mdrx-10q_20180331.htm

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10-Q

 

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

For the quarterly period ended March 31, 2018

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, Suite 2024

Chicago, IL 60654

(Address of Principal Executive Offices, Zip Code)

(312) 506-1200

(Registrant's Telephone Number, Including Area Code)

 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.     Yes        No   

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).      Yes        No   

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act. (Check one):

 

Large accelerated filer

 

  

Accelerated filer

 

 

 

 

 

Non-accelerated filer

 

  (Do not check if a smaller reporting company)

  

Smaller reporting company

 

 

 

 

 

 

 

 

 

 

 

 

Emerging growth company

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.      

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).      Yes        No   

As of May 3, 2018, there were 177,952,607 shares of the registrant's $0.01 par value common stock outstanding.

 

 


ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.

FORM 10-Q

For the Fiscal Quarter Ended March 31, 2017

TABLE OF CONTENTS

 

 

  

 

 

PAGE

PART I. FINANCIAL INFORMATION

 

3

Item 1.

 

Financial Statements (unaudited)

 

3

Item 2.

 

Management's Discussion and Analysis of Financial Condition and Results of Operations

 

35

Item 3.

 

Quantitative and Qualitative Disclosures About Market Risk

 

51

Item 4.

 

Controls and Procedures

 

51

PART II. OTHER INFORMATION

 

52

Item 1.

 

Legal Proceedings

 

52

Item 1A.

 

Risk Factors

 

52

Item 2.

 

Unregistered Sales of Equity Securities and Use of Proceeds

 

52

Item 6.

 

Exhibits

 

53

SIGNATURES

 

54

 

2


PART I. FINANCIAL INFORMATION

Item 1.

Financial Statements 

ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.

CONSOLIDATED BALANCE SHEETS

(Unaudited)

 

(In thousands, except per share amounts)

 

March 31, 2018

 

 

December 31, 2017

 

ASSETS

 

 

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

135,003

 

 

$

155,839

 

Restricted cash

 

 

8,769

 

 

 

6,659

 

Accounts receivable, net of allowance of $44,652 and $37,735 as of

   March 31, 2018 and December 31, 2017, respectively

 

 

495,695

 

 

 

567,873

 

Contract assets

 

 

45,068

 

 

 

0

 

Prepaid expenses and other current assets

 

 

130,051

 

 

 

115,463

 

Assets of disposal group held for sale

 

 

96,478

 

 

 

0

 

Total current assets

 

 

911,064

 

 

 

845,834

 

Fixed assets, net

 

 

164,878

 

 

 

165,603

 

Software development costs, net

 

 

235,845

 

 

 

222,189

 

Intangible assets, net

 

 

827,059

 

 

 

826,872

 

Goodwill

 

 

2,051,437

 

 

 

2,004,953

 

Deferred taxes, net

 

 

4,888

 

 

 

4,574

 

Contract assets - long-term

 

 

40,486

 

 

 

0

 

Other assets

 

 

129,610

 

 

 

148,849

 

Assets attributable to discontinued operations

 

 

4,945

 

 

 

11,276

 

Total assets

 

$

4,370,212

 

 

$

4,230,150

 

 


3


ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.

CONSOLIDATED BALANCE SHEETS (CONTINUED)

(Unaudited)

 

(In thousands, except per share amounts)

 

March 31, 2018

 

 

December 31, 2017

 

LIABILITIES AND STOCKHOLDERS' EQUITY

 

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

 

 

Accounts payable

 

$

101,818

 

 

$

97,583

 

Accrued expenses

 

 

102,028

 

 

 

85,915

 

Accrued compensation and benefits

 

 

82,141

 

 

 

99,632

 

Deferred revenue

 

 

540,289

 

 

 

546,830

 

Current maturities of long-term debt

 

 

19,503

 

 

 

27,687

 

Current maturities of non-recourse long-term debt - Netsmart

 

 

2,760

 

 

 

2,755

 

Current maturities of capital lease obligations

 

 

9,753

 

 

 

7,865

 

Liabilities of disposal group held for sale

 

 

31,048

 

 

 

0

 

Total current liabilities

 

 

889,340

 

 

 

868,267

 

Long-term debt

 

 

1,064,305

 

 

 

906,725

 

Non-recourse long-term debt - Netsmart

 

 

624,872

 

 

 

625,193

 

Long-term capital lease obligations

 

 

8,152

 

 

 

7,105

 

Deferred revenue

 

 

25,876

 

 

 

24,047

 

Deferred taxes, net

 

 

117,061

 

 

 

93,643

 

Other liabilities

 

 

72,526

 

 

 

92,205

 

Liabilities attributable to discontinued operations

 

 

14,276

 

 

 

21,358

 

Total liabilities

 

 

2,816,408

 

 

 

2,638,543

 

Redeemable convertible non-controlling interest - Netsmart

 

 

443,684

 

 

 

431,535

 

Commitments and contingencies

 

 

 

 

 

 

 

 

Stockholders’ equity:

 

 

 

 

 

 

 

 

Preferred stock: $0.01 par value, 1,000 shares authorized,

   no shares issued and outstanding as of March 31, 2018 and December 31, 2017

 

 

0

 

 

 

0

 

Common stock: $0.01 par value, 349,000 shares authorized as of March 31, 2018

   and December 31, 2017; 270,601 and 177,953 shares issued and outstanding as of

  March 31, 2018, respectively; 269,335 and 180,832 shares issued and outstanding

   as of December 31, 2017, respectively

 

 

2,706

 

 

 

2,693

 

Treasury stock: at cost, 92,648 and 88,504 shares as of March 31, 2018 and

   December 31, 2017, respectively

 

 

(380,335

)

 

 

(322,735

)

Additional paid-in capital

 

 

1,770,801

 

 

 

1,781,059

 

Accumulated deficit

 

 

(319,271

)

 

 

(338,150

)

Accumulated other comprehensive loss

 

 

(2,181

)

 

 

(1,985

)

Total Allscripts Healthcare Solutions, Inc.'s stockholders' equity

 

 

1,071,720

 

 

 

1,120,882

 

Non-controlling interest

 

 

38,400

 

 

 

39,190

 

Total stockholders’ equity

 

 

1,110,120

 

 

 

1,160,072

 

Total liabilities and stockholders’ equity

 

$

4,370,212

 

 

$

4,230,150

 

 

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

4


ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.

