Exhibit 99.1 CONTACT: Margo Happer Director - Investor Relations and Corporate Communications +1-802-859-6169 IDX SYSTEMS CORPORATION REPORTS 2004 SECOND QUARTER RESULTS Strong Revenues Fueled by Domestic and International Growth BURLINGTON, Vt., July 29 -- IDX Systems Corporation (Nasdaq: IDXC) reported results today for the second quarter ended June 30, 2004. Revenues for the second quarter ended June 30, 2004 increased to $130.4 million compared with $98.3 million for the second quarter of 2003. Revenues for the six-month period ended June 30, 2004 increased to $232.9 million compared with revenues of $190.7 million for the same period in 2003. Net income from continuing operations for the second quarter 2004 was $8.1 million, or $0.26 per diluted share, compared with net income from continuing operations of $5.4 million, or $0.18 per diluted share, in the same period last year. For the six-month period ended June 30, 2004, IDX reported net income from continuing operations of $9.7 million, or $0.31 per diluted share, compared with net income from continuing operations of $9.1 million, or $0.31 per diluted share, in the same period last year. As previously projected, 2004 results reflect startup costs associated with the company's business in the United Kingdom. "Revenues were strong in the quarter, fueled by international and domestic growth. We believe our broad domain expertise, based on 35 years of working with prestigious healthcare organizations, coupled with our advanced technologies, position us for accelerated growth in the global healthcare environment," said James H. Crook Jr., Chief Executive Officer of IDX. "We signed agreements that represent expanded partnerships with existing customers and generated significant new business grounded in our vision of making a difference in healthcare." MOMENTUM CONTINUES ACROSS IDX BUSINESS LINES Separately today, IDX announced the following noteworthy contracts signed in the second quarter. New agreements for IDX Flowcast(TM) included Metropolitan Health Plan (MHP), of Hennepin County, MN, a health maintenance organization that serves a seven-county region. MHP has utilized the IDX managed care application for more than 10 years. IDX alliance partner Allscripts Healthcare Solutions was selected as MHP's clinical solution. Additionally, Drexel University Physicians(TM), the physician's group of the Drexel Univeristy College of Medicine, of Philadelphia, PA selected IDX Flowcast 3.0. The 320-provider physician group also selected Allscripts as its electronic medical record solution. The selection of Flowcast 3.0 will enable improvements for these organizations in two key areas: follow-up on unpaid claims and reduced days in accounts receivable. Flowcast and Allscripts will provide a comprehensive, integrated solution for practice management and clinical automation and strengthen financial and administrative support. IDX Groupcast(TM) agreements in the second quarter spanned small to mid- size group practices including billing services, single-specialty practices and complex, multi-site groups including Mercy Clinic, of Joplin, MO, a 79- doctor, 25-location medical group, which supports St. John's Regional Medical Center. IDX also signed an agreement to upgrade North Carolina Baptist Hospital of Winston-Salem, NC to the advanced technology of IDX Carecast(TM). The 830-bed healthcare facility has been an IDX customer since 1996 and is the major teaching hospital for Wake Forest University Baptist Medical Center. The organization intends to continue its comprehensive use of electronic patient records, introduce electronic tools for interdisciplinary care planning and expand CPOE across inpatient and ambulatory settings. As a result of this planned expansion, approximately 600 physicians will be able to submit medication orders online from the clinic setting to North Carolina Baptist Hospital. IDX Imagecast(TM) agreements include long-time customer Inova Health System of Falls Church, VA, a multi-hospital system that conducts 600,000 radiology exams annually, for the IDX Radiology Information System (RIS) and Picture Archiving and Communications System (PACS). Imagecast RIS customer, Temple University