| Exhibit 99.1 |
Exhibit 99.1
January 2014
Allscripts
Investor Presentation
J.P. Morgan Healthcare Conference 2014
AllscriptsTM
Disclaimer
This presentation contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act
of 1995. These forward-looking statements include, without limitation, statements regarding Allscripts Healthcare
Solutions, Inc.’s (the “Company’s”) financial estimates and anticipated cost savings.
These forward-looking statements are based on the current beliefs and expectations of the Company’s management and
are subject to significant risks and uncertainties. Actual results could differ from those set forth in the forward-looking
statements, and reported results should not be considered an indication of future performance. Certain factors that
could cause the Company’s actual results to differ materially from those described in the forward-looking statements can
be found in the Company’s Annual Report on Form 10-K/A for the year ended December 31, 2012 and in the
Company’s most recent Quarterly Report on Form 10-Q for the quarter ended September 30, 2013. Each of these
reports is available on the Company’s website (http://investor.allscripts.com) and on the Securities and Exchange
Commission’s website (http://www.sec.gov).
Allscripts, the Allscripts logo, and other Allscripts marks are trademarks of the Company or its subsidiaries. Other
company and product names featured in this presentation may be the trademarks of their respective owners.
A Connected Community of Health | Copyright © 2014 Allscripts Healthcare Solutions, Inc. AllscriptsTM 1
Non-GAAP Financial Measures
This presentation includes references to Non-GAAP revenue and Adjusted EBITDA, each of which adjusts for certain
items and is not considered a measure under generally accepted accounting principles in the United States
(“GAAP”).
Non-GAAP revenue consists of GAAP revenue as reported and adds back deferred revenue and other adjustments
for GAAP purposes. Adjusted EBITDA consists of GAAP net income as reported and adjusts for: the provision for
revenue deferral; the provision/(benefit) for income taxes; net interest expense and interest income and other
income/(expense); stock-based compensation expense; depreciation and amortization; deferred revenue and other
adjustments; non-recurring and transaction-related costs; and non-cash asset impairment charges.
The management of Allscripts Healthcare Solutions, Inc. (the “Company”) believes that these non-GAAP measures
are useful in measuring the comparable results of the Company from period to period. However, non-GAAP
financial measures disclosed by the Company should not be considered a substitute for, or superior to, financial
measures determined or calculated in accordance with GAAP.
Because of the forward-looking nature of the Company’s forecasted Non-GAAP revenue and Adjusted EBITDA,
specific quantifications of the amounts that would be required to reconcile forecasted Non-GAAP revenue and
Adjusted EBITDA are not available. The Company believes that there is a degree of volatility with respect to
certain of the Company’s GAAP measures that precludes the Company from providing accurate forecasted GAAP
to non-GAAP reconciliations. Based on the above, the Company believes that providing estimates of the amounts
that would be required to reconcile the range of non-GAAP revenue to forecasted GAAP revenue and the range of
Adjusted EBITDA to forecasted GAAP net income would imply a degree of precision that would be confusing or
misleading to investors.
A Connected Community of Health | Copyright © 2014 Allscripts Healthcare Solutions, Inc. 2 AllscriptsTM
Agenda
Shift to value
INDUSTRY & ALLSCRIPTS
Excellent Long Term Positioning
Depth and breadth
STRATEGIC ADVANTAGES
Unique Value Position
Multiple opportunities
FINANCIAL STABILITY
Drive Long-Term value
A Connected Community of Health | Copyright © 2014 Allscripts Healthcare Solutions, Inc. 3
AllscriptsTM
Shift to value
Industry & Allscripts
Excellent Long Term Positioning
Strategic Advantages
FINANCIAL STABILITY
A Connected Community of Health | Copyright © 2014 Allscripts Healthcare Solutions, Inc. 4
AllscriptsTM
Who We Are
SOLUTIONS
Clinical and Financial Systems
Population Health Management
Care Management
Performance & Care Logistics
Managed IT Services
Outsourcing
Hosting
Transaction & Payer Services
CLIENTS
~180,000 Physicians
~45,000 Ambulatory Facilities
~2,700 Hospitals
~13,000 Post-acute Facilities
~40,000 Individual Post-acute Providers
Retail and alternate site clinics
Global presence
COMPANY
$1.4bb 2012 revenue
7,000 associates
HQ: Chicago, IL
International offices:
Canada, Europe, Asia, Israel, Australia
Doing business in eleven countries and seven currencies
A Connected Community of Health | Copyright © 2014 Allscripts Healthcare Solutions, Inc. 5 AllscriptsTM
What We Do
An Open, Connected Community
of Health™
Allscripts provides clinical, financial and
population health management
SOLUTIONS to physicians, health
systems, hospitals and post-acute
organizations.