CONSOLIDATED STATEMENTS OF OPERATIONS

(Unaudited)

 

 

 

Three Months Ended

March 31,

 

(In thousands, except per share amounts)

 

2018

 

 

2017

 

Revenue:

 

 

 

 

 

 

 

 

Software delivery, support and maintenance

 

$

329,766

 

 

$

268,188

 

Client services

 

 

184,160

 

 

 

145,287

 

Total revenue

 

 

513,926

 

 

 

413,475

 

Cost of revenue:

 

 

 

 

 

 

 

 

Software delivery, support and maintenance

 

 

104,410

 

 

 

83,397

 

Client services

 

 

154,768

 

 

 

124,939

 

Amortization of software development and acquisition-related assets

 

 

33,773

 

 

 

26,487

 

Total cost of revenue

 

 

292,951

 

 

 

234,823

 

Gross profit

 

 

220,975

 

 

 

178,652

 

Selling, general and administrative expenses

 

 

143,070

 

 

 

110,845

 

Research and development

 

 

69,977

 

 

 

49,232

 

Amortization of intangible and acquisition-related assets

 

 

12,248

 

 

 

7,312

 

(Loss) income from operations

 

 

(4,320

)

 

 

11,263

 

Interest expense

 

 

(25,046

)

 

 

(20,180

)

Other (loss) income, net

 

 

(917

)

 

 

239

 

Impairment of and losses on long-term investments

 

 

(5,500

)

 

 

0

 

Equity in net (loss) income  of unconsolidated investments

 

 

(61

)

 

 

285

 

Loss from continuing operations before income taxes

 

 

(35,844

)

 

 

(8,393

)

Income tax benefit (provision)

 

 

2,914

 

 

 

(172

)

Loss from continuing operations, net of tax

 

 

(32,930

)

 

 

(8,565

)

Income from discontinued operations, net of tax

 

 

4,415

 

 

 

0

 

Net loss

 

 

(28,515

)

 

 

(8,565

)

Less: Net loss (income) attributable to non-controlling interests

 

 

790

 

 

 

(453

)

Less: Accretion of redemption preference on redeemable

   convertible non-controlling interest - Netsmart

 

 

(12,149

)

 

 

(10,962

)

Net loss attributable to Allscripts Healthcare

   Solutions, Inc. stockholders

 

$

(39,874

)

 

$

(19,980

)

 

 

 

 

 

 

 

 

 

Net loss attributable to Allscripts Healthcare Solutions, Inc.

    stockholders per share:

 

 

 

 

 

 

 

 

Basic

 

 

 

 

 

 

 

 

Continuing operations

 

$

(0.25

)

 

$

(0.11

)

Discontinued operations

 

 

0.03

 

 

 

0.00

 

Net loss attributable to Allscripts Healthcare Solutions, Inc.

     stockholders per share

 

$

(0.22

)

 

$

(0.11

)

 

 

 

 

 

 

 

 

 

Diluted

 

 

 

 

 

 

 

 

Continuing operations

 

$

(0.25

)

 

$

(0.11

)

Discontinued operations

 

 

0.03

 

 

 

0.00

 

Net loss attributable to Allscripts Healthcare Solutions, Inc.

     stockholders per share

 

$

(0.22

)

 

$

(0.11

)

 

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

5


ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)

(Unaudited)

 

 

 

 

Three Months Ended

March 31,

 

(In thousands)

 

2018

 

 

2017

 

Net (loss) income

 

$

(28,515

)

 

$

(8,565

)

Other comprehensive income (loss):

 

 

 

 

 

 

 

 

Foreign currency translation adjustments

 

 

123

 

 

 

1,515

 

Change in unrealized gain (loss) on available for sale securities

 

 

0

 

 

 

(74,702

)

Change in fair value of derivatives qualifying as cash flow hedges

 

 

(633

)

 

 

1,348

 

Other comprehensive loss before income tax benefit (expense)

 

 

(510

)

 

 

(71,839

)

Income tax benefit (expense) related to items in other

   comprehensive loss

 

 

314

 

 

 

(521

)

Total other comprehensive loss

 

 

(196

)

 

 

(72,360

)

Comprehensive loss

 

 

(28,711

)

 

 

(80,925

)

Less: Comprehensive loss (income) attributable to

   non-controlling interests

 

 

790

 

 

 

(453

)

Comprehensive loss, net

 

$

(27,921

)

 

$

(81,378

)

 

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

6


ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited)

 

 

 

Three Months Ended March 31,

 

(In thousands)

 

2018

 

 

2017

 

Cash flows from operating activities:

 

 

 

 

 

 

 

 

Net loss

 

$

(28,515

)

 

$

(8,565

)

Adjustments to reconcile net loss to net cash provided by operating

   activities:

 

 

 

 

 

 

 

 

Depreciation and amortization

 

 

65,912

 

 

 

49,694

 

