'Our unique business continued to drive unique results as we once again reported strong year-over-year growth in revenue, gross profit, Adjusted EBITDA, and free cash flow. These results come from our team executing on our goal to drive better outcomes for patients by delivering insights and efficiencies for our customers'
Third quarter 2022 Veradigm revenue was $145 million compared with $137 million in the third quarter of 2021. On a consolidated Allscripts basis third quarter 2022 revenue was $152 million compared with $145 million in the third quarter of 2021. On a GAAP basis, Veradigm income from operations was $28 million in the third quarter of 2022 compared with $17 million in the third quarter of 2021. Veradigm Non-GAAP income from operations in the third quarter of 2022 was $34 million compared with $24 million in the third quarter of 2021. On a consolidated basis in the third quarter of 2022, GAAP income from operations was $25 million compared with income from operations in the third quarter of 2021 of $18 million. Non-GAAP income from operations in the third quarter of 2022 was $34 million compared with $26 million in the third quarter of 2021.
Veradigm Adjusted EBITDA totaled $44 million in the third quarter of 2022 compared with $35 million in the third quarter of 2021. On a consolidated basis Allscripts Adjusted EBITDA totaled $43 million in the third quarter of 2022 compared with $36 million in the third quarter of 2021. Consolidated GAAP net income in the third quarter of 2022 totaled $15 million compared with income of $16 million in the third quarter of 2021. Non-GAAP net income in the third quarter of 2022 was $26 million compared with $27 million in the third quarter of 2021. Net income in 2021 benefited from a $12 million pretax gain related to the sale of our 2bPrecise business as well as two of our non-controlling investments.
Consolidated GAAP diluted earnings per share in the third quarter of 2022 and 2021 was $0.12. Non-GAAP diluted earnings per share in the third quarter of 2022 were $0.23 compared with $0.21 in the third quarter of 2021. Stock repurchases totaled $34 million in the third quarter of 2022.
“Our unique business continued to drive unique results as we once again reported strong year-over-year growth in revenue, gross profit, Adjusted EBITDA, and free cash flow. These results come from our team executing on our goal to drive better outcomes for patients by delivering insights and efficiencies for our customers,” said Rick Poulton, Allscripts Chief Executive Officer. 2022 Financial Outlook(1)
Allscripts is affirming its prior annual outlook and currently expects to achieve: Veradigm revenue growth year-over-year between 6% to 7%
Veradigm Adjusted EBITDA growth year-over-year between 10% to 15%
Free cash flow from continuing operations between $110 million to $120 million.
Allscripts will conduct a conference call today, Thursday, November 3, 2022, at 4:30 PM Eastern Time to discuss its earnings release and other information. Participants may access the conference call via webcast at http://investor.allscripts.com. Participants also may access the conference call by dialing +1 (877) 269-7756 or +1 (210) 689-7817 (international) and requesting Conference ID # 13733727. A replay of the call will be available approximately two hours after the conclusion of the call, for a period of four weeks, on the Allscripts Investor Relations website. Supplemental and non-GAAP financial information is also available at http://investor.allscripts.com.
In providing financial guidance, the company does not reconcile Adjusted EBITDA and free cash flow to the corresponding GAAP financial measures. Allscripts does not provide guidance for the various reconciling items since certain items that impact GAAP operating income and operating cash flow such as depreciation and amortization expense, and transaction and other costs, any of which may be significant, are outside of its control and/or cannot be reasonably predicted. Please see the “Explanation of Non-GAAP Financial Measures” at the end of this press release for detailed information on calculating non-GAAP measures. For a reconciliation of other non-GAAP financial measures, see the non-GAAP financial reconciliation tables in this release (Tables 4 through 10). NOTE: All percentage changes described within this press release are calculated from full dollar amounts as illustrated in the accompanying financial statements posted on the Investor Relations website. Rounding differences may occur when individually calculating percentages or totals from rounded amounts included within the press release body compared to full dollar amounts in the tables.
