2.00
Increase in applicable interest margin						25
Line of credit facility fee							1,000,000
Portion of facility available for issuance of letters of credit																															50,000,000
Portion of facility available for issuance of swingline loans																																10,000,000
Aggregate amount of additional credit facilities authorized																																	250,000,000
Basis spread on variable rate					2.00%											0.50%	1.00%
Foreign subsidiary capital stock, maximum		65.00%
Percentage of net cash proceeds received from incurrence of indebtedness that must be used to prepay credit facility										100.00%
Percentage of net cash proceeds received from sale of assets outside normal course of business that must be used to prepay credit facility										100.00%
Percentage of excess cash flow that must be used to prepay credit facility										50.00%
Minimum amount of assets sold outside normal course of business that require net cash proceeds to be used to prepay credit facility										5,000,000
Credit agreement prepay requirement exception, leverage ratio												2.5
Leverage ratio																			3.0
Interest coverage ratio																		4.5
Borrowing outstanding		441,000,000
Letters of credit outstanding		1,000,000
Credit facility interest rate		2.21%
Unamortized deferred debt issuance costs		11,000,000
Credit facility, amount available															249,000,000
Debentures in private placement																													83,000,000
Debentures, principal amount																											20,000,000		55,000,000
Debentures conversion, shares																											2		5
Debentures repurchased, Principal amount percentage																												100.00%
Purchase of convertible securities for cash																												$ 8,000,000

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Amount of Interest and Penalties Included in Consolidated Balance Sheets (Detail) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011
Income Tax Uncertainties [Line Items]
Interest and penalties included in the liability for uncertain income taxes	$ 2,199	$ 4,737

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CONSOLIDATED STATEMENTS OF OPERATIONS (USD $) In Thousands, except Per Share data, unless otherwise specified	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Revenue:
System sales	$ 103,873	$ 145,274	$ 227,906	$ 145,120
Professional services	93,875	270,541	250,348	75,439
Maintenance	200,746	460,138	438,999	257,978
Transaction processing and other	214,815	570,372	526,824	225,965
Total revenue	613,309	1,446,325	1,444,077	704,502
Cost of revenue:
System sales	63,392	128,300	144,139	85,070
Professional services	81,572	234,869	210,614	66,561
Maintenance	67,463	145,352	135,570	82,348
Transaction processing and other	102,713	331,269	288,189	81,679
Total cost of revenue	315,140	839,790	778,512	315,658
Gross profit	298,169	606,535	665,565	388,844
Selling, general and administrative expenses	232,788	384,370	387,571	224,995
Research and development	43,261	162,158	104,106	49,206
Asset impairment charges	0	11,101	0	0
Amortization of intangible assets	16,235	35,635	37,344	10,060
Income from operations	5,885	13,271	136,544	104,583
Interest expense	(9,687)	(16,187)	(20,750)	(1,993)
Interest income and other (expense), net	843	(14,544)	1,685	946
Income (loss) before income taxes	(2,959)	(17,460)	117,479	103,536
Benefit (provision) for income taxes	(2,606)	16,307	(43,870)	(40,666)
Net income (loss)	$ (5,565)	$ (1,153)	$ 73,609	$ 62,870
Earnings (loss) per share-basic and diluted	$ (0.03)	$ (0.01)	$ 0.39	$ 0.42

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Goodwill and Intangible Assets

12 Months Ended

Dec. 31, 2012

Goodwill and Intangible Assets

5. Goodwill and Intangible Assets

Goodwill and intangible assets consist of the following:

	December 31, 2012							December 31, 2011
(In thousands)	Gross Assets		Accumulated Amortization			Intangible Assets, Net		Gross Assets		Accumulated Amortization			Intangible Assets, Net
Intangible assets
Intangible assets subject to amortization
Proprietary technology		$361,660		($197,383	)		$164,277		$361,660		($170,157	)		$191,503
Customer contracts and relationships		312,600		(101,891	)		210,709		534,355		(288,010	)		246,345
Total intangible assets subject to amortization		674,260		(299,274	)		374,986		896,015		(458,167	)		437,848
Indefinite lived and non-amortizable registered trademarks		52,000		0			52,000		52,000		0			52,000
Total intangible assets		$726,260		($299,274	)		$426,986		$726,260		($236,412	)		$489,848
Goodwill		$1,039,364		$0			$1,039,364		$1,039,364		$0			$1,039,364

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 reportable segments: Software Delivery, Services Delivery, Client Support, Pathway Solutions and IT Outsourcing. Refer to Note 15 Business Segments for additional information.

As a result of the changes to our operating segments, we assessed our new reporting units and allocated goodwill. As part of this assessment, we determined the fair value of each of our reporting units using both a discounted cash flow analysis and a market approach considering benchmark company market multiples. We also considered our market capitalization on the date of the analysis. We then allocated goodwill to each reporting unit based on their relative fair values. The resulting allocation of goodwill to individual reporting units is shown below.

There were no changes in the total carrying value of goodwill during 2012. During 2011, the total carrying value of goodwill increased by approximately $2 million due to purchase accounting adjustments related to the Eclipsys Merger. Following the realignment of our business segments during 2012, the carrying amounts of goodwill by reportable segment at December 31, 2012 were as follows (Remote Hosting is an operating segment that does not meet the quantitative thresholds for determining reportable segments; however, we have presented the portion of goodwill allocated to this segment within our reconciliation to consolidated amounts in the table below):

(In thousands)	Software Delivery		Services Delivery		Client Support		Pathway Solutions		IT Outsourcing		Remote Hosting		Total
Balance as of December 31, 2012
Goodwill		$320,299		$87,665		$327,793		$208,795		$59,029		$35,783		$1,039,364
Accumulated impairment losses		0		0		0		0		0		0		0
		$320,299		$87,665		$327,793		$208,795		$59,029		$35,783		$1,039,364

In conjunction with the allocation of goodwill to our revised reporting units, we performed step one of the annual goodwill impairment test as of July 1, 2012. For each reporting unit, fair value exceeded its carrying value and no indicators of impairment were identified as a result of the interim step one test. We again performed step one of the goodwill impairment test as of October 1, 2012, our annual testing date. For each reporting unit, fair value exceeded its carrying value and no impairment was identified.

Due to a decline in our stock price during the final three months of 2012, which we considered to be an indicator of potential impairment, we re-performed step one of the goodwill impairment test as of December 31, 2012. Based on re-performance of step one, no impairment was identified.