Stock-based compensation expense

 

 

11,952

 

 

 

7,946

 

Deferred taxes

 

 

(5,048

)

 

 

(1,570

)

Impairment of and losses on long-term investments

 

 

5,500

 

 

 

0

 

Equity in net loss (income) of unconsolidated investments

 

 

61

 

 

 

(285

)

Other losses, net

 

 

50

 

 

 

1,240

 

Changes in operating assets and liabilities (net of businesses acquired):

 

 

 

 

 

 

 

 

Accounts receivable and contract assets, net

 

 

34,780

 

 

 

(8,010

)

Prepaid expenses and other assets

 

 

(4,259

)

 

 

(4,464

)

Accounts payable

 

 

4,122

 

 

 

2,869

 

Accrued expenses

 

 

13,259

 

 

 

(5,567

)

Accrued compensation and benefits

 

 

(21,074

)

 

 

(5,501

)

Deferred revenue

 

 

(21,319

)

 

 

48,687

 

Other liabilities

 

 

2,887

 

 

 

(997

)

Net cash provided by operating activities

 

 

58,308

 

 

 

75,477

 

Cash flows from investing activities:

 

 

 

 

 

 

 

 

Capital expenditures

 

 

(8,602

)

 

 

(14,524

)

Capitalized software

 

 

(32,227

)

 

 

(34,011

)

Cash paid for business acquisitions, net of cash acquired

 

 

(109,020

)

 

 

(3,975

)

Other proceeds from investing activities

 

 

37

 

 

 

0

 

Net cash used in investing activities

 

 

(149,812

)

 

 

(52,510

)

Cash flows from financing activities:

 

 

 

 

 

 

 

 

Proceeds from sale or issuance of common stock

 

 

212

 

 

 

0

 

Taxes paid related to net share settlement of equity awards

 

 

(8,496

)

 

 

(5,864

)

Payments of capital lease obligations

 

 

(2,804

)

 

 

(3,015

)

Credit facility payments

 

 

(1,217

)

 

 

(86,726

)

Credit facility borrowings, net of issuance costs

 

 

145,843

 

 

 

80,000

 

Repurchase of common stock

 

 

(57,599

)

 

 

0

 

Payment of acquisition financing obligations

 

 

(3,226

)

 

 

0

 

Net cash provided by (used in) financing activities

 

 

72,713

 

 

 

(15,605

)

Effect of exchange rate changes on cash and cash equivalents

 

 

65

 

 

 

419

 

Net (decrease) increase in cash and cash equivalents

 

 

(18,726

)

 

 

7,781

 

Cash, cash equivalents and restricted cash, beginning of period

 

 

162,498

 

 

 

96,610

 

Cash, cash equivalents and restricted cash, end of period

 

$

143,772

 

 

$

104,391

 

 

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


7


ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

 

 

1. Basis of Presentation and Significant Accounting Policies

Principles of Consolidation

The consolidated financial statements include the accounts of Allscripts Healthcare Solutions, Inc. (“Allscripts”) and its wholly-owned subsidiaries and controlled affiliates. All significant intercompany balances and transactions have been eliminated. Each of the terms “we,” “us,” “our” or the “Company” as used herein refers collectively to Allscripts Healthcare Solutions, Inc. and its wholly-owned subsidiaries and controlled affiliates, unless otherwise stated.

Unaudited Interim Financial Information

The unaudited interim consolidated financial statements as of and for the three months ended March 31, 2018 and 2017 have been prepared in accordance with the rules and regulations of the Securities and Exchange Commission (the “SEC”) for interim financial reporting. These interim consolidated financial statements are unaudited and, in the opinion of our management, include all adjustments, consisting of normal recurring adjustments and accruals, necessary to present fairly the consolidated financial statements for the periods presented in accordance with generally accepted accounting principles in the United States of America (“GAAP”). The consolidated results of operations for the three months ended March 31, 2018 are not necessarily indicative of the results to be expected for the full year ending December 31, 2018.

Certain information and footnote disclosures normally included in annual financial statements prepared in accordance with GAAP have been condensed or omitted in accordance with the SEC's rules and regulations for interim reporting, although the Company believes that the disclosures made are adequate to make that information not misleading. These unaudited interim consolidated financial statements should be read in conjunction with the consolidated financial statements and related notes included in our Annual Report on Form 10-K for the year ended December 31, 2017 (our “Form 10-K”).

Use of Estimates

The preparation of consolidated financial statements in accordance with GAAP requires us to make estimates and assumptions that affect the amounts reported and disclosed in the consolidated financial statements and the accompanying notes. Actual results could differ materially from these estimates.

Change in Presentation

During the first quarter of 2018, we changed the presentation of certain bundled revenue streams.  Such revenue was previously included as part of software delivery, support and maintenance revenue.  Under the new presentation, such revenue is included as part of client services revenue.  The revenue previously reported for the first quarter of 2017 has been recast to match the new presentation by reducing software delivery, support and maintenance and increasing client services by $4.3 million.

Significant Accounting Policies

We adopted Financial Accounting Standards Board (“FASB”) Accounting Standards Update No. 2014-09, Revenue from Contracts with Customers: Topic 606 (“ASC 606”) effective on January 1, 2018 using the modified retrospective method for all contracts not completed as of the date of adoption. There have been no other changes to our significant accounting policies from those disclosed in our Form 10-K.