Allscripts (Nasdaq: MDRX) is a leader in healthcare information technology solutions that advance clinical, financial and operational results. Our innovative solutions connect people, places and data across an Open, Connected Community of Health™. Connectivity empowers caregivers to make better decisions and deliver better care for healthier populations. To learn more, visit www.allscripts.com, LinkedIn, and It Takes A Community: The Allscripts Blog. Forward-Looking Statements
This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, including statements regarding our 2022 outlook, our profitability initiatives, our strategic priorities and our client outcomes. These forward-looking statements are based on the current beliefs and expectations of Allscripts management, only speak as of the date that they are made and are subject to significant risks and uncertainties. Such statements can be identified by the use of words such as “future,” “anticipates,” “believes,” “estimates,” “expects,” “intends,” “plans,” “predicts,” “will,” “would,” “could,” “can,” “may,” “look forward,” “pipeline,” “aim” and similar terms. Actual results could differ significantly from those set forth in the forward-looking statements and reported results should not be considered an indication of future performance or events. Certain factors that could cause our actual results to differ materially from those described in the forward-looking statements include, but are not limited to: our use of proceeds from the disposition of our Hospitals and Large Physician Practices Business; our ability to achieve the margin targets associated with our profitability initiatives within the contemplated time periods, if at all; the continued impact of the COVID-19 pandemic, including the impacts of our responses and the responses by governments and other businesses to the pandemic, on our business, our employees, our clients and our suppliers; security breaches resulting in unauthorized access to our or our clients’ computer systems or data, including denial-of-services, ransomware or other Internet-based attacks; the failure by Practice Fusion to comply with the terms of the settlement agreements with the U.S. Department of Justice (the “DOJ”); the costs and burdens of compliance by Practice Fusion with the terms of its settlement agreements with the DOJ; additional investigations and proceedings from governmental entities or third parties other than the DOJ related to the same or similar conduct underlying the DOJ’s investigations into Practice Fusion’s business practices; our ability to recover from third parties (including insurers) any amounts paid in connection with Practice Fusion’s settlement agreements with the DOJ and related inquiries; the expected financial results of businesses acquired by us; the successful integration of businesses acquired by us; the anticipated and unanticipated expenses and liabilities related to businesses acquired by us, including the civil investigation by the U.S. Attorney’s Office involving our Enterprise Information Solutions business; other risks associated with investments and acquisitions; risks associated with disposition of the Hospitals and Large Physicians Practices Business, our failure to compete successfully; consolidation in our industry; current and future laws, regulations and industry initiatives; increased government involvement in our industry; the failure of markets in which we operate to develop as quickly as expected; our or our customers’ failure to see the benefits of government programs; changes in interoperability or other regulatory standards; our ability to maintain and expand our business with existing clients or effectively transition clients to newer products; the effects of the realignment of our sales, services and support organizations; market acceptance of our products and services; the unpredictability of the sales and implementation cycles for our products and services; our ability to manage future growth; our ability to introduce new products and services; our ability to establish and maintain strategic relationships; risks associated with investments and acquisitions; the performance of our products; our ability to protect our intellectual property rights; the outcome of legal proceedings involving us; our ability to hire, retain and motivate key personnel; performance by our content and service providers; liability for use of content; price reductions; our ability to license and integrate third-party technologies; risks related to global operations; variability of our quarterly operating results; risks related to our outstanding indebtedness; changes in tax rates or laws; business disruptions; our ability to maintain proper and effective internal controls; asset and long-term investment impairment charges; and inflationary pressures and macroeconomic volatility. Additional information about these and other risks, uncertainties, and factors affecting our business is contained in our filings with the Securities and Exchange Commission, including under the caption “Risk Factors” in our most recent Annual Report on Form 10-K and subsequent Quarterly Reports on Form 10-Qs. We do not undertake to update forward-looking statements to reflect changed assumptions, the impact of circumstances or events that may arise after the date of the forward-looking statements, or other changes in our business, financial condition or operating results over time. Condensed Consolidated Balance Sheets
Cash and cash equivalents
