Allscripts Healthcare Solutions
J.P. Morgan Virtual Healthcare Conference| January 2021
Disclaimer
This presentation contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. These forward-looking statements, including the preliminary financial information included in this presentation, 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," 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. Certain factors that could cause Allscripts actual results to differ materially from those described in the forward-looking statements include, but are not limited to: our use of the proceeds from the sale of our EPSi business and CarePort Health business; our ability to achieve the margin targets associated with our margin improvement initiatives within the contemplated time periods, if at all; risks relevant to our share repurchase program, such as general market conditions, fluctuations in the price of our common stock or changes in our liquidity or capital allocation strategies; the magnitude, severity and duration of the COVID-19 pandemic, including the impacts of 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 its 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; changes in interoperability or other regulatory standards; 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 EIS business; Allscripts ability to
establish and maintain strategic relationships; Allscripts failure to compete successfully; consolidation in Allscripts industry; current and future laws, regulations and industry initiatives; increased government involvement in Allscripts industry; the failure of markets in which Allscripts operates to develop as quickly as expected; Allscripts or its customers' failure to see the benefits of government programs; the effects of the realignment of Allscripts sales, services a nd support organizations; market acceptance of Allscripts products and services; the unpredictability of the sales and implementation cycles for Allscripts products and services; Allscripts ability to manage future growth; Allscripts ability to introduce new products and services; the performance of Allscripts products; Allscripts ability to protect its intellectual property rights; the outcome of legal proceedings involving Allscripts; Allscripts ability to hire, retain and motivate key personnel; performance by Allscripts content and service providers; liability for use of content; price reductions; Allscripts ability to license and integrate third party technologies; Allscripts ability to maintain or expand its business with existing customers; risks related to international operations; changes in tax rates or laws; business disruptions; Allscripts ability to maintain proper and effective internal controls; and asset and long- term investment impairment charges. Additional information about these and other risks, uncertainties, and factors affecting Allscripts business is contained in Allscripts filings with the Securities and Exchange Commission, including under the caption "Risk Factors" in the most recent Allscripts Annual Report on Form 10-K and subsequent Form 10- Qs. Allscripts does 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 its business, financial condition or operating results over time.
© 2021 Allscripts Healthcare, LLC and/or its affiliates. | 2 |
2020 was our year of reset
Reset our client priorities
Reset our cost base
Reset our portfolio
Reset our balance sheet/capital structure
3
Reset priorities to help our clients cope with COVID-19
Care | Interoperability | Patient | Electronic Health | Veradigm® |
Coordination | Engagement | Records |
Coordinated | COVID | Rapid | Screening and | COVID research |
outpatient care | Dashboards | Telehealth | assessment, real-time | database and |
across the | across | implementations | dashboards, daily results | clinical workflow |
continuum | connected client | reporting, operations | initiatives | |
ecosystems | management, vaccine | |||
tracking |
#1 in Supporting our clients through COVID-19 Response and Recovery according to Reaction Data
© 2021 Allscripts Healthcare, LLC and/or its affiliates. | 4 |
Reset cost base
Consolidated Adjusted EBITDA Margin
25%
20.1% | 20.5%-21.5% | ||
20% | 19.0% | ||
15% | 13.7% | ||
10%
5%
0%
1Q20 | 2Q20 | 3Q20 | 4Q20E |
See reconciliation of non-GAAP metrics in the appendix of this presentation and posted on the Allscripts investor relations website.
Expecting ~730 bps of Adjusted EBITDA margin improvement since 1Q20
© 2021 Allscripts Healthcare, LLC and/or its affiliates. | 5 |
Reset our portfolio
$1.35B sale price | $365M sale price |
>13x trailing revenue | ~7.5x trailing revenue |
~21x trailing Adjusted EBITDA | ~18.5x trailing Adjusted EBITDA |
Closed on December 31 | Closed on October 15 |
Collectively <10% of Consolidated Revenue
= ~$1.25B After-Tax Proceeds
© 2021 Allscripts Healthcare, LLC and/or its affiliates. | 6 |
Reset balance sheet / capital structure
Net Debt of $0 at 12/31/20
Targeting a long-term leverage ratio of ~1.5x Adjusted EBITDA
Repurchased $280M of stock in 2020 via open market
and accelerated programs
Expect to repurchase a significant amount in 2021
© 2021 Allscripts Healthcare, LLC and/or its affiliates. | 7 |
Looking ahead to 2021
8
Allscripts is well positioned to help solve some of the most pressing issues in healthcare
- Focus on the consumer
- Physician burnout
• Interoperability
• Coordinating care communities
- Genomics going mainstream
- Value-basedpayment
- COVID-19pandemic
9
O U R V I S I O N : O P E N , C O N N N E C T E D C O M M U N I T Y O F H E A L T H
Connecting data sources across the community to improve the health of entire populations
Scale: 3rd Largest HIT | R&D: >$1.5B spend |
Patents: 150 since | |
Company | |
2016 | |
Interoperable: | Open: ~4B API | |
>2,700 ambulatory | ||