8


Recently Adopted Accounting Pronouncements

In January 2016, the FASB issued Accounting Standards Update No. 2016-01, “Recognition and Measurement of Financial Assets and Financial Liabilities” (“ASU 2016-01”). The amendments in ASU 2016-01 modify the requirements related to the measurement of certain financial instruments in the statement of financial condition and results of operation. Equity investments (except those accounted for under the equity method of accounting or those that result in consolidation of the investee), are required to be measured at fair value with changes in fair value recognized in net income. An entity may continue to elect to measure equity investments which do not have a readily determinable fair value at cost with adjustments for impairment, if any, and observable changes in price. In addition, for a liability (other than a derivative liability) that an entity measures at fair value, any change in fair value related to the instrument-specific credit risk, (i.e., the entity’s own credit risk), should be presented separately in other comprehensive income and not as a component of net income. ASU 2016-01 also clarifies that an entity should evaluate the need for a valuation allowance on a deferred tax asset related to available-for sale securities in combination with the entity’s other deferred tax assets. ASU 2016-01 is effective for interim and annual periods beginning after December 15, 2017 with early adoption permitted   solely for the instrument-instrument specific credit risk for liabilities measured at fair value. The amendments should be applied by means of a cumulative-effect adjustment to the balance sheet as of the beginning of the fiscal year of adoption. The amendments related to equity securities without readily determinable fair values (including disclosure requirements) should be applied prospectively to equity investments that exist as of the date of adoption. We adopted ASU 2016-01 effective January 1, 2018 and there was no immediate impact upon adoption. Refer to Note 3, “Fair Value Measurements”, for additional information regarding our unconsolidated equity investments.

In January 2017, the FASB issued Accounting Standards Update No. 2017-01, Business Combinations (Topic 805): Clarifying the Definition of a Business (“ASU 2017-01”). ASU 2017-01 provides new accounting guidance to assist an entity in evaluating when a set of transferred assets and activities is a business.  The guidance is effective for fiscal years, and interim periods within those fiscal years, beginning after December 15, 2017, and should be applied prospectively to any transactions occurring within the period of adoption.  Early adoption is permitted, including for interim or annual periods in which the financial statements have not been issued or made available for issuance. We adopted ASU 2017-01 effective January 1, 2018 and there was no immediate impact upon adoption.

Accounting Pronouncements Not Yet Adopted

In February 2016, the FASB issued Accounting Standards Update No. 2016-02, “Leases (Topic 842)” (“ASU 2016-02”) intended to improve financial reporting about leasing transactions. The new guidance will require entities that lease assets to recognize on their balance sheets the assets and liabilities for the rights and obligations created by those leases and to disclose key information about the leasing arrangements. ASU 2016-02 is effective for interim and annual periods beginning after December 15, 2018 with early adoption permitted. We are currently evaluating the impact of this accounting guidance, including the timing of adoption.

In January 2017, the FASB issued Accounting Standards Update No. 2017-04, Intangibles—Goodwill and Other (Topic 350): Simplifying the Test for Goodwill Impairment (“ASU 2017-04”), which provides new accounting guidance to simplify the accounting for goodwill impairment. ASU 2017-04 removes Step Two of the goodwill impairment test, which requires a hypothetical purchase price allocation. Under the new guidance, a goodwill impairment will equal the amount by which a reporting unit’s carrying value exceeds its fair value, not to exceed the carrying amount of goodwill assigned to the reporting unit. All other goodwill impairment guidance will remain largely unchanged. Entities will continue to have the option to perform a qualitative assessment to determine if a quantitative impairment test is necessary. ASU 2017-04 is effective for annual and interim periods in fiscal years beginning after December 15, 2019 with early adoption permitted for any goodwill impairment tests performed after January 1, 2017. The new guidance is to be applied prospectively. We are currently evaluating the impact of this accounting guidance, including the timing of adoption.

In August 2017, the FASB issued Accounting Standards Update No. 2017-12, Derivatives and Hedging (Topic 815): Targeted Improvements to Accounting for Hedging Activities (“ASU 2017-12”), which provides new accounting guidance to simplify and improve the reporting of hedging relationships to better portray the economic results of an entity’s risk management activities in its financial statements. In addition to that main objective, the amendments in this Update make certain targeted improvements to simplify the application of the hedge accounting guidance in current GAAP. ASU 2017-12 is effective for fiscal years beginning after December 15, 2018, and interim periods within those fiscal years. Early application is permitted in any interim period after the issuance of this Update. We are currently evaluating the impact of this accounting guidance, including the timing of adoption.

We do not believe that any other recently issued, but not yet effective accounting standards, if adopted, would have a material impact on our consolidated financial statements.

9


2. Business Combinations

2018 Business Combinations

Acquisition of Practice Fusion, Inc.

On February 13. 2018, we completed the acquisition of Practice Fusion, Inc., a Delaware corporation (“Practice Fusion”), for aggregate consideration of $113.7 million paid in cash. Practice Fusion offers an affordable certified cloud-based electronic health record (“EHR”) for traditionally hard-to-reach small, independent physician practices. The consideration paid for Practice Fusion is shown below:

 

 

(In thousands)

 

Aggregate purchase price

 

$

100,000

 

Add: Net working capital surplus

 

 

469

 

Less: Adjustment for assumed indebtedness

 

 

(1,684

)

Add: Closing cash

 

 

14,951

 

Total consideration paid for Practice Fusion

 

$

113,736

 

The allocation of the fair value of the consideration transferred as of the acquisition date of February 13, 2018 is shown in the table below. This allocation is preliminary and subject to changes, which could be significant, as appraisals of tangible and intangible assets are finalized, and additional information becomes available. The goodwill is not expected to be deductible for tax purposes.