Prepaid expenses and other current assets
Current assets attributable to discontinued operations
Software development costs, net
Contract assets - long-term
Right-of-use assets - operating leases
Long-term assets attributable to discontinued operations
LIABILITIES AND STOCKHOLDERS’ EQUITY
Accrued compensation and benefits
Current operating lease liabilities
Current liabilities attributable to discontinued operations
Total current liabilities
Long-term operating lease liabilities
Long-term liabilities attributable to discontinued operations
Total stockholders’ equity
Total liabilities and stockholders’ equity
Condensed Consolidated Statements of Operations
(In millions, except per share amounts)
Selling, general and administrative expenses
Amortization of intangible and acquisition-related assets
Income (loss) from operations
Interest income (expense), net (a)
Income (loss) before income taxes
Income tax (provision) benefit
Income (loss) from continuing operations, net of tax
Income (loss) from discontinued operations
Gain (loss) on sale of discontinued operations
Income tax (provision) from discontinued operations
Income (loss) from discontinued operations, net of tax
Diluted earnings per Common Share:
Income (loss) from continuing operations, net of tax
Plus: Interest expense, net of tax1
Income (loss) from continuing operations2
Income (loss) from discontinued operations, net of tax
Income (loss) from continuing operations per share - basic
Income (loss) from discontinued operations per share - basic
Income (loss) per share - basic
Income (loss) from continuing operations per share - diluted2
Income (loss) from discontinued operations per share - diluted
Income (loss) per share - diluted2
Weighted average common shares outstanding:
(a) Interest expense, net
Non-cash charges to interest expense
1Associated with 0.875% Convertible Senior Notes
2Net of tax after the effect of assumed conversions of convertible notes
Condensed Consolidated Statements of Cash Flows
Cash flows from operating activities:
Less: Income(loss) from discontinued operations
Income (loss) from continuing operations
Non-cash adjustments to net income (loss):
Depreciation and amortization
Non-cash lease expense, net
Stock-based compensation expense
Impairment of assets and long-term investments
Gain on sale of businesses, net
Total non-cash adjustments to net income (loss) Cash impact of changes in operating assets and liabilities:
Total cash impact of changes on operating assets and liabilities
Net cash provided by (used in) operating activities - continuing operations
Net cash provided by (used in) operating activities - discontinued operations
Net cash provided by (used in) operating activities
Cash flows from investing activities:
Cash paid for business acquisitions, net of cash acquired
Sale of businesses, other investments and distributions received1
Purchases of equity securities, other investments and intangible assets, net
Cash provided by (used in) investing activities - continuing operations
Cash provided by (used in) investing activities - discontinued operations
Net cash provided by (used in) investing activities
Cash flows from financing activities:
Taxes paid related to net share settlement of equity awards
Credit facility borrowings, net of issuance costs
Repurchase of common stock
Intercompany to/from parent/subsidiaries
Payment of acquisition and other financing obligations
Net cash provided by (used in) financing activities - continuing operations
Net cash provided by (used in) financing activities - discontinued operations
Net cash provided by (used in) financing activities
Effect of exchange rate changes on cash and cash equivalents
Net increase (decrease) in cash and cash equivalents
Cash, cash equivalents and restricted cash, beginning of period
Cash, cash equivalents and restricted cash, end of period
Less: Cash and cash equivalents attributable to discontinued operations
Cash, cash equivalents and restricted cash, end of period, continuing operations
1Other investments are net of cash divested
(In millions, except per share amounts and percentages)
Gross profit, as reported
Acquisition-related amortization
Stock-based compensation expense
Total non-GAAP gross profit
Income (loss) from operations, as reported
Acquisition-related amortization
Stock-based compensation expense
Total non-GAAP income from operations
Loss (income) from discontinued operations
(Gain) on sale of business, net from discontinued operations
Income tax provision from discontinued operations
Income (loss) from continuing operations1
Less: Interest expense, net of tax2
Income (loss) from continuing operations, net of tax
Acquisition-related amortization
Stock-based compensation expense
Non-cash charges to interest expense and other
Non-GAAP effective tax rate
Weighted shares outstanding - basic
Weighted shares outstanding - diluted
Less the net effect of convertible notes and note hedges
Non-GAAP Weighted shares outstanding - diluted
Net Income (loss) from continuing operations per share - diluted1 Non-GAAP Net Income (loss) per share - diluted
1Net of tax after the effect of assumed conversions of convertible notes
2Associated with 0.875% Convertible Senior Notes
Non-GAAP Financial Information - Adjusted EBITDA
(In millions, except percentages)
Income (loss) from operations, as reported
Depreciation and amortization
Stock-based compensation expense
Adjusted EBITDA margin (a)
(a) Adjusted EBITDA margin is calculated by dividing adjusted EBITDA by revenue.
Non-GAAP Financial Information - Free Cash Flow
Three Months Ended September 30,
Nine Months Ended September 30,
Net cash provided by (used in) operating activities - continuing operations
Cash flows from investing activities:
Non-GAAP Financial Information from Continuing Operations - Segment Details
Total Allscripts Consolidated, Non-GAAP
First year contract value
Non-GAAP Financial Information Reconciliation - Segment Details
Acquisition-related amortization
Stock-based compensation expense
Income (loss) from operations, GAAP
Acquisition-related amortization
Stock-based compensation expense
Non-GAAP Income (loss) from operations
Depreciation and amortization
Stock-based compensation expense
Income (loss) from operations, GAAP
Stock-based compensation expense
Non-GAAP Income (loss) from operations
Depreciation and amortization
Non-GAAP Financial Information from Continuing Operations - Revenue and Gross Profit Details
Veradigm Provider, Non-GAAP
Veradigm Payer & Life Sciences, Non-GAAP
Total Allscripts Consolidated, Non-GAAP
Non-GAAP Financial Information Reconciliation - Revenue and Gross Profit Details
Acquisition-related amortization
Stock-based compensation expense
Veradigm Payer & Life Sciences
Acquisition-related amortization
Stock-based compensation expense
Acquisition-related amortization
Stock-based compensation expense
Acquisition-related amortization
Stock-based compensation expense
Acquisition-related amortization
Stock-based compensation expense
Acquisition-related amortization
Stock-based compensation expense
Explanation of Non-GAAP Financial Measures
Allscripts reports its financial results in accordance with U.S. generally accepted accounting principles, or GAAP. To supplement this information, Allscripts presents non-GAAP bookings, gross profit, gross margin, income from operations, Adjusted EBITDA, Adjusted EBITDA margin, effective income tax rate, net income, diluted earnings per share and free cash flow, which are considered non-GAAP financial measures under Section 101 of Regulation G under the Securities Exchange Act of 1934, as amended. The definitions of non-GAAP financial measures are presented below: Non-GAAP bookings consists of total contract value which reflects the value of executed contracts for software, hardware, maintenance, and other client services on a continuing operations basis. First year contract value, a subset of total contract value, reflects the anticipated revenue to be recognized in 12 months following new contract activation on a continuing operations basis.
Non-GAAP gross profit consists of GAAP gross profit, as reported, and excludes acquisition-related amortization and; stock-based compensation expense. Non-GAAP gross margin consists of non-GAAP gross profit as a percentage of revenue in the applicable period. Reconciliations to GAAP gross profit are found in Tables 4, 8 and 10 within this press release.
Non-GAAP gross margin is a non-GAAP measure that is calculated by dividing non-GAAP gross profit by revenue.
Non-GAAP income from operations consists of GAAP income (loss) from operations, as reported, and excludes acquisition-related amortization; stock-based compensation expense; and transaction and other costs. Reconciliations to GAAP income (loss) from operations are found in Tables 4 and 8 within this press release.
Adjusted EBITDA is a non-GAAP measure and consists of GAAP income/(loss) from operations, as reported, and adjusts for: depreciation and amortization; asset impairment charges; stock-based compensation expense; and transaction and other costs. Reconciliations to GAAP income/(loss) from operations are found in Tables 5 and 8 within this press release.
Adjusted EBITDA margin is a non-GAAP measure that is calculated by dividing Adjusted EBITDA by revenue. See the reconciliations in Tables 5 and 8 within this press release with respect to Adjusted EBITDA.
Non-GAAP effective income tax rate is based on non-GAAP pre-tax earnings and consists of the statutory federal income tax rate, Allscripts effective state income tax rate and adjustments for permanent differences. Non-GAAP net income attributable to Allscripts Healthcare Solutions, Inc. consists of GAAP net income/(loss) from continuing operations, as reported, and adds back acquisition-related amortization; stock-based compensation expense; transaction and other costs; and non-cash charges to interest expense and other. Non-GAAP net income also includes a GAAP to non-GAAP tax rate alignment adjustment. Reconciliations to GAAP net income/(loss) attributable to Allscripts Healthcare Solutions, Inc. are found in Table 4 within this press release. Non-GAAP diluted weighted shares outstanding consists of diluted weighted shares outstanding, as reported, less the dilutive impact of 0.875% convertible notes due to the intent to settle the principal in cash and shares to be delivered at settlement by the convertible note hedge.
Non-GAAP diluted earnings per share consist of non-GAAP net income, as defined above, divided by non-GAAP diluted weighted shares outstanding, as defined above, during the applicable period.
Free cash flow consists of GAAP cash flows from continuing operations in the applicable period, net of capital expenditures and capitalized software costs. Reconciliations to GAAP cash flows from continuing operations are found in Table 6 within this press release.
Acquisition-Related Amortization. Acquisition-related amortization expense is a non-cash expense arising primarily from the acquisition of intangible assets in connection with acquisitions or investments. Allscripts excludes acquisition-related amortization expense from non-GAAP gross profit, non-GAAP operating income, and non-GAAP net income because it believes (i) the amount of such expenses in any specific period may not directly correlate to the underlying performance of Allscripts business operations and (ii) such expenses can vary significantly between periods because of new acquisitions and full amortization of previously acquired intangible assets. Investors should note that the use of these intangible assets contributed to revenue in the periods presented and will contribute to future revenue generation, and the related amortization expense will recur in future periods. Stock-Based Compensation Expense. Stock-based compensation expense is a non-cash expense arising from the grant of stock-based awards. Allscripts excludes stock-based compensation expense from non-GAAP gross profit, non-GAAP operating income, non-GAAP net income and Adjusted EBITDA because it believes (i) the amount of such expenses in any specific period may not directly correlate to the underlying performance of Allscripts business operations and (ii) such expenses can vary significantly between periods as a result of the timing and valuation of grants of new stock-based awards, including grants in connection with acquisitions. Investors should note that stock-based compensation is a key incentive offered to employees whose efforts contributed to the operating results in the periods presented and are expected to contribute to operating results in future periods, and such expense will recur in future periods. Transaction and Other Costs. Transaction and other costs relate to certain legal proceedings and investigations, consulting, severance, incentive compensation and other charges incurred in connection with activities that are considered not reflective of our core business. Other costs also include non-cash impairment charges based on management’s assessment of the likelihood of near-term recovery of the investments’ value. Allscripts excludes transaction and other costs, in whole or in part, from non-GAAP gross profit, non-GAAP operating income, non-GAAP net income and Adjusted EBITDA because it believes (i) the amount of such expenses in any specific period may not directly correlate to the underlying performance of Allscripts business operations and (ii) such expenses can vary significantly between periods. Asset Impairment Charges. Asset impairment charges reflect non-cash charges related to the write-offs of deferred costs related to our private cloud hosting operations. Non-Cash Charges to Interest Expense and Other. Non-cash charges to interest expense include the amortization of the fair value of the conversion option embedded in the 0.875% Convertible Notes issued by Allscripts during the fourth quarter of 2019. Other includes certain other income and expense and impairments on long-term investments. Tax Rate Alignment. Tax rate alignment aligns the applicable period’s effective tax rate to the expected annual non-GAAP effective tax rate. Management also believes that non-GAAP gross profit, income from operations, effective income tax rate, net income, diluted earnings per share, Adjusted EBITDA, Adjusted EBITDA margin and free cash flow provide useful supplemental information to management and investors regarding the underlying performance of Allscripts business operations. Acquisition accounting adjustments, transaction, and other costs recorded in accordance with GAAP can make it difficult to make meaningful comparisons of the underlying operations of the business without considering the non-GAAP adjustments provided and discussed herein. Management also uses this information internally for forecasting and budgeting, as it believes that these measures are indicative of core operating results. In addition, management may use non-GAAP gross profit, operating income, net income, diluted earnings per share, Adjusted EBITDA and/or Adjusted EBITDA margin to measure achievement under Allscripts stock and cash incentive compensation plans. Note, however, that non-GAAP gross profit, operating income, net income, diluted earnings per share, Adjusted EBITDA and Adjusted EBITDA margin are performance measures only, and they do not provide any measure of cash flow or liquidity. Allscripts considers free cash flow to be a liquidity measure that provides useful information to management and investors about the amount of cash generated by the business after capital expenditures and capitalized software costs. Free cash flow provides management and investors a valuable measure to determine the quantity of capital generated that can be deployed to create additional shareholder value by a variety of means. Non-GAAP financial measures are not in accordance with, or an alternative for, measures of financial performance prepared in accordance with GAAP and may be different from non-GAAP measures used by other companies. Non-GAAP measures have limitations in that they do not reflect all of the amounts associated with Allscripts results of operations as determined in accordance with GAAP. Investors and potential investors are encouraged to review the definitions and reconciliations of non-GAAP financial measures with GAAP financial measures contained within the attached condensed consolidated financial statements.