Intangible assets are being amortized over their estimated useful lives. Allscripts recorded amortization expense related to the intangible assets as follows:

	Year Ended December  31,				Seven Months Ended December 31, 2010		Year Ended May  31, 2010
(In thousands)	2012		2011
Proprietary technology amortization included in cost of revenue, system sales		$27,226		$27,478		$12,719		$11,064
Intangible amortization included in operating expenses		35,635		37,344		16,235		10,060
Total intangible amortization expense		$62,861		$64,822		$28,954		$21,124

Estimated future amortization expense for the intangible assets that exist as of December 31, 2012 is as follows:

(Dollar amounts in thousands)	Year Ended December 31,
2013		$55,102
2014		52,286
2015		47,466
2016		35,421
2017		30,220
Thereafter		154,491
Total		$374,986

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Fixed Assets

12 Months Ended

Dec. 31, 2012

Fixed Assets

4. Fixed Assets

Fixed assets consist of the following:

(Dollar amounts in thousands)	Estimated Useful Life	December 31, 2012			December 31, 2011
Computer equipment and software	3 to 7 years		$227,092			$157,845
Facility furniture, fixtures and equipment	5 to 7 years		22,779			18,128
Leasehold improvements	7 to 8 years, or life of lease if shorter		24,472			22,243
Assets under capital lease	3 to 5 years		9,419			9,580
			283,762			207,796
Less: accumulated depreciation and amortization			(128,268	)		(85,233	)
Fixed assets, net			$155,494			$122,563

Fixed assets depreciation and amortization expense were as follows:

	Year Ended December 31,				Seven Months Ended December 31, 2010		Year Ended May  31, 2010
(In thousands)	2012		2011
Fixed assets depreciation and amortization expense		$43,126		$35,794		$12,588		$9,161

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Supplemental Disclosure of Cash Flow Information

12 Months Ended

Dec. 31, 2012

Supplemental Disclosure of Cash Flow Information

16. Supplemental Disclosure of Cash Flow Information

						Seven Months Ended December 31,		Year Ended May 31,
	Year Ended December 31,
(In thousands)	2012		2011			2010		2010
Cash paid (received) during the period for:
Interest		$11,218		$13,630			$7,555		$2,302
Income taxes paid (refund), net		$7,040		($1,013	)		$11,923		$10,714

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Accumulated Other Comprehensive Income

12 Months Ended

Dec. 31, 2012

Accumulated Other Comprehensive Income

12. Accumulated Other Comprehensive Income

The following table summarizes, as of each balance sheet date, the components of our accumulated other comprehensive income:

(In thousands)	December 31, 2012			December 31, 2011
Unrealized gain on marketable securities		$192			$67
Tax effect		(74	)		(27	)
Unrealized gain on marketable securities, net of tax		118			40
Unrealized loss on derivative financial instruments		(1,534	)		(1,754	)
Tax effect		600			687
Unrealized loss on derivative financial instruments, net of tax		(934	)		(1,067	)
Foreign currency translation adjustment		892			485
Total accumulated other comprehensive income		$76			($542	)

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Income Taxes - Additional Information (Detail) (USD $) In Millions, except Per Share data, unless otherwise specified	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Income Tax [Line Items]
Statutory rate	35.00%	35.00%	35.00%	35.00%
Net operating loss carryforwards expiry beginning period		2024
Tax holiday savings		$ 1	$ 1
Diluted earnings per share, increase		$ 0.01	$ 0.01
Accrued uncertain tax positions			29
Indemnification asset			29
Settlement with IRS for the period May 2007 through May 2010		13
Remaining tax liability related to the Coniston Transactions, reversed and recognized as a tax benefit		16
Change of gross unrecognized tax benefits in the next 12 months due to resolution of transfer pricing positions with various taxing authorities		4
Undistributed earnings indefinitely reinvested outside the United States		37
Eclipsys
Income Tax [Line Items]
Net operating losses subject to annual limitation on usage per year		48
Federal
Income Tax [Line Items]
Income tax examination, remaining tax years		1993 to 2012
States
Income Tax [Line Items]
Income tax examination, remaining tax years		2003 to 2012
Canadian
Income Tax [Line Items]
Income tax examination, remaining tax years		2003 to 2012
Foreign Country
Income Tax [Line Items]
Income tax examination, remaining tax years		2009 to 2012
Foreign Country | Partially Expire
Income Tax [Line Items]
Tax holiday expiration date		2012
Foreign Country | Fully Expire
Income Tax [Line Items]
Tax holiday expiration date		2017
Federal
Income Tax [Line Items]
Net operating loss carryforwards		169
Federal | Allscripts
Income Tax [Line Items]
Net operating losses subject to annual limitation on usage per year		62
Federal | Eclipsys
Income Tax [Line Items]
Acquired net operating losses		265
State
Income Tax [Line Items]
Net operating loss carryforwards		7
Related To Stock Compensation
Income Tax [Line Items]
Net operating loss carryforwards		7
Canadian
Income Tax [Line Items]
Net operating loss carryforwards		$ 12
Net operating loss carryforwards, expiration date		2026

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Debt

12 Months Ended

Dec. 31, 2012

Debt

8. Debt

Debt outstanding consisted of the following:

(In thousands)	December 31, 2012		December 31, 2011
Senior Secured Credit Facilities (long-term portion)		$362,697		$322,664
Senior Secured Credit Facilities (current portion)		78,770		44,677
Total debt		$441,467		$367,341

Interest expense consisted of the following:

	Year Ended December 31,				Seven Months Ended December 31, 2010		Year Ended May  31, 2010
(In thousands)	2012		2011
Interest expense		$11,121		$13,546		$7,796		$1,481
Debt cost amortization		5,066		5,264		1,891		512
Write off of unamortized deferred debt issuance costs		0		1,940		0		0
Total interest expense		$16,187		$20,750		$9,687		$1,993

Credit Facility

In connection with the Coniston Transactions, on August 20, 2010 (the “Closing Date”), Allscripts entered into a Credit Agreement with JPMorgan Chase Bank, N.A., as administrative agent, UBS Securities LLC and Barclays Capital, as co-syndication agents, and a syndicate of banks as co-documentation agents (the “Credit Agreement”).

The Credit Agreement provides for a $470 million senior secured term loan facility (the “Term Facility”) and a $250 million senior secured revolving facility (the “Revolving Facility”), each of which has a five year term (collectively the “Senior Secured Credit Facilities”). In connection with the closing of the Coniston Transactions, Allscripts borrowed $470 million under the Term Facility and $100 million under the Revolving Facility. Allscripts incurred $22 million in debt issuance costs related to the Senior Secured Credit Facilities. The net proceeds were used by Allscripts to finance a portion of the Coniston Transactions. The Revolving Facility is available to finance working capital needs and general corporate purposes.

On March 31, 2011, we entered into an agreement (the “Amended and Restated Credit Agreement”) with participating lenders to amend and restate the Credit Agreement among the Company and certain parties. The Amended and Restated Credit Agreement includes certain changes to the terms of the Credit Agreement. Certain members of the syndicate of banks supporting the Senior Secured Credit Facilities withdrew upon execution of the Amended and Restated Credit Agreement. Accordingly, funds provided by the withdrawing banks totaling $49 million were repaid and the same amount was subsequently borrowed from other banks. We incurred additional debt issuance costs totaling $1 million and wrote off previously deferred debt issuance costs totaling $2 million to interest expense on the consolidated statement of operations during the year ended December 31, 2011 in connection with executing the Amended and Restated Credit Agreement. The additional debt issuance costs incurred were deferred and are included in other assets on the balance sheet at December 31, 2011.

On June 11, 2012, we entered into an Incremental Assumption Agreement (the “Agreement”) with J. P. Morgan Securities LLC, Mizuho Corporate Bank, LTD., SunTrust Robinson Humphrey, Inc. and other participating lenders to borrow additional amounts under our existing Amended and Restated Credit Agreement in the form of a new incremental term loan. Proceeds from the incremental term loan of $150 million were used to partially refinance the $175 million outstanding under our revolving credit facility, which is provided for in the Credit Agreement. We also made a voluntary repayment of the revolver totaling $20 million at the time of the refinancing. The interest rate charged, debt covenants and other terms that apply to the term loan are defined by the terms of the Credit Agreement. We incurred debt issuance costs totaling $1 million related to the incremental term loan, which were deferred and included within other assets on the balance sheet. Quarterly principal payments on the incremental term loan commenced on September 30, 2012.