 

 

(In thousands)

 

Cash and cash equivalents

 

$

14,951

 

Accounts receivable, net

 

 

13,397

 

Prepaid expenses and other current assets

 

 

809

 

Fixed assets

 

 

1,764

 

Intangible assets

 

 

67,200

 

Goodwill

 

 

34,739

 

Other assets

 

 

43

 

Accounts payable and accrued expenses

 

 

(7,620

)

Deferred revenue

 

 

(2,400

)

Long-term deferred tax liability

 

 

(8,332

)

Other liabilities

 

 

(815

)

Net assets acquired

 

$

113,736

 

The following table summarizes the preliminary fair values of the identifiable intangible assets and their estimated useful lives:

 

 

Useful Life

 

Fair Value

 

Description

 

(In years)

 

(In thousands)

 

Customer Relationships - Physician Practices

 

15

 

$

28,700

 

Customer Relationships - Pharmaceutical Partners

 

20

 

 

19,800

 

Technology

 

8

 

 

14,800

 

Tradenames

 

10

 

 

3,900

 

 

 

 

 

$

67,200

 

We incurred $0.5 million of acquisition costs which are included in selling, general and administrative expenses in the accompanying consolidated statement of operations for the quarter ended March 31, 2018. The results of operations of Practice Fusion were not material to our consolidated results of operations for the quarter ended March 31, 2018.

 

10


Other Acquisitions and Divestiture

On February 6, 2018 the Company acquired all of the common stock of a cloud-based analytics software platform provider for a purchase price of $8.0 million in cash. The allocation of the consideration is as follows: $3.7 million of intangible assets related to technology; $0.6 million to customer relationships; $4.8 million of goodwill; $0.8 million to accounts receivable; accounts payable of $0.2 million; deferred revenue of $0.6 million and $1.1 million of long-term deferred income tax liabilities. This allocation is preliminary and subject to changes, which could be significant, as appraisals of tangible and intangible assets are finalized, and additional information becomes available. The acquired intangible asset related to the technology will be amortized over 8 years using a method that approximates the pattern of economic benefits to be gained by the intangible asset.  The customer relationship will be amortized over one year.  The goodwill is not deductible for tax purposes. The results of operations of this acquisition were not material to our consolidated results of operations for the three months ended March 31, 2018.

On January 31, 2018, Netsmart (as defined below) entered into a Unit Purchase Agreement with a third party provider of billing solutions, for aggregate consideration of $5.4 million, plus net working capital consideration relative to a predetermined target, to acquire 100% of the equity of the entity. This transaction has been accounted for as a business combination. Of the total consideration, $2.0 million was paid in cash at closing with the remaining $3.6 million to be paid evenly on the first and second anniversaries of closing. This transaction resulted in the preliminary recognition of goodwill of $1.4 million. The purchase accounting for this transaction has not yet been completed. The results of operations of this acquisition were not material to our consolidated results of operations for the three months ended March 31, 2018.

On March 15, 2018, we entered into an agreement with a third party to contribute certain assets and liabilities of our strategic sourcing business unit, acquired as part of the acquisition of the EIS Business in 2017 discussed below, into a new entity.  We were also obligated to contribute $2.7 million of cash as additional consideration, which was paid during April 2018.  In exchange for our contributions, we obtained a 35.7% interest in the new entity, which was valued at $4.0 million and is included in Other assets in our consolidated balance sheet as of March 31, 2018.  This investment will be accounted for under the equity method of accounting. As a result of this transaction, we recognized a loss of $0.9 million, which is included on the “Other (loss)/income, net” line in our consolidated statement of operations for the three months ended March 31, 2018.

Pre-2018 Business Combination Updates

Acquisition of DeVero

 

On July 17, 2017, Netsmart completed the acquisition of DeVero, Inc. (“DeVero”), a healthcare technology company that develops electronic medical record solutions for home healthcare and hospice, for an aggregate purchase price of $50.5 million in cash. At March 31, 2018 the allocation of the purchase price is final and there were no measurement period adjustments recorded during the three months ended March 31, 2018.

 

Acquisition of the Patient/Provider Engagement Solutions Business from NantHealth, Inc.

 

On August 25, 2017, the Company completed the acquisition of substantially all of the assets relating to the provider/patient engagement solutions business of NantHealth, Inc. (“NantHealth”). During the three months ended March 31, 2018, measurement period adjustments to the purchase price allocation were recorded which resulted in an increase in goodwill of $0.1 million.   At March 31, 2018 the purchase price allocation remains subject to further adjustment, primarily with respect to net working capital acquired.

 

Acquisition of the Enterprise Information Solutions Business from McKesson Corporation

 

On October 2, 2017, Allscripts Healthcare, LLC, a wholly-owned subsidiary of the Company (“Healthcare LLC”), completed the acquisition of McKesson Corporation’s Enterprise Information Solutions Business division (the “EIS Business”), which provides certain software solutions and services to hospitals and health systems, by acquiring all of the outstanding equity interests of two indirect, wholly-owned subsidiaries of McKesson Corporation.  The acquisition of the EIS Business was based on a total enterprise value of $185 million. During the three months ended March 31, 2018, measurement period adjustments to the purchase price allocation were recorded which resulted in an increase in goodwill of $37.7 million, primarily resulting from an increase in deferred revenue of $44.0 million partially offset by increases in identified intangible assets of $6.6 million.   At March 31, 2018 the purchase price allocation remains subject to further adjustment, primarily with respect to certain acquired intangible assets and deferred revenue.

11


Formation of Joint Business Entity and Acquisition of Netsmart, Inc.