Health System of Philadelphia, PA purchased the PACS for full-fidelity image distribution across its five-hospital enterprise. The agreement is one of the three largest PACS deals signed by IDX. IDX management remains comfortable with projected 2004 revenue guidance of $500 - $525 million and earnings per share guidance of $0.95 - $0.99. The company projects 2005 revenues of $600 - $650 million and earnings per share guidance of $1.20 - $1.35. A conference call with investors will be held on July 29, 2004 at 11:00 am EDT to discuss these results. An audio Webcast of the call will be available at our Internet site: http://www.idx.com, Investor Relations, Multimedia. ABOUT IDX Founded in 1969, IDX Systems Corporation provides information technology solutions to maximize value in the delivery of healthcare, improve the quality of patient service, enhance medical outcomes, and reduce the costs of care. IDX supports these objectives with a broad range of complementary and functionally rich products installed at 3,300 customer sites. Customers include 138,000 physicians who utilize practice management systems to improve patient care and other workflow processes. IDX solutions are installed at approximately: * 380 Integrated delivery networks (IDNs) representing more than 500 hospitals * 175 large group practices with more than 200 physicians * 665 mid-size group practices with less than 200 physicians The IDX web strategy includes browser technology, e-commerce and web-based tools -- built using Internet architecture -- that facilitates access for patients, physicians and care providers to vital health information and data managed by the IDX clinical, administrative, financial, and managed care products. IDX has approximately 2,100 full-time employees. THIS PRESS RELEASE CONTAINS FORWARD-LOOKING STATEMENTS ABOUT IDX SYSTEMS CORPORATION THAT INVOLVE A NUMBER OF RISKS AND UNCERTAINTIES. AMONG THE IMPORTANT FACTORS THAT COULD CAUSE ACTUAL RESULTS TO DIFFER MATERIALLY FROM THOSE INDICATED BY SUCH FORWARD-LOOKING STATEMENTS ARE CHANGES IN THE RELATIONSHIP BETWEEN OUR PRIME CONTRACTORS AND THEIR CUSTOMERS, CHANGES IN OUR RELATIONSHIPS WITH OUR PRIME CONTRACTORS OR OUR SUB-CONTRACTORS, INCLUDING DIFFICULTIES IN FINALIZING THE DOCUMENTATION OF THESE RELATIONSHIPS, UNCERTAINTIES IN THE APPLICATION OF ACCOUNTING POLICES TO THE RECOGNITION OF REVENUE AND EXPENSES UNDER MATERIAL CONTRACTS FOR WORK IN THE UNITED KINGDOM, UNCERTAINTIES OR DIFFICULTIES IN DEVELOPING NEW SERVICES AND SYSTEMS, DIFFICULTIES IN IMPLEMENTING SYSTEMS, POSSIBLE DEFERRAL, DELAY OR CANCELLATION BY CUSTOMERS OF COMPUTER SYSTEM OR SERVICE PURCHASE DECISIONS, DEVELOPMENT BY COMPETITORS OF NEW OR SUPERIOR TECHNOLOGIES, CHANGING ECONOMIC, POLITICAL AND REGULATORY INFLUENCES ON THE HEALTHCARE INDUSTRY, POSSIBLE DISRUPTIONS IN THE NATIONAL ECONOMY CAUSED BY TERRORIST ACTIVITIES AND FOREIGN CONFLICTS, CHANGES IN PRODUCT PRICING POLICIES, GOVERNMENTAL REGULATION OF TECHNOLOGIES, THE POSSIBILITY OF PRODUCT-RELATED LIABILITIES, AND FACTORS DETAILED FROM TIME TO TIME IN IDX'S PERIODIC REPORTS AND REGISTRATION STATEMENTS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION, WHICH IMPORTANT FACTORS ARE INCORPORATED HEREIN BY REFERENCE. IDX UNDERTAKES NO OBLIGATION TO UPDATE FORWARD-LOOKING STATEMENTS TO REFLECT CHANGED ASSUMPTIONS, THE OCCURRENCE OF UNANTICIPATED EVENTS, OR CHANGES IN FUTURE OPERATING RESULTS, FINANCIAL CONDITION OR BUSINESS OVER TIME. IDX SYSTEMS CORPORATION Consolidated Balance Sheets (in thousands) June 30, December 31, 2004 2003 (unaudited) (audited) Assets Cash and cash equivalents $45,844 $25,536 Marketable securities 78,734 79,068 Accounts receivable, net 125,649 93,709 Costs and estimated earnings in excess of billings on uncompleted contracts 11,595 3,961 Refundable income taxes 9,006 8,564 Prepaid and other current assets 11,663 7,485 Deferred tax asset 4,594 5,899 Total current assets 287,085 224,222 Property and equipment, net 86,202 86,216 Capitalized software costs, net 4,922 3,806 Goodwill, net 2,508 2,508 Costs and estimated earnings in excess of billings on uncompleted contracts 12,004 -- Other assets 10,304 10,357 Deferred tax asset 10,878 11,404 Total assets $413,903 $338,513 Liabilities and stockholders' equity Accounts payable, accrued expenses and other liabilities $61,862 $54,843 Deferred revenue 62,923 23,016 Total current liabilities 124,785 77,859 Deferred revenue 4,264 -- Total liabilites 129,049 77,859 Stockholders' equity 284,854 260,654 Total liabilities and stockholders' equity $413,903 $338,513 IDX SYSTEMS CORPORATION Consolidated Statements of Operations (in thousands, except for per share data) (Unaudited) Three Months Ended Six Months Ended June 30, June 30, 2004 2003 2004 2003 Revenues Systems sales $46,085 $36,786 $82,059 $69,327 Maintenance and service fees 84,300 61,493 150,876 121,393 Total revenues 130,385 98,279 232,935 190,720 Operating expenses Cost of systems sales 15,593 11,508 26,810 23,300 Cost of maintenance and services 60,992 43,690 107,583 85,351 Selling, general and administrative 26,464 21,058 54,891 41,512 Software development costs 15,259 14,228 29,146 27,578 Restructuring charge 387 -- 387 -- Total operating expenses 118,695 90,484 218,817 177,741 Operating income 11,690 7,795 14,118 12,979 Other income (expense) Other income (expense) 335 (38) 451 86 Gain on investment 1,009 -- 1,009 -- Total other income (expense) 1,344 (38) 1,460 86 Income before income taxes 13,034 7,757 15,578 13,065 Income tax provision (4,953) (2,327) (5,920) (3,919) Income from continuing operations 8,081 5,430 9,658 9,146 Discontinued operations Gain on sale of discontinued operations, net of loss and income taxes -- 26,711 -- 26,826 Net income $8,081 $32,141 $9,658 $35,972 Basic earnings per share Income from continuing operations $0.27 $0.19 $0.32 $0.31 Income (loss) from discontinued operations $ -- $0.91 $ -- $0.92 Basic earnings per share $0.27 $1.10 $0.32 $1.23 Basic weighted average shares outstanding 30,181 29,195 30,031 29,184 Diluted earnings per share Income from continuing operations $0.26 $0.18 $0.31 $0.31 Income from discontinued operations $ -- $0.91 $ -- $0.91 Diluted earnings per share $0.26 $1.09 $0.31 $1.22 Diluted weighted average shares outstanding 31,572 29,456 31,503 29,436 Earnings per share numbers may not foot due to rounding. IDX Systems Corporation Consolidated Statements of Cash Flows (in thousands) (unaudited) Three Months Ended June 30, 2004 2003 OPERATING ACTIVITIES Net income from continuing operations 8,081 32,141 Less: Income from discontinued operations, net of income taxes -- 311 Gain on disposal of discontinued operations, net of income -- 26,400 Net income from continuing operations 8,081 5,430 Adjustments to reconcile net income to net cash provided by operating activities: Depreciation 4,143 2,948 Amortization 1,178 469 Gain on sale of investment (1,009) -- Deferred tax provision 4,171 2,746 Increase in allowance for doubtful accounts 294 294 Stock based compensation 102 168 Tax benefit related to exercise of non-qualified stock options 1,190 -- Foreign currency transaction gain / loss (207) -- Restructuring charge 387 -- Changes in operating assets and liabilities: Accounts receivable (27,688) (8,177) Prepaid expenses and other assets 5,756 526 Accounts payable and accrued expenses 1,879 3,566 Federal and state income taxes (1,243) (744) Deferred revenue 22,282 3,002 Net cash provided by operating activities 19,316 10,228 INVESTING ACTIVITIES Purchase of property and equipment, net (4,464) (8,934) Proceeds from sale of EDiX Corporation, net -- 53,645 Proceeds from sale of equity investment 1,009 -- Other assets (910) (602) Net cash (used in) provided by investing activities (4,365) 44,109 FINANCING ACTIVITIES Proceeds from sale of common stock 4,772 1,777 Proceeds from debt issuance -- -- Repayment of debt issuance -- (23,727) Net cash provided by (used in) financing activities 4,772 (21,950) Effect of exchange rate fluctuations on cash and cash equivalents (406) -- Increase in cash, cash equivalents and marketable securities from continuing operations 19,317 32,387 Net cash provided by discontinued operations -- 2,166 Increase in cash, cash equivalents and marketable securities 19,317 34,553 Cash, cash equivalents and marketable securities at beginning of period 105,261 56,129 Cash, cash equivalents and marketable securities at end of period $124,578 $90,682