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Allscripts (MDRX) Q4 Earnings and Revenues Miss Estimates

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Allscripts Healthcare Solutions, Inc. MDRX reported fourth-quarter 2019 adjusted earnings per share (EPS) of 17 cents, which missed the Zacks Consensus Estimate of 18 cents by 5.6%.  The bottom line also declined 5.6% on a year-over-year basis.

For the full-year 2019, the company reported earnings per share of 67 cents, down 1.5% from 2018.

Revenue Details

On a non-GAAP basis, revenues totaled $452 million, which lagged the Zacks Consensus Estimate by 1.5%. However, the top line improved 2.5% year over year. Moreover, on a reported basis, revenues amounted to $451 million in the quarter, reflecting year-over-year improvement of 2%.

For full-year 2019, the company reported net sales of $1.77 billion, up 1.2% from 2018.

For fourth-quarter 2019, bookings came in at $312 million, significantly up by 5.8% from the prior-year quarter.

Segment Details

In a bid to focus on the payer and life sciences market and evolution of the healthcare IT industry, the company realigned segment reporting structure by selling its stake in Netsmart on Dec 31, 2018.

The new Provider segment consists of the core integrated clinical software applications, financial management and patient engagement solutions targeted at clients across the entire continuum of care. Meanwhile, the new Veradigm segment primarily focuses on the payer and life sciences market.

Software delivery, Support and Maintenance

In the quarter under review, revenues at the segment amounted to $281.6 million on a reported basis, down 2.6% from the year-ago quarter's tally.

Client Services

At this segment, revenues totaled $169.4 million, up 10.6% from the year-ago quarter's figure.

Margins

Gross profit in the fourth quarter was $180.1 million, down 4.3% from the year-ago quarter. As a percentage of revenues, gross margin was 39.9%, down 260 bps from the year-ago figure.

Adjusted gross profit amounted to $191.9 million, down 3.9% year over year. Adjusted gross margin was 42.5%, down 280 bps from the prior-year quarter.

Adjusted operating income in the reported quarter was $43.9 million, down 3.5% year over year. Adjusted operating margin was 9.7%, as a percentage of revenues, down 60 bps from the prior-year quarter.

Financial Update

As of Dec 31, 2019, cash and cash equivalents totaled $129.6 million, down 25.6% from year-end 2018.

At the end of 2019, net cash provided by operating activities totaled $12.4 million against net cash used of $13.6 million at the end of 2018.

2020 Guidance

For 2020, adjusted EPS is expected in the range of 70-75 cents. The Zacks Consensus Estimate is pegged at 76 cents.

For the full-year 2020, revenues are estimated between $1.75 billion and $1.85 billion.

The company projects full-year bookings in the range of $900 million to $1 billion.

For first-quarter 2020, revenues are expected between $420 million and $430 million. The Zacks Consensus Estimate is pegged at $450.9 million. With respect to booking, the company anticipates the metric to be in the band of $175-$200 million.

Summing Up

Allscripts ended the fourth quarter on a weak note. The company continues to gain from the core Client Services unit, which exhibited better performance in the quarter. Growth in fourth-quarter bookings also instills investor optimism. The company continues to maintain momentum in its Provider business on the back of key client wins across solution set. The company remains confident about its near and long-term outlook as it anticipates to benefit from a number of differentiated growth opportunities in both its Provider and Veradigm businesses.

Notably, the company extended managed services agreement with Northwell Health through 2026.

Meanwhile, the company witnessed a contraction in both gross and operating margins in the reported quarter. Moreover, Allscripts is exposed to integration risks. Intense competition in the niche space remains a concern.

Zacks Rank

Currently, Allscripts carries a Zacks Rank #4 (Sell).

Earnings of Other MedTech Majors at a Glance

Some better-ranked stocks that reported solid results this earning season are Stryker Corporation SYK, Accuray Incorporated ARAY and IDEXX Laboratories, Inc. IDXX, each carrying a Zacks Rank of 2 (Buy). You can see the complete list of today’s Zacks #1 Rank (Strong Buy) stocks here.

Stryker delivered fourth-quarter 2019 adjusted EPS of $2.49, outpacing the Zacks Consensus Estimate by 1.2%. Fourth-quarter reported revenues of $4.13 billion surpassed the Zacks Consensus Estimate by 0.7%.

Accuray reported second-quarter fiscal 2020 adjusted earnings per share (EPS) of a penny, beating the Zacks Consensus Estimate of a loss of 7 cents. Net revenues of $98.8 million outpaced the Zacks Consensus Estimate by 0.3%.

IDEXX Laboratories reported fourth-quarter 2019 adjusted EPS of $1.04, which beat the Zacks Consensus Estimate of 91 cents by 14.3%. Revenues were $605.4 million, surpassing the Zacks Consensus Estimate by 0.9%.

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