ploying client-based applications on-site. Other remote services, such as remote monitoring and remote help desk, are also offered. Software installation, upgrades and patches and network configuration and repairs are handled by Allscripts IT professionals behind the scenes, so hospital IT departments could focus on various strategic initiatives. Allscripts Professional Services: The company provides offerings in implementation, consulting, education, managed IT services, and technical support, including clinical and operations consulting services; ICD-10 and meaningful use assessment solutions; optimization services; speed to value—implementation services; managed IT services; proactive application monitoring services; remote database administration and monitoring services; education and adoption services; native integration services; and technical support services. Sales and Marketing The company primarily sells directly to its customers through its sales force. In addition to its direct sales force, the company has established reseller relationships with various strategic partners. It expands the sales of its solutions outside of North America, primarily in the European and the Asia-Pacific region. Strategic Alliances The company’s primary strategic relationships include the following: Cisco Systems, Inc. (Cisco): The company has a strategic partnership with Cisco to support its core business through improved communications technologies. Cisco technology powers majority of the systems by which it communicates with its clients and employees. CVS Caremark: The company’s strategic partnership with CVS Caremark, the pharmacy healthcare provider in the United States, which provides using the company’s proprietary iScribe e-prescribing tool to Allscripts e-prescribing and retired iScribe. dbMotion Ltd.: The company made a strategic investment in dbMotion Ltd., a private company that provides the technology behind the Allscripts Community Record. dbMotion Ltd. and the company are working together to deliver integrated core solutions to improve Meaningful Use of information from the physician’s office to the hospital—connecting the community—within the patient’s continuum of care and the physician’s existing workflow. Dell, Inc. (Dell): The company has a strategic partnership with Dell that includes hardware, hosting, and connecting healthcare communities. Dell is the company’s primary hardware partner, providing the computer equipment needed by its clients to implement its solutions. Additionally, it signed an agreement with Dell in early 2010 to integrate Allscripts EHR and Practice Management solutions into Dell’s hosted EHR solution for the U.S. health systems and their affiliated physicians. The Dell program offers health systems and physicians the scale and expertise of the technology services organization. Dell helps sponsor hospitals to configure the Allscripts solutions they select to meet the specific needs of their affiliated physician community. The solution includes application hosting, health information exchange management, and revenue opportunities for sponsor hospitals, and everything necessary to promote the solution to physicians. Intuit, Inc. (Intuit): The company has a strategic partnership with Intuit, a provider of business and financial management solutions for small and mid-sized businesses; financial institutions, including banks and credit unions; and consumers and accounting professionals. It also collaborates with Intuit in providing secure patient portals and personal health records, connecting patients to selected information about their physician’s practice, including information from the company’s EHR, e-prescribing, and practice management solutions. M*Modal Inc.: The company has a strategic partnership with M*Modal Inc. to license their CDS Interactive Speech Recognition Applications for its suite of EHR solutions. M*Modal Inc. is a provider of clinical narrative capture services, speech understanding technology and clinical documentation workflow. M*Modal Inc.’s enterprise solutions include mobile voice capture devices, speech recognition, Natural Language Un