Initiating Coverage of the HIT 
Sector with an Overweight 
 We are initiating coverage of the Healthcare Information Technology (HIT) 
industry with an Overweight position. Our positive view of the space is 
predicated upon solid underlying fundamentals in the industry, as we expect 
adoption rates of key HIT applications to accelerate in the near future. 
 We believe industry fundamentals are further supported by healthcare 
providers' rising awareness of the benefits of HIT, increasing leadership by 
the federal gov't to increase overall HIT adoption and growing expectations 
by consumers that HIT should be in the delivery of healthcare. 
 Positive industry outlook has helped shares of most HIT vendors to perform 
well over the last few years. We expect clinical systems to remain the 
primary focus of HIT purchasers over financial/admin systems. In addition, 
we expect a greater focus on ambulatory over acute-care settings. 
 We are initiating coverage with a Sector Outperformer rating on Cerner 
Corp., Quality Systems, and Vital Images. We are initiating coverage with a 
Sector Performer rating on Eclipsys Corp. and Allscripts Healthcare 
Solutions. 
All 
Executive Summary 
Effective February 22, we are initiating coverage of the Healthcare Information 
Technology (HIT) industry with an Overweight rating. Our positive view of the 
space is predicated upon solid underlying fundamentals in the industry, as we 
expect adoption rates of key HIT applications to accelerate over the next few 
years. See also our company launches on Cerner, Eclipsys, Allscripts Healthcare 
Solutions, Quality Systems, and Vital Images, released today. 
Industry fundamentals are supported, in our view, by increasing awareness by 
healthcare providers of the benefit of HIT, increasing leadership by the federal 
government to increase overall HIT adoption, as well as growing expectations by 
employers and consumers that HIT should be integral to the delivery of 
healthcare. We believe this positive outlook has helped shares of most HIT 
vendors to perform well versus the broader U.S. Healthcare sector. From 2003 
through 2006, the HIT sector has been one of the top performing sub-sectors in 
healthcare, although so far in 2007 the group is lagging most of healthcare. See 
Exhibit 1 for a comparison of price performance between the HIT space and 
some other major sectors in healthcare. 
At the same time, it is equally important to appreciate that this solid industry 
backdrop has not resulted in even performance by all HIT vendors. This is 
because the HIT industry is highly fragmented along a couple of different lines. 
The industry is fragmented by types of applications offered. While some 
companies offer a full suite of products, the vast majority of HIT vendors are 
specialized in a limited number of product categories. Further fragmenting the 
industry, there are a large number of players even within a single niche area, for 
example EHR. Unlike other sectors in healthcare, such as PBMs, distributors, or 
managed care, the universe of public companies in HIT does not compose a 
significant share of its respective market. As a result, these companies cannot 
necessarily be taken as a proxy for the market, and conversely, one cannot 
simply apply overall market trends to the group. Given the fragmented nature of 
the HIT industry, we believe it is important to identify which of its sub-sectors 
are more likely to outperform relative to the others, and then consider valuation. 
Below we provide our summary of recommendations.  |