transactions over | ||
facilities and >1,000 | ||
past 2 years | ||
hospitals | ||
Veradigm: Adjacent Growth Platform
Relevant: Breadth and Depth
© 2021 Allscripts Healthcare, LLC and/or its affiliates. | 10 |
Veradigm's unique data assets,
analytics and last mile connectivity are
a competitive advantage
Proprietary Data | Unique | Profitable | Agile & Poised |
Sources at Scale | Point-of-Care | and Scalable | for Rapid Growth |
Cross-platform data sources | Presence | Foundation | Investments and growth |
at scale and includes | Clinical and Business of | • Opportunity for margin | strategies aligned |
analytics and insights for Life | improvement and | with where market | |
patient care embedded in | |||
Sciences & Payer | efficiencies | growing the fastest | |
the workflow | |||
• Primarily recurring | |||
& subscription and
transactional revenue
© 2021 Allscripts Healthcare, LLC and/or its affiliates. | 11 |
Financial "Flywheel" rebuilt in 2020 expected to
drive significant Yield in 2021
Highly Recurring | Significantly | Continued Focus on | |
Improved Free Cash | Returning Capital and | ||
Revenue with Modest | Improved Adjusted | ||
Flow Conversion | Investing for Growth | ||
Organic Growth | EBITDA Margins | ||
in Existing Business | |||
Targeting $90M-$100M
of Free Cash Flow in 2021
© 2021 Allscripts Healthcare, LLC and/or its affiliates. | 12 |
Key investment highlights
We enable providers, payers and life science companies to optimize value at the point of care
Robust, diversified and award-winning solutions portfolio
Strong balance sheet with demonstrated capacity for capital returns
Future growth | ||||||
High recurring | opportunities | |||||
revenue model | distinguishes from | |||||
EHR peers | ||||||
Significant operating | Track record of |
successful | |
leverage | |
capital deployment | |
© 2021 Allscripts Healthcare, LLC and/or its affiliates. | 13 |
Appendix: Non-GAAP
Financial Measures
14
Non-GAAP Financial Measures
This presentation includes references to non-GAAP revenue, Adjusted EBITDA, Adjusted EBIDTA margin 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. Each of these measures are not considered financial measures under generally accepted accounting principles in the United States ("GAAP"). The definitions of these non-GAAP financial measures are as follows:
- Non-GAAPrevenue consists of GAAP revenue, as reported, and adds back recognized deferred revenue from acquired businesses and non-material consolidated affiliates that is eliminated for GAAP purposes due to purchase accounting adjustments.
- Adjusted EBITDA consists of GAAP net income (loss), as reported, and adjusts for: acquisition-related deferred revenue adjustments; depreciation and amortization; stock-based compensation expense; restructuring and other costs; non-cash asset and long-term investment impairment charges; gain on sale of business, net; interest expense and other, net; equity in net earnings of unconsolidated investments; and tax (benefit) provision.
- Free cash flow consists of GAAP cash flows provided by operating activities in the applicable period, net of capital expenditures and capitalized software costs.
Management also believes that non-GAAP measures provide useful supplemental information to management and investors regarding the underlying performance of Allscripts business operations. Acquisition accounting adjustments made 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 measures to measure achievement under Allscripts stock and cash incentive compensation plans. Note, however, that non-GAAP revenue and Adjusted EBITDA 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 in the Appendix to this presentation. For the purpose of providing financial guidance, the company does not reconcile non- GAAP revenue, Adjusted EBITDA, Adjusted EBITDA margin or free cash flow to the corresponding GAAP financial measures. Allscripts does not provide guidance for the various reconciling items since certain items that impact these measures are either outside of its control and/or cannot be reasonably predicted. These are available on Allscripts investor relations website
(http://investor.allscripts.com).
© 2021 Allscripts Healthcare, LLC and/or its affiliates. | 15 |
Non-GAAP Reconciliation
Allscripts Healthcare Solutions, Inc.
Non-GAAP Financial Information - Adjusted EBITDA
(In millions, except percentages)
(Unaudited)
Three Months Ended | ||||||
Sep-20 | Jun-20 | Mar-20 | ||||
Net income (loss), as reported | $0.5 | ($7.5) | ($20.4) | |||
Plus: | ||||||
Interest expense and other, net (a) | 5.3 | 6.4 | 5.8 | |||
Depreciation and amortization | 49.2 | 52.4 | 52.1 | |||
Equity in net (income) loss of unconsolidated investments | (0.4) | (16.8) | (0.2) | |||
Tax provision/(benefit) | 1.0 | 6.8 | (0.3) | |||
EBITDA | $55.6 | $41.3 | $37.0 | |||
Plus: | ||||||
Acquisition-related deferred revenue adjustments | 0.0 | 0.0 | 0.0 | |||
Stock-based compensation expense | 10.7 | 7.6 | 11.1 | |||
Restructuring and other | 13.3 | 27.6 | 9.1 | |||
Impairments (recovery) | 1.2 | 0.6 | 0.0 | |||
Adjusted EBITDA | $80.8 | $77.1 | $57.2 | |||
Adjusted EBITDA margin (b) | 20.1% | 19.0% | 13.7% |
- Interest expense and other, net 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% and .875% Cash Convertible Notes and deferred debt issuance costs from interest expense since such amortization is also included in depreciation and amortization.
- Adjusted EBITDA margin is calculated by dividing adjusted EBITDA by non-GAAP revenue.
© 2021 Allscripts Healthcare, LLC and/or its affiliates. | 16 |
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Allscripts Healthcare Solutions Inc. published this content on 12 January 2021 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 12 January 2021 14:17:04 UTC