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NextGen Healthcare
Annual Report 2005

NXGN · NASDAQ Healthcare
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Industry Medical - Healthcare Information Services
Employees 1001-5000
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FY2005 Annual Report · NextGen Healthcare
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A Higher IQ for Healthcare IT

Corporate/QSI Division 
Headquar ters 
18191 Von Karman Avenue, Suite 450  
Irvine, California 92612  
949.255.2600

NextGen Division Locations
795 Horsham Road  
Horsham, Pennsylvania 19044  
215.657.7010

www.qsii.com

www.nextgen.com

3340 Peachtree Road, Suite 450 
Atlanta, Georgia 30326  
404.467.1500

2 0 0 5   A N N U A L   R E P O R T

 
 
 
 
 
 
 
 
 
 
 
 
 
Corporate Information

Directors of the Company

Officers of the Company

Sheldon Razin

Chairman 

William Botts

Director

Patrick Cline

President 

Louis Silverman

President & Chief Executive Officer

Patrick Cline

President

NextGen Healthcare Information Systems

Greg Flynn

NextGen Healthcare Information Systems

Executive Vice President &  

Maurice DeWald

Chief Executive Officer 

Verity Financial Group, Inc.

Ahmed Hussein

Director

Jonathan Javitt

Vice Chairman

Health Directions, LLC

Vincent Love

Managing Partner

Kramer, Love & Cutler, LLP

Steven Plochocki

Chief Executive Officer

Trinity Hospice

Louis Silverman

President & Chief Executive Officer

Quality Systems, Inc.

General Manager

QSI Division

Paul Holt

Chief Financial Officer

Legal Counsel

Rutan & Tucker, LLP

Costa Mesa, California

Independent Auditors

Grant Thornton LLP

Irvine, California

Investor Relations Consultants

Coffin Communications Group

Los Angeles, California

310.477.9800

Form 10-K

A copy of the Company’s Annual Report on 

Form 10-K, as filed with the Securities and 

Exchange Commission, is available on the 

Company’s website at www.qsii.com or by 

contacting the Company at our Company 

Headquarters.

2005 Annual Report

Quality  Systems,  Inc.  and  its  NextGen  Healthcare  Information 
Systems subsidiary develop and market computer-based practice 
management  systems,  electronic  patient  records  systems,  and 
connectivity  applications  for  medical  and  dental  group  prac-
tices.  Products  are  marketed  under  the  QSI  and  NextGen®  
product  names.  Visit  www.qsii.com  and  www.nextgen.com  for 

additional information.

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d

 
 
 
 
 
 
 
 
President’s Letter

Dear Fellow Shareholders, Clients and Associates:
  Fiscal  2005  was  an  important  year  in  the  continued  evolution  of  your  Company. 
Though this is our 23rd year as a public company, it was a year of many “firsts.”
  Financially, the Company turned in record revenue and EPS performance during each 
of the year’s quarters, and therefore, had record results for the year as a whole. Company 
performance was fueled by our NextGen Division, which grew to account for 83% of the 
year’s total Company revenue.

In the product arena, we delivered NextGen 5.0 which represents our first integrated 
EPM/EMR  product.  Our  flagship  product(s)  captured  first  place  in  the  HIMSS/HUG 
awards at our industry’s largest convention. 

In addition, we introduced NextGen Express, our first product focused on the smaller 

practice marketplace. 
  We added record numbers of new clients and staff members to our extended family 
during  the  year.  I  welcome  each  of  you  and  hope  that  your  first  year  with  us  was  a  
memorable  one.  It  is  my  sincere  hope  that  this  is  the  first  year  of  a  long-lived  and  
mutually rewarding relationship.
  We paid the first (one-time, special) dividend in the Company’s history to shareholders 
in March, returning nearly $20 million to our owners. Also in March, we split our stock  
(2 for 1) for the first time in more than twenty years.
  We  navigated  through  our  first  year  under  Section  404  of  the  Sarbanes-Oxley  Act, 
investing significant amounts of time, effort and money that hopefully will prove rewarding 
to shareholders over the long term.
  For  the  first  time  in  the  past  five  years,  the  Company’s  board  of  directors  includes 
management representation, as both Pat Cline and I were named to the board in May of 
2005. We look forward to adding value to future board discussions and deliberations. 

In  addition  to  this  list  of  notable  “firsts”  there  were  a  number  of  other  events  that, 

while not unique to FY 2005, are nevertheless well worth noting.
  Continued strong leadership from our entire executive management team was integral 
to the year’s results. Pat Cline, Greg Flynn, and Paul Holt each performed admirably  
during the year, and each was complemented by the dedicated and talented teams 
working with them. 
  The  Company’s  performance  was  again  recognized  by  the  business  press.  During  
the  year,  we  were  named  to  (among  others)  the  Forbes  list  of  the  200  Best  Small 
Companies in America, BusinessWeek’s Top 100 Growth Companies, the Fortune list  
of America’s Fastest Growing Small Companies, and the  Business 2.0 list of 100 Hot 
Growth Companies. 
  On behalf of everyone at NextGen and QSI, I would like to thank you for the confidence 
you have placed in us. We look to continue to earn your trust. 

Sincerely,

Louis Silverman
President & Chief Executive Officer

2005 Annual Report

1

 
 
 
FY 2005 and Beyond:  
Announcements and Accomplishments

2004

•  #43 on BusinesWeek’s 100 

Hot Growth Companies list

•  #21 on Business 2.0’s 

100 Fastest Growing 

•  Record results for  

Technology Companies list

Q1 FY 2005

June
\

\
July

\
May

August
\

\
November

•   TEPR awards earned:

•  #15 on Fortune maga-

•  #32 on Forbes’ 200 Best 

  – 1st honors—Practice 

zine’s list of America’s 

Small Companies list

•   Record results for  

Q2 FY 2005

Management Systems

Fastest Growing Small 

  – 1st honors (tie) —EMR 

Companies

Systems—Small/Solo 

Practices

  – 2nd honors—EMR 

Systems—Medium and 

Large Practices

•   #1 Ranking in AC Group’s 

EMR survey

•   Record results for Q4 and  

FY 2004

“Fiscal 2005 was an important year in the continued 

evolution of your Company. Though this is our 23rd 

year as a public company, it was a year of many ‘firsts.’”

“Company performance was fueled by our NextGen  

Division, which grew to account for 83% of the year’s 

total Company revenue.”

•  One-time Cash 

Dividend

January
\

•  Board of Directors  

•  #41 on Fortune  

magazine’s list of 

America’s Fastest 

expanded to include  

Growing Small 

management

Companies

May
\

\
February

\
June

July
\

•  2:1 Stock Split

•  Record results for Q4 and 

FY 2005

•  #48 on BusinessWeek’s 100 

Hot Growth Companies list

•  #19 on Business 2.0’s 100 

Fastest Growing Technology 

Companies list

•  Record results for  

Q3 FY 2005

•  Siemens Strategic 

Alliance

•  Microsoft MS-HUG 

Awards earned: 

– EMR—1st place (tie) 

Ambulatory Care 

Clinical/Patient 

Information Systems

– EPM—1st place—

Administrative/ 

Financial Systems 

2005

Quality Systems, Inc.

2

2005 Annual Report

3

Financial Highlights

Selected historical financial data is presented below. Additional financial information  

is available in the accompanying SEC Form 10-K.

  Revenue  has  increased  at  the  compounded  annual  rate  of  22%  for  the  FY  2001– 

2005 period.

  Our NextGen Healthcare Information Systems Division has achieved a compounded 

revenue  growth  rate  of  34%  during  this  same  period,  and  increased  its  share  of  total 

Company revenue from 57% in FY 2001 to 83% in FY 2005.

  Total  Company  operating  income  grew  at  the  compounded  rate  of  49%  for  the  

FY 2001–2005 period.

  Diluted earnings per share increased at the compounded rate of 44% per year during 

the period.

  Cash  and  cash  equivalents  increased  annually  during  FY’s  2001,  2002,  2003,  and  

2004.  During  FY  2005,  we  paid  a  one-time  dividend  to  shareholders  which  caused  

the ending FY 2005 total to be approximately equal to FY 2004’s ending amount. We 

held $3.90 per split adjusted share in cash at 3/31/05.

Revenues
dollars in millions

Operating Income
dollars in millions

Cash and Cash Equivalents
dollars in millions 
(at FYE)

 Earnings Per Share
fully diluted, in dollars 
(split adjusted)

89.0

70.9

54.8

44.4

39.9

24.6

51.4

51.2

16.6

36.4

1.22

0.80

10.7

7.9

5.0

25.4

18.5

0.55

0.42

0.28

’01

’02

’03

’04

’05

’01 ’02 ’03

’04

’05

’01 ’02 ’03

’04

’05

’01 ’02 ’03

’04

’05

QSI Division  |  NextGen

Quality Systems, Inc.

4

100

80

60

40

20

0

25

20

15

10

5

0

60

50

40

30

20

10

0

1.5

1.2

0.9

0.6

0.3

0.0

UNITED STATES 
SECURITIES AND EXCHANGE COMMISSION 
Washington, DC 20549 

FORM 10-K 

(Mark One) 
[X]  ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE 

SECURITIES EXCHANGE ACT OF 1934 
For the fiscal year ended March 31, 2005 
or 
[X]  TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE 
SECURITIES EXCHANGE ACT OF 1934 

For the transition period from 

to 

Commission file number:  0-13801 

Quality Systems, Inc. 
(Exact name of Registrant as specified in its charter) 

California 
(State or other jurisdiction of 
incorporation or organization) 

95-2888568 
(I.R.S. Employer Identification No.) 

18191 Von Karman Avenue, Irvine, California 92603 
(Address of principal executive offices, including zip code) 

(949) 255-2600 
(Registrant’s telephone number, including area code) 

Securities registered pursuant to Section 12(b) of the Act: 

None 
(Title of each class) 

None 
(Name of each exchange on which registered) 

Securities registered pursuant to Section 12(g) of the Act: 

Common Stock, par value $.01 per Share 
(Title of class) 

Indicate  by  check  mark  whether  the  Registrant  (1)  has  filed  all  reports  required  to  be  filed  by  Section  13  or  15(d)  of  the 
Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the Registrant was required to 
file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes [X] No [X] 

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and 
will  not  be  contained,  to  the  best  of  Registrant’s  knowledge,  in  definitive  proxy  or  information  statements  incorporated  by 
reference in Part III of this Form 10-K or any amendment to this Form 10-K. [X] 

Indicate by check mark whether the Registrant is an accelerated filer (as defined in Rule 12b-2 of the Act).  Yes [X] No [X] 

The  aggregate  market  value  of  the  voting  stock  held  by  non-affiliates  of  the  Registrant  as  of  September  30,  2004: 
$210,543,000 (based on the closing sales price of the Registrant’s Common Stock as reported in the NASDAQ National Market 
System on that date, $50.51 per share).* 

The aggregate market  value  of  the  voting  stock  held  by  non-affiliates  of  the Registrant as  of  June  3,  2005:  $415,011,000 
(based on the closing sales price of the Registrant’s Common Stock as reported in the NASDAQ National Market System on that 
date, $51.30 per share).* 

Indicate the number of shares outstanding of each of the Registrant’s classes of Common Stock, as of the latest practicable 

date. 

Common Stock, $.01 par value 
(Class) 

13,115,360 
(Outstanding at June 8, 2005) 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
DOCUMENTS INCORPORATED BY REFERENCE 

The information required by Part III, Items 10, 11, 12, 13 and 14, of the Form 10-K is incorporated by reference from 
Registrant's Definitive Proxy Statement for its 2005 annual meeting which is to be filed with the Commission within 120 days of 
its fiscal year ended on March 31, 2005. 

* For purposes of this report, in addition to those shareholders which fall within the definition of “affiliates” under Rule 
405 of the Securities Act of 1933, as amended, holders of ten percent or more of the Registrant’s Common Stock are deemed to 
be affiliates for purposes of this Report.  

 
 
 
 
 
 
CAUTIONARY STATEMENT 

Statements  made  in  this  report,  the  Annual  Report  to  Shareholders  in  which  this  report  is  made  a  part, 
other reports and proxy statements filed with the Securities and Exchange Commission, communications 
to shareholders, press releases and oral statements made by our representatives that are not historical in 
nature,  or  that  state  our  or  management’s  intentions,  hopes,  beliefs,  expectations  or  predictions  of  the 
future, may constitute “forward-looking statements” within the meaning of Section 21E of the Securities 
and Exchange Act of 1934, as amended (the “Exchange Act”). Forward-looking statements can often be 
identified by the use of forward-looking terminology, such as “could,” “should,” “will,” “will be,” “will 
lead,”  “will  assist,”  “intended,”  “continue,”  “believe,”  “may,”  “expect,”  “hope,”  “anticipate,”  “goal,” 
“forecast,” “plan,” or “estimate” or variations thereof or similar expressions. Forward-looking statements 
are not guarantees of future performance or results. They involve risks, uncertainties and assumptions. It 
is important to note that any such performance and actual results, financial condition or business, could 
differ  materially  from  those  expressed  in  such  forward-looking  statements.  Factors  that  could  cause  or 
contribute  to  such  differences  include,  but  are  not  limited  to,  those  discussed  below  as  well  as  those 
discussed  elsewhere  in  reports  filed  with  the  Securities  and  Exchange  Commission.  Other  unforeseen 
factors  not  identified  herein  could  also  have  such  an  effect.  We  undertake  no  obligation  to  update  or 
revise forward-looking statements to reflect changed assumptions, the occurrence of unanticipated events 
or changes in future operating results, financial condition or business over time. 

PART I 

ITEM 1. 

BUSINESS 

General 

Except  for  the  historical  information  contained  herein,  the  matters  discussed  in  this  Annual  Report  on 
Form 10-K, including discussions of the Registrant's product development plans, business strategies and 
market  factors  influencing  the  Registrant's  results,  are  forward-looking  statements  that  involve  certain 
risks and uncertainties. Actual results may differ from those anticipated by the Registrant as a result of 
various  factors,  both  foreseen  and  unforeseen,  including,  but  not  limited  to,  the  Registrant's  ability  to 
continue  to  develop  new  products  and  increase  systems  sales  in  markets  characterized  by  rapid 
technological  evolution,  consolidation  within  the  Registrant's  target  marketplace  and  among  the 
Registrant's  competitors,  and  competition  from  larger,  better  capitalized  competitors.  Many  other 
economic,  competitive,  governmental  and  technological  factors  could  impact  the  Registrant's  ability  to 
achieve  our  goals.    Interested  persons  are  urged  to  review  the  risks  described  under  “Item  1.  Business. 
Risk Factors” and in Item 7. “Management’s Discussion and Analysis of Financial Condition and Results 
of Operations” as well as in the Registrant's other public disclosures and filings with the Securities and 
Exchange Commission. 

 3

 
 
 
 
 
 
 
Company Overview 

Quality  Systems  Inc.,  comprised  of  the  QSI  Division  (QSI  Division)  and  a  wholly  owned  subsidiary, 
NextGen Healthcare Information Systems, Inc. (NextGen Division) (collectively, the Company, we, our, 
or us) develops and markets healthcare information systems that automate certain aspects of medical and 
dental practices, networks of practices such as physician hospital organizations (PHO’s) and management 
service  organizations  (MSO’s),  ambulatory  care  centers,  community  health  centers,  and  medical  and 
dental schools.  

The Company, a California corporation formed in 1974, was founded with an early focus on providing 
information systems to dental group practices. In the mid-1980’s, we capitalized on the increasing focus 
on  medical  cost  containment  and  further  expanded  our  information  processing  systems  to  serve  the 
medical  market.  In  the  mid  1990’s  we  made  two  acquisitions  that  accelerated  our  penetration  of  the 
medical market. These two acquisitions formed the basis for the NextGen Division. Today, we serve the 
medical and dental markets through our two divisions.  

The  two  Divisions  operate  largely  as  stand-alone  operations,  with  each  Division  maintaining  its  own 
distinct product lines, product platforms, development, implementation and support teams, sales staffing, 
and branding. The two Divisions share the resources of our “corporate office” which includes a variety of 
accounting and other administrative functions. Additionally, there are a small number of clients who are 
simultaneously utilizing software from each of our two Divisions.   

The QSI Division, co-located with our Corporate Headquarters in Irvine, California, currently focuses on 
developing, marketing and supporting software suites sold to dental and certain niche medical practices. 
In  addition,  the  Division  supports  a  number  of  medical  clients  that  utilize  the  Division’s  UNIX1  based 
medical practice management software product.  

The NextGen Division, with headquarters in Horsham, Pennsylvania, and a second significant location in 
Atlanta,  Georgia,  focuses  principally  on  developing  and  marketing  products  and  services  for  medical 
practices. 

Both  Divisions  develop  and  market  practice  management  software  which  is  designed  to  automate  and 
streamline a number of the administrative functions required for operating a medical or dental practice. 
Examples  of  practice  management  software  functions  include  scheduling  and  billing  capabilities.  It  is 
important  to  note  that  in  both  the  medical  and  dental  environments,  practice  management  software 
systems have already been implemented by the vast majority of practices. Therefore, we actively compete 
for the replacement market.  

In addition, both Divisions develop and market software that automates the patient record and enhances 
patient-provider interactions. Adoption of this software, commonly referred to as clinical software,  is in 
its  relatively  early  stages.  Therefore,  we  are  typically  competing  to  replace  paper-based  patient  record 
alternatives as opposed to replacing previously purchased systems.  