 

On March 20, 2016, we entered into a Contribution and Investment Agreement with GI Netsmart Holdings LLC, a Delaware limited liability company (“GI Partners”), to form a joint business entity to which we contributed our HomecareTM business and GI Partners made a cash contribution. On April 19, 2016, the joint business entity acquired Netsmart, Inc., a Delaware corporation. As a result of these transactions (the “Netsmart Transaction”), the joint business entity combined the Allscripts HomecareTM business with Netsmart, Inc. Throughout the rest of this Form 10-Q, the joint business entity is referred to as “Netsmart”. As part of the Netsmart Transaction, we deposited $15 million in an escrow account to be used by Netsmart to facilitate the integration of our HomecareTM business within Netsmart over the next five years, at which time the restriction on any unused funds will lapse. As of March 31, 2018, there is $9.0 million remaining in the escrow account. We finalized the allocation of the fair value of the consideration transferred as of December 31, 2016.

Supplemental Information

The supplemental pro forma results below were calculated after applying our accounting policies and adjusting the results of the EIS Business and NantHealth to reflect (i) the additional amortization that would have been charged resulting from the fair value adjustments to intangible assets (ii) the additional interest expense associated with Allscripts’ borrowings under its revolving facility, and (iii) the additional amortization of the estimated adjustment to decrease the assumed deferred revenue obligations to fair value that would have been charged assuming both acquisitions occurred on January 1, 2016, together with the consequential tax effects.  

The revenue and earnings of the EIS Business, since October 2, 2017, and NantHealth, since August 25, 2017, are included in our consolidated statement of operations for the three months ended March 31, 2018. The below supplemental pro forma revenue and net loss of the combined entity is presented as if both acquisitions had occurred on January 1, 2016. 

 

(In thousands, except per share amounts)

 

Three Months Ended

March 31, 2017

 

Supplemental pro forma data for combined entity:

 

 

 

 

Revenue

 

$

520,810

 

Net loss attributable to Allscripts Healthcare

   Solutions, Inc. stockholders

 

$

(17,572

)

Loss per share, basic and diluted

 

$

(0.10

)

 

3. Fair Value Measurements and Long-term Investments

Fair value measurements are based upon observable and unobservable inputs. Observable inputs reflect market data obtained from independent sources, while unobservable inputs reflect our view of market participant assumptions in the absence of observable market information. We utilize valuation techniques that maximize the use of observable inputs and minimize the use of unobservable inputs. The fair values of assets and liabilities required to be measured at fair value are categorized based upon the level of judgment associated with the inputs used to measure their value in one of the following three categories:

Level 1: Inputs are unadjusted quoted prices in active markets for identical assets or liabilities at the measurement date. We held no Level 1 financial instruments at March 31, 2018 or December 31, 2017.

Level 2: Inputs, other than quoted prices included in Level 1, are observable for the asset or liability, either directly or indirectly. Our Level 2 derivative financial instruments include foreign currency forward contracts valued based upon observable values of spot and forward foreign currency exchange rates. Refer to Note 10, “Derivative Financial Instruments,” for further information regarding these derivative financial instruments.

Level 3: Unobservable inputs that are significant to the fair value of the asset or liability, and include situations where there is little, if any, market activity for the asset or liability. Our Level 3 financial instruments include derivative financial instruments comprising the 1.25% Call Option asset and the 1.25% embedded cash conversion option liability that are not actively traded. These derivative instruments were designed with the intent that changes in their fair values would substantially offset, with limited net impact to our earnings. Therefore, we believe the sensitivity of changes in the unobservable inputs to the option pricing model for these instruments is substantially mitigated. Refer to Note 10, “Derivative Financial Instruments,” for further information regarding these derivative financial instruments. The sensitivity of changes in the unobservable inputs to the valuation pricing model used to value these instruments is not material to our consolidated results of operations.

12


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

 

March 31, 2018

 

 

December 31, 2017

 

(In thousands)

 

Classifications

 

Level 1

 

 

Level 2

 

 

Level 3

 

 

Total

 

 

Level 1

 

 

Level 2

 

 

Level 3

 

 

Total

 

1.25% Call Option

 

Other assets

 

$

0

 

 

$

0

 

 

$

25,410

 

 

$

25,410

 

 

$

0

 

 

$

0

 

 

$

46,578

 

 

$

46,578

 

1.25% Embedded

   cash conversion

   option

 

Other liabilities

 

 

0

 

 

 

0

 

 

 

(26,446

)

 

 

(26,446

)

 

 

0

 

 

 

0

 

 

 

(47,777

)

 

 

(47,777

)

Foreign exchange

   derivative assets

 

Prepaid expenses

   and other

   current assets

 

 

0

 

 

 

503

 

 

 

0

 

 

 

503

 

 

 

0

 

 

 

1,136

 

 

 

0

 

 

 

1,136

 

Total

 

 

 

$

0

 

 

$

503

 

 

$

(1,036

)

 

$

(533

)

 

$

0

 

 

$

1,136

 

 

$

(1,199

)

 

$

(63

)

Long-term Investments

The following table summarizes our long-term equity investments which are included in other assets in the accompanying consolidated balance sheets:

 

 

Number of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Investees

 

 

Original

 

 

Carrying Value at

 

(In thousands, except # of investees)

 

at March 31, 2018

 

 

Investment

 

 

March 31, 2018

 

 

December 31, 2017

 

Equity method investments (1)

 

 

4

 

 

$

5,658

 

 

$

7,197

 

 

$

3,258

 

Cost method investments

 

 

7

 

 

 

32,784

 

 

 

21,820

 

 

 

26,755

 

Total equity investments

 

 

11

 

 

$

38,442

 

 

$

29,017

 

 

$

30,013

 

_________________________________

 

(1)

Allscripts share of the earnings of our equity method investees is reported based on a one quarter lag.