We deliver insights that healthcare
providers require to generate world-class
outcomes and transform healthcare by
improving the quality and efficiency of
patient care.
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The Allscripts Difference: Unrivaled Footprint
Nodes of Care: ~45K ambulatory; ~2,700 acute; ~13,000 post-acute; ~1,200 other
Legend: Green : Ambulatory Red : Acute Yellow : Post Acute FacilitiesBlue : Other
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7 AllscriptsTM
Why We Matter
1 of 3
MDs
1 of 2
Hospitals
~13,000
Post-acute Care Facilities
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Inevitable Shift to Value Based Care
VOLUME
Fragmented providers
and payments
No uniform quality
Fees for volume
Demand increasing
VALUE
Collaboration, connectivity
Clinical, financial data, analysis
Optimize outcomes
Accountable care
Source: HFMA “Value in Healthcare: Current State & Future Directions, June 2011
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9 Allscriptstm
Health Care Challenges = Allscripts Opportunities
Regulatory Requirements: Meaningful Use, ICD-10 & HIPPA
Opportunities:
upgrade revenue cycle systems
displace legacy competitors
strategic partnerships
Capital Constraints, Lack of Scale
Opportunities:
lever client base as a source of growth (consolidation)
managed services
cost effective offerings: SaaS, cloud-based, compelling TOC
Shift from Volume to Value-Based Care
Opportunities
“campus and community”
EHR and other solutions
consumer engagement
connectivity
population health management: care coordination, analytics
A Connected Community of Health | Copyright © 2014 Allscripts Healthcare Solutions, Inc. 10 Allscriptstm
MARKET LEADERSHIP
Depth and Breadth
STRATEGIC ADVANTAGES
Unique Value Proposition
FINANCIAL STABILITY
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Illustrative 2013 Accomplishments
Stability
Increased new Sunrise footprints by five (incl. three net new)
Renewed 7-year, $400mm contract with largest client, NSLIJ
90%+ acute clients committed to MU 2014 upgrades
Independednt & highly qualified BOD
Execution
Delivered complete Meaningful Use 2 and ICD-10 requirements ahead of time
Culture of accountability
Improved client satisfaction and third party rankings
Innovation & Investments
Invested ~$500mm in gross R&D + strategic M&A
New solutions: Care Director, Population Health Analytics, Sunrise Surgical Care
Enhanced talent bench
Growth Foundations
Added ~600 new clients (YTD 2013)
Established clear leadership in population health management
Record EHR agnostic solution sales: care management, post-acute, analytics and logistics
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2013 Execution: Sample Wins, Renewals and Expansions
North Shore-LIJ Health System, Manhasset, NY:
Managed IT Services
Phoenix Children’s Hospital, Phoenix, AZ:
Allscripts Sunrise™, Sunrise Ambulatory Care™, Sunrise Financial Manager™, dbMotion
Resolute Health, New Braunfels, TX:
Sunrise, dbMotion
PIH Health, Whittier, CA:
Sunrise, Allscripts Enterprise™, dbMotion, FollowMyHealth™, Care Management, Managed IT
Children’s of Alabama, Birmingham, AL:
Sunrise, FollowMyHealth, Sunrise Emergency Care™
Guam Regional Medical City:
Sunrise, Sunrise Financial Manager, Allscripts EPSi™
Kindred Healthcare, Louisville, KY:
dbMotion
HealthCare Partners, Torrance, CA:
Enterprise EHR, FollowMyHealth
Dameron Hospital, Stockton, CA:
Sunrise, FollowMyHealth, Care Management
Added, expanded and extended relationships across solutions portfolio
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On Deck: 2014 Focus
Multiple Growth Initiatives:
Core: EHR, Rev cycle
“Campus & community”
Managed IT Services
Global
Consistent Execution:
Client satisfaction
Lever resources - R&D
Client allignment strategy
Maintain Innovation Edge:
Mobility
Cloud
Upgrades and new solutions
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Population Health Management Platform
Connectivity & Care Coordination
dbMotion
FollowMyHealth™ Patient Portal
Allscripts Care Management Post Acute Allscripts Care Director™
Analytics
Sunrise EPSi™
Sunrise Clinical Analytics Clinical Quality Solutions (CQS) Allscripts Population Health Analytics
Population Health constituted 40% of Q3 2013 bookings, up 2x y/y
A Connected Community of Health | Copyright © 2014 Allscripts Healthcare Solutions, Inc. 16 Allscriptstm
Population Health Leadership By the Numbers
Connectivity
dbMotion
Integrates with 47
disparate systems at U.
Pittsburgh Medical
Center
dbMotion harmonizes
data from ~230
different EHRs
Utilized in ~500
hospitals globally
Care Coordination
Care Management/Director
Allscripts referral network
~23,000 electronic
referrals daily
~25% of all hospital
discharges1
EHR agnostic
Cloud-based
Patient Engagement
FollowMyHealth
~50,000 active
providers today
Patient owned
EHR agnostic
Untethered
Cloud-based
1. Refers to those hospital discharges requiring post-acute care. Sources: National Hospital Discharge Survey and Allscripts estimates.
A Connected Community of Health | Copyright © 2014 Allscripts Healthcare Solutions, Inc. 17 Allscriptstm
Los Angeles: Connected Communities of Health
Nodes of Care: ~700 ambulatory; ~35 acute; ~140 post-acute
Legend: Green : Ambulatory Red : Acute Yellow : Post Acute FacilitiesBlue : Other
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New York: Connected Communities of Health
Nodes of Care: ~1,200 ambulatory; ~80 acute; ~275 post-acute
Legend: Green : Ambulatory Red : Acute Yellow : Post Acute FacilitiesBlue : Other
A Connected Community of Health | Copyright © 2014 Allscripts Healthcare Solutions, Inc. 19 AllscriptsTM
Ohio: Connected Communities of Health
Nodes of Care: ~2,200 ambulatory; ~190 acute; ~730 post-acute
Legend: Green : Ambulatory Red : Acute Yellow : Post Acute FacilitiesBlue : Other
A Connected Community of Health | Copyright © 2014 Allscripts Healthcare Solutions, Inc. 20 AllscriptsTM
Harmonizing Data from Diverse Systems with Semantics
UMLS
ICD-10-CM
CPT
HL7 CVX
LOINC
ICD-10-PCS
HCFA HCPCS
OMB Race/Ethnicity Standards
NDC
DRG
CDT
Commercial Interface Terminologies
RxNorm
APC
SNOMED CT
Provider Taxonomy
ICD-9-CM
APDRG
HL7
Revenue Codes
A Connected Community of Health | Copyright © 2014 Allscripts Healthcare Solutions, Inc. 21 AllscriptsTM
INCENTIVES
HEALTH SCORE +5 TARGET SCORE
Care Coordination / Connectivity
Financial Ops + Optimization
Accountable Care
Virtual Patient Record
Patient Portal
Physician Portal
Gap Analysis
Care Management
Care Coordinator
ANALYTICS
Single Source of Truth
Patient / Consumer Engagement
Parents
People like Me
Nutrition
Sleep Monitor
Scale
FitBit
Genomic Map
Children
Allscripts Community Health Platform
Cerner Epic Allscripts eClinicalWorks Athena
Core Clinical + Core Financial
A Connected Community of Health | Copyright © 2014 Allscripts Healthcare Solutions, Inc. 22 AllscriptsTM
Patient Engagement –
Health Score in Development
Weight Exercise Sleep Happiness Triglycerides LDL HDL Environment Vaccinations Medications Alcohol, Drugs Nutrition Waist Circumference
A Connected Community of Health | Copyright © 2014 Allscripts Healthcare Solutions, Inc. 23 AllscriptsTM
84
MARKET LEADERSHIP
STRATEGIC ADVANTAGES
Multiple opportunities
FINANCIAL STABILITY
Drive long term value
A Connected Community of Health | Copyright © 2014 Allscripts Healthcare Solutions, Inc. 24 AllscriptsTM
2013 Financial Accomplishments
Stregnthened Financial Foundation
Completed ~$1bb in refinancing
Enhanced availability liquidity to >$400mm
Successful corporate ERP go-live
Enhanced Financial Consistency and Visibility
Revenue backlog $3.3bb +18% (vs. 12/31/12)
Recurring revenue 74% YTD vs. 70% in ’12 (76% in Q3 13)
SaaS bookings 32% YTD vs. 25% in ’12
Positioned for Growth
Bookings +14% YTD (through 9/30/13)
40% of bookings from population health management (Q3 13)
Invested ~$500mm in gross R&D + strategic M&A
Executed successful integration of strategic acqusitions
Improved Operational Effectiveness
Executed site consolidation plan
~$50mm invested to drive +$50mm in annual cost savings in 2014
Note: 2013-related financial data presented as of 9/30/13
A Connected Community of Health | Copyright © 2014 Allscripts Healthcare Solutions, Inc. 25 AllscriptsTM
Flexible Capital Structure & Strong Liquidity
As of
($mm) 9/30/13 Maturity
Cash and Cash Equivalents $62
Revolver ($425mm total) $60 June 2018
Term Loan 222 June 2018
Total Senior Credit Facilities $282
1.25% Convertible Notes 345 June 2020
Total Debt $627
Book Value Equity 1,331
Total Book Capitalization $1,958
Total liquidity of over $400mm
Limited required cash repayments
2014 scheduled repayments of $17mm
Weighted average cash interest cost of <2.5%
Effective conversion price of $23.135 per share on Convertible Notes
Note: Total Senior Credit Facilities and 1.25% Convertible Notes amounts are notional principal amounts, gross of any debt discounts or original issue discounts required under GAAP. Source: Company filings
A Connected Community of Health | Copyright © 2014 Allscripts Healthcare Solutions, Inc. 26 AllscriptsTM
Recent Results: Bookings Growth
Allscripts Quarterly Bookings Through 3Q 2013
Bookings $mm
$250
$200
$150
$100
$50
$0
14% YTD Growth
Q3 ‘12 Q4 ‘12 Q1 ‘13 Q2 ‘13 Q3 ‘13
Bookings $162 $181 $178 $214 $236
Bookings = value of new revenue from solutions sold to existing and first time clients. Excludes maintenance, transaction fees and client renewals.
Source: Company filings and publications.
Bookings are rounded to the nearest million.
A Connected Community of Health | Copyright © 2014 Allscripts Healthcare Solutions, Inc. 27 AllscriptsTM
Translating Bookings to Allscripts Future Revenue
Snapshot of Trailing 12 Months (through 9/30/2013)
Bookings $810mm
GAAP Revenue $1,375mm
~ $350mm non-recurring
~$1,025mm recurring
Non-GAAP Adjusted EBITDA1
$185mm
1. Please see the non-GAAP reconciliation and related footnotes in the appendix to this presentation
Figures are rounded for illustrative purposes.
A Connected Community of Health | Copyright © 2014 Allscripts Healthcare Solutions, Inc. 28 AllscriptsTM
Translating Bookings to Allscripts Future Revenue: Part 2
Revenue Baseline Year Year 1 Year 2 Year 3
Non-Recurring $350mm $350mm $375mm $375mm
Recurring* 1,025 1,025 1,025 1,025
From Baseline Year Bookings - 50 100 100
From Year 1 Bookings - - 50 100
From Year 2 Bookings - - - 50
TOTAL Revenue $1,375 $1,425 $1,550 $1,650
Bookings Baseline Year Year 1 Year 2
Non-Recurring $350mm $375mm $375mm
Recurring 460 500 500
TOTAL Bookings $810 $875 $875
*Assumption: Average 5-year revenue take-down and first year conversion at mid-year
NOTE: This table is for illustrative purposes only and should not be considered financial guidance.
A Connected Community of Health | Copyright © 2014 Allscripts Healthcare Solutions, Inc. 29 AllscriptsTM
Financial Playbook 2014-2016
Revenue:
Realize flow-through from bookings to revenue, as illustrated
Continued laser-focus on client satisfaction
Maximize client retention (little revenue concentration outdise outsouring)
Gross Margins:
Focus on opportunities to improve in key areas performing significantly below competitive benchmarks (i.e. remote hosting, professional services)
Research and Development
Hold $$ investment steady
Drive higher yield from spend
SG&A
Drive $$ lower in 2014 and hold steady thereafter
OPPORTUNITY Top Line Growth
(+) Modest gross margin improvement
(+) Steady costs, growing in line with CPI
= Significant adjusted EDITDA and free cash flow leverage
A Connected Community of Health | Copyright © 2014 Allscripts Healthcare Solutions, Inc. 30 AllscriptsTM
Long-Term Outlook
3-Year CAGR outlook (based on 2013 actual results):
Non-GAAP revenue expected to grow in the 5-8 percent range
Adjusted EBITDA expected to grow in the 18-22 percent range
NOTE: Please see disclaimer on page 2 of this presentation.
A Connected Community of Health | Copyright © 2014 Allscripts Healthcare Solutions, Inc. 31 AllscriptsTM
January 2014
Allscripts
Investor Presentation
J.P. Morgan Healthcare Conference
AllscriptsTM
January 2014
Allscripts
Investor Presentation
Appendix
AllscriptsTM
Non-GAAP Reconciliations: Adjusted EBITDA for trailing twelve months (TTM) ended (9/30/13)
Allscripts Healthcare Solutions, Inc.
Non-GAAP Financial Information - Adjusted EBITDA (In millions)
Three Months Nine Months 12 Months
Ended Ended Ended
12/31/12 9/30/13 9/30/13
Net income/(loss), as reported ($24.3) ($83.4) ($107.7)
Income tax benefit (5.8) (30.2) ($36.0)
Interest expense (income) and other (income) expense (a) 2.2 15.6 $17.8
Stock-based compensation expense 12.7 27.8 $40.5
Depreciation and amortization 39.6 131.8 $171.4
Deferred revenue and other adjustments 0.3 7.2 $7.5
Provision for revenue deferral(b) 16.8 0.0 $16.8
Non-recurring expenses and transaction-related costs (c) 12.2 52.1 $64.2
Asset impairment charges 0.0 10.5 $10.5
Non-GAAP adjusted EBITDA $53.6 $131.4 $185.0
(a) Interest expense (income) and other (income) expense has been adjusted from the amounts presented in the statements of operations in order to remove the amortization of the fair value of the cash conversion option embedded in the 1.25% Cash Convertible Notes and deferred debt issuance costs from interest expense since such amortization is also included in depreciation and amortization. Interest expense (income) and other (income) expense has been adjusted from the amount presented in the statements of operations in order to remove the
(b) Provision for revenue deferral for the three months ended December 31, 2012 reflects a cumulative catch-up revenue deferral related to a change in how revenue is recognized for clients who have long-aged accounts receivable balances.
(c) Depreciation expense totaling approximately $0.4 million and $1.2 million has been excluded from non-recurring expenses for the nine months ended September 30, 2013, respectively, since these amounts are also included in depreciation and amortization. In addition, non-recurring expenses in the fourth quarter of 2012 relate to certain severance, legal, consulting, and other charges incurred in connection with activities that were considered one-time.
A Connected Community of Health | Copyright © 2014 Allscripts Healthcare Solutions, Inc. 34 AllscriptsTM
January 2014
Allscripts
Investor Presentation
J.P. Morgan Healthcare Conference
AllscriptsTM