Electronic Data Interchange (EDI)/connectivity products are intended to automate  a number of  manual, 
often  paper-based  or  telephony  intensive  communications  between  patients  and/or  providers  and/or 
payors.  Two  of  the  more  common  EDI  services  are  forwarding  insurance  claims  electronically  from 
providers  to  payors  and  assisting  practices  with  issuing  statements  to  patients.  Most  practices  utilize  at 
least some of these services from us or one of our competitors. Other EDI/connectivity services are used 

1 UNIX is a registered trademark of the AT&T Corporation. 

 4

 
 
 
 
 
 
 
 
                                                      
 
more sporadically by client practices. We typically compete to displace incumbent vendors for claims and 
statements accounts, and attempt to increase usage of other elements in our EDI/connectivity product line.   
In general, EDI services are only sold to those accounts utilizing software from one of our Divisions. 

The  QSI  Division’s  practice  management  software  suite  utilizes  a  UNIX  operating  system.  Its  Clinical 
Product  Suite  (CPS)  utilizes  a  Windows  NT2  operating  system  and  can  be  fully  integrated  with  the 
practice  management  software  from  each  Division.  CPS  incorporates  a  wide  range  of  clinical  tools 
including,  but  not  limited  to,  periodontal  charting  and  digital  imaging  of  X-ray  and  inter-oral  camera 
images  as  part  of  the  electronic  patient  record.  The  Division  develops,  markets,  and  manages  our 
EDI/connectivity  applications.  The  QSInet  Application  Service  Provider  (ASP/Internet)  offering  is  also 
developed and marketed by the Division.  

Our  NextGen  Division  develops  and  sells  proprietary  electronic  medical  records  software  and  practice 
management  systems  under  the  NextGen®3    product  name.    Major  product  categories  of  the  NextGen 
suite  include  Electronic  Medical  Records  (NextGenemr),  Enterprise  Practice  Management  (NextGenepm), 
Enterprise Appointment Scheduling (NextGeneas), Enterprise Master Patient Index (NextGenepi), NextGen 
Image  Control  System  (NextGenics),  Managed  Care  Server  (NextGenmcs),  Electronic  Data  Interchange, 
System  Interfaces,  Internet  Operability  (NextGenweb),  a  Patient-centric  and  Provider-centric  Web  Portal 
solution (NextMD4.com), and a handheld product (NextGenpda). During the year ended March 31, 2005, 
the NextGen Division introduced NextGen Express, a version of NextGenemr  designed for small practices.  
NextGen products utilize Microsoft Windows technology and can operate in a client-server environment 
as well as via private intranet, the Internet, or in an ASP environment.  

We  continue  to  pursue  product  enhancement  initiatives  within  each  Division.  The  majority  of  such 
expenditures are currently targeted to the NextGen Division product line and client base.   

Inclusive  of  divisional  EDI  revenue,  the  NextGen  Division  accounted  for  approximately  82.7%  of  our 
revenue for fiscal 2005 compared to 76.8% in fiscal 2004. Inclusive of divisional EDI revenue ,the QSI 
Division accounted for 17.3% and 23.2% of revenue in fiscal 2005 and 2004, respectively. The NextGen 
Division’s year over year revenue grew at 35.2% and 45.8% in fiscal 2005 and 2004, respectively, while 
the  QSI  Division’s  year  over  year  revenue  declined  by  6.8%  and  5.3%  in  fiscal  2005  and  2004, 
respectively.   

In  addition  to  the  aforementioned  software  solutions  which  we  offer  through  our  two  divisions,  each 
division  offers  comprehensive  hardware  and  software  installation  services,  maintenance  and  support 
services, and system training services. 

Industry Background  

To  compete  in  the  continually  changing  healthcare  environment,  providers  are  increasingly  using 
technology to help maximize the efficiency of their business practices, to assist in enhancing patient care, 
and to maintain the privacy of patient information.   

As  the  reimbursement  environment  continues  to  evolve,  more  healthcare  providers  enter  into  contracts, 
often with multiple entities, which define the terms under which care is administered and paid for. The 
diversity  of  payor  organizations,  as  well  as  additional  government  regulation  and  changes  in 

2   Microsoft Windows, Windows NT, Windows 95, Windows 98, Windows XP, and Windows 2000 are registered 
trademarks of the Microsoft Corporation. 
3 NextGen is a registered trademark of NextGen Healthcare Information Systems, Inc. 
4 NextMD is a registered trademark of NextGen Healthcare Information Systems, Inc. 

 5

 
 
 
 
 
 
 
                                                      
 
reimbursement  models,  have  greatly  increased  the  complexity  of  pricing,  billing,  reimbursement,  and 
records  management  for  medical  and  dental  practices.  To  operate  effectively,  healthcare  provider 
organizations must efficiently manage patient care and other information and workflow processes which 
increasingly extend across multiple locations and business entities. 

In  response,  healthcare  provider  organizations  have  placed  increasing  demands  on  their  information 
systems.  Initially,  these  information  systems  automated  financial  and  administrative  functions.  As  it 
became necessary to manage patient flow processes, the need arose to integrate “back-office” data with 
such  clinical  information  as  patient  test  results  and  office  visits.  The  Company  believes  information 
systems  must  facilitate  management  of  patient  information  incorporating  administrative,  financial  and 
clinical information from multiple entities. In addition, large healthcare organizations increasingly require 
information  systems  that  can  deliver  high  performance  in  environments  with  multiple  concurrent 
computer users. 

Many  existing  healthcare  information  systems  were  designed  for  limited  administrative  tasks  such  as 
billing  and  scheduling  and  can  neither  accommodate  multiple  computing  environments  nor  operate 
effectively  across  multiple  locations  and  entities.  We  believe  that  practices  that  leverage  technology  to 
more  efficiently  handle  patient  clinical  data  as  well  as  administrative,  financial  and  other  practice 
management data, will be best able to enhance patient flow, pursue cost efficiencies, and improve quality 
of  care.  As  healthcare  organizations  transition  to  new  computer  platforms  and  newer  technologies,  we 
believe  such  organizations  will  be  migrating  toward  the  implementation  of  enterprise-wide,  patient-
centric computing systems embedded with automated clinical patient records.   

Company Strategy   

The Company’s strategy is, at present, to focus on it’s core  software business. Among the key elements 
central to this strategy are: 

•  Continued development and enhancement of select software solutions in target markets;  
•  Continued investments in our infrastructure including but not limited to product development, 

sales, marketing, implementation, and support;   

•  Continued efforts to make infrastructure investments within an overall context of maintaining 

reasonable expense discipline; and 

•  Addition of new customers through maintaining and expanding sales, marketing and product 

development activities.   

While these are the key elements of our current strategy, there can be no guarantees that our strategy will 
not change, or that we will succeed in achieving these goals individually or collectively.   

Products 

In response to the growing need for more comprehensive, cost-effective healthcare information solutions 
for physician and dental practices, our systems provide our clients with the ability to redesign patient care 
and  other  workflow  processes  while  improving  productivity  through  facilitation  of  managed  access  to 
patient  information.  Utilizing  our  proprietary  software  in  combination  with  third  party  hardware  and 
software  solutions,  our  products  enable  the  integration  of  a  variety  of  administrative  and  clinical 
information  operations.  Leveraging  more  than  30  years  of  experience  in  the  healthcare  information 
services industry, we believe that we continue to add value  by providing our clients with sophisticated, 
full-featured  software  systems  along  with  comprehensive  systems  implementation,  maintenance  and 
support services.    Any single transaction may or may not include software, hardware or services.   

Practice  Management  Systems.    Our  products  consist  primarily  of  proprietary  healthcare  software 
applications  together  with  third  party  hardware  and  other  non-industry  specific  software.  The  systems 
range in capacity from one to thousands of users, allowing us to address the needs of both small and large 

 6

 
 
 
 
 
 
 
organizations. The systems are modular in design and may be expanded to accommodate changing client 
requirements. 

The QSI Division’s character-based practice management system is available in both dental and medical 
versions  and  primarily  uses  the  IBM  RS60005  central  processing  unit  and  IBM'S  AIX6  version  of  the 
UNIX operating system as a platform for our application software enabling a wide range of flexible and 
functional  systems.    The  hardware  components,  as  well  as  the  requisite  operating  system  licenses,  are 
purchased from manufacturers or distributors of those components.  We configure  and test the hardware 
components and incorporate our software and other third party packages into completed systems tailored 
to  accommodate  particular  client  requirements.    We  continually  evaluate  third  party  hardware 
components with a view toward utilizing hardware that is functional, reliable and cost-effective.   
NextGenepm  is  the  NextGen  division’s  practice  management  offering.    NextGenepm  has  been  developed 
using  a  graphical  user  interface  (GUI)  client-server  platform  for  compatibility  with  Windows  2000, 
Windows  NT  and  Windows  XP  operating  systems  and    relational  databases  that  are  ANSI  SQL-
compliant.  NextGenepm  is  scalable  and  includes  a  master  patient  index,  enterprise-wide  appointment 
scheduling  with  referral  tracking,  clinical  support,  and  centralized  or  decentralized  patient  financial 
management  based  on  either  a  managed  care  or  fee-for-service  model.    The  system’s  three-tiered 
architecture  allows  work  to  be  performed  on  the  database  server,  the  application  server  and  the  client 
workstation.  

We also offer practice management solutions for both dental and medical practices through the Internet. 
These products are marketed under the QSINet and NextGenweb trade names, respectively.  

Clinical  Systems.    Our  dental  charting  software  system,  the  Clinical  Product  Suite  (CPS),  is  a 
comprehensive solution designed specifically for the dental group practice environment. CPS integrates 
the  dental  practice  management  product  with  a  computer-based  clinical  information  system  that 
incorporates a wide range of clinical tools, including: 

•  Electronic charting of dental procedures, treatment plans and existing conditions; 

•  Periodontal  charting  via  light-pen,  voice-activation,  or  keyboard  entry  for  full  periodontal 

examinations and PSR scoring; 

•  Digital imaging of X-ray and intra-oral camera images; 

•  Computer-based patient education modules, viewable chair-side to enhance case presentation; 

•  Full  access  to  patient  information,  treatment  plans,  and  insurance  plans  via  a  fully  integrated 

interface with our dental practice management product; and  

•  Document and image scanning for digital storage and linkage to the electronic patient record. 

The  result  is  a  comprehensive  clinical  information  management  system  that  helps  practices  save  time, 
reduce costs, improve case presentation, and enhance the delivery of dental services and quality of care.  
Clinical information is managed and maintained electronically thus forming an electronic patient record 
that allows for the implementation of the “chartless” office.   

CPS incorporates Windows-based client-server technology consisting of one or more file servers together 
with any combination of one or more desktop, laptop, or pen-based PC workstations. The file server(s) 
used  in  connection  with  CPS  utilize(s)  a  Windows  NT  or  Windows  2000  or  Windows  XP  operating 
system and the hardware is typically a Pentium7-based single or multi-processor platform. Based on the 

5 RS6000 is a registered trademark of International Business Machines Corporation. 
6 AIX is a registered trademark of International Business Machines Corporation. 
7 Pentium is a registered trademark of Intel Corporation. 

 7

 
 
                                                      
 
server  configuration  chosen,  CPS  is  scalable  from  one  to  hundreds  of  workstations.    A  typical 
configuration may also include redundant disk storage, magnetic tape units, intra- and extra-oral cameras, 
digital  X-ray  components,  digital  scanners,  conventional  and  flat  screen  displays,  and  printers.    The 
hardware components, including the requisite operating system licenses, are purchased from third party 
manufacturers or distributors either directly by the customer or by us for resale to the customer. 

NextGen provides clinical software applications that are complementary to, and are integrated with, our 
medical  practice  management  offerings  and  interface  with  many  of  the  other  leading  practice 
management  software  systems  on  the  market.  The  applications  incorporated  into  our  practice 
management  solutions  and  others  such  as  scheduling,  eligibility,  billing  and  claims  processing  are 
augmented  by  clinical  information  captured  by  NextGenemr,  including  services  rendered  and  diagnoses 
used  for  billing  purposes.    We  believe  that  we  currently  provide  a  comprehensive  information 
management solution for the medical marketplace.   
NextGenemr  was  developed  with  client-server  architecture  and  a  GUI  and  utilizes  Microsoft  Windows 
2000,  Windows  NT  or  Windows  XP  on  each  workstation  and  either  Windows  2000,  Windows  NT, 
Windows  XP  or  UNIX  on  the  database  server.  NextGenemr  maintains  data  using  industry  standard 
relational database engines such as Microsoft SQL Server8 or Oracle9. The system is scalable from one to  
hundreds of workstations. 
  NextGenemr stores and maintains clinical data including: 

•  Data captured using user-customized input “templates”; 

•  Scanned or electronically acquired images, including X-rays and photographs; 

•  Data electronically acquired through interfaces with clinical instruments or external systems; 

•  Other records, documents or notes, including electronically captured handwriting and annotations; 

and 

•  Digital voice recordings. 

NextGenemr  also  offers  a  workflow  module,  prescription  management,  automatic  document  and  letter 
generation, patient education, referral tracking, interfaces to billing and lab systems, physician alerts and 
reminders, and powerful reporting and data analysis tools.  
NextGenpda, the Pocket-PC-based suite of solutions, allows mobile health professionals to utilize many of 
NextGen’s functions using a palm-sized device. 

Connectivity  Services.  The  Company  makes  available  electronic  data  interchange  (“EDI”) 
capabilities  and  connectivity  services  to  our  customers.      The  EDI/connectivity  capabilities  encompass 
direct  interfaces  between  our  products  and  external  third  party  systems,  as  well  as  transaction-based 
services.  Services include: 

•  Electronic  claims  submission  through  our  relationships  with  a  number  of  payors  and  national 

claims clearinghouses; 

•  Electronic  patient  statement  processing,  appointment  reminder  cards  and  calls,  recall  cards, 

patient letters, and other correspondence;  

•  Electronic insurance eligibility verification; and 

•  Electronic posting of remittances from insurance carriers into the accounts receivable application. 

8 Microsoft and SQL Server is a registered trademark of Microsoft Corporation. 
9 Oracle is a registered trademark of Oracle Corporation. 

 8

 
 
                                                      
Internet  Applications.  Our  NextGen  Division  maintains  an  Internet-based  consumer  health 
portal, NextMD.com.  NextMD.com is a vertical portal for the healthcare industry, linking patients with 
their  physicians,  insurers,  laboratories,  and  online  pharmacies,  while  providing  a  centralized  source  of 
health-oriented information for both consumers and medical professionals.  Patients whose physicians are 
linked to the portal are able to request appointments, send appointment changes or cancellations, receive 
test results on-line, request prescription refills, view and/or pay their statements, and communicate with 
their physicians, all in a secure, on-line environment.  Our NextGen suite of information systems are or 
can be linked to NextMD.com, integrating a number of these features with physicians’ existing systems. 

Our  QSI  Division  also  provides  a  web-based  application  called  QSINet  which  allows  clients  to  access 
information  from  their  practice  management  system  via  the  Internet.    This  application  also  enables 
providers to offer their patients convenient services such as on-line appointment scheduling and electronic 
bill  payment  through  the  client’s  website,  and  posts  this  data  directly  to  the  client’s  existing  practice 
management system.  

Sales and Marketing   

We  sell  and  market  our  products  nationwide  primarily  through  a  direct  sales  force.  The  efforts  of  the 
direct sales force are augmented by a small number of reseller relationships established by us. Software 
license sales to resellers represented less than 10% of total revenue for the years ended March 31, 2005 
and 2004.   

Our direct sales force typically makes presentations to potential clients by demonstrating the system and 
our  capabilities  on  the  prospective  client's  premises.      Sales  efforts  aimed  at  smaller  practices  are 
primarily  performed  remotely  via  telephone  or  internet  based  presentations.      Our  sales  and  marketing 
employees  identify  prospective  clients  through  a  variety  of  means,  including  referrals  from  existing 
clients,  industry  consultants,  contacts  at  professional  society  meetings,  trade  shows  and  seminars,  trade 
journal advertising, direct mail advertising, and telemarketing.  

Our  sales  cycle  can  vary  significantly  and  typically  ranges  from  three  to  twelve  months  from  initial 
contact to contract execution. Software licenses are normally delivered to a customer almost immediately 
upon  receipt  of  an  order.    Implementation  and  training  services  are  normally  rendered  based  on  a 
mutually  agreed  upon  timetable.    As  part  of  the  fees  paid  by  our  clients,  we  receive  up-front  licensing 
fees.    Clients  have  the  option  to  purchase  maintenance  services  which,  if  purchased,  are  invoiced  on  a 
monthly or quarterly basis.  

Several clients have purchased our practice management software and, in turn, are providing either time-
share or billing services to single and group practice practitioners. Under the time-share or billing service 
agreements, the client provides the use of our software for a fee to one or more practitioners. Although we 
typically  do  not  receive  a  fee  directly  from  the  distributor's  customers,  implementation  of  such 
arrangements  has,  from  time  to  time,  resulted  in  the  purchase  of  additional  software  capacity  by  the 
distributor, as well as new software purchases made by the distributor's customers should such customers 
decide to perform the practice management functions in-house. 

We  continue  to  concentrate  our  direct  sales  and  marketing  efforts  on  medical  and  dental  practices, 
networks of such practices including MSO’s and PHO’s, professional schools, community health centers 
and other ambulatory care settings. 