As of March 31, 2018, it is not practicable to estimate the fair value of our non-marketable cost and equity method investments primarily because of their illiquidity and restricted marketability. The factors we considered in trying to determine fair value include, but are not limited to, available financial information, the issuer’s ability to meet its current obligations, the issuer’s subsequent or planned raises of capital, and observable price changes in orderly transactions.

Impairment of Long-term Investments

Each quarter, management performs an assessment of each of our investments on an individual basis to determine if there have been any declines in fair value. As a result of this review, we recognized a non-cash impairment charge of $5.5 million related to one of our cost-method equity investments and a related note receivable, which had cost bases of $4.9 million and $2.6 million, respectively, prior to the impairment.

Long-term Financial Liabilities

Our long-term financial liabilities include amounts outstanding under our senior secured credit facility and Netsmart’s Credit Agreements (as defined in Note 8, “Debt”), with carrying values that approximate fair value since the interest rates approximate current market rates. In addition, the carrying amount of our 1.25% Cash Convertible Senior Notes (the “1.25% Notes”) approximates fair value as March 31, 2018, since the effective interest rate on the 1.25% Notes approximates current market rates. See Note 8, “Debt,” for further information regarding our long-term financial liabilities.

4. Stockholders' Equity

Stock-based Compensation Expense

Stock-based compensation expense recognized during the three months ended March 31, 2018 and 2017 is included in our consolidated statements of operations as shown in the below table. Stock-based compensation expense includes both non-cash expense related to grants of stock-based awards as well as cash expense related to the employee discount applied to purchases of our common stock under our employee stock purchase plan.  In addition, the three-month periods ended March 31, 2018 and 2017 include stock-based compensation expense related to Netsmart’s time-based liability classified option awards. No stock-based compensation costs were capitalized during the three months ended March 31, 2018 and 2017.

13


 

 

Three Months Ended

March 31,

 

(In thousands)

 

2018

 

 

2017

 

Cost of revenue:

 

 

 

 

 

 

 

 

Software delivery, support and maintenance

 

$

616

 

 

$

1,125

 

Client services

 

 

1,436

 

 

 

1,572

 

Total cost of revenue

 

 

2,052

 

 

 

2,697

 

Selling, general and administrative expenses

 

 

7,245

 

 

 

3,550

 

Research and development

 

 

2,841

 

 

 

2,589

 

Total stock-based compensation expense

 

$

12,138

 

 

$

8,836

 

Allscripts Long-Term Incentive Plan

We measure stock-based compensation expense at the grant date based on the fair value of the award. We recognize the expense for service-based share awards over the requisite service period on a straight-line basis, net of estimated forfeitures. We recognize the expense for performance-based and market-based share awards over the vesting period under the accelerated attribution method, net of estimated forfeitures. In addition, we recognize stock-based compensation cost for awards with performance conditions if and when we conclude that it is probable that the performance conditions will be achieved.

The fair value of service-based and performance-based restricted stock units is measured at the underlying closing share price of our common stock on the date of grant. The fair value of market-based restricted stock units is measured using the Monte Carlo pricing model. No stock options were granted during the three months ended March 31, 2018 and 2017.

We granted stock-based awards as follows:

 

 

Three Months Ended

March 31, 2018

 

 

 

 

 

 

 

Weighted-Average

 

 

 

 

 

 

 

Grant Date

 

(In thousands, except per share amounts)

 

Shares

 

 

Fair Value

 

Service-based restricted stock units

 

 

1,300

 

 

$

14.20

 

Performance-based restricted stock units with a service

   condition

 

 

524

 

 

$

15.74

 

Market-based restricted stock units with a service

   condition

 

 

0

 

 

$

0.00

 

 

 

 

1,824

 

 

$

14.64

 

During the three months ended March 31, 2018, and the year ended December 31, 2017, 1.3 million and 1.3 million shares of common stock, respectively, were issued in connection with the exercise of options and the release of restrictions on stock awards. 

Net Share-settlements

Upon vesting, restricted stock units 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 vested during the three months ended March 31, 2018 and 2017 were net-share settled such that we withheld shares with fair 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. Total payments for the employees' minimum statutory tax obligations to the taxing authorities are reflected as a financing activity within the accompanying consolidated statements of cash flows. The total shares withheld for the three months ended March 31, 2018 and 2017 were 609 thousand and 494 thousand, respectively, and were based on the value of the restricted stock units on their vesting date as determined by our closing stock price. 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 Repurchases

On November 17, 2016, we announced that our Board approved a stock purchase program under which we may repurchase up to $200 million of our common stock through December 31, 2019. During the three months ended March 31, 2018, we repurchased 4.1 million shares of our common stock under the program for a total of $57.6 million. There were no repurchases under the program during the three months ended March 31, 2017. The approximate dollar value of shares that may yet be purchased under the program as of March 31, 2018 was $106.4 million. Any future stock repurchase transactions may be made through open market transactions, block trades, privately negotiated transactions (including accelerated share repurchase transactions) or other means, subject to market conditions. Any repurchase activity will depend on many factors such as our working capital needs, cash requirements for investments, debt repayment obligations, economic and market conditions at the time, including the price of our common stock, and other factors that we consider relevant. Our stock repurchase program may be accelerated, suspended, delayed or discontinued at any time.

14


Netsmart Stock-based Compensation Expense

Stock-based compensation expense (benefit) related to Netsmart’s time-based liability classified option awards totaled $1.2 million and ($3.5) million during the three months ended March 31, 2018 and 2017, respectively.