The Amended and Restated Credit Agreement reduced the applicable interest margin for borrowings under the senior credit facilities by 75 basis points at each level of the leverage based pricing grid. In addition, the Commitment Fee was reduced at certain levels of the leverage based pricing grid. The Amended and Restated Credit Agreement also allows the Company to borrow up to $100 million under its revolving credit facility in certain foreign currencies and increases the leverage ratio in which the Company can make unlimited Restricted Payments from 1.75 to 1 to 2.00 to 1.

On February 19, 2013, we entered into the First Amendment to the Amended and Restated Credit Agreement (the “First Amendment”), which, among other things, increased the applicable interest margin for borrowings under the senior credit facilities by 25 basis points at each level of the leverage based pricing grid above a leverage ratio of 2.00 to 1. The First Amendment also increases the leverage ratio in which the Company can make unlimited Restricted Payments and Permitted Acquisitions from 2.00 to 1 to 2.50 to 1. In connection with the First Amendment, we incurred $1 million in fees during the first quarter of 2013.

The maturity date and principal amount of the senior secured credit facilities remains the same as in the Credit Agreement. In addition, the prepayment provisions and covenants included in the Credit Agreement have not changed, except as discussed above.

The Term Facility matures in quarterly installments which commenced on December 31, 2010, provided that, notwithstanding the above, the remaining principal balance shall be due and payable on the fifth anniversary of the Closing Date. The following table summarizes our future payments under the senior secured credit facilities including the incremental term loan as of December 31, 2012:

(Dollar amounts in thousands)	Principal Payments
Payments due in 2013		$78,770
Payments due in 2014		104,698
Payments due in 2015		199,395
Payments due in 2016		58,604
Thereafter		0
		441,467
Senior Secured Credit Facilities (current portion)		78,770
Senior Secured Credit Facilities (long-term portion)		$362,697

A total of $50 million of the Revolving Facility is available for the issuance of letters of credit and $10 million of the Revolving Facility is available for swingline loans. Allscripts is also permitted to add one or more incremental revolving and/or term loan facilities in an aggregate amount of up to $250 million, subject to certain conditions.

Borrowings under the Senior Secured Credit Facilities bear interest, at Allscripts’ option, at a rate per annum equal to either (1) the highest of (a) the rate of interest publicly announced by JPMorgan Chase Bank, N.A. as its prime rate in effect at its principal office in New York City, (b) the federal funds effective rate from time to time plus 0.5%, and (c) the rate for Eurodollar deposits as reflected on the applicable Reuters Screen LIBOR01 for a one month interest period, as such rate may be adjusted for certain reserve requirements, plus 1.0%, or (2) the rate for Eurodollar deposits as reflected on the applicable Reuters Screen LIBOR01 for the interest period relevant to such borrowing, as such rate may be adjusted for certain reserve requirements, plus, in each case, the applicable margin. The applicable margin for borrowings under the Senior Secured Credit Facilities was fixed until the date that was three business days after Allscripts’ financial statements were delivered to lenders with respect to the first fiscal period ending after September 30, 2010, and thereafter the applicable margin for borrowings under the Senior Secured Credit Facilities is subject to further adjustment based on an agreed upon leverage grid.

Subject to certain agreed upon exceptions, all obligations under the Senior Secured Credit Facilities are guaranteed by each of Allscripts’ existing and future direct and indirect material domestic subsidiaries, other than Coniston Exchange LLC (successor to Coniston, Inc.) (the “Guarantors”).

The obligations of Allscripts and each Guarantor under the Senior Secured Credit Facilities, any swap agreements and any cash management arrangements provided by any lender, are secured, subject to permitted liens and other agreed upon exceptions, by a perfected first priority security interest in all of the tangible and intangible assets (including, without limitation, intellectual property, material owned real property and all of the capital stock of each Guarantor and, in the case of foreign subsidiaries, up to 65% of the capital stock of first tier material foreign subsidiaries) of Allscripts and the Guarantors.

Subject to certain exceptions, Allscripts is required to prepay the Term Facility: (i) with 100% of the net cash proceeds received from the incurrence of certain indebtedness for borrowed money; (ii) with 100% of the net cash proceeds of the sale of any assets in excess of $5 million outside the ordinary course of business (including, without limitation, insurance and condemnation proceeds) in any fiscal year, subject to reinvestment rights; and (iii) with 50% of Allscripts’ excess cash flow for each fiscal year, beginning with the 2012 fiscal year. No prepayments under clauses (ii) or (iii) above are required to the extent that Allscripts’ total leverage ratio is less than 2.5 to 1.0. Allscripts may voluntarily prepay outstanding loans under the Senior Secured Credit Facilities, in whole or in part, at Allscripts’ option at any time upon prior notice.

The Senior Secured Credit Facilities contain a number of covenants that, among other things, restrict, subject to certain exceptions, Allscripts’ ability to:

• incur indebtedness (including guarantee obligations);

• create liens on and sell assets;

• engage in mergers or consolidations;

• declare dividends and other payments in respect of our capital stock;

• make investments, loans and advances;

• engage in transactions with affiliates;

• enter into sale and leaseback transactions; and

• change lines of business.

In addition, the Senior Secured Credit Facilities include a maximum leverage ratio of 3.0 to 1.0 and a minimum interest coverage ratio of 4.5 to 1.0. The leverage ratio is calculated by dividing total indebtedness by earnings before interest expense, income tax expense, depreciation and amortization expense. The minimum interest coverage ratio is calculated by dividing earnings before interest expense and income tax expense by cash interest expense.

The facilities also contain certain customary events of default, including relating to non-payment, breach of covenants, cross-default, bankruptcy and change of control.

As of December 31, 2012, $441 million in borrowings and $1 million in letters of credit were outstanding under the Amended and Restated Credit Agreement. As of December 31, 2012, the interest rate on the Senior Secured Credit Facilities was LIBOR plus 2.00%, which totaled 2.21%. Refer to Note 13 for the discussion of the interest rate swap agreement. We were in full compliance with the covenants under the Amended and Restated Credit Agreement as of December 31, 2012. As of December 31, 2012, the unamortized deferred debt issuance costs totaled $11 million, and are included within prepaid expenses and other current assets and other assets on the balance sheet.

As of December 31, 2012, we had $249 million available, net of outstanding letters of credit, under the Revolving 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.

Senior Convertible Debentures

In July 2004, Allscripts completed a private placement of $83 million of the Debentures. Holders of $55 million principal amount of the Debentures exercised their right to convert the Debentures into an aggregate of 5 million shares of Allscripts common stock.

On November 7, 2008, Allscripts launched an offer to purchase for cash the Debentures then outstanding at a purchase price equal to 100% of the principal amount of the Debentures being repurchased plus any accrued and unpaid interest, pursuant to the terms of the indenture governing the Debentures. The offer to purchase the outstanding Debentures expired on December 9, 2008, with $8 million of the outstanding Debentures being repurchased for cash.

During July 2009, Allscripts exercised its call option on the remaining $20 million of Debentures for redemption. As a result of the call exercised by Allscripts, the holders of the Debentures had the right to convert the Debentures into common stock prior to payment redemption. During July and August 2009, holders of all of the outstanding Debentures exercised their right to convert the Debentures into an aggregate of 2 million shares of Allscripts common stock. There were no outstanding Debentures as of December 31, 2012 and 2011.

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Bad Debt Expense (Detail) (USD $) In Thousands, unless otherwise specified	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Basis Of Presentation And Summary Of Significant Accounting Policies [Line Items]
Bad debt expense	$ 6,140	$ 22,947	$ 10,059	$ 7,785

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Revenue Earned Under Services Agreements (Detail) (USD $) In Thousands, unless otherwise specified	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Related Party Transaction [Line Items]
Revenue earned (expenses incurred) under services agreements	$ (7,866)	$ 38	$ (1,603)	$ (14,403)

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Asset Impairment Charges

12 Months Ended

Dec. 31, 2012

Asset Impairment Charges

6. Asset Impairment Charges

On October 3, 2012, to serve our clients and the healthcare market better, we publicly announced a plan to standardize our small office electronic health record and practice management systems. As part of this plan, we will converge, over time, our MyWay Electronic Health Record System (“MyWay”) and Professional Suite Electronic Health Record System.

We plan to upgrade MyWay clients electing to migrate to the converged platform between January 2013 and September 2013, at no additional cost to the MyWay clients. The upgrade will position MyWay clients for Meaningful Use Stage 2 and ICD-10 compliance, and prepare them for the shift to value-based care that focuses on costs, quality and outcomes. MyWay clients not electing to upgrade will continue to have use of the application.

As a result of the above decision and the related elimination of future cash flows from sales of the MyWay application, we recorded a non-cash charge to earnings in 2012 related to the impairment of previously capitalized software development costs for MyWay plus the net carrying value of a perpetual license for certain software code incorporated in MyWay as follows:

	Year Ended December 31,				Seven Months Ended December 31, 2010		Year Ended May  31, 2010
(In thousands)	2012		2011
Asset impairment charges		$11,101		$0		$0		$0

The write-downs of the capitalized software development costs and the perpetual license related to MyWay are based on our estimates of their fair values, which we believe to be zero. The inputs into these fair value estimates reflect our market assumptions and are not observable. Consequently, the inputs are considered to be Level 3 as specified in the fair value hierarchy (refer to “Fair Value Measurements” under Note 2 regarding the hierarchical levels of fair value inputs).

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Accrued Expenses

12 Months Ended

Dec. 31, 2012

Accrued Expenses

7. Accrued Expenses

Accrued expenses consist of the following:

(In thousands)	December 31, 2012		December 31, 2011
Royalties, certain third party product costs and licenses		$31,795		$33,795
Other		61,305		55,869
Total accrued expenses		$93,100		$89,664

Other consists of various accrued expenses and no individual item accounted for more than 5% of the current liabilities balance at the respective balance sheet dates.

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Income Taxes

12 Months Ended

Dec. 31, 2012

Income Taxes

9. Income Taxes

The following is a geographic breakdown of income (loss) before the provision for income taxes:

	Year Ended December 31,					Seven Months Ended December 31, 2010			Year Ended May  31, 2010
(In thousands)	2012			2011
United States		($36,933	)		$106,348		($5,314	)		$103,536
Foreign		19,473			11,131		2,355			0
Total income (loss) before income taxes		($17,460	)		$117,479		($2,959	)		$103,536

The following is a summary of the components of the provision for income taxes:

	Year Ended December 31,						Seven Months Ended December 31, 2010			Year Ended May  31, 2010
(In thousands)	2012			2011
Current tax provision
Federal		$1,610			$2,827			($2,353	)		$8,119
State		3,793			4,685			1,245			6,324
Foreign		5,184			2,483			510			0
		10,587			9,995			(598	)		14,443
Deferred tax provision
Federal		(24,196	)		36,637			3,376			24,458
State		(2,473	)		(2,391	)		(238	)		1,765
Foreign		(225	)		(371	)		66			0
		(26,894	)		33,875			3,204			26,223
Provision for income taxes		($16,307	)		$43,870			$2,606			$40,666

Taxes computed at the statutory federal income tax rate of 35% are reconciled to the provision for income taxes as follows:

	Year Ended December 31,						Seven Months Ended December 31, 2010			Year Ended May  31, 2010
(In thousands)	2012			2011
United States federal tax at statutory rate		35.0	%		35.0	%		35.0	%		35.0	%
Items affecting federal income tax rate
Non-deductible acquisition and reorganization expenses		0.0	%		0.0	%		(59.5	%)		2.3	%
Research credits		14.5	%		(2.7	%)		33.1	%		(0.1	%)
Change in unrecognized tax benefits		(6.6	%)		1.8	%		(28.9	%)		0.0	%
State income taxes, net of federal benefit		5.8	%		4.6	%		(27.0	%)		5.1	%
Compensation		(3.9	%)		1.4	%		(26.2	%)		0.0	%
Meals and entertainment		(6.1	%)		0.9	%		(20.9	%)		0.9	%
Impact of foreign operations		10.7	%		(1.6	%)		16.7	%		0.0	%
Federal, state and local rate changes		(11.3	%)		(3.2	%)		(12.8	%)		0.0	%
Change in unrecognized tax benefit, Coniston		91.4	%		0.0	%		0.0	%		0.0	%
Indemnification asset settlement, Coniston		(28.2	%)		0.0	%		0.0	%		0.0	%
Domestic manufacturing deduction		0.0	%		0.0	%		7.2	%		(0.5	%)
Non-deductible items		(0.5	%)		0.2	%		(4.4	%)		0.0	%
Valuation allowance		(4.0	%)		0.0	%		(0.4	%)		0.0	%
True-up of capitalized software deferred tax		(2.3	%)		0.0	%		0.0	%		0.0	%
Other		(1.1	%)		0.9	%		0.0	%		(3.4	%)
Provision for income taxes		93.4	%		37.3	%		(88.1	%)		39.3	%

Significant components of the Company’s deferred tax assets and liabilities consist of the following:

(In thousands)	December 31, 2012			December 31, 2011
Deferred tax assets
Accruals and reserves, net		$16,925			$14,006
Allowance for doubtful accounts		14,931			5,853
Stock-based compensation, net		7,309			6,839
Deferred compensation		151			148
Deferred revenue		6,205			0
Net operating loss carryforwards		63,256			93,474
Research and development tax credit		15,573			16,253
AMT credits		7,532			3,400
Other		10,330			9,443
Less: Valuation allowance		(832	)		0
Total deferred tax assets		141,380			149,416
Deferred tax liabilities
Prepaid expense		(16,664	)		(13,094	)
Property and equipment, net		(1,344	)		(2,220	)
Acquired intangibles, net		(185,257	)		(205,775	)
Deferred revenue		0			(2,438	)
Total deferred tax liabilities		(203,265	)		(223,527	)
Net deferred tax liabilities		($61,885	)		($74,111	)

The deferred tax assets (liabilities) are classified in the consolidated balance sheets as follows:

(In thousands)	December 31, 2012			December 31, 2011
Current deferred tax assets, net		$56,499			$40,600
Non-current deferred tax assets, net		7,529			5,017
Non-current deferred tax liabilities, net		(125,913	)		(119,728	)
Non-current deferred tax assets (liabilities), net		(118,384	)		(114,711	)
Net deferred tax liabilities		($61,885	)		($74,111	)

As of December 31, 2012, the Company had federal and state net operating loss carryforwards of $169 million and $7 million, respectively. Of the total federal net operating loss carryforwards, approximately $7 million relates to stock compensation tax deductions that will be tax-effected and the related benefit credited to additional paid-in capital when realized. The net operating loss carryforwards expire in various amounts starting in 2024 for both federal and state tax purposes. The utilization of the federal net operating loss carryforwards is subject to limitation under the rules regarding changes in stock ownership as determined by the Internal Revenue Code. Historical federal net operating losses of Allscripts are subject to annual limitation on usage of approximately $62 million per year. In connection with the Eclipsys Merger, the Company acquired federal net operating losses totaling approximately $265 million. Due to the change in control in Eclipsys, these net operating losses are subject to annual limitation on utilization of approximately $48 million per year. Net operating losses incurred subsequent to the Eclipsys Merger have no restrictions on utilization. The Company has Canadian net operating loss carryovers of approximately $12 million that expire in 2026.

We use the tax law ordering approach for determining when tax benefits derived from stock-based awards are utilized. Under this approach, the utilization of excess tax deductions associated with stock-based awards is dictated by provisions in the tax law that identify the sequence in which such benefits are utilized for tax purposes when net operating losses exist.

For federal purposes, 1993 to 2012 tax years remain subject to income tax examination by federal authorities. Due to net operating loss carry forwards, in some cases the tax years continue to remain subject to examination with respect to such NOLs. For the Company’s state tax jurisdictions, 2003 to 2012 tax years remain open to income tax examination by state tax authorities. In Canada, the 2003 to 2012 tax years remain open for examination and in India the 2009 to 2012 tax years remain open.

The Company has a subsidiary in India that is entitled to a tax holiday that allows for tax-free operations during the holiday, which slightly reduces income tax expense. The tax holiday for the subsidiary began to partially expire in 2012 and will fully expire in 2017. Tax savings realized from this holiday for the years ended December 31, 2012 and 2011 totaled $1 million and $1 million, respectively, which increased the Company’s diluted earnings per share by $0.01 and $0.01, respectively. The amount realized during the seven months ended December 31, 2010 was not material.

On June 1, 2007, the Company adopted the provisions of accounting guidance for uncertainty in income taxes recognized in the Company’s financial statements. These principles prescribe a threshold of more-likely-than-not to be sustained upon examination for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. These principles also provide guidance on de-recognition, classification, interest and penalties, accounting in interim periods, disclosure and transition.

The following table reconciles unrecognized tax benefits:

(In thousands)	Year Ended December 31,						Seven Months Ended December 31, 2010			Year Ended May  31, 2010
	2012			2011
Beginning balance at January 1, 2012 and 2011 and June 1, 2010 and 2009, respectively		$43,284			$42,840			$2,808			$3,124
Increases for tax positions related to the current year		46			719			882			228
Decreases for tax positions related to prior years		(13,944	)		0			0			0
Increases for tax positions related to prior years		656			282			0			0
Decreases relating to settlements with taxing authorities		(11,925	)		0			0			0
Increases acquired in business acquisitions		0			0			13,340			0
Increases acquired in Coniston Transactions		0			0			25,863			0
Foreign currency translation		97			(215	)		224			0
Reductions due to lapsed statute of limitations		(74	)		(342	)		(277	)		(544	)
Ending balance at December 31, 2012, 2011 and 2010, and May 31, 2010, respectively		$18,140			$43,284			$42,840			$2,808

As of December 31, 2011, we had accrued approximately $29 million related to uncertain tax positions resulting from the Framework Agreement with Misys dated June 9, 2010, which was subsequently amended on July 26, 2010. Pursuant to the Framework Agreement, Allscripts and Misys agreed to reduce Misys’ existing indirect ownership interest in Allscripts through a series of transactions which are referred to as the Coniston Transactions. The acquired tax position related to the Coniston Transactions was indemnified by Misys in accordance with the Framework Agreement. Accordingly, we had an indemnification asset totaling $29 million, including related interest, which is included in other assets in the accompanying consolidated balance sheet as of December 31, 2011.

During 2012, we settled an IRS examination for the period May 2007 through May 2010 which primarily resulted in a tax assessment of $13 million that is indemnified by Misys pursuant to the Framework Agreement. The remaining tax liability related to the Coniston Transactions totaling $16 million was reversed, as reflected in the table above, and recognized as a tax benefit in the accompanying consolidated statements of operations for the year ended December 31, 2012.

Since the settlement amount with the IRS was less than the carrying value of the related indemnification asset, we recorded a write-off of the remaining indemnification asset, which is included in interest income and other (expense), net within the accompanying consolidated statements of operations. The resulting charge of $16 million is substantially non-deductible for tax purposes and therefore increases the effective tax rate for the entire year.

Excluding the effects of these items, our effective tax rate for the year ended December 31, 2012 is lower compared to the prior year due to a higher mix of foreign income taxed at lower rates and lower state tax expense.

If any portion of our unrecognized tax benefits is recognized, the entire amount would impact our effective tax rate. Although the results and timing of the resolution of income tax audits is highly uncertain, we believe it is reasonably possible that approximately $4 million of gross unrecognized tax benefits will change in the next 12 months due to resolution of transfer pricing positions with various taxing authorities.

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.

We intend to indefinitely reinvest the undistributed earnings of our foreign subsidiaries. Accordingly, no deferred taxes have been recorded for the difference between the financial and tax basis investment in our foreign subsidiaries. If these earnings were distributed to the United States in the form of dividends or otherwise, we would have additional U.S. taxable income and, depending on our tax position in the year of repatriation, may have to pay additional U.S. income taxes. Withholding taxes may also apply to the repatriated earnings. Determination of the amount of unrecognized income tax liability related to these permanently reinvested and undistributed foreign subsidiary earnings is currently not practicable.

As of December 31, 2012, we determined that approximately $37 million of these foreign subsidiaries’ undistributed earnings are now indefinitely reinvested outside the United States. As management has determined that the earnings of these subsidiaries are not required as a source of funding for U.S. operations, such earnings are not planned to be distributed to the United States in the foreseeable future.

We recognized interest and penalties related to uncertain tax positions in our consolidated statements of operations as follows:

	Year Ended December 31,					Seven Months Ended December 31, 2010		Year Ended May  31, 2010
(In thousands)	2012			2011
Interest and penalties included in provision for income taxes		($2,539	)		$1,174		$473		$0

The amount of interest and penalties included in our consolidated balance sheets is as follows:

(In thousands)	December 31, 2012		December 31, 2011
Interest and penalties included in the liability for uncertain income taxes		$2,199		$4,737

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Assets Acquired and Liabilities Assumed (Detail) (Eclipsys, USD $) In Thousands, unless otherwise specified	Aug. 24, 2010
Eclipsys
Business Acquisition [Line Items]
Acquired cash and cash equivalents, and restricted cash	$ 174,543
Accounts receivable, net	136,198
Prepaid expenses and other current assets	31,520
Fixed assets and other long-term assets	83,680
Goodwill	623,614
Intangible assets	377,000
Deferred tax liabilities, net	(13,128)
Accounts payable and accrued liabilities	(59,166)
Deferred revenue	(106,344)
Other liabilities	(16,637)
Net assets acquired	$ 1,231,280

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Taxes Computed at Statutory Federal Income Tax Rate Reconciled to Provision for Income Taxes (Detail)	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Reconciliation of Provision of Income Taxes [Line Items]
United States federal tax at statutory rate	35.00%	35.00%	35.00%	35.00%
Non-deductible acquisition and reorganization expenses	(59.50%)	0.00%	0.00%	2.30%
Research credits	33.10%	14.50%	(2.70%)	(0.10%)
Change in unrecognized tax benefit	(28.90%)	(6.60%)	1.80%	0.00%
State income taxes, net of federal benefit	(27.00%)	5.80%	4.60%	5.10%
Compensation	(26.20%)	(3.90%)	1.40%	0.00%
Meals and entertainment	(20.90%)	(6.10%)	0.90%	0.90%
Impact of foreign operations	16.70%	10.70%	(1.60%)	0.00%
Federal, state and local rate changes	(12.80%)	(11.30%)	(3.20%)	0.00%
Domestic manufacturing deduction	7.20%	0.00%	0.00%	(0.50%)
Non-deductible items	(4.40%)	(0.50%)	0.20%	0.00%
Valuation allowance	(0.40%)	(4.00%)	0.00%	0.00%
True-up of capitalized software deferred tax	0.00%	(2.30%)	0.00%	0.00%
Other	0.00%	(1.10%)	0.90%	(3.40%)
Provision for income taxes	(88.10%)	93.40%	37.30%	39.30%
Coniston
Reconciliation of Provision of Income Taxes [Line Items]
Change in unrecognized tax benefit	0.00%	91.40%	0.00%	0.00%
Indemnification asset settlement, Coniston	0.00%	(28.20%)	0.00%	0.00%

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Pro Forma Results (Detail) (USD $) In Thousands, except Per Share data, unless otherwise specified	4 Months Ended	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2010	May 31, 2010
Business Acquisition [Line Items]
Total revenue	$ 174,677	$ 720,176	$ 1,224,279
Net (loss) income	$ (9,707)	$ 55,894	$ 66,134
Earnings per share-basic and diluted		$ 0.29	$ 0.35

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Components of Accumulated Other Comprehensive Income (Detail) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011
Accumulated Other Comprehensive Income (Loss) [Line Items]
Unrealized gain on marketable securities	$ 192	$ 67
Tax effect	(74)	(27)
Unrealized gain on marketable securities, net of tax	118	40
Unrealized loss on derivative financial instruments	(1,534)	(1,754)
Tax effect	600	687
Unrealized loss on derivative financial instruments, net of tax	(934)	(1,067)
Foreign currency translation adjustment	892	485
Total accumulated other comprehensive income	$ 76	$ (542)

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Purchase Price of Acquisition (Parenthetical) (Detail) (Eclipsys, USD $) In Millions, except Per Share data, unless otherwise specified	Aug. 24, 2010
Eclipsys
Business Acquisition [Line Items]
Common shares, fair value	69
Closing stock price	$ 17.47

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Stock-Based Compensation Expense (Detail) (USD $) In Thousands, unless otherwise specified	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Total stock-based compensation expense	$ 18,916	$ 39,985	$ 40,752	$ 14,849

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Fixed Assets (Tables)

12 Months Ended

Dec. 31, 2012

Fixed Assets

Fixed assets consist of the following:

(Dollar amounts in thousands)	Estimated Useful Life	December 31, 2012			December 31, 2011
Computer equipment and software	3 to 7 years		$227,092			$157,845
Facility furniture, fixtures and equipment	5 to 7 years		22,779			18,128
Leasehold improvements	7 to 8 years, or life of lease if shorter		24,472			22,243
Assets under capital lease	3 to 5 years		9,419			9,580
			283,762			207,796
Less: accumulated depreciation and amortization			(128,268	)		(85,233	)
Fixed assets, net			$155,494			$122,563

Depreciation and Amortization Expense

Fixed assets depreciation and amortization expense were as follows:

	Year Ended December 31,				Seven Months Ended December 31, 2010		Year Ended May  31, 2010
(In thousands)	2012		2011
Fixed assets depreciation and amortization expense		$43,126		$35,794		$12,588		$9,161

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Amounts Reclassified (Detail) (USD $) In Thousands, unless otherwise specified	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Revenue [Line Items]
Revenue reclassifications from system sales to maintenance	$ 9,244	$ 0	$ 14,963	$ 9,477
Reclassification to other assets from prepaid expenses and other current assets		0	9,151
Decrease in prepaid expenses and other assets and accrued expenses		$ 0	$ 13,717

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Commitments

12 Months Ended

Dec. 31, 2012

Commitments

14. Commitments

Allscripts conducts its operations from leased premises under several operating leases. Total rent expense was as follows:

	Year Ended December 31,				Seven Months  Ended December 31, 2010		Year Ended May  31, 2010
(In thousands)	2012		2011
Rent expense		$18,493		$20,223		$11,003		$10,328

The long-term portion of capital lease obligations is included on the balance sheet under other liabilities. Our future commitments under capital and operating leases are as follows:

(Dollar amounts in thousands)	Capital Leases			Operating Leases
2013		$630			$15,112
2014		508			14,120
2015		244			13,553
2016		57			13,098
2017		0			8,303
Thereafter		0			6,375
		1,439			$70,561
Less amount representing interest		(163	)
		1,276
Current maturities of capital lease obligations		535
Capital lease obligations, net of current maturities		$741

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Expense Incured under Affiliated Computer Services Agreement (Detail) (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2012	Dec. 31, 2011
Commitment And Contingencies [Line Items]
Expenses incurred under Xerox agreement	$ 55,987	$ 28,132

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Contingencies

12 Months Ended

Dec. 31, 2012

Contingencies

19. Contingencies

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 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. Both motions are expected to be heard by the court in March of 2013. Discovery in this matter is ongoing. The case is currently expected to be set for trial in November 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.

On December 27, 2012, Pain Clinic of Northwest Florida, Inc. (“Pain Clinic”) filed a Complaint in the Circuit Court of the 11^th Judicial Circuit in and for Miami-Dade County, Florida, against the Company. The Complaint seeks to certify a class of all similarly situated physician-customers that purchased the MyWay product and seeks damages for claims of breach of warranty and unjust enrichment. On February 5, 2013, the Company filed a motion to compel arbitration and to dismiss or stay the lawsuit during arbitration, and a motion to stay discovery during arbitration. The Company intends to vigorously defend this matter.

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 the foregoing litigation is inherently uncertain, and we may incur substantial defense costs and expenses. Therefore, if these legal matters were resolved against the Company for an amount 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. On November 19, 2012, we received a letter from the U.S. Department of Justice indicating that we are not the subject or the target of this investigation. We are cooperating with the United States Attorney’s Office in connection with such subpoena.

On May 1, 2012, Physicians Healthsource, Inc. (“PHI”) filed a class action Complaint in U.S. District Court for the Northern District of Illinois against the Company. 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 PHI’s Motion for Class Certification on May 7, 2012 and the Company responded by filing a Motion to Dismiss, which was denied but the Court requested that Allscripts file a second Motion to Dismiss, which was also denied. Discovery in this matter has been stayed pending a decision of the 7th Circuit Court of Appeals in the case of Holtzman v. Turza. The Company has also filed a Motion requesting denial of PHI’s Motion for Class certification. 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, the former Chief Financial Officer of the Company, 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. A lead plaintiff has been appointed and on January 10, 2013, Plaintiff filed an amended complaint. The Company intends to vigorously defend against these claims.

On June 27, 2012, a purported shareholder, Richard Devereaux, filed a shareholder derivative action in the Circuit Court of Cook County Illinois against Glen Tullman, William Davis, Paul Black, Dennis Chookaszian, Robert Cindrich, Marcel Gamache, Philip Green, Michael Kluger, and Allscripts as nominal defendant. The suit alleges breach of fiduciary duties and unjust enrichment against former and current executives of Allscripts who allegedly made misleading claims about the Company’s business and financial state, causing its stock prices to be artificially inflated and then drop sharply when the Company reported earnings below expectations and disclosed a “leadership dispute” in an SEC filing. At present, the Company’s time to respond to the complaint is tolled pending the filing of an amended complaint in this case.

In the opinion of management, there is a reasonable possibility the Company may incur losses with respect to the three matters immediately above. However, given the current early stage of the matters, 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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Stock Options Outstanding (Detail) (USD $)	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010	May 31, 2009
Options Outstanding
Options Outstanding, beginning balance	3,270,000	3,976,000	7,675,000	4,222,000
Options outstanding, options exercised	(1,382,000)	(1,138,000)	(3,469,000)	(732,000)
Options outstanding, options assumed	5,865,000
Options Outstanding, options forfeited	(78,000)	(171,000)	(230,000)	(220,000)
Options Outstanding, ending balance	7,675,000	2,667,013	3,976,000	3,270,000
Weighted-Average Exercise Price
Weighted-average exercise price, beginning balance	$ 3.42	$ 10.31	$ 10.46	$ 5.17
Weighted-average exercise price, options exercised	$ 7.43	$ 5.32	$ 10.21	$ 7.79
Weighted-average exercise price, options assumed	$ 13.64
Weighted-average exercise price, options forfeited	$ 8.38	$ 16.62	$ 14.49	$ 18.56
Weighted-average exercise price, ending balance	$ 10.46	$ 12.04	$ 10.31	$ 3.42
Options Exercisable
Options Exercisable	6,434,000	2,547,787	3,499,000	3,270,000	4,222,000
Weighted-average exercise price, exercisable	$ 9.80	$ 11.88	$ 9.87	$ 3.42	$ 5.17

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Transition Period Comparative Data (Tables)

12 Months Ended

Dec. 31, 2012

Presentation of Financial Information

The following table presents certain financial information for the seven months ended December 31, 2010 and 2009, respectively.

	Seven Months Ended December  31,
(In thousands, except per share amounts)	2010			2009
				(Unaudited)
Revenue:
System sales		$103,873			$69,027
Professional services		93,875			38,335
Maintenance		200,746			145,440
Transaction processing and other		214,815			130,677
Total revenue		613,309			383,479
Cost of revenue:
System sales		63,392			43,516
Professional services		81,572			35,414
Maintenance		67,463			47,588
Transaction processing and other		102,713			47,094
Total cost of revenue		315,140			173,612
Gross profit		298,169			209,867
Selling, general and administrative expenses		232,788			126,569
Research and development		43,261			27,238
Asset impairment charges		0			0
Amortization of intangible assets		16,235			5,914
Income from operations		5,885			50,146
Interest expense		(9,687	)		(1,302	)
Interest income and other (expense), net		843			240
(Loss) income before income taxes		(2,959	)		49,084
Provision for income taxes		(2,606	)		(18,596	)
Net (loss) income		($5,565	)		$30,488
(Loss) earnings per share:
Basic		($0.03	)		$0.21
Diluted		($0.03	)		$0.20
Weighted average common shares outstanding:
Basic		168,110			144,440
Diluted		168,110			147,927

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Activity Related to Interest Rate Swap Agreement (Detail) (USD $) In Thousands, unless otherwise specified	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Derivative Instruments, Gain (Loss) [Line Items]
Effective Portion Gain (loss) recognized in OCI	$ 2,003	$ 220	$ (3,757)	$ 0
Tax effect	(776)	(87)	1,463	0
Net	1,227	133	(2,294)	0
Loss reclassified from OCI to interest expense	342	1,783	2,024	0
Amount excluded from Effectiveness Assessment and Ineffective Portion Gain (loss) recognized in other income (expense)	$ 0	$ 0	$ 0	$ 0

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Accumulated Other Comprehensive Income (Tables)

12 Months Ended

Dec. 31, 2012

Components of Accumulated Other Comprehensive Income

The following table summarizes, as of each balance sheet date, the components of our accumulated other comprehensive income:

(In thousands)	December 31, 2012			December 31, 2011
Unrealized gain on marketable securities		$192			$67
Tax effect		(74	)		(27	)
Unrealized gain on marketable securities, net of tax		118			40
Unrealized loss on derivative financial instruments		(1,534	)		(1,754	)
Tax effect		600			687
Unrealized loss on derivative financial instruments, net of tax		(934	)		(1,067	)
Foreign currency translation adjustment		892			485
Total accumulated other comprehensive income		$76			($542	)

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Future Commitments Under Capital and Operating Leases (Detail) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012
Commitment And Contingencies [Line Items]
Capital leases, 2013	$ 630
Capital leases, 2014	508
Capital leases, 2015	244
Capital leases, 2016	57
Capital leases, 2017	0
Capital leases, thereafter	0
Capital Leases, total	1,439
Capital leases, less amount representing interest	(163)
Capital leases, future minimum payments, present value of net minimum payments	1,276
Capital Leases, Current maturities of capital lease obligations	535
Capital leases, capital lease obligations, net of current maturities	741
Operating leases, 2013	15,112
Operating leases, 2014	14,120
Operating leases, 2015	13,553
Operating leases, 2016	13,098
Operating leases, 2017	8,303
Operating leases, Thereafter	6,375
Operating leases, total	$ 70,561

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CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS) (USD $) In Thousands, unless otherwise specified	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Net income (loss)	$ (5,565)	$ (1,153)	$ 73,609	$ 62,870
Other comprehensive income (loss):
Unrealized income (loss) on marketable securities, net of tax	(1)	78	(3)	63
Derivatives:
Unrealized (loss) income on derivative financial instruments	1,661	(1,563)	(5,781)	0
Reclassification adjustment for loss included in net income	342	1,783	2,024	0
Tax effect	(776)	(87)	1,463	0
Unrealized income (loss) on derivative financial instruments, net of tax	1,227	133	(2,294)	0
Change in foreign currency translation adjustments	1,063	407	(578)	0
Total other comprehensive income (loss)	2,289	618	(2,875)	63
Comprehensive income (loss)	$ (3,276)	$ (535)	$ 70,734	$ 62,933

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Reconciliation of Unrecognized Tax Benefits (Detail) (USD $) In Thousands, unless otherwise specified	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Schedule of Unrecognized Tax Benefits [Line Items]
Unrecognized tax benefit, beginning balance	$ 2,808	$ 43,284	$ 42,840	$ 3,124
Increases for tax positions related to the current year	882	46	719	228
Decreases for tax positions related to prior years	0	(13,944)	0	0
Increases for tax positions related to prior years	0	656	282	0
Decreases relating to settlements with taxing authorities	0	(11,925)	0	0
Increases acquired in business acquisitions	13,340	0	0	0
Foreign currency translation	224	97	(215)	0
Reductions due to lapsed statute of limitations	(277)	(74)	(342)	(544)
Unrecognized tax benefit, ending balance	42,840	18,140	43,284	2,808
Coniston
Schedule of Unrecognized Tax Benefits [Line Items]
Increases acquired in business acquisitions	$ 25,863	$ 0	$ 0	$ 0

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Reduction of Misys Share Ownership

12 Months Ended

Dec. 31, 2012

Reduction of Misys Share Ownership

3. Reduction of Misys Share Ownership

On June 9, 2010, Allscripts entered into a Framework Agreement with Misys plc (“Misys”), which was subsequently amended on July 26, 2010 (as amended, the “Framework Agreement”). Pursuant to the Framework Agreement, Allscripts and Misys agreed to reduce Misys’ existing indirect ownership interest in Allscripts through a series of transactions, which we refer to as the “Coniston Transactions.” As of June 8, 2010, Misys held indirectly 80 million shares of Allscripts’ common stock, representing approximately 55% of the aggregate voting power of Allscripts’ capital stock.

The Coniston Transactions were completed on August 27, 2010; accordingly, Misys’ equity stake in Allscripts was reduced to approximately 10% of the outstanding shares of Allscripts common stock. The repurchased stock was retired and the associated excess of the repurchase price over par totaling $679 million was allocated to additional paid-in capital.

On November 17, 2010, Kapiti Limited and ACT Sigmex Limited, each a wholly-owned subsidiary of Misys, sold shares of common stock of Allscripts resulting in Misys holding approximately 4% of the outstanding shares of our common stock.

On February 24, 2011, Misys announced that it had disposed of its remaining investment in Allscripts common stock.

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Anti-Dilutive Stock Options and Share Awards Excluded from Computation of Diluted Earnings Per Share (Detail) In Thousands, unless otherwise specified	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Shares subject to anti-dilutive stock options and share awards excluded from calculation	3,000
Stock Options and Share Awards
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Shares subject to anti-dilutive stock options and share awards excluded from calculation	772	2,878	1,203	26

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Geographic Breakdown of Income (Loss) Before Provision for Income Taxes (Detail) (USD $) In Thousands, unless otherwise specified	7 Months Ended		12 Months Ended
	Dec. 31, 2010	Dec. 31, 2009	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Loss Or Income Before Income Taxes [Line Items]
United States	$ (5,314)		$ (36,933)	$ 106,348	$ 103,536
Foreign	2,355		19,473	11,131	0
Income (loss) before income taxes	$ (2,959)	$ 49,084	$ (17,460)	$ 117,479	$ 103,536

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Rent Expense (Detail) (USD $) In Thousands, unless otherwise specified	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Schedule of Rent Expense [Line Items]
Rent expense	$ 11,003	$ 18,493	$ 20,223	$ 10,328

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Depreciation and Amortization Expense (Detail) (USD $) In Thousands, unless otherwise specified	7 Months Ended	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2011	May 31, 2010
Property, Plant and Equipment [Line Items]
Fixed assets depreciation and amortization expense	$ 12,588	$ 43,126	$ 35,794	$ 9,161

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Commitment with Strategic Partner

12 Months Ended

Dec. 31, 2012

Commitment with Strategic Partner

20. Commitment with Strategic Partner

On March 31, 2011, and as amended November 1, 2012, we entered into a ten year agreement with Xerox Consultant Services, Inc. (Xerox), formerly known as Affiliated Computer Services, Inc., 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 Xerox for current Allscripts’ employees to be retained by Xerox from our hosting staff, new remote hosting staff and technology infrastructure, as well as other data center and hosting services, in the amount of approximately $50 million per year. During April 2011, in connection with the agreement we sold a portion of our hosting equipment and infrastructure related to our Sunrise acute care clients to Xerox for cash at a value approximating book value of such assets totaling $20 million. Expenses incurred under this agreement are included in cost of revenue and were as follows:

	Year Ended December 31,
(In thousands)	2012		2011
Expenses incurred under Xerox agreement		$55,987		$28,132

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Subsequent Events - Additional Information (Detail) (USD $) In Millions, unless otherwise specified	12 Months Ended	1 Months Ended
	Dec. 31, 2012	Jan. 31, 2013 Humedica, Inc
Subsequent Event [Line Items]
Proceeds from sale of investment		$ 13
Initial amount of investment sold		10
Employee severance	10
Relocation costs	16
Lease exit costs	$ 3

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Estimated Future Amortization Expense for Intangible Assets (Detail) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011
Goodwill And Intangible Assets [Line Items]
2013	$ 55,102
2014	52,286
2015	47,466
2016	35,421
2017	30,220
Thereafter	154,491
Intangible Assets, Net	$ 374,986	$ 437,848

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Debt (Tables)

12 Months Ended

Dec. 31, 2012

Debt Outstanding

Debt outstanding consisted of the following:

(In thousands)	December 31, 2012		December 31, 2011
Senior Secured Credit Facilities (long-term portion)		$362,697		$322,664
Senior Secured Credit Facilities (current portion)		78,770		44,677
Total debt		$441,467		$367,341

Interest Expense

Interest expense consisted of the following:

	Year Ended December 31,				Seven Months Ended December 31, 2010		Year Ended May  31, 2010
(In thousands)	2012		2011
Interest expense		$11,121		$13,546		$7,796		$1,481
Debt cost amortization		5,066		5,264		1,891		512
Write off of unamortized deferred debt issuance costs		0		1,940		0		0
Total interest expense		$16,187		$20,750		$9,687		$1,993

Summary of Future Payments under Senior Secured Credit Facilities Including Incremental Term Loan

The following table summarizes our future payments under the senior secured credit facilities including the incremental term loan as of December 31, 2012:

(Dollar amounts in thousands)	Principal Payments
Payments due in 2013		$78,770
Payments due in 2014		104,698
Payments due in 2015		199,395
Payments due in 2016		58,604
Thereafter		0
		441,467
Senior Secured Credit Facilities (current portion)		78,770
Senior Secured Credit Facilities (long-term portion)		$362,697

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Derivative Financial Instruments

12 Months Ended

Dec. 31, 2012

Derivative Financial Instruments

13. 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 original variable rate term loan. The initial notional amount of the interest rate swap agreement was $300 million, with scheduled step downs over time, and a final termination date of October 31, 2014. At December 31, 2012, the notional amount of the interest rate swap agreement was $225 million. The interest rate swap agreement converts the one-month LIBOR rate on the corresponding notional amount of debt to an effective fixed rate of 0.896% (exclusive of the applicable margin currently charged under the Senior Secured Credit 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)	December 31, 2012			December 31, 2011
Fair value of interest rate swap agreement		($1,534	)		($1,754	)

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

	Year Ended December 31,						Seven Months  Ended December 31, 2010			Year Ended May  31, 2010
(In thousands)	2012			2011
Effective Portion
Gain (loss) recognized in OCI		$220			($3,757	)		$2,003			$0
Tax effect		(87	)		1,463			(776	)		0
Net		$133			($2,294	)		$1,227			$0
Loss reclassified from OCI to interest expense		$1,783			$2,024			$342			$0
Amount excluded from Effectiveness Assessment and Ineffective Portion
Gain (loss) recognized in other income (expense)		$0			$0			$0			$0

We estimate that approximately $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 2.21% as of December 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 years ended December 31, 2012 and 2011 and the seven months ended December 31, 2010. We held no other derivative instruments during the years ended December 31, 2012 and 2011 and the seven months ended December 31, 2010.

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

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Stock Repurchases - Additional Information (Detail) (USD $) In Millions, except Per Share data, unless otherwise specified	1 Months Ended	12 Months Ended		1 Months Ended		12 Months Ended	1 Months Ended
	Apr. 30, 2012	Dec. 31, 2012	Dec. 31, 2011	Feb. 10, 2011 Previous Stock Repurchase Program	Feb. 10, 2009 Previous Stock Repurchase Program Y	Dec. 31, 2011 Previous Stock Repurchase Program	Apr. 30, 2011 Current Stock Repurchase Program Y
Stock Repurchase Programs [Line Items]
Stock repurchase program, amount authorized					$ 150		$ 200
Stock repurchase program, authorized repurchase period (in years)					2		3
Stock repurchase program, shares					15
Common stock repurchased		21	3			5
Stock repurchas program, remaining amount authorized		123		98
Common stock repurchased, value		226	51
Stock repurchase program, expiring date							May 09, 2014
Stock repurchase program, additional authorized amount	200
Stock repurchase program, total authorized amount	$ 400
Common stock repurchased, average price paid per share		$ 10.89	$ 19.45