MSO’s, PHO’s and similar networks to which we have sold systems provide use of our software to those 
group and single physician practices associated with the organization or hospital on either a service basis 
or by directing us to contract with those practices for the sale of stand-alone systems. 

We have also entered into marketing assistance agreements with certain of our clients pursuant to which 
the clients allow us to demonstrate to potential clients the use of systems on the existing clients' premises. 

 9

 
 
 
 
 
From  time  to  time  we  assist  prospective  clients  in  identifying  third  party  sources  for  financing  the 
purchase  of  our  systems.  The  financing  is  typically  obtained  by  the  client  directly  from  institutional 
lenders and typically takes the form of a loan from the institution secured by the system to be purchased 
or  a  leasing  arrangement.    We  do  not  guarantee  the  financing  nor  retain  any  continuing  interest  in  the 
transaction.  

We  have  numerous  clients  and  do  not  believe  that  the  loss  of  any  single  client  would  have  a  material 
adverse effect on us. No client accounted for ten percent or more of net revenue during the fiscal years 
ended March 31, 2005, 2004, or 2003.  

Customer Service and Support   

We believe our success is attributable in part to our customer service and support departments.  We offer 
support to our clients seven days a week, 24 hours a day. 

Our client support staff is comprised of specialists who are knowledgeable in the areas of software and 
hardware  as  well  as  in  the  day-to-day  operations  of  a  practice.  System  support  activities  range  from 
correcting  minor  procedural  problems  in  the  client's  system  to  performing  complex  database 
reconstructions or software updates. 

We  utilize  automated  online  support  systems  which  assist  clients  in  resolving  minor  problems  and 
facilitate  automated  electronic  retrieval  of  problems  and  symptoms  following  a  client's  call  to  the 
automated  support  system.  Additionally,  our  online  support  systems  maintain  call  records,  available  at 
both the client’s facility and our offices. 

We offer our clients support services for most system components, including hardware and software, for a 
fixed  monthly  or  quarterly  fee.  Customers  also  receive  access  to  future  unspecified  versions  of  the 
software,  on  a  when-and-if  available  basis,  as  part  of  support  services.  We  also  subcontract,  in  certain 
instances, with third party vendors to perform specific hardware maintenance tasks.   

Implementation and Training   

We  offer  full  service  implementation  and  training  services.    When  a  client  signs  a  contract  for  the 
purchase of a system that includes implementation and training services, a client manager/implementation 
specialist trained in medical and/or dental group practice procedures is assigned to assist the client in the 
installation of the system and the training of appropriate practice staff.  Implementation services include 
loading the software, training customer personnel, data conversion, running test data, and assisting in the 
development and documentation of procedures.  Implementation and training services are provided by our 
employees as well as certified third parties and certain resellers.  

Training may include a combination of computer assisted instruction (CAI) for certain of our products, 
remote training techniques and training classes conducted at the client's or our office(s). CAI consists of 
workbooks,  computer  interaction  and  self-paced  instruction.  CAI  is  also  offered  to  clients,  for  an 
additional  charge,  after  the  initial  training  program  is  completed  for  the  purpose  of  training  new  and 
additional  employees.  Remote  training  allows  a  trainer  at  our  offices  to  train  one  or  more  people  at  a 
client site via telephone and computer connection, thus allowing an interactive and client-specific mode 
of  training  without  the  expense  and  time  required  for  travel.  In  addition,  our  on-line  “help”  and  other 
documentation features facilitate client training as well as ongoing support. 

 10

 
 
 
 
 
 
 
 
 
 
 
Competition   

The  markets  for  healthcare  information  systems  are  intensely  competitive.  The  industry  is  highly 
fragmented and includes numerous competitors, none of which we believe dominates these markets. The 
electronic  patient  records  and  connectivity  markets,  in  particular,  are  subject  to  rapid  changes  in 
technology,  and  we  expect  that  competition  in  these  market  segments  will  increase  as  new  competitors 
enter the market.  We believe our principal competitive advantages are the features and capabilities of our 
products and services, our high level of customer support, and our extensive experience in the industry.  

Production Enhancement and Development 

The healthcare information management and computer software and hardware industries are characterized 
by rapid technological change requiring us to engage in continuing investments to update, enhance, and 
improve  our  systems.  During  fiscal  years  2005,  2004,  and  2003,  we  expended  approximately  $9.6 
million,  $8.7  million,  and  $6.7  million,  respectively,  on  research  and  development  activities,  including 
capitalized software amounts of $2.7 million, $2.6 million, and $1.7 million, respectively. In addition, a 
portion  of  our  product  enhancements  have  resulted  from  software  development  work  performed  under 
contracts with our clients.  

Employees 

As of May 27, 2005, we employed 418 persons, of which 409 were full-time employees.  We believe that 
our future success depends in part upon recruiting and retaining qualified sales, marketing and technical 
personnel as well as other employees.  

Risks Relating to our Business  

The  more  prominent  risks  and  uncertainties  inherent  in  our  business  are  described  below.    However, 
additional risks and uncertainties may also impair our business operations.  If any of the following risks 
actually occur, our business, financial condition or results of operations will likely suffer.  Any of these or 
other factors could harm our business and future results of operations and may cause you to lose all or 
part of your investment. 

We  face  significant  competition.      The  markets  for  healthcare  information  systems  are  intensely 
competitive  and  we  face  significant  competition  from  a  number  of  different  sources.    Several  of  our 
competitors  have  significantly  greater  name  recognition  as  well  as  substantially  greater  financial, 
technical, product development and marketing resources than we do. 

We  compete  in  all  of  our  markets  with  other  major  healthcare  related  companies,  information 
management  companies,  systems  integrators,  and  other  software  developers.  Competitive  pressures  and 
other factors, such as new product introductions by ourselves or our competitors, may result in price or 
market share erosion that could have a material adverse effect on our business, results of operations and 
financial  condition.  Also,  there  can  be  no  assurance  that  our  applications  will  achieve  broad  market 
acceptance or will successfully compete with other available software products. 

Our inability to make initial sales of our systems to newly formed groups and/or healthcare providers that 
are  replacing  or  substantially  modifying  their  healthcare  information  systems  could  have  a  material 
adverse effect on our business, results of operations and financial condition. If new systems sales do not 
materialize, our near term and longer term revenue will be negatively affected. 

 11

 
 
 
 
 
 
 
 
 
 
 
 
in  revenue  recognition  or  other  accounting  guidelines  employed  by  us  and/or 

Our quarterly operating results have historically fluctuated and may do so in the future.   Our revenue 
has fluctuated in the past, and may fluctuate in the future from quarter to quarter and period to period, as a 
result of a number of factors including, without limitation:  
• 
• 
• 
• 
• 
• 
• 

the size and timing of orders from clients;  
the specific mix of software, hardware, and services in client orders; 
the length of sales cycles and installation processes;  
the ability of our clients to obtain financing for the purchase of our products;  
changes in pricing policies or price reductions by us or our competitors;  
the timing of new product announcements and product introductions by us or our competitors;  
changes 
established by the Financial Accounting Standards Board or other rule-making bodies;  
the availability and cost of system components;  
the financial stability of clients;  

• 
• 
•  market acceptance of new products, applications and product enhancements;  
• 
• 
• 

our ability to develop, introduce and market new products, applications and product enhancements;  
our success in expanding our sales and marketing programs;  
deferrals  of  client  orders  in  anticipation  of  new  products,  applications,  product  enhancements,  or      
public/private sector initiatives;  
execution of or changes to our strategy; 
personnel changes; and  
general market/economic factors. 

• 
• 
• 

Our software products are generally shipped as orders are received and accordingly, we have historically 
operated  with  a  minimal  backlog  of  license  fees.    As  a  result,  revenue  in  any  quarter  is  dependent  on 
orders  booked  and  shipped  in  that  quarter  and  is  not  predictable  with  any  degree  of  certainty.  
Furthermore, our systems can be relatively large and expensive and individual systems sales can represent 
a significant portion of our revenue and profits for a quarter such that the loss or deferral of even one such 
sale can have a significant adverse impact on our quarterly revenue and profitability.  

Clients  often  defer  systems  purchases  until  our  quarter  end,  so  quarterly  results  generally  cannot  be 
predicted and frequently are not known until the quarter has concluded.  

Our  sales  are  dependent  upon  clients’  initial  decisions  to  replace  or  substantially  modify  their  existing 
information systems, and subsequently a decision as to which products and services to purchase. These 
are  major  decisions  for  healthcare  providers,  and  accordingly,  the  sales  cycle  for  our  systems  can  vary 
significantly  and  typically  ranges  from  three  to  twelve  months  from  initial  contact  to  contract 
execution/shipment.  

Because a significant percentage of our expenses are relatively fixed, a variation in the timing of systems 
sales, implementations, and installations can cause significant variations in operating results from quarter 
to quarter. As a result, we believe that interim period-to-period comparisons of our results of operations 
are  not  necessarily  meaningful  and  should  not  be  relied  upon  as  indications  of  future  performance. 
Further,  our  historical  operating  results  are  not  necessarily  indicative  of  future  performance  for  any 
particular period.  

We currently recognize revenue pursuant to SOP 97-2, as modified by SOP 98-9 and SAB 104. SAB 104 
summarizes the staff’s views in applying generally accepted accounting principles to revenue recognition 
in financial statements.    

 12

 
 
 
 
 
 
 
 
There can be no assurance that application and subsequent interpretations of these pronouncements will 
not further modify our revenue recognition policies, or that such modifications would not have a material 
adverse effect on the operating results reported in any particular quarter or year.  

Due to all of the foregoing factors, it is possible that our operating results may be below the expectations 
of  public  market  analysts  and  investors.  In  such  event,  the  price  of  our  common  stock  would  likely  be 
materially adversely affected. 

The price of our shares and the trading volume of our shares have been volatile historically and may 
continue to be volatile.  Volatility may be caused by a number of factors including but not limited to: 

actual or anticipated quarterly variations in operating results;  
rumors about our performance, software solutions,  or merger and acquisition activity;  
changes in expectations of future financial performance or changes in estimates of securities analysts; 

(cid:131) 
(cid:131) 
(cid:131) 
(cid:131)  governmental regulatory action; 
(cid:131)  health care reform measures; 
(cid:131) 
client relationship developments; 
(cid:131)  purchases or sales of company stock; 
(cid:131) 
changes occurring in the markets in general; and  
(cid:131)  other factors, many of which are beyond our control.  

Furthermore,  the  stock  market  in  general,  and  the  market  for  software,  healthcare  and  high  technology 
companies in particular, has experienced extreme volatility that often has been unrelated to the operating 
performance of particular companies. These broad market and industry fluctuations may adversely affect 
the trading price of our common stock, regardless of actual operating performance.   

Two of our directors are significant shareholders, which makes it possible for them to have significant 
influence  over  the  outcome  of  all  matters  submitted  to  our  shareholders  for  approval  and  which 
influence may be alleged to conflict with our interests and the interests of our other shareholders.  Two 
of our directors and principal shareholders beneficially owned an aggregate of approximately 38% of the 
outstanding  shares  of  our  common  stock  at  March  31,  2005.    The  Company's  Bylaws  permit  its 
shareholders to cumulate their votes, the effect of which is to provide shareholders with sufficiently large 
concentrations  of  Company  shares  the  opportunity  to  assure  themselves  one  or  more  seats  on  the 
Company's Board.   The amounts required to assure a Board position can vary based upon the number of 
shares outstanding, the number of shares voting, the number of directors to be elected and the number of 
shares held by the shareholder exercising cumulative voting rights.  In the event that cumulative voting is 
invoked,  it  is  likely  that  the  two  of  our  directors  holding  an  aggregate  of  approximately  38%  of  the 
outstanding  shares  of  our  common  stock  at  March  31,  2005  will  each  have  sufficient  votes  to  assure 
themselves  of  one  or  more  seats  on  our  Board.   With  or  without  cumulative  voting,  these  shareholders 
will have significant influence over the outcome of all matters submitted to our shareholders for approval, 
including the election of our directors and other corporate actions.  In addition, such influence by one or 
both of these affiliates could have the effect of discouraging others from attempting to purchase us, take 
us over, and/or reducing the market price offered for our common stock in such an event.  

We are dependent on our principal products and our new product development.  We currently derive 
substantially all of our net revenue from sales of our healthcare information systems and related services. 
We believe that a primary factor in the market acceptance of our systems has been our ability to meet the 
needs of users of healthcare information systems. Our future financial performance will depend in large 
part  on  our  ability  to  continue  to  meet  the  increasingly  sophisticated  needs  of  our  clients  through  the 
timely development and successful introduction and implementation of new and enhanced versions of our 
systems  and  other  complementary  products.  We  have  historically  expended  a  significant  percentage  of 

 13

 
 
 
  
 
 
 
our  net  revenue  on  product  development  and  believe  that  significant  continuing  product  development 
efforts  will  be  required  to  sustain  our  growth.  Continued  investment  in  our  sales  staff  and  our  client 
implementation and support staffs will also be required to support future growth.  

There can be no assurance that we will be successful in our product development efforts, that the market 
will  continue  to  accept  our  existing  products,  or  that  new  products  or  product  enhancements  will  be 
developed and implemented in a timely manner, meet the requirements of healthcare providers, or achieve 
market  acceptance.  If  new  products  or  product  enhancements  do  not  achieve  market  acceptance,  our 
business, results of operations and financial condition could be materially adversely affected. At certain 
times in the past, we have also experienced delays in purchases of our products by clients anticipating our 
launch  of  new  products.  There  can  be  no  assurance  that  material  order  deferrals  in  anticipation  of  new 
product introductions from ourselves or other entities will not occur. 

If the emerging technologies and platforms of Microsoft and others upon which we build our products 
do not gain broad market acceptance, or if we fail to develop and introduce in a timely manner new 
products  and  services  compatible  with  such  emerging  technologies,  we  may  not  be  able  to  compete 
effectively and our ability to generate revenue will suffer.   Our software products are built and depend 
upon  several  underlying  and  evolving  relational  database  management  system  platforms  such  as  those 
developed by Microsoft. To date, the standards and technologies upon which we have chosen to develop 
our  products  have  proven  to  have  gained  industry  acceptance.  However,  the  market  for  our  software 
products is subject to ongoing rapid technological developments, quickly evolving industry standards and 
rapid changes in customer requirements, and there may be existing or future technologies and platforms 
that achieve industry standard status, which are not compatible with our products. 

We face the possibility of subscription pricing.  We currently derive substantially all of our revenue from 
traditional  software  license,  maintenance  and  service  fees,  as  well  as  the  resale  of  computer  hardware. 
Today,  customers  pay  an  initial  license  fee  for  the  use  of  our  products,  in  addition  to  a  periodic 
maintenance fee. If the marketplace demands subscription pricing, we may be forced to adjust our sales, 
marketing and pricing strategies accordingly, by offering a higher percentage of our products and services 
through  these  means.  Shifting  to  a  significantly  greater  degree  of  subscription  pricing  could  materially 
adversely  impact  our  financial  condition,  cash  flows  and  quarterly  and  annual  revenue  and  results  of 
operations,  as  our  revenue  would  initially  decrease  substantially.  There  can  be  no  assurance  that  the 
marketplace will not increasingly embrace subscription pricing. 

The industry in which we operate is subject to significant technological change.  The software market 
generally is characterized by rapid technological change, changing customer needs, frequent new product 
introductions,  and  evolving  industry  standards.  The  introduction  of  products  incorporating  new 
technologies  and  the  emergence  of  new  industry  standards  could  render  our  existing  products  obsolete 
and unmarketable. There can be no assurance that we will be successful in developing and marketing new 
products that respond to technological changes or evolving industry standards. New product development 
depends  upon  significant  research  and  development  expenditures  which  depend  ultimately  upon  sales 
growth.  Any  material  weakness  in  revenue  or  research  funding  could  impair  our  ability  to  respond  to 
technological advances or opportunities in the marketplace and to remain competitive. If we are unable, 
for technological or other reasons, to develop and introduce new products in a timely manner in response 
to changing market conditions or customer requirements, our business, results of operations and financial 
condition may be materially adversely affected. 

In response to increasing market demand, we are currently developing new generations of certain of our 
software  products.  There  can  be  no  assurance  that  we  will  successfully  develop  these  new  software 
products or that these products will operate successfully, or that any such development, even if successful, 

 14

 
 
 
 
 
 
will be completed concurrently with or prior to introduction of competing products. Any such failure or 
delay could adversely affect our competitive position or could make our current products obsolete. 

We  face  the  possibility  of  claims  based  upon  our web  site.    We  could  be  subject  to  third  party  claims 
based on the nature and content of information supplied on our Web site by us or third parties, including 
content  providers  or  users.    We  could  also  be  subject  to  liability  for  content  that  may  be  accessible 
through  our  Web  site  or  third  party  Web  sites  linked  from  our  Web  site  or  through  content  and 
information  that  may  be  posted  by  users  in  chat  rooms,  bulletin  boards  or  on  Web  sites  created  by 
professionals using our  applications. Even if these claims do not result in liability to us, investigating and 
defending against these claims could be expensive and time consuming and could divert management’s 
attention away from our operations.  