At March 31, 2018, the liability for outstanding awards was $9.2 million. As of March 31, 2018 the weighted average fair value per option unit using the Black‑Scholes‑Merton option pricing model was estimated at $0.30, as compared to $0.54 at December 31, 2016. A significant portion of the decrease in fair value occurred during the first quarter of 2017 and resulted in the reversal of previously recognized stock-based compensation expense during the three months ended March 31, 2017, as required under the liability method of accounting.

During the three months ended March 31, 2018, no option unit awards were granted by Netsmart .  

15


5. Earnings (Loss) Per Share

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

The calculations of earnings (loss) per share are as follows:

 

 

Three Months Ended

March 31,

 

(In thousands, except per share amounts)

 

2018

 

 

2017

 

Basic Loss per Common Share:

 

 

 

 

 

 

 

 

(Loss) income from continuing operations, net of tax

 

$

(32,930

)

 

$

(8,565

)

Less: Net loss (income) attributable to non-controlling interests

 

 

790

 

 

 

(453

)

Less: Accretion of redemption preference on redeemable

   convertible non-controlling interest - Netsmart

 

 

(12,149

)

 

 

(10,962

)

Net loss from continuing operations attributable to Allscripts Healthcare

    Solutions, Inc. stockholders

 

$

(44,289

)

 

$

(19,980

)

Net income from discontinued operations attributable to Allscripts

    Healthcare Solutions, Inc. stockholders

 

 

4,415

 

 

 

0

 

Net loss attributable to Allscripts Healthcare Solutions, Inc. stockholders

 

$

(39,874

)

 

$

(19,980

)

 

 

 

 

 

 

 

 

 

Weighted-average common shares outstanding

 

 

179,882

 

 

 

180,767

 

 

 

 

 

 

 

 

 

 

Basic Loss from continuing operations per Common Share

 

$

(0.25

)

 

$

(0.11

)

Basic Income from discontinued operations per Common Share

 

 

0.03

 

 

 

0.00

 

Net loss attributable to Allscripts Healthcare Solutions, Inc. stockholders per

    Common Share

 

$

(0.22

)

 

$

(0.11

)

 

 

 

 

 

 

 

 

 

Diluted Loss per Common Share:

 

 

 

 

 

 

 

 

(Loss) income from continuing operations, net of tax

 

$

(32,930

)

 

$

(8,565

)

Less: Net loss (income) attributable to non-controlling interests

 

 

790

 

 

 

(453

)

Less: Accretion of redemption preference on redeemable

   convertible non-controlling interest - Netsmart

 

 

(12,149

)

 

 

(10,962

)

Net loss from continuing operations attributable to Allscripts Healthcare

    Solutions, Inc. stockholders

 

$

(44,289

)

 

$

(19,980

)

Net income from discontinued operations attributable to Allscripts Healthcare Solutions, Inc. stockholders

 

 

4,415

 

 

 

0

 

Net loss attributable to Allscripts Healthcare Solutions, Inc. stockholders

 

$

(39,874

)

 

$

(19,980

)

 

 

 

 

 

 

 

 

 

Weighted-average common shares outstanding

 

 

179,882

 

 

 

180,767

 

Plus: Dilutive effect of stock options, restricted stock unit

   awards and warrants

 

 

0

 

 

 

0

 

Weighted-average common shares outstanding assuming

   dilution

 

 

179,882

 

 

 

180,767

 

 

 

 

 

 

 

 

 

 

Diluted Loss from continuing operations per Common Share

 

$

(0.25

)

 

$

(0.11

)

Diluted Income from discontinued operations per Common Share

 

 

0.03

 

 

 

0.00

 

Net loss attributable to Allscripts Healthcare Solutions, Inc. stockholders per

    Common Share

 

$

(0.22

)

 

$

(0.11

)

As a result of the net loss attributable to Allscripts Healthcare Solutions, Inc. stockholders for the three months ended March 31, 2018 and 2017, we used basic weighted-average common shares outstanding in the calculation of diluted loss per share for that period, since the inclusion of any stock equivalents would be anti-dilutive.

16


The following stock options, restricted stock unit awards and warrants are not included in the computation of diluted earnings (loss) per share as the effect of including such stock options, restricted stock unit awards and warrants in the computation would be anti-dilutive:

 

 

Three Months Ended

March 31,

 

(In thousands)

 

2018

 

 

2017

 

Shares subject to anti-dilutive stock options, restricted stock

   unit awards and warrants excluded from calculation

 

 

23,208

 

 

 

26,689

 

 

 

6. Goodwill and Intangible Assets

Goodwill and intangible assets consist of the following:

 

 

March 31, 2018

 

 

December 31, 2017

 

 

 

Gross

 

 

 

 

 

 

 

 

 

 

Gross

 

 

 

 

 

 

 

 

 

 

 

Carrying

 

 

Accumulated

 

 

Intangible

 

 

Carrying

 

 

Accumulated

 

 

Intangible

 

(In thousands)

 

Amount

 

 

Amortization

 

 

Assets, Net

 

 

Amount

 

 

Amortization

 

 

Assets, Net

 

Intangibles subject to amortization:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Proprietary technology

 

$

693,844

 

 

$

(419,081

)

 

$

274,763

 

 

$

695,354

 

 

$

(405,114

)

 

$

290,240

 

Customer contracts and relationships

 

 

948,703

 

 

 

(475,407

)

 

 

473,296

 

 

 

922,492

 

 

 

(464,860

)

 

 

457,632

 

Total

 

$

1,642,547

 

 

$

(894,488

)

 

$

748,059

 

 

$

1,617,846

 

 

$

(869,974

)

 

$

747,872

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Intangibles not subject to amortization: