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Overview of Consolidated Results

(In thousands) Year Ended December 31, 2019 %
Change
from 2018
2018 %
Change
from 2017
2019 2018 2017
Revenue:
Software delivery, support and maintenance $ 1,126,486 $ 1,128,263 $ 958,187 (0.2%) 17.7%
Client services 645,191 621,699 539,521 3.8% 15.2%
Total revenue 1,771,677 1,749,962 1,497,708 1.2% 16.8%
Cost of revenue:
Software delivery, support and maintenance 358,946 357,039 295,593 0.5% 20.8%
Client services 583,111 565,504 484,591 3.1% 16.7%
Amortization of software development and
acquisition-related assets
116,040 102,876 84,725 12.8% 21.4%
Total cost of revenue 1,058,097 1,025,419 864,909 3.2% 18.6%
Gross profit 713,580 724,543 632,799 (1.5%) 14.5%
Gross margin % 40.3% 41.4% 42.3%
Selling, general and administrative expenses 419,774 450,967 400,688 (6.9%) 12.5%
Research and development 254,509 268,409 202,282 (5.2%) 32.7%
Asset impairment charges 10,837 58,166 0 (81.4%) NM
Goodwill impairment charge 25,700 13,466 0 90.9% NM
Amortization of intangible and acquisition-related assets 27,216 26,587 17,345 2.4% 53.3%
(Loss) income from operations (24,456) (93,052) 12,484 (73.7%) NM
Interest expense (43,172) (50,914) (37,540) (15.2%) 35.6%
Other (loss) income, net (138,902) 74 (512) NM 114.5%
Gain on sale of businesses, net 0 172,258 0 (100.0%) NM
Impairment of long-term investments (651) (15,487) (165,290) (95.8%) (90.6%)
Equity in net income of unconsolidated investments 665 259 821 156.8% (68.5%)
(Loss) income from continuing operations
before income taxes
(206,516) 13,138 (190,037) NM 106.9%
Income tax benefit (provision) 23,914 (469) 5,514 NM (108.5%)
Effective tax rate 11.6% 3.6% 2.9%
(Loss) income from continuing operations, net of tax (182,602) 12,669 (184,523) NM (106.9%)
Loss from discontinued operations 0 (72,836) (11,915) (100.0%) NM
Gain on sale of Netsmart 0 500,471 0 (100.0%) NM
Income tax effect on discontinued operations 0 (32,497) 42,263 (100.0%) (176.9%)
Income from discontinued operations, net of tax 0 395,138 30,348 (100.0%) NM
Net (loss) income (182,602) 407,807 (154,175) (144.8%) NM
Net loss attributable to non-controlling interests 424 4,527 1,566 (90.6%) 189.1%
Accretion of redemption preference on redeemable
convertible non-controlling interest -
discontinued operations
0 (48,594) (43,850) (100.0%) 10.8%
Net (loss) income attributable to Allscripts Healthcare
Solutions, Inc. stockholders
$ (182,178) $ 363,740 $ (196,459) (150.1%) NM

NM—We define “NM” as not meaningful for increases or decreases greater than 200%.

Revenue

Recurring revenue consists of subscription-based software sales, support and maintenance revenue, recurring transactions revenue and recurring revenue from managed services solutions, such as outsourcing, private cloud hosting and revenue cycle management. Non-recurring revenue consists of perpetual software licenses sales, hardware resale and non-recurring transactions revenue, and project-based client services revenue.

(In thousands) Year Ended December 31, 2019 %
Change
from 2018
2018 %
Change
from 2017
2019 2018 2017
Revenue:
Recurring revenue $ 1,395,869 $ 1,411,742 $ 1,176,720 (1.1%) 20.0%
Non-recurring revenue 375,808 338,220 320,988 11.1% 5.4%
Total revenue $ 1,771,677 $ 1,749,962 $ 1,497,708 1.2% 16.8%

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