We face the possibility of claims from activities of strategic partners.  We rely on third parties to provide 
services that impact our business. For example, we use national clearinghouses in the processing of some 
insurance  claims  and  we  outsource  some  of  our  hardware  maintenance  services  and  the  printing  and 
delivery  of  patient  statements  for  our  customers.  We  also  have  relationships  with  certain  third  parties 
where these third parties serve as sales channels through which we generate a portion of our revenue. Due 
to these third-party relationships, we could be subject to claims as a result of the activities, products, or 
services  of  these  third-party  service  providers  even  though  we  were  not  directly  involved  in  the 
circumstances leading to those claims. Even if these claims do not result in liability to us, defending and 
investigating these claims could be expensive and time-consuming, divert personnel and other resources 
from our business and result in adverse publicity that could harm our business.  

We may engage in future acquisitions, which may be expensive and time consuming and from which 
we  may  not  realize  anticipated  benefits.    We  may  acquire  additional  businesses,  technologies  and 
products  if  we  determine  that  these  additional  businesses,  technologies  and  products  are  likely  to  serve 
our strategic goals.  We currently have no commitments or agreements with respect to any acquisitions.  
The  specific  risks  we  may  encounter  in  these  types  of  transactions  include  but  are  not  limited  to  the 
following: 

(cid:131)  potentially  dilutive  issuances  of  our  securities,  the  incurrence  of  debt  and  contingent  liabilities  and 
amortization  expenses  related  to  intangible  assets,  which  could  adversely  affect  our  results  of 
operations and financial conditions;  

(cid:131)  use  of  cash  as  acquisition  currency  may  adversely  impact  interest  or  investment  income  ,  thereby 

potentially negatively affecting our earnings and /or earnings per share 

(cid:131)  difficulty  in  effectively  integrating  any  acquired  technologies  or  software  products  into  our  current 

products and technologies; 

(cid:131)  difficulty  in  predicting  and  responding  to  issues  related  to  product  transition  such  as  development, 

(cid:131) 

(cid:131) 

(cid:131) 

distribution and customer support; 
the possible adverse impact of such acquisitions on existing relationships with third party partners and 
suppliers of technologies and services;  
the possibility that staff or customers of the acquired company might not accept new ownership and 
may  transition  to  different  technologies  or  attempt  to  renegotiate  contract  terms  or  relationships, 
including maintenance or support agreements;  
the  possibility  that  the  due  diligence  process  in  any  such  acquisition  may  not  completely  identify 
material  issues  associated  with  product  quality,  product  architecture,  product  development, 
intellectual property issues, key personnel issues or legal and financial contingencies; and  

(cid:131)  difficulty in integrating acquired operations due to geographical distance, and language and cultural 

differences; 

(cid:131)  The  possibility  that  acquired  assets  become  impaired,  requiring  the  Company  to  take  a  charge  to 

earnings which could be significant. 

 15

 
 
 
 
 
A failure to successfully integrate acquired businesses or technology for any of these reasons could have a 
material adverse effect on the Company’s results of operations.  

We  face  the  risks  and  uncertainties  that  are  associated  with  litigation  against  us.    We  face  the  risks 
associated  with  litigation  concerning  the  operation  of  our  business.    The  uncertainty  associated  with 
substantial unresolved litigation may have an adverse impact on our business. In particular, such litigation 
could  impair  our  relationships  with  existing  customers  and  our  ability  to  obtain  new  customers. 
Defending  such  litigation  may  result  in  a  diversion  of  management's  time  and  attention  away  from 
business operations, which could have a material adverse effect on our business, results of operations and 
financial  condition.  Such  litigation  may  also  have  the  effect  of  discouraging  potential  acquirers  from 
bidding  for  us  or  reducing  the  consideration  such  acquirers  would  otherwise  be  willing  to  pay  in 
connection with an acquisition.    

There  can  be  no  assurance  that  such  litigation  will  not  result  in  liability  in  excess  of  our  insurance 
coverage,  that  our  insurance  will  cover  such  claims  or  that  appropriate  insurance  will  continue  to  be 
available to us in the future at commercially reasonable rates. 

We  rely  heavily  on  our  proprietary  technology.      We  are  heavily  dependent  on  the  maintenance  and 
protection  of  our  intellectual  property  and  we  rely  largely  on  license  agreements,  confidentiality 
procedures, and employee nondisclosure agreements to protect our intellectual property. Our software is 
not patented and existing copyright laws offer only limited practical protection.  

There can be no assurance that the legal protections and precautions we take will be adequate to prevent 
misappropriation  of  our  technology  or  that  competitors  will  not  independently  develop  technologies 
equivalent or superior to ours. Further, the laws of some foreign countries do not protect our proprietary 
rights to as great an extent as do the laws of the United States and are often not enforced as vigorously as 
those in the United States. 

We  do  not  believe  that  our  operations  or  products  infringe  on  the  intellectual  property  rights  of  others. 
However, there can be no assurance that others will not assert infringement or trade secret claims against 
us with respect to our current or future products or that any such assertion will not require us to enter into 
a  license  agreement  or  royalty  arrangement  or  other  financial  arrangement  with  the  party  asserting  the 
claim. Responding to and defending any such claims may distract the attention of Company management 
and  have  a  material  adverse  effect  on  our  business,  results  of  operations  and  financial  condition.  In 
addition, claims may be brought against third parties from which we purchase software, and such claims 
could adversely affect our ability to access third party software for our systems. 

We are dependent on our license rights from third parties.  We depend upon licenses for some of the 
technology used in our  products from  third-party vendors. Most of these licenses  can be renewed only 
by mutual consent and may be terminated if we breach the terms of the license and fail to cure the breach 
within a specified period of time. We may not be able to continue using the technology made available to 
us  under  these  licenses  on  commercially  reasonable  terms  or  at  all.  As  a  result,  we  may  have  to 
discontinue, delay or  reduce  product  shipments  until  we  can  obtain  equivalent  technology. Most  of  our 
third-party licenses are non-exclusive. Our competitors may obtain the right to use any of the technology 
covered by these licenses and use the technology to compete directly with us. In addition, if our vendors 
choose  to  discontinue  support  of  the  licensed  technology  in  the  future  or  are  unsuccessful  in  their 
continued research and development efforts, we may not be able to modify or adapt our own products.  

We face the possibility of damages resulting from internal and external security breaches, and viruses.  
In  the  course  of  our  business  operations,  we  compile  and  transmit  confidential  information,  including 

 16

 
 
 
 
 
 
 
 
 
patient health information, in our processing centers and other facilities.  A breach of security in any of 
these facilities could damage our reputation and result in damages being assessed against us.  In addition, 
the  other  systems  with  which  we  may  interface,  such  as  the  Internet  and  related  systems  may  be 
vulnerable to security breaches, viruses, programming errors, or similar disruptive problems.    The effect 
of  these  security  breaches  and  related  issues  could  disrupt  our  ability  to  perform  certain  key  business 
functions  and  could  potentially  reduce  demand  for  our  services.    Accordingly,  we  have  expended 
significant  resources  toward  establishing  and  enhancing  the  security  of  our  related  infrastructures, 
although no assurance can be given that they will be entirely free from potential breach. Maintaining and 
enhancing our infrastructure security may require us to expend significant capital in the future.   

The success of our strategy to offer our EDI services and Internet solutions depends on the confidence of 
our customers in our ability to securely transmit confidential information. Our EDI services and Internet 
solutions rely on encryption, authentication and other security technology licensed from third parties to 
achieve  secure  transmission  of  confidential  information.  We  may  not  be  able  to  stop  unauthorized 
attempts to gain access to or disrupt the transmission of communications by our customers. Anyone who 
is  able  to  circumvent  our  security  measures  could  misappropriate  confidential  user  information  or 
interrupt us, or our customers', operations. In addition, our EDI and Internet solutions may be vulnerable 
to viruses, physical or electronic break-ins, and similar disruptions.  

Any  failure  to  provide  secure  infrastructure  and/or  electronic  communication  services  could  result  in  a 
lack of trust by our customers causing them to seek out other vendors, and/or, damage our reputation in 
the market making it difficult to obtain new customers. 

We are subject to the development and maintenance of the Internet infrastructure which is not within 
our control.  We deliver Internet-based services and, accordingly, we are dependent on the maintenance 
of the Internet by third parties.  The Internet infrastructure may be unable to support the demands placed 
on  it  and  our  performance  may  decrease  if  the  Internet  continues  to  experience  it’s  historic  trend  of 
expanding usage.  As a result of damage to portions of its infrastructure, the Internet has experienced a 
variety of performance problems which may continue into the foreseeable future.  Such Internet related 
problems may diminish Internet usage and availability of the Internet to us for transmittal of our Internet-
based services.  In addition, difficulties, outages, and delays by Internet service providers, online service 
providers and other web site operators may obstruct or diminish access to our Web site by our customers 
resulting in a loss of potential or existing users of our services. 

Our failure to manage growth could harm us.   We  have  in  the  past  experienced  periods  of  growth 
which  have  placed,  and  may  continue  to  place,  a  significant  strain  on  our  non-cash  resources.  We  also 
anticipate expanding our overall software development, marketing, sales, client management and training 
capacity.  In  the  event  we  are  unable  to  identify,  hire,  train  and  retain  qualified  individuals  in  such 
capacities  within  a  reasonable  timeframe,  such  failure  could  have  a  material  adverse  effect  on  us.  In 
addition, our ability to manage future increases, if any, in the scope of our operations or personnel will 
depend on significant expansion of our research and development, marketing and sales, management, and 
administrative and financial capabilities. The failure of our management to effectively manage expansion 
in our business could have a material adverse effect on our business, results of operations and financial 
condition.   

Our operations are dependent upon our key personnel.  If such personnel were to leave unexpectedly, 
we  may not  be able to execute our business plan.  Our future performance depends in significant part 
upon the continued service of our key technical and senior management personnel, many of whom have 
been with us for a significant period of time.  These personnel have acquired specialized knowledge and 
skills with respect to our business.  We maintain key man life insurance on only one of our employees. 
Because we have a relatively small number of employees when compared to other leading companies in 

 17

 
 
 
 
 
 
our  industry,  our  dependence  on  maintaining  our  relationships  with  key  employees  is  particularly 
significant. We are also dependent on our ability to attract high quality personnel, particularly in the areas 
of sales and applications development.  

The industry in which we operate is characterized by a high level of employee mobility and aggressive 
recruiting  of  skilled  personnel.  There  can  be  no  assurance  that  our  current  employees  will  continue  to 
work  for  us.    Loss  of  services  of  key  employees  could  have  a  material  adverse  effect  on  our  business, 
results  of  operations  and  financial  condition.  Furthermore,  we  may  need  to  grant  additional  equity 
incentives to key employees and provide other forms of incentive compensation to attract and retain such 
key personnel. Failure to provide such types of incentive compensation could jeopardize our recruitment 
and retention capabilities.  

Our  products  may  be  subject  to  product  liability  legal  claims.    Certain  of  our  products  provide 
applications that relate to patient clinical information. Any failure by our products to provide accurate and 
timely information could result in claims against us. In addition, a court or government agency may take 
the position that our delivery of health information directly, including through licensed practitioners, or 
delivery of information by a third party site that a consumer accesses through our web sites, exposes us to 
assertions of malpractice, other personal injury liability, or other liability for wrongful delivery/handling 
of healthcare services or erroneous health information. We maintain insurance to protect against claims 
associated  with  the  use  of  our  products  as  well  as  liability  limitation  language  in  our  end-user  license 
agreements,  but  there  can  be  no  assurance  that  our  insurance  coverage  or  contractual  language  would 
adequately  cover  any  claim  asserted  against  us.    A  successful  claim  brought  against  us  in  excess  of  or 
outside  of  our  insurance  coverage  could  have  a  material  adverse  effect  on  our  business,  results  of 
operations and financial condition. Even unsuccessful claims could result in our expenditure of funds for 
litigation and management time and resources.  

Certain  healthcare  professionals  who  use  our  Internet-based  products  will  directly  enter  health 
information about their patients including information that constitutes a record under applicable law that 
we may store on our computer systems.  Numerous federal and state laws and regulations, the common 
law,  and  contractual  obligations,  govern  collection,  dissemination,  use  and  confidentiality  of  patient-
identifiable health information, including: 

state and federal privacy and confidentiality laws; 

(cid:131) 
(cid:131)  our contracts with customers and partners; 
(cid:131) 
(cid:131)  Medicaid laws;  
(cid:131) 

state laws regulating healthcare professionals; 

the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and related rules proposed 
by the Health Care Financing Administration; and  

(cid:131)  Health Care Financing Administration standards for Internet transmission of health data. 

The  U.S.  Congress  has  finalized  the  Health  Insurance  Portability  and  Accountability  Act  of  1996  that 
established elements including, but not limited to, new federal privacy and security standards for the use 
and  protection  of  Protected  Health  Information.    Any  failure  by  us  or  by  our  personnel  or  partners  to 
comply with applicable requirements may result in a material liability to us. 

Although  we  have  systems  and  policies  in  place  for  safeguarding  Protected  Health  Information  from 
unauthorized  disclosure,  these  systems  and  policies  may  not  preclude  claims  against  us  for  alleged 
violations  of  applicable  requirements.    Also,  third  party  sites  and/or  links  that  consumers  may  access 
through  our  web  sites  may  not  maintain  adequate  systems  to  safeguard  this  information,  or  may 
circumvent systems and policies we have put in place.  In addition, future laws or changes in current laws 
may necessitate costly adaptations to our policies, procedures, or systems. 

 18

 
 
 
 
 
 
 
There can be no assurance that we will not be subject to product liability claims, that such claims will not 
result in liability in excess of our insurance  coverage, that our insurance  will  cover such claims or that 
appropriate insurance will continue to be available to us in the future at commercially reasonable rates.  
Such product liability claims could have a material adverse affect on our business, results of operations 
and financial condition. 

We are subject to the effect of payor and provider conduct which we cannot control.  We offer certain 
electronic  claims  submission  products  and  services  as  part  of  our  product  line.  While  we  have 
implemented  certain  product  features  designed  to  maximize  the  accuracy  and  completeness  of  claims 
submissions, these features may not be sufficient to prevent inaccurate claims data from being submitted 
to payors. Should inaccurate claims data be submitted to payors, we may be subject to liability claims.  

Electronic data transmission services are offered by certain payors to healthcare providers that establish a 
direct  link  between  the  provider  and  payor.    This  process  reduces  revenue  to  third  party  EDI  service 
providers such as us.  Accordingly, we are unable to insure that we will continue to generate revenue at or 
in excess of prior levels for such services. A significant increase in the utilization of direct links between 
healthcare  providers  and  payers  could  have  a  material  adverse  effect  on  our  transaction  volume  and 
financial results.  In addition, we cannot provide assurance that we will be able to maintain our exiting 
links to payors or develop new connections on terms that are economically satisfactory to us, if at all. 

There is significant uncertainty in the healthcare industry in which we operate and we are subject to 
the  possibility  of  changing  government  regulation.      The  healthcare  industry  is  subject  to  changing 
political, economic and regulatory influences that may affect the procurement processes and operation of 
healthcare facilities. During the past several years, the healthcare industry has been subject to an increase 
in governmental regulation of, among other things, reimbursement rates and certain capital expenditures.  

In  the  past,  various  legislators  have  announced  that  they  intend  to  examine  proposals  to  reform  certain 
aspects of the U.S. healthcare system including proposals which may change governmental involvement 
in  healthcare  and  reimbursement  rates,  and  otherwise  alter  the  operating  environment  for  us  and  our 
clients.  Healthcare  providers  may  react  to  these  proposals,  and  the  uncertainty  surrounding  such 
proposals,  by  curtailing  or  deferring  investments,  including  those  for  our  systems  and  related  services. 
Cost-containment  measures  instituted  by  healthcare  providers  as  a  result  of  regulatory  reform  or 
otherwise  could  result  in a  reduction  in  the  allocation  of  capital  funds.  Such a  reduction  could  have  an 
adverse effect on our ability to sell our systems and related services.  On the other hand, changes in the 
regulatory  environment  have  increased  and  may  continue  to  increase  the  needs  of  healthcare 
organizations for cost-effective data management and thereby enhance the overall market for healthcare 
management  information  systems.  We  cannot  predict  what  impact,  if  any,  such  proposals  or  healthcare 
reforms might have on our business, financial condition and results of operations. 

The  HIPAA  regulations,  as  adopted  by  the  Department  of  Health  and  Human  Services,  established, 
among other things:  
(cid:131) 

a national standard for electronic transactions and code sets to be used in those transactions involving 
certain common health care transactions; 

(cid:131)  privacy regulations to protect the privacy of plan participants and patients’ medical records; and  
(cid:131) 

security  regulations  designed  to  establish  security  controls  and  measures  to  protect  the  privacy  and 
confidentiality of personal identifiable health information when it is electronically stored, maintained 
or transmitted (even if only internally transmitted within a medical practice).  

As these regulations mature and become better defined, we anticipate that these regulations will continue 
to directly affect certain of our products and services, but we cannot fully predict the impact at this time.  

 19

 
 
 
 
 
 
 
  
We have taken steps to modify our products, services and internal practices as necessary to facilitate our 
and our client’s compliance with the final regulations, but there can be no assurance that we will be able 
to do so in a timely or complete manner. Achieving compliance with these regulations could be costly and 
distract  management's  attention  and  other  resources,  and  any  noncompliance  by  us  could  result  in  civil 
and criminal penalties.  

In addition, development of related federal and state regulations and policies regarding the confidentiality 
of  health  information  or  other  matters  may  or  may  not  supercede  HIPAA  and  have  the  potential  to  
positively or negatively affect our business. 

In  addition,  our  software  may  potentially  be  subject  to  regulation  by  the  U.S.  Food  and  Drug 
Administration  (the  FDA)  as  a  medical  device.  Such  regulation  could  require  the  registration  of  the 
applicable  manufacturing  facility  and  software  and  hardware  products,  application  of  detailed  record-
keeping and manufacturing standards, and FDA approval or clearance prior to marketing. An approval or 
clearance requirement could create delays in marketing, and the FDA could require supplemental filings 
or object to certain of these applications, the result of which could have a material adverse effect on our 
business, financial condition and results of operations.  

We may be subject to other e-commerce regulations.  We may be subject to additional federal and state 
statutes  and  regulations  in  connection  with  offering  services  and  products  via  the  Internet.  On  an 
increasingly frequent basis, federal and state legislators are proposing laws and regulations that apply to 
Internet commerce and communications. Areas being affected by these regulations include user privacy, 
pricing, content, taxation, copyright protection, distribution, and quality of products and services. To the 
extent that our products and services are subject to these laws and regulations, the sale of our products 
and services could be harmed. 

We  are  subject  to  changes  in  and  interpretations  of  financial  accounting  matters  that  govern  the 
measurement  of  our  performance.    Based  on  our  reading  and  interpretations  of  relevant  guidance, 
principles  or  concepts  issued  by,  among  other  authorities,  the  American  Institute  of  Certified  Public 
Accountants, the Financial Accounting Standards Board, and the United States Securities and Exchange 
Commission,  Management  believes  our  current  sales  and  licensing  contract  terms  and  business 
arrangements  have  been  properly  reported.  However,  there  continue  to  be  issued  interpretations  and 
guidance  for  applying  the  relevant  standards  to  a  wide  range  of  sales  and  licensing  contract  terms  and 
business arrangements that are prevalent in the software industry. Future interpretations or changes by the 
regulators  of  existing  accounting  standards  or  changes  in  our  business  practices  could  result  in  future 
changes  in  our  revenue  recognition  and/or  other  accounting  policies  and  practices  that  could  have  a 
material adverse effect on our business, financial condition, cash flows, revenue and results of operations. 

Our per share price may be adversely effected if weaknesses in our internal controls are identified by 
ourselves or our independent auditors.  Any weaknesses identified in our internal controls as part of the 
evaluation being undertaken by us and our independent public accountants pursuant to Section 404 of the 
Sarbanes-Oxley Act of 2002 could have an adverse effect on the price at which our stock trades.  In the 
process of evaluating and documenting our controls pursuant to Section 404 of the Sarbanes-Oxley Act.   
we have identified various deficiencies which we are in the course of remediating.  Management does not 
believe that any of these identified deficiencies constitute a material weakness in our internal controls.   

No evaluation process can provide complete assurance that our internal controls will detect and correct all 
failures  within  the  Company  to  disclose  material  information  otherwise  required  to  be  reported.    The 
effectiveness of our controls and procedures could also be limited by simple errors or faulty judgments.  
In addition, if we continue to expand, the challenges involved in implementing appropriate controls will 
increase and may require that we evolve some or all of our internal control processes.  

 20

 
 
 
 
 
 
 
 
It is also possible that the overall scope of Section 404 of the Sarbanes Oxley Act of 2002 may be revised 
in  the  future,  thereby  causing  our  auditors  and  ourselves  to  review,  revise  or  reevaluate  our  internal 
control processes which may result in the expenditure of additional human and financial resources.  

Our  earnings  will  be  affected  beginning  fiscal  year  2007  when  we  begin  recognizing  employee  stock 
option expense, pursuant to recently issued accounting standards.  Stock options have from time to time 
been  an  important  component  of  the  compensation  packages  for  many  of  our  mid-  and  senior-level 
employees.  We currently do not deduct the expense of employee stock option grants from our income.  
However,  beginning  with  the  quarter  ended  June  30,  2006  and  beyond,  we  will  begin  recognizing 
employee stock option expense for remaining unvested stock options and any future stock option grants, 
resulting  in  additional  pre-tax  compensation  expense.    Option  expensing  could  have  a  negative  impact 
upon the price of our stock. 

Continuing  worldwide  political  and  economic  uncertainties  may  adversely  impact  our  revenue  and 
profitability.    In the last three years, worldwide economic conditions have experienced a downturn due 
to  numerous  factors  including  but  not  limited  to  concerns  about  inflation  and  deflation,  decreased 
consumer confidence, the lingering effects of international conflicts, and terrorist and military activities. 
These conditions make it extremely difficult for our customers, our vendors and ourselves to accurately 
forecast  and  plan  future  business  activities,  and  they  could  cause  constrained  spending on  our  products 
and services, and/or delay and lengthen sales cycles.  

Our  future  policy  concerning  the  payment  of  dividends  is  uncertain.    While  we  paid  a  one-time  cash 
dividend in March 2005, we have not historically paid dividends, cash or otherwise, and there can be no 
assurance that we will pay another dividend in the future.  Unfulfilled expectation to the contrary could 
have a material negative impact upon the price of our stock. 

ITEM 2. 

PROPERTIES 

Our  principal  administrative,  accounting  and  QSI  Division  operations  are  located  in  Irvine,  California, 
under a lease that commenced May 15, 2002, and expired in April 30, 2005. In April 2005, we renewed 
our lease through May 31, 2008.  We lease approximately 12,000 square feet of space at this location.   In 
August  2002,  we  executed  a  new  lease  for  the  principal  office  of  our  NextGen  Division.    This  lease 
includes approximately 32,000 square feet of space in Horsham, Pennsylvania, and expires on January 31, 
2010.    In  the  year  ended  March  31,  2005,  we  added  approximately  14,000  of  additional  space  in 
Horsham,  Pennsylvania  under  new  lease  which  expires  on  January  31,  2010.    In  addition,  we  lease 
approximately 6,000 square feet of space in Santa Ana, California, to house our assembly and warehouse 
operations.  We have approximately 12,000 square feet of space in Atlanta, Georgia under a lease which 
expires  in  February,  2006.    We  also  have  an  aggregate  of  approximately  4,000  square  feet  of  space  in 
Massachusetts,  Minnesota,  New  Jersey,  Texas,  Utah,  Wisconsin,  and  Washington  to  house  additional 
sales,  training,  development  and  service  operations.  These  leases,  excluding  options,  have  expiration 
dates  ranging  from  month-to-month  to  March  2010.      The  Company’s  growth  will  require  it  to  lease 
additional  space.    We  believe  that  suitable  additional  or  substitute  space  is  available,  if  needed,  at 
commercially reasonable rates.  

ITEM 3. 

LEGAL PROCEEDINGS 

In  the  normal  course  of  business,  we  are  involved  in  various  claims  and  legal  proceedings.    While  the 
ultimate resolution of these matters, has yet to be determined, we do not believe that their outcome will 
have a material adverse effect on our financial position, results of operations or liquidity. 

 21

 
 
 
 
 
 
 
 
ITEM 4. 

SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS 

No matter was submitted to a vote of security holders during the fourth quarter of fiscal year 2005. 

Executive Officers of the Company 

Our executive officers as of May 31, 2005 were as follows: 

Name  

Age 

Position 

Louis E. Silverman.............................................. 46 

President, Chief Executive Officer 

Patrick B. Cline ................................................... 44 

President, NextGen Healthcare Information Systems Division 

Greg Flynn .......................................................... 47 

Executive Vice President and General Manger of QSI Division 

Paul A. Holt......................................................... 39 

Secretary, Chief Financial Officer 

Our executive officers are elected by, and serve at the discretion of, the Board of Directors. Additional 
information regarding our executive officers is set forth below. 

Louis  E.  Silverman  was  appointed  President  and  Chief  Executive  Officer  of  the  company  on  July  31, 
2000. Mr. Silverman was previously Chief Operations Officer of CorVel Corp., a publicly traded national 
managed care services and technology firm with headquarters in Irvine, California. Mr. Silverman holds a 
Master of Business Administration degree from Harvard Graduate School of Business Administration and 
a Bachelor of Arts degree from Amherst College. 

Patrick B. Cline currently serves as President of our NextGen Healthcare Information Systems Division. 
He served as our interim Chief Executive Officer for the April - July 2000 period.  Mr. Cline was a co-
founder of Clinitec and has served as its President since its inception in January 1994 and throughout its 
transition to NextGen Healthcare Information Systems.  Prior to co-founding Clinitec, Mr. Cline served, 
from  July  1987  to  January  1994,  as  Vice  President  of  Sales  and  Marketing  with  Script  Systems,  a 
subsidiary of InfoMed, a healthcare information systems company. From January 1994 to May 1994, after 
the  founding  of  Clinitec,  Mr.  Cline  continued  to  serve,  on  a  part  time  basis,  as  Script  Systems’  Vice 
President  of  Sales  and  Marketing.  Mr.  Cline  has  held  senior  positions  in  the  healthcare  information 
systems industry since 1981.   

Greg Flynn has served as the QSI Division's General Manager since April 2000 and as Executive Vice 
President since August 1998 after serving as Vice President of Sales and Marketing from January 1996 to 
August 1998. Between June 1992 and January 1996, Mr. Flynn served as Vice President Administration. 
In  these  capacities,  Mr.  Flynn  has  been  responsible  for  numerous  functions  related  to  our  ongoing 
management and sales. Previously, Mr. Flynn served as our Vice President, Corporate Communications.  
Mr.  Flynn  joined  us  in  January  1982.    He  holds  a  B.A.  degree  in  English  from  the  University  of 
California, Santa Barbara. 

Paul  A.  Holt  was  appointed  Chief  Financial  Officer  in  November  2000.  Mr.  Holt  has  served  as  our 
Controller  from  January  2000  to  May  2000  and  was  appointed  interim  Chief  Financial  Officer  in  May 
2000.  Prior  to  joining  us,  Mr.  Holt  was  the  Controller  of  Sierra  Alloys  Co.,  Inc.,  a  titanium  metal 
manufacturing  company  from  August  1999  to  December  1999.  From  May  1997  to  July  1999,  he  was 
Controller of Refrigeration Supplies Distributor, a wholesale distributor and manufacturer of refrigeration 
supplies  and  heating  controls.  From  March  1995  to  April  1997  he  was  Assistant  Controller  of 
Refrigeration Supplies Distributor. Mr. Holt is a Certified Public Accountant and holds an M.B.A. from 
the University of Southern California and a B.A. in Economics from the University of California, Irvine. 

 22

 
 
 
 
 
 
 
PART II 

ITEM 5. 

FOR  REGISTRANT’S  COMMON 

MARKET 
STOCK,  RELATED 
STOCKHOLDER  MATTERS  AND  ISSUER  PURCHASES  OF  EQUITY 
SECURITIES 

Our Common Stock is traded on the NASDAQ National Market under the symbol “QSII”. The following 
table  sets  forth  for  the  quarters  indicated  the  high  and  low  sales  prices  as  reported  by  NASDAQ.  The 
quotations  reflect  inter-dealer  prices,  without  retail  markup,  markdown,  or  commissions,  and  may  not 
necessarily represent actual transactions. 

Quarter Ended 

High 

June 30, 2003 .................................................

$18.23 

September 30, 2003........................................

December 31, 2003 ........................................

March 31, 2004 ..............................................

June 30, 2004 .................................................

September 30, 2004........................................

December 31, 2004 ........................................

23.43 

24.88 

30.80 

25.75 

27.75 

32.49 

Low 

$11.25 

12.58 

19.91 

19.50 

19.75 

20.77 

24.05 

March 31, 2005 ..............................................

$48.90 

$27.90 

At May 31, 2005, there were approximately 130 holders of record of our Common Stock. We estimate the 
number of beneficial holders of our Common Stock to be in excess of 6,000. 

On February 2, 2005, the Company announced that its Board of Directors had declared a  2-for-1 stock 
split with respect to our outstanding shares of common stock for shareholders of record on March 4, 2005.  
The stock began trading post split on March 28, 2005.  All share prices in the foregoing table have been 
retroactively adjusted to reflect such stock split. 

On  March  16,  2005,  we  paid  a  one  time  dividend  on  shares  of  our  Common  Stock  equal  to  $1.50  per 
share.  ($3.00  pre-split)  The  record  date  for  the  dividend  was  February  24,  2005.    Payment  of  future 
dividends,  if  any,  will  be  at  the  discretion  of  our  Board  of  Directors  after  taking  into  account  various 
factors, including our financial condition, operating results, current and anticipated cash needs and plans 
for expansion.  

We did not make any unregistered sales of our common stock during the fourth quarter of 2005. 

 23

 
 
 
 
 
 
 
 
 
ITEM 6. 

SELECTED FINANCIAL DATA 

The following selected financial data with respect to our Consolidated Statements of Income data for each 
of the five years in the period ended March 31 and the Consolidated Balance Sheet data as of the end of 
each such fiscal year are derived from our audited financial statements. The following information should 
be read in conjunction with our Consolidated Financial Statements and the related notes thereto and “Item 
7.  Management’s  Discussion  and  Analysis  of  Financial  Condition  and  Results  of  Operations”  included 
elsewhere herein. 

Consolidated Financial Data 

     (In Thousands, Except Per Share Data) 

              Year Ended March 31, 

 2005 

 2004 

2003 

2002 

 2001 

Statement of Income Data: 

Revenue......................................................... $   88,961 
    32,669 
Cost of revenue .............................................
Gross profit....................................................
   56,292   
Selling, general and administrative 

expenses...................................................
   24,776 
     6,903    
Research and development costs ...................
Income from operations ................................
   24,613 
        876  
Investment income ........................................
Income before provision for income taxes ....
   25,489 
     9,380 
Provision for income taxes ............................
Net income .................................................... $   16,109 

$   70,934 
    28,673 
     42,261 

$   54,769 
    23,755 
    31,014 

$   44,422 
    19,253 
     25,169 

$ 39,936 
  17,283 
  22,653 

    19,482 
      6,139 
    16,640 
         386 
    17,026 
      6,626 
$   10,400 

    15,293 
      5,062 
    10,659 
        434 
    11,093 
      4,058 
$     7,035 

    13,068 
     4,243 
     7,858 
        643 
      8,501 
     3,233 
$     5,268 

 13,585 
    4,081 
   4,987 
    1,032 
   6,019 
   2,510 
$   3,509 

Basic net income per share............................ $       1.25 
Diluted net income per share......................... $       1.22 

$       0.84 
$       0.80 

$       0.57 
$       0.55 

$       0.44 
$       0.42 

$     0.29 
$     0.28 

Basic weighted average shares outstanding ..
Diluted weighted average shares 

   12,872 

    12,436 

   12,254 

    12,050 

 12,260 

outstanding...............................................

   13,203 

    12,966 

    12,778 

    12,480 

 12,406 

Balance Sheet Data (at end of period): 

Cash  and  cash  equivalents  and  short-term   
investments.................................................... $   51,157 
Working capital.............................................
    55,111 
Total assets ....................................................
    99,442 
Total liabilities ..............................................
    36,711 
Total shareholders' equity.............................. $   62,731 

$   51,395 
    53,415 
    86,678 
    25,673 
$   61,005 

$   36,443 
    38,717 
    67,602 
    20,069 
$   47,533 

$   25,698 
    30,799 
   52,143 
   12,093 
$   40,050 

$ 18,729 
  24,196 
  44,883 
  10,996 
$ 33,887 

 24

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ITEM 7. 

MANAGEMENT’S  DISCUSSION  AND  ANALYSIS  OF  FINANCIAL  CONDITION 
AND RESULTS OF OPERATION 

Except  for  the  historical  information  contained  herein,  the  matters  discussed  in  this  Annual  Report  on 
Form  10-K,  including  discussions  of  our  product  development  plans,  business  strategies  and  market 
factors  influencing  our  results,  may  include  forward-looking  statements  that  involve  certain  risks  and 
uncertainties. Actual results  may differ from those  anticipated by us as a result of various factors, both 
foreseen and unforeseen, including, but not limited to, our ability to continue to develop new products and 
increase  systems  sales  in  markets  characterized  by  rapid  technological  evolution,  consolidation,  and 
competition from larger, better capitalized competitors. Many other economic, competitive, governmental 
and technological factors could impact our ability to achieve our goals, and interested persons are urged 
to review the risks described in “Item 1. Business. Risk Factors” as set forth above, as well as in our other 
public disclosures and filings with the Securities and Exchange Commission. 

The  following  discussion  should  be  read  in  conjunction  with,  and  is  qualified  in  our  entirety  by,  the 
Consolidated Financial Statements and related notes thereto included elsewhere in this Report. Historical 
results  of  operations,  percentage  margin  fluctuations  and  any  trends  that  may  be  inferred  from  the 
discussion below are not necessarily indicative of the operating results for any future period. 

Critical Accounting Policies  

The  discussion  and  analysis  of  our  financial  condition  and  results  of  operations  is  based  upon  our 
consolidated  financial  statements  which  have  been  prepared  in  accordance  with  accounting  principles 
generally accepted in the United States of America.  The preparation of these financial statements requires 
us  to  make  estimates  and  judgments  that  affect  the  reported  amounts  of  assets,  liabilities,  revenue  and 
expenses, and related disclosures of contingent assets and liabilities.  On an on-going basis, we evaluate 
estimates, including those related to revenue recognition, uncollectible accounts receivable, and intangible 
assets,  for  reasonableness.    We  base  our  estimates  on  historical  experience  and  on  various  other 
assumptions  that  management  believes  to  be  reasonable  under  the  circumstances,  the  results  of  which 
form the basis for making judgments about the carrying values of assets and liabilities that are not readily 
apparent from other sources.  Actual results may differ from these estimates under different assumptions 
or conditions. 

We  believe  revenue  recognition,  the  allowance  for  doubtful  accounts,  goodwill  impairment,  capitalized 
software costs and research and development tax credits are among the most critical accounting policies 
that  impact  our  consolidated  financial  statements.      We  believe  that  significant  accounting  policies,  as 
described  in  Note  2  of  our  Consolidated  Financial  Statements,  “Summary  of  Significant  Accounting 
Policies”,  should  be  read  in  conjunction  with  Management’s  Discussion  and  Analysis  of  Financial 
Condition and Results of Operations.   

Revenue Recognition.  Our revenue is primarily generated from  the sale of software licenses, services, 
hardware, maintenance fees, and EDI services.  We currently recognize revenue pursuant to Statement of 
Position  No.  97-2,  “Software  Revenue  Recognition”  (SOP  97-2),  as  modified  by  Statement  of  Position  
No.  98-9,  “Modification  of  SOP  97-2,  Software  Revenue  Recognition,  With  Respect  of  Certain 
Transactions”  (SOP  98-9),  Staff  Accounting  Bulletin  No.  101,  “Revenue  Recognition  in  Financial 
Statements” (SAB 101) and Staff Accounting Bulletin No. 104, “Revenue Recognition” (SAB 104). SAB 
101  summarizes  the  staff’s  views  in  applying  generally  accepted  accounting  principles  to  revenue 
recognition in financial statements.   SAB 104 modifies certain guidance provided in SAB 101.  

Inherent in the revenue recognition process are significant management estimates and judgments, which 
influence the timing and amount of revenue recognition.    

 25

 
 
In accordance with the governing revenue recognition guidelines,  if the arrangement between vendor and 
purchaser  does  not  require  significant  production,  modification,  or  customization  of  software,  revenue 
should be recognized when all of the following criteria are met: 

• 

• 

• 

• 

persuasive evidence of an arrangement exists; 

delivery has occurred; 

the vendor’s fee is fixed or determinable; and 

collectibility is probable. 

In  accordance  with  generally  accepted  accounting  principles  in  the  United  States  of  America,  the 
recognition of software license revenue is based on our assessment that the above criteria have been met.  
In  general,  the  first  two  criteria  are  met  with  a  signed  contract  and  evidence  that  we  have  shipped  our 
software  to  the  customer.    We  determine  that  our  fee  is  fixed  and  determinable  based  on  the  contract 
terms, which specify payment terms tied to specific dates and not to any future deliverables. Probability 
of collection is based on a credit review of customers.  The timing or amount of revenue recognition may 
differ  if  different  assessments  of  the  above  listed  criteria  had  been  made  at  the  time  transactions  were 
recorded in revenue.  

SOP 97-2, as amended, generally requires revenue earned on software arrangements involving multiple 
elements  to  be  allocated  to  each  element  based  on  the  relative  fair  values  of  the  elements.    Our 
determination of the fair value of each element in multi-element arrangements is based on vendor-specific 
objective  evidence  (VSOE).  We  limit  our  assessment  of  VSOE  for  each  element  to  either  the  price 
charged  when  the  same  element  is  sold  separately  or  the  price  established  by  management  having  the 
relevant authority to do so, for an element not yet sold separately.  Management determines the price of 
individual  elements  sold  separately  using  a  rolling  average  of  stand  alone  transactions.    VSOE 
calculations are reviewed on a quarterly basis.   

If evidence of fair value of all undelivered elements exists but evidence of fair value does not exist for 
one or more delivered elements, then revenue is recognized using the residual method. Under the residual 
method, the fair value of the undelivered elements is deferred at VSOE and the remaining portion of the 
arrangement fee is recognized as revenue, net of all discounts.    

Contract accounting is applied where services include significant software modification, development or 
customization. In such instances, the  arrangement fee is  accounted for  in accordance with Statement of 
Position  No.  81-1  “Accounting  for  Performance  of  Construction-Type  and  Certain  Production-Type 
Contracts” (SOP 81-1), whereby the revenue is recognized, generally using the percentage-of-completion 
method measured on labor input hours. The complexity of the estimation process and judgment related to 
the  assumptions,  risks  and  uncertainties  inherent  with  the  application  of  the  percentage-of-completion 
method of accounting affect the amounts of revenue reported in its consolidated financial statements.  

Valuation  Allowances.    We  maintain  allowances  for  doubtful  accounts  for  estimated  losses  resulting 
from the inability of our customers to make required payments.    We perform ongoing credit evaluations 
of our customers and maintain reserves for estimated credit losses.  Reserves for potential credit losses are 
determined  by  establishing  both  specific  and  general  reserves.    Specific  reserves  are  based  on 
management’s estimate of the probability of collection for certain troubled accounts.  General reserves are 
established  based  on  our  historical  experience  of  bad  debt  expense  and  the  aging  of  our  accounts 
receivable balances net of deferred revenue and specifically reserved accounts.  If the financial condition 
of  our  customers  were  to  deteriorate  resulting  in  an  impairment  of  their  ability  to  make  payments, 
additional allowances would be required.  

Goodwill Impairment.  Our long-lived assets include goodwill of $1.8 million as of March 31, 2005 and 
2004,  respectively.    We  follow  Statement  of  Financial  Accounting  Standards  No.  142  “Goodwill  and 
Other Intangible Assets” (SFAS 142).  The statement applies to the amortization of goodwill and other 

 26

 
intangible assets.  We no longer amortize amounts related to goodwill.  The balance of goodwill is related 
to  our  NextGen  Division.    Under  SFAS  142,  we  are  required  to  perform  an  annual  assessment  of  the 
implied  fair  value  of  goodwill  and  intangible  assets  with  indefinite  lives  for  impairment.  We  have 
compared the fair value of the NextGen Division with the carrying amount of assets associated with the 
Division  and  determined  that  none  of  the  goodwill  recorded  as  of  June  30,  2004  (the  date  of  our  last 
annual impairment test) was impaired.  The fair value of the NextGen Division was determined using a 
reasonable estimate of future cash flows of the Division and a risk adjusted discount rate to compute a net 
present value of future cash flows.  There have been no changes that would lead us to believe there is any 
impairment of the goodwill since the date of the last annual impairment test through March 31, 2005. 

The  process  of  evaluating  goodwill  for  impairment  involves  the  determination  of  the  fair  value  of  our 
business  segments.    Inherent  in  such  fair  value  determinations  are  certain  judgments  and  estimates, 
including the interpretation of current economic indicators and market valuations, and assumptions about 
our strategic plans with regard to operations.  To the extent additional information arises or our strategies 
change,  it  is  possible  that  our  conclusion  regarding  goodwill  impairment  could  change  and  result  in  a 
material effect on our financial position or results of operations. 

Software  Development  Costs.    Development  costs  incurred  in  the  research  and  development  of  new 
software  products  and  enhancements  to  existing  software  products  are  expensed  as  incurred  until 
technological feasibility has been established. After technological feasibility is established, any additional 
development  costs  are  capitalized  in  accordance  with  the  Statement  of  Financial  Accounting  Standards 
No.  86,  “Accounting  for  the  Costs  of  Computer  Software  to  be  Sold,  Leased  or  Otherwise  Marketed” 
(SFAS 86).  Such capitalized costs are amortized on a straight line basis over the estimated economic life 
of  the  related  product,  of  three  years.  We  perform  an  annual  review  of  the  recoverability  of  such 
capitalized  software  costs.  At  the  time  a  determination  is  made  that  capitalized  amounts  are  not 
recoverable  based  on  the  estimated  cash  flows  to  be  generated  from  the  applicable  software,  any 
remaining capitalized amounts are written off. 

Research  and  Development  Tax  Credits.    During  the  year  ended  March  31,  2003,  the  Company  filed 
amended  federal  and  state  tax  returns  for  the  fiscal  years  ended  March  31,  1998  through  2001,  to  take 
advantage  of  tax  credits  related  to  our  research  and  development  activities.    In  addition,  the  Company 
claimed research and development credit on its tax returns for the years ended March 31, 2004, 2003 and 
2002.        The  provision  for  income  taxes  for  the  year  ended  March  31,  2004  and  2003  accounted  for  a 
portion  of  the  aggregate  tax  credits  accumulated  through  the  end  of  each  period  due  to  the  uncertainly 
concerning the ultimate amount of tax to be credited.   As of March 31, 2004, the Company  had a balance 
of $0.5 million in credits which had not been recognized.  In the quarter ended March 31, 2005, the state 
of  California  completed  an  audit  of  the  Company’s  tax  returns  and  did  not  materially  change  credits 
related to research and development. Based on the results of that audit as well the expiration of the statue 
of limitations on certain amended returns, the provision for income taxes for the year ended March 31, 
2005 was reduced by the $0.5 million in tax credits which had not been recognized as of March 31 2004.    

Management’s treatment of research and development tax credits represented a significant estimate which 
affected the effective income tax rates  for the Company in the years ending March 31, 2005 and 2004.   
Research  and  development  credits  taken  by  the  Company  involve  certain  assumptions  and  judgments 
regarding qualification of expenses under the relevant tax codes.  While the Company has received all of 
federal refunds claimed, none of the credits have been audited by the Internal Revenue Service.    

 27

 
 
 
 
 
 
 
Overview of Company results  

(cid:131)  We  have  experienced  significant  growth  in  our  total  revenue  as  a  result  of  revenue  growth  in  our 
NextGen Healthcare Information Services Division.   Our total Company revenue grew 25.4% on a 
consolidated  basis  during  the  twelve  months  ended  March  31,  2005  versus  2004  and  29.5%  in  the 
twelve months ended March 31, 2004 versus 2003.   

(cid:131)  Consolidated income from operations grew 47.9% in the twelve months ended March 31, 2005 versus 
2004  and  56.1%  in  the  twelve  months  ended  March  31,  2004  versus  2003.    This  performance  was 
driven in large part by the results in our NextGen Division. 

(cid:131)  We  have  benefited  and  hope  to  continue  to  benefit  from  the  increased  demands  on  healthcare 
providers for greater efficiency and lower costs, as well as increased adoption rates of technology in 
the healthcare arena. 

NextGen Division 

•  Our  NextGen  Division  has  experienced  significant  growth  in  revenue  and  operating  income. 
Divisional revenue grew 35.2% in the twelve months ended March 31, 2005 versus 2004 and 45.8% 
in  the  twelve  months  ended  March  31,  2004  versus  2003  while  divisional  operating  income 
(excluding  unallocated  corporate  expenses)  grew  64.1%  in  the  twelve  months  end  March  31,  2005 
and 77.4% in the twelve months ended March 31, 2004. 

•  During  the  twelve  months  ended  March  31,  2005,  we  added  staffing  resources  to  departments 
including  sales,  marketing,  support,  implementation,  software  development,  and  administration  and 
intend to continue to do so in fiscal year 2006. 

•  Our goals include continuing to further enhance our existing products, developing new products for 
targeted  markets,  continuing  to  add  new  customers,  selling  additional  software  and  services  to 
existing customers and expanding penetration of connectivity services to new and existing customers. 

QSI Division 

•  Our QSI Division experienced a revenue decline of 6.8% in the twelve months ended March 31, 2005 
versus  2004  and  5.3%  in  the  twelve  months  ended  March  31,  2004  versus  2003.    The  Division 
experienced a 14.7% decrease in operating income (excluding unallocated corporate expenses) in the 
twelve months ended March 31, 2005 versus 2004. 

•  Our  goals  for  the  QSI  Division  include  maximizing  revenue  and  profit  performance  given  the 

constraints present in this Division’s target market. 

 28

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The following table sets forth for the periods indicated the percentage of net revenue represented by each 
item in our Consolidated Statements of Operations.  

                            Year Ended March 31, 

 2005 

 2004 

2003 

Revenue: 

System sales .................................................................................. 
Maintenance, EDI, and other services........................................... 
Total revenue................................................................................. 
Cost of revenue ............................................................................. 
Gross profit.................................................................................... 
Selling, general and administrative expenses ................................ 
Research and development costs ................................................... 
Income from operations ................................................................ 
Investment income ........................................................................ 
Income before provision for income taxes .................................... 
Provision for income taxes ............................................................ 
Net income .................................................................................... 

   54.5% 
45.5 
       100.0 
36.7 
63.3 
27.9 
  7.8 
27.7 
  1.0 
         28.7 
10.5 
   18.1% 

       55.7% 
         44.3    
       100.0 
   40.4 
   59.6 
   27.4 
     8.7 
   23.5 
     0.5 
         24.0 
     9.3 
     14.7% 

     53.3% 
  46.7 
100.0 
  43.4 
  56.6 
  27.9 
    9.2 
  19.5 
    0.8 
       20.3 
   7.5 
    12.8% 

Comparison of the Years Ended March 31, 2005 and March 31, 2004 

For the year ended March 31, 2005, our net income was $16.1 million or $1.25 per share on a basic and 
$1.22 per share on a fully diluted basis.  In comparison, we earned $10.4 million or $0.84 per share on a 
basic and $0.80 on a fully diluted basis in the year ended March 31, 2004.  The increase in net income for 
the year ended March 31, 2005, was achieved primarily through the following: 

• 

• 

a 25.4% increase in revenue;  

an increase in our gross profit margin from 59.6% to 63.3%. 

Revenue.    Revenue  for  the  year  ended  March  31,  2005  increased  25.4%  to  $89.0  million  from  $70.9 
million  for  the  year  ended  March  31,  2004.  NextGen  Division  revenue  increased  35.2%  from  $54.4 
million  to  approximately  $73.6  million  in  the  period,  while  QSI  Division  revenue  declined  by  6.8% 
during the period from approximately $16.5 million to $15.4 million.   

We  divide  revenue  into  two  categories,  “System  sales”  and  “Maintenance,  EDI,  and  other  services”.  
Revenue in the system sales category includes software license fees, third party hardware and software, 
and  implementation  and  training  services  related  to  purchase  of  the  Company’s  software  systems.  
Revenue in the maintenance and other services category includes maintenance, EDI, and other revenue.  
Maintenance and EDI revenue are the principle sources of revenue in this category.   

System Sales.  Company-wide sales of systems for the twelve months ended March 31, 2005 increased 
22.8% to $48.5 million from $39.5 million in the prior year.   

Our increase in revenue from sales of systems was principally the result of a 24.8% increase in category 
revenue at our NextGen Division whose sales in this category grew from $37.3 million during the year 
ended March 31, 2004 to $46.6 million during the year ended March 31, 2005.  This increase was driven 
primarily by higher sales of NextGenemr and NextGenepm software to both new and existing clients, as well 
as an increase in the delivery of related implementation services offset by a decline in the  sale of related 
hardware, third party software and supplies.   

Systems  sales  revenue  in  the  QSI  Division  declined  11.1%  to  approximately  $1.9  million  in  the  year 
ended March 31, 2005 from $2.2 million in the year ended March 31, 2004.    

 29

 
 
 
 
 
 
 
 
 
 
The following table breaks down our reported system sales into software, hardware, third party software, 
supplies, and implementation and training services components by Division:  

Software 

Twelve months ended 
  March 31, 2005 
QSI Division........................... $           889 
NextGen Division...................         33,230 
Consolidated........................... $      34,119 

Twelve months ended 
  March 31, 2004 
QSI Division........................... $           807 
NextGen Division...................         24,657 
Consolidated........................... $      25,464 

Hardware, 
Third Party 
Software and 
Supplies 

Implementation 
and Training 
Services 

Total 
System Sales 

$           744 
          4,811 
$        5,555 

$              306 
             8,548 
$           8,854 

$        1,939 
        46,589 
$      48,528 

$        1,029 
          6,139 
$        7,168 

$              345 
             6,548 
$           6,893 

$        2,181 
        37,344 
$      39,525 

NextGen Division software revenue increased 34.8% between the twelve months ended March 31, 2004 
and the twelve months ended March 31, 2005.  The Division’s software revenue accounted for 71.3% of 
divisional system sales revenue during the twelve months ended March 31, 2005, an increase from 66.0% 
in the prior year period.  The increase in software’s share of systems sales was not the result of any new 
trend  or  change  in  emphasis  on  our  part  relative  to  software  sales.    Software  license  revenue  growth 
continues to be an area of primary emphasis for the NextGen Division and management was pleased with 
the Division’s performance in this area.   

During  the  twelve  months  ended  March  31,  2005,  10.3%  of  NextGen’s  system  sales  revenue  was 
represented by hardware and third party software compared to 16.4% in the same prior year period.  We 
have noted that the last several quarter’s results have included a relatively lower amount of hardware and 
third  party  software  compared  to  prior  year  periods.    However,  this  decrease  was  not  the  result  of  any 
change  in  emphasis  on  our  part.    The  number  of  customers  who  purchase  hardware  and  third  party 
software  and  the  dollar  amount  of  hardware  and  third  party  software  revenue  fluctuates  each  year 
depending  on  the  needs  of  customers.      The  inclusion  of  hardware  and  third  party  software  in  the 
division’s sales arrangements is typically at the request of the customer and is not a priority focus for us. 

Implementation  and  training  revenue  at  the  NextGen  Division  increased  30.5%  in  the  twelve  months 
ended  March  31,  2005  compared  to  the  twelve  months  ended  March  31,  2004.    Implementation  and 
training revenue at the NextGen Division increased its share of divisional system sales revenue to 18.3% 
in  the  twelve  months  ended  March  31,  2005  from  17.5%  in  the  twelve  months  ended  March  31,  2004.  
The  growth  in  implementation  and  training  revenue  is  the  result  of  increases  in  the  amount  of 
implementation  and  training  services  rendered  to  our  customers.    The  amount  of  implementation  and 
training services revenue and the corresponding rate of growth compared to a prior period in any given 
year  is  dependant  on  several  factors  including  timing  of  customer  implementations,  the  availability  of 
qualified staff, and the mix of services being rendered.  The number of implementation and training staff 
increased  during  the  twelve  months  ended  March  31,  2005  versus  March  31,  2004  in  order  to 
accommodate  the  increased  amount  of  implementation  services  sold  in  conjunction  with  increased 
software sales.   In order to achieve continued increased revenue in this area, additional staffing increases 
are  anticipated,  though  actual  future  increases  in  revenue  and  staff  will  depend  upon  the  availability of 
qualified staff, business mix and conditions, and our ability to retain current staff members.  

 30

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The  NextGen  Division’s  growth  has  come  in  part  from  investments  in  sales  and  marketing  activities, 
including  hiring  additional  sales  representatives,  trade  show  attendance,  and  advertising  expenditures.  
We  have  also  benefited  from  winning  numerous  industry  awards  for  the  NextGen  Division’s  flagship 
NextGenemr and NextGenepm software products in fiscal years 2005 and 2004, as well as in prior years, and 
the apparent increasing acceptance of electronic medical records technology in the healthcare industry.   

For  the  QSI  Division,  total  system  sales  decreased  11.1%  in  the  twelve  months  ended  March  31,  2005 
compared to the twelve months ended March 31, 2004.  We do not presently foresee any material changes 
in the business environment for the Division with respect to the constrained environment that has been in 
place  for  the  past  several  years.    QSI  systems  sales  during  the  fiscal  year  ended  March  31,  2005  were 
impacted by year over year declines in hardware and implementation and training services.    

Maintenance, EDI and Other.  Company-wide revenue from maintenance, EDI,  and other services grew 
28.7%  to  $40.4  million  from  $31.4  million.  The  increase  in  this  category  resulted  principally  from  an 
increase  in  maintenance  and  EDI  revenue  generated  from  the  NextGen  Division’s  client  base.    Total 
NextGen Division maintenance revenue for the year ended March 31, 2005 grew 55.7% to $17.9 million 
from $11.5 million in the year ago period, while EDI revenue grew 86.0% to $5.6 million compared to 
$3.0 million in the year ago period.   QSI Division maintenance revenue declined 3.8% from $7.6 million 
to  $7.3  million  in  the  same  period  while  divisional  EDI  revenue  declined  by  approximately 7.6%  from 
$5.3 million to $4.9 million. 

The following table details revenue by category for the twelve month periods ended March 31, 2005 and 
2004: 

Maintenance 

EDI 

Other 

Total  

Twelve months ended 
  March 31, 2005 
QSI Division........................... $       7,279 
NextGen Division...................        17,881 
Consolidated........................... $     25,160 

Twelve months ended 
  March 31, 2004 
QSI Division........................... $       7,570 
NextGen Division...................        11,481 
Consolidated........................... $     19,051 

$         4,877  
           5,611 
$       10,488 

$         1,273    
           3,512 
$         4,785 

$   13,429 
     27,004 
$   40,433  

$         5,276  
           3,016 
$         8,292 

$         1,464 
           2,602 
$         4,066 

$   14,310 
     17,099 
$   31,409 

The following table provides the number of billing sites which were receiving maintenance services as of 
the last business day of the period ended March 31, 2005 and 2004 respectively, as well as the number of 
billing sites receiving EDI services during the last month of each respective period at each Division of the 
Company.  The table presents summary information only and includes billing entities added and removed 
for any reason.  Note also that a single client may include one or multiple billing sites. 

NextGen 

QSI  

Consolidated 

Maintenance 

EDI 

  Maintenance 

EDI 

  Maintenance 

EDI 

March 31, 2004. 
Billing sites added 
Billing sites removed 
March  31, 2005 

        421 
        138 
           (1) 
        558 

   293 
   144 
    (43) 
   394 

          321 
              4 
           (29) 
          296 

   234 
       7 
      (23) 
   218 

          742 
          142 
           (30) 
          854 

  527 
  151 
     (66) 
  612 

 31

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cost of revenue.  Cost of revenue for the year ended March 31, 2005 increased 13.9% to $32.7 million 
from $28.7 million for the year ended March 31, 2004, while the cost of revenue as a percentage of net 
revenue declined to 36.7% from 40.4% during the same period.  Our consolidated gross profit is impacted 
by the level of hardware content included in system sales, the percentage of EDI revenue in our overall 
sales  mix,  and  certain  headcount  expenses  directly  related  to  the  cost  of  delivering  our  products  and 
services.  Consolidated  gross  profit  is  also  impacted  by  the  higher  margin  revenues  of  the  NextGen 
Division which increased its share of total company revenue to 82.7% from 76.8% in the prior year.  

The  following  table  details  revenue  and  cost  of  revenue  on  a  consolidated  and  divisional  basis  for  the 
twelve month periods ended March 31, 2005 and 2004: 

Year Ended March 31, 

       2005 

    % 

        2004 

    % 

Consolidated 
Revenue ......................................................................   $      88,961
Cost of revenue...........................................................  
      32,669 

      100.0% $      70,934  
       28,673 
        36.7 

      100.0%
        40.4 

Gross profit.................................................................  

      56,292  

      63.3 

       42,261  

         59.6   

NextGen Division 
Revenue ......................................................................  
Cost of revenue...........................................................  

      73,594  
      25,004 

        100.0    
        34.0 

       54,443  
       20,398 

        100.0 
         37.5 

Gross profit.................................................................  

      48,590  

      66.0 

       34,045  

       62.5   

QSI Division 
Revenue ......................................................................  
Cost of revenue...........................................................  

      15,367  
        7,665 

       100.0 
       49.9 

       16,491  
         8,275 

        100.0 
         50.2 

Gross profit.................................................................   $       7,702   

          50.1% $        8,216  

       49.8%

Gross profit margins at the NextGen Division for the year ended March 31, 2005 increased to 66.0% from 
62.5% primarily due to a decrease in the proportionate level of hardware and third party software content 
included  in  revenue  as  well  as  a  slight  decrease  in  the  relative  level  of  applicable  headcount  expense 
associated with delivering our products and services.   The QSI Division’s gross profit margin improved 
slightly  to  50.1%  in  the  year  ended  March  31,  2005  from  49.8%  in  the  same  period  last  year  due  to 
proportionately lower hardware and third party software content included in revenue.  

 32

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The following table details the individual components of cost of revenue and gross profit as a percentage 
of total revenue for our Company and our two divisions: 

Hardware, 
Third Party 
Software  

Payroll and 
related 
Benefits 

Outside 
Services, 
Amortization of 
Software 
Development 
Costs and Other 

Total Cost 
of Revenue 

Gross Profit 

        6.1% 
        6.8 
        6.7 

       17.8% 
       12.6 
       13.5 

         26.0% 
         14.6 
         16.5 

    49.9%      
     34.0 
     36.7 

      50.1% 
      66.0 
      63.3 

        7.6 
      10.8 
     10.0% 

       16.8 
       14.2 
       14.8% 

         25.8 
         12.5 
        15.6% 

     50.2 
     37.5 
    40.4% 

      49.8 
      62.5 
      59.6% 

Twelve  months  ended 
March 31, 2005 
QSI Division.....................
NextGen Division.............
Consolidated.....................

Twelve  months  ended 
March 31, 2004 
QSI Division.....................
NextGen Division.............
Consolidated.....................

During the twelve months ended March 31, 2005, hardware and third party software constituted a smaller 
portion  of  consolidated  revenue  compared  to  the  same  prior  year  period,  driven  principally  by  the 
composition  of  NextGen  Division  revenue.    This  year  over  year  reduction  was  not  the  result  of  any 
identifiable trend or change in emphasis on our part.  The number of customers who purchase hardware 
and third party software and the dollar amount of hardware and third party software purchased fluctuates 
each quarter depending on the needs of the customers and is not a priority focus for us. 

Our payroll and benefits expense associated with delivering our products and services decreased to 13.5% 
of consolidated revenue compared to 14.8% during the prior twelve months ended March 31, 2004.  The 
absolute  level  of  consolidated  payroll  and  benefit  expenses  grew  primarily  due  to  additions  to  related 
headcount, payroll and benefits expense associated with delivering products and services in the NextGen 
Division.    Payroll  and  benefits  expense  associated  with  delivering  products  and  services  in  the  QSI 
Division declined slightly on an absolute basis, but increased slightly on a percentage of revenue basis.  
We  anticipate  continued  additions  to  headcount  in  the  NextGen  Division  in  areas  related  to  delivering 
products  and  services  in  future  periods,  but  due  to  the  uncertainties  in  the  timing  of  our  sales 
arrangements,  our  sales  mix,  the  acquisition  and  training  of  qualified  personnel,  and  other  issues,  we 
cannot  accurately  predict  if  related  headcount  expense  as  a  percentage  of  revenue  will  increase  or 
decrease in the future.   

We do not currently intend to make any significant additions to related headcount at the QSI Division. 

Should  the  NextGen  Division  continue  to  represent  an  increasing  share  of  our  revenue  and  should  the 
NextGen Division continue to carry higher gross margins than the QSI Division, our consolidated gross 
margin percentages should increase to more closely match those of the NextGen Division.    

As a result of the foregoing events and activities, our gross profit for the Company and our two operating 
divisions increased for the twelve month period ending March 31, 2005 versus the prior year period. 

Selling, General and Administrative Expenses.  Selling, general and administrative expenses for the year 
ended March 31, 2005 increased 27.2% to $24.8 million as compared to $19.5 million for the year ended 

 33

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
March  31,  2004.    The  increase  resulted  primarily  from  increases  of  $2.0  million  in  selling  and 
administrative salaries and related benefits expenses in the NextGen Division, $0.9 million for corporate 
related  professional  services  principally  in  the  area  of  Sarbanes-Oxley  compliance,  $0.6  million  in 
commission  expense  principally  in  the  NextGen  division,  $0.4  million  in  corporate  related  salaries  and 
related benefit expenses, $0.4 million in NextGen travel expenses and $1.0 million in other general and 
administrative expenses primarily in the NextGen Division.   Selling, general and administrative expenses 
as  a  percentage  of  revenue  slightly  increased  to  27.9%  in  the  fiscal  year  ended  March  31,  2005  from 
27.4%  in  the  fiscal  period  ended  March  31,  2004  due  to  selling,  general  and  administrative  expenses 
growing at a slightly faster rate than revenue.  

We anticipate increased expenditures for trade shows, advertising and the employment of additional sales 
representatives primarily at the NextGen Division.  We are hopeful that we will be able to achieve at least 
a moderate reduction in expenses related to Sarbanes Oxley Act compliance.   While we expect selling, 
general  and  administrative  expenses  to  increase  on  an  absolute  basis,  we  cannot  accurately  predict  the 
impact  these  additional  expenditures  will  have  on  selling,  general,  and  administrative  expenses  as  a 
percentage of revenue.   

Research and Development Costs.  Research and development costs for the year ended March 31, 2005 
and  2004  were  $6.9  million  and  $6.1  million,  respectively.    The  increase  in  research  and  development 
costs was primarily due to increased investment in the NextGen product line.  Research and development 
costs as a percentage of net revenue decreased to 7.8% from 8.7% primarily due to revenue growing at a 
faster rate than the increase in research and development spending.  Research and development costs are 
expected to continue at or above current levels. 

Investment  Income.    Investment  income  for  the  year  ended  March  31,  2005  increased  127%  to 
approximately $0.9 million compared with $0.4 million in the year ended March 31, 2004.  The increase 
was primarily due to the effect of an increase in short term interest rates versus the prior year period as 
well as comparatively higher amounts available for investment during the fiscal period ended March 31, 
2005.    During  the  fourth  quarter  of  fiscal  year  2005,  the  Company  paid  a  one  time  dividend  of 
approximately  $19.6  million,  which  reduced  the  amount  of  funds  available  for  investment  during  this 
period. 

Provision  for  Income  Taxes.    The  provision  for  income  taxes  for  the  year  ended  March  31,  2005  was 
approximately  $9.4  million  as  compared  to  approximately  $6.6  million  for  the  year  ago  period.  The 
effective  tax  rates  for  fiscal  2005  and  2004  were  36.8%  and  38.9%,  respectively.    The  provision  for 
income  taxes  for  the  years  ended  March  31,  2005  and  2004  differ  from  the  combined  statutory  rates 
primarily due to the impact of varying state income tax rates and the impact of research and development 
tax  credits.    During  fiscal  2005,  the  Company  recognized  approximately  $0.5  million  of  research  and 
development  credits  which  had  not  been  recognized  previously  due  to  the  uncertainly  concerning  the 
ultimate  amount  of  tax  to  be  credited.  In  the  quarter  ended  March  31,  2005,  the  State  of  California 
completed an audit of the Company’s tax returns and did not materially change credits related to research 
and development. Based on the results of that audit as well the expiration of the statue of limitations on 
certain amended returns, the provision for income taxes for the year ended March 31, 2005 was reduced 
by the $0.5 million in tax credits which had not been recognized as of March 31 2004.    

 34

 
 
 
 
 
  
 
Comparison of the Years Ended March 31, 2004 and March 31, 2003 

For the year ended March 31, 2004, our net income was $10.4 million or $0.84 per share on a basic and 
$0.80 per share on a fully diluted basis.  In comparison, the Company earned $7.0 million or $0.57 per 
share on a basic and $0.55 per shares on a diluted basis in the year ended March 31, 2003.  The increase 
in net income for the year ended March 31, 2004, was achieved through the following: 

• 

• 

a 29.5% increase in revenue;  

an increase in our gross profit margin from 56.6% to 59.6%; and  

•  Selling, general and administrative and research and development expenses which grew at 27.4% 

and 21.3% respectively; slower than the overall revenue growth rate.  

Revenue.  Net revenue for the year ended March 31, 2004 increased 29.5% to $70.9 million from $54.8 
million for the year ended March 31, 2003.  Sales of computer systems, upgrades and supplies increased 
35.5% to $39.5 million from $29.2 million while net revenue from maintenance, EDI, and other service 
grew 22.7% to $31.4 from $25.6 million during the comparable prior period.  The increase in net revenue 
from  sales  of  computer  systems,  upgrades  and  supplies  was  principally  due  to  increased  sales  of  the 
Company’s NextGenepm and NextGenemr software licenses to new customers.   

We  divide  revenue  into  two  categories,  “System  sales”  and  “Maintenance,  EDI,  and  other  services”.  
Revenue in the systems sales category includes software license fees, third party hardware and software, 
and  implementation  and  training  services  related  to  purchase  of  the  Company’s  software  systems.  
Revenue in the maintenance and other services category includes maintenance, EDI, and other revenue.  
Maintenance and EDI revenue are the principle sources of revenue in this category.   

System Sales.  Company-wide sales of systems for the twelve months ended March 31, 2004 increased 
35.5% to $39.5 million from $29.2 million in the prior year.   

Our increase in revenue from sales of systems was principally the result of a 42.5% increase in category 
revenue at our NextGen Division whose sales in this category grew from $26.2 million during the year 
ended March 31, 2003 to $37.3 million during the year ended March 31, 2004.  This increase was driven 
primarily by higher sales of NextGenemr and NextGenepm software to both new and existing clients, as well 
as  delivery  of  related  implementation  services  and  sales  of  related  hardware,  third  party  software,  and 
supplies.   

Systems  sales  revenue  in  the  QSI  Division  declined  26.2%  to  approximately  $2.2  million  in  the  year 
ended March 31, 2004 from $3.0 million in the year ended March 31, 2003.    

 35

 
 
 
 
 
The following table breaks down our reported system sales into software, hardware, third party software, 
supplies, and implementation and training services components by Division:  

Hardware, 
Third Party 
Software and 
Supplies 

Software 

Implementation 
and Training 
Services 

Total 
System Sales 

$           807 
        24,657 
$      25,464 

$        1,029 
          6,139 
$        7,168 

$             345 
            6,548 
$          6,893 

$       2,181 
       37,344 
$     39,525 

$        1,591 
        17,982 
$      19,573 

$        1,160 
          4,658 
$        5,818 

$             205 
            3,573 
$          3,778 

$       2,956 
       26,213 
$     29,169 

Twelve months ended 
  March 31, 2004 
QSI Division......... 
NextGen Division..... 
Consolidated......... 

Twelve months ended 
  March 31, 2003 
QSI Division......... 
NextGen Division..... 
Consolidated......... 

Maintenance, EDI, and Other.  Company-wide revenue from maintenance, EDI, and other services grew 
22.7%  to  $31.4  million  from  $25.6  million.  The  increase  in  this  category  resulted  principally  from  an 
increase  in  maintenance  and  EDI  revenue  from  the  NextGen  Division’s  client  base.    Total  NextGen 
Division maintenance revenue for the year ended March 31, 2004 grew 58.0% to $11.5 million from $7.3 
million in the year ago period, while EDI revenue grew 74.0% to $3.0 million compared to $1.7 million 
in the same period.   QSI Division maintenance revenue declined 4.7% from $7.9 million to $7.6 million 
in  the  same  period  while  divisional  EDI  revenue  declined  by  approximately  2.8%  from  $5.4  million  to 
$5.3 million.  

The following table details revenue by category for the twelve month periods ended March 31, 2004 and 
2003: 

Maintenance 

EDI 

Other 

Total  

Twelve months ended 
  March 31, 2004 
QSI Division......... 
NextGen Division..... 
Consolidated......... 

Twelve months ended 
  March 31, 2003 
QSI Division......... 
NextGen Division..... 
Consolidated......... 

$        7,570 
        11,481 
$      19,051 

$         5,276  
           3,016 
$         8,292 

$         1,464 
           2,602 
$         4,066 

$        7,941 
          7,267 
$      15,208 

$         5,426 
           1,733 
$         7,159 

$         1,100 
           2,133 
$         3,233 

$   14,310 
     17,099 
$   31,409 

$   14,467 
     11,133 
$   25,600 

The following table provides the number of billing sites which were receiving maintenance services as of 
the last business day of the period ended March 31, 2004 and 2003 respectively, as well as the number of 
billing sites receiving EDI services during the last month of each respective period at each Division of the 
Company.  The table presents summary information only and includes billing entities added and removed 
for any reason.  Note also that a single client may include one or multiple billing sites. 

 36

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NextGen 

QSI  

Consolidated 

Maintenance 

EDI 

  Maintenance 

EDI 

  Maintenance 

EDI 

March 31, 2003 
Billing sites added 
Billing sites removed 
March  31, 2004 

        315 
        117 
         (11) 
        421 

    219 
      99 
    (25) 
    293 

          348 
              4 
           (31) 
          321 

   254 
       4 
      (24) 
   234 

          663 
          121 
          (42) 
          742 

  473 
  103 
     (49) 
  527 

Cost of Revenue. Cost of revenue for the year ended March 31, 2004 increased 20.7% to $28.7 million 
from  $23.8  million  for  the  year  ended  March  31,  2003,  while  the  cost  of  revenue  as  a  percentage  of 
revenue at 40.4% for 2004 declined compared to the prior year’s 43.4% of revenue.   

The  following  table  details  revenue  and  cost  of  revenue  on  a  consolidated  and  divisional  basis  for  the 
twelve month periods ended March 31, 2004 and 2003: 

2004 

Year Ended March 31, 
2003 

% 

% 

Consolidated 
Revenue ......................................................................   $    70,934   
Cost of revenue...........................................................  
     28,673 

        100.0% $      54,769  
      23,755 
        40.4 

     100.0%
       43.4 

Gross profit.................................................................  

     42,261   

      59.6 

      31,014  

       56.6 

NextGen Division 
Revenue ......................................................................  
Cost of revenue...........................................................  

     54,443   
     20,398 

        100.0 
        37.5 

      37,346  
      14,511 

       100.0 
        38.9 

Gross profit.................................................................  

     34,045   

      62.5 

      22,835  

      61.1 

QSI Division 
Revenue ......................................................................  
Cost of revenue...........................................................  

     16,491   
       8,275 

        100.0 
        50.2 

      17,423  
        9,244 

       100.0 
        53.1 

Gross profit.................................................................   $      8,216   

      49.8% $        8,179  

      46.9%

Gross profit is impacted by the level of hardware content included in system sales, the percentage of EDI 
revenue in our overall sales mix, and certain headcount expenses.   Gross profit at the NextGen Division 
for  the  year  ended  March  31,  2004  improved  to  62.5%  from  61.1%  primarily  due  to  a  decrease  in  the 
relative  level  of  applicable  outside  service,  amortization  of  software  development  costs  and  other  
expenses  associated  with  delivering  the  Company’s  products  and  services.    The  QSI  Division’s  gross 
profit for the year ended March 31, 2004 improved to 49.8% from 46.9% in the same period during the 
prior year primarily due to a proportionately lower hardware and third party software content included in 
revenue.    In  addition,  our  gross  profit  percentage  increased  as  the  higher  margined  NextGen  Division 
increased its share of total Company revenue to 76.8% from 68.2% in the prior year. 

The following table details the individual components of cost of revenue and gross profit as a percentage 
of total revenue for our Company and our two divisions: 

 37

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Hardware, 
Third Party 
Software  

Payroll and 
related 
Benefits 

Outside   
Services, 
Amortization of 
Software 
Development 
Costs and Other 

Total Cost 
of Revenue 

Gross Profit 

         7.6% 
       10.8 
       10.0 

        16.8% 
        14.2 
        14.8 

          25.8% 
          12.5 
          15.6 

      50.2% 
      37.5 
      40.4 

       49.8% 
       62.5 
       59.6 

       11.1 
       11.9 
       11.6% 

        15.5 
        11.8 
        13.0% 

          26.5 
          15.2 
          18.8% 

      53.1 
      38.9 
     43.4% 

       46.9 
       61.1 
      56.6% 

Twelve  months  ended 
March 31, 2004 
QSI division...... 
NextGen division.. 
Consolidated...... 

Twelve  months  ended 
March 31, 2003 
QSI division...... 
NextGen division.. 
Consolidated...... 

During the twelve months ended March 31, 2004, hardware and third party software constituted a slightly 
smaller portion of consolidated revenue compared to the same year ago period driven principally by the 
composition of NextGen Division revenue.  This year over year reduction was not the result of any 
identifiable trend or change in emphasis on our part.  The number of customers who purchase hardware 
and third party software and the dollar amount of hardware and third party software purchased fluctuates 
each quarter depending on the needs of the customers and is not a priority focus for us. 

Our payroll and benefits expense associated with delivering our products and services increased to 14.8% 
of consolidated revenue compared to 13.0% during the prior twelve months ended March 31, 2003.  The 
level of consolidated payroll and benefit expenses grew due to additions to related headcount, payroll and 
benefits expense associated with delivering products and services in the NextGen Division.  Payroll and 
benefits expense associated with delivering products and services in the QSI Division increased slightly 
on both an absolute and a percentage of revenue basis.  We anticipate continued additions to headcount in 
the NextGen Division in areas related to delivering products and services in future periods but due to the 
uncertainties  in  the  timing  of  our  sales  arrangements,  our  sales  mix,  the  acquisition  and  training  of 
qualified  personnel,  and  other  issues,  we  cannot  accurately  predict  if  related  headcount  expense  as  a 
percentage  of  revenue  will  increase  or  decrease  in  the  future.  We  do  not  currently  intend  to  make  any 
significant additions to related headcount at the QSI Division. 

Our outside services, amortization of software development costs and other expenses included in cost of 
revenue declined to 15.6% compared to 18.8% during the twelve  months  ended March 31, 2003.  This 
decline  was  due  to  a  number  of  factors  including  a  slight  decline  in  the  proportion  of  EDI  revenue 
included in consolidated revenue during fiscal 2004, a slight improvement in gross profit related to EDI 
revenue, and certain overhead and amortization of capitalized software costs increasing at a slower rate 
compared to the rate of revenue growth.   

Should  the  NextGen  Division  continue  to  represent  an  increasing  share  of  our  revenue  and  should  the 
NextGen Division continue to carry higher gross margins than the QSI Division, our consolidated gross 
profit percentages should increase to more closely match those of the NextGen Division.    

As a result of the foregoing events and activities, our gross profit for the Company and our two operating 
divisions increased for the twelve month period ending March 31, 2004 versus the prior year period. 

 38

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Selling,  General  and  Administrative.    Selling,  general  and  administrative  expenses  for  the  year  ended 
March 31, 2004 increased 27.4% to $19.5 million from $15.3 million for the year ended March 31, 2003, 
and declined on a percentage of revenue basis to 27.4% from 27.9% for the respective fiscal years.  The 
increase  in  the  amount  of  such  expenses  resulted  primarily  from  increases  of  $1.1  million  in  corporate 
expenses,  principally  in  the  area  of  professional  service  fees,  as  well  as  $1.0  million  in  selling  and 
administrative payroll and benefits expenses, $0.9 million in commissions expenses, and $0.6 million in 
travel and trade show expenses primarily in the NextGen Division. Further increases in selling, general 
and administrative expenses are expected.   

Research and Development Costs.  Research and development costs for the year ended March 31, 2004 
and  2003  were  $6.1  million  and  $5.1  million,  respectively.    The  increase  in  research  and  development 
costs was primarily due to increased investment in the NextGen product line.  Research and development 
costs  as  a  percentage  of  net  revenue  decreased  to  8.7%  from  9.2%  due  in  part,  to  the  fact  that  revenue 
growth exceeded the increase in research and development spending, and in part due to the fact that our 
investments  in  capitalized  software  increased  to  $2.6  million  from  $1.7  million  in  the  prior  year, 
reflecting  increased  expenditures  directed  at  enhancements  of  the  NextGen  products.    Research  and 
development costs are expected to continue at or above current levels. 

Investment  Income.  Investment  income  for  the  year  ended  March  31,  2004  decreased  11.1%  to 
approximately  $0.4  million  compared  with  $0.4  million  in  the  year  ended  March  31,  2003.  Investment 
income in the year ended March 31, 2004 declined primarily due to the effect of the drop in short term 
interest  rates  versus  the  prior  year.    The  decline  in  interest  rates  was  partially  offset  by  an  increase  in 
average funds available for investment during the year ended March 31, 2004. 

Provision  for  Income  Taxes.  The  provision  for  income  taxes  for  the  year  ended  March  31,  2004  was 
approximately  $6.6  million  as  compared  to  approximately  $4.1  million  for  the  year  ago  period.  The 
effective  tax  rates  for  fiscal  2004  and  20003  were  38.9%  and  36.6%,  respectively.    The  provision  for 
income  taxes  for  the  years  ended  March  31,  2004  and  2003  differ  from  the  combined  statutory  rates 
primarily due to the impact of varying state income tax rates and the impact of research and development 
tax credits.  The effective rate for the fiscal year 2004 increased from the prior year primarily due to a 
relatively smaller impact of research and development tax credits as well as slightly higher effective state 
income tax rates.  The provision for income taxes for the year ended March 31, 2004 and 2003 accounted 
for  a  portion  of  the  aggregate  tax  credits  accumulated  through  the  end  of  each  period  due  to  the 
uncertainly concerning the ultimate amount of tax to be credited.    

Liquidity  and  Capital  Resources.    The  following  table  presents  selected  financial  statistics  and 
information for each of the past three fiscal years: 

Year Ended March 31, 

2005 

2004 

2003 

Cash and cash equivalents at year end........................... $             51,157 

$          51,395 

$          36,443 

Net (decrease) increase in cash and cash equivalents....

                 (238) 

           14,952 

           11,000 

Net income ....................................................................

16,109 

           10,400 

             7,035 

Net cash provided by operating activities...................... $             21,631 

$          17,303 

$          13,183 

Days of sales outstanding ..............................................

                  119 

                  98 

               104 

Cash  provided  by  operations  is  our  principal  source  of  cash.    Cash  from  operations  for  the  year  ended 
March  31,  2005  consisted  principally  of  net  income  before  non-cash  related  expenses  of  depreciation, 

 39

 
 
  
 
 
amortization, and provision for bad debts and inventory obsolescence, and increases in  deferred revenue 
and other current liabilities, offset by an increase in gross accounts receivable.  We were able to generate 
operating cash flows significantly in excess of net income in the year ended March 31, 2005 primarily as 
a result of increases in deferred revenue of $8.2 million.  We were able to generate operating cash flows 
significantly in excess of net income in the year ended March 31, 2004 primarily as a result of increases 
in deferred revenue of $5.6 million and improved turnover of accounts receivable.  Provided turnover of 
accounts  receivable,  increased  revenue,  and  profitability  remain  consistent  with  results  experienced  for 
the year ended March 31, 2005, we anticipate continuing to generate cash from operations primarily from 
net income.   

Net  cash  used  in  investing  activities  for  the  year  ended  March  31,  2005  was  $4.4  million  and  was 
primarily composed of investments in capitalized software and equipment and improvements. We have no 
significant capital commitments, and currently anticipate that additions to equipment and improvements 
for fiscal 2006 will be equal to or greater than historical levels. 

Net cash used in financing activities for the year ended March 31, 2005 was $17.5 million was primarily 
composed of a one-time dividend paid to shareholders of $19.6 million partially offset by proceeds from 
the  exercise  of  stock  options.    Cash  received  from  employee  stock  option  exercises  can  fluctuate  from 
year to year.   

At March 31, 2005, we had cash and cash equivalents of $51.2 million.  We intend to expend some of 
these funds for the development of products complementary to our existing product line as well as new 
versions of certain of our products.  These developments are intended to take advantage of more powerful 
technologies and to increase the integration of our products.  We have no additional significant current 
capital  commitments.  Management  believes  that  our  cash  and  cash  equivalents  on  hand  at  March  31, 
2005, together with the cash flows from operations, if any, will be sufficient to meet our working capital 
and capital expenditure requirements for fiscal 2006. 

The following table summarizes our significant contractual obligations at March 31, 2005, and the effect 
of such obligations is expected to have on our liquidity and cash in future periods:   

Contractual Obligations 

Total 

2006 

2007-2008 

2009-2010 

Beyond 2010 

Non-cancelable operating leases 

$4,001 

$1,257 

$1,867 

$877 

-- 

ITEM 7A. 

QUANTITATIVE AND QUALITIVE DISCLOSURE ABOUT MARKET RISKS 

We have a significant amount of cash and short-term investments with maturities less than three months.  
This cash portfolio exposes us to interest rate risk as short-term investment rates can be volatile.  Given 
the short-term maturity structure of our investment portfolio, we believe that it is not subject to principal 
fluctuations  and  the  effective  interest  rate  of  our  portfolio  tracks  closely  to  various  short-term  money 
market interest rate benchmarks. 

ITEM 8. 

FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA 

Our  Financial  Statements  identified  in  the  Index  to  Financial  Statements  appearing  under  “Item  15. 
Exhibits and Financial Statement Schedules” of this report are incorporated herein by reference to Item 
15. 

ITEM 9. 

None. 

CHANGES 
ACCOUNTING AND FINANCIAL DISCLOSURE 

IN  AND  DISAGREEMENTS  WITH  ACCOUNTANTS  ON 

 40

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ITEM 9A. 

CONTROLS AND PROCEDURES  

Evaluation of Disclosure Controls and Procedures 

Based  on  their  evaluation  of  our  disclosure  controls  and  procedures  as  of  a  date  within  90  days  of  the 
filing date of this report, our officers including our Chief Executive Officer and Chief Financial Officer 
have concluded that our disclosure controls and procedures result in the effective recordation, processing, 
summarization  and  reporting  of  information  that  is  required  to  be  disclosed  in  the  reports  that  we  file 
under the Securities Exchange Act of 1934 and the rules there under.     

Changes in Internal Control Over Financial Reporting 

During  the  year  ended  March  31,  2005,  the  following  changes  have  occurred  in  our  “internal  controls 
over  financial  reporting”  (as  defined  in  Rule  13a-15(f)  under  the  Exchange  Act)  that  have  materially 
affected, or are reasonably likely to materially affect, our financial reporting function.    

During  the  year  ended  March  31,  2005,  the  Company  implemented  revenue  application  software 
“Softrax” to automate certain processes surrounding the recognition and the deferral of revenue related to 
our  software  sales  arrangements  with  multiple  elements.    The  Company  added  numerous  additional 
policies  and  procedures  in  order  to  strengthen  the  Company’s  internal  control  structure  in  conjunction 
with  the  Company’s  evaluation  of  internal  controls.    The  Company  also  added  a  controller  with  public 
accounting and SEC reporting experience.  

There were no other significant changes in our internal controls or in other factors that could significantly 
affect  internal  controls  subsequent  to  the  date  the  Chief  Executive  Officer  and  Chief  Financial  Officer 
completed their evaluation.   

Management’s Report on Internal Control Over Financial Reporting 

The  Company's  management  is  responsible  for  establishing  and  maintaining  adequate  internal  control 
over financial reporting as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act. Under the 
supervision and with the participation of the Company's management, including our principal executive 
officer  and  principal  financial  officer,  the  Company  conducted  an  evaluation  of  the  effectiveness  of  its 
internal  control  over  financial  reporting  based  on  the  framework  set  forth  in  Internal  Control — 
Integrated  Framework  issued  by  the  Committee  of  Sponsoring  Organizations  of  the  Treadway 
Commission.  Based  on  this  evaluation,  the  Company's  management  concluded  that  its  internal  control 
over financial reporting was effective as of March 31, 2005.  

The Company’s internal control over financial reporting is supported by written policies and procedures, 
that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the 
transactions and dispositions of the Company’s assets; (2) provide reasonable assurance that transactions 
are recorded as necessary to permit preparation of financial statements in accordance with generally 
accepted accounting principles, and that receipts and expenditures of the Company are being made only in 
accordance with authorizations of the Company’s management and directors; and (3) provide reasonable 
assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of the 
Company’s assets that could have a material effect on the financial statements.  

Because  of  its  inherent  limitations,  internal  control  over  financial  reporting  may  not  prevent  or  detect 
misstatements.  Also,  projections  of  any  evaluation  of  effectiveness  to  future  periods  are  subject  to  the 
risks  that  controls  may  become  inadequate  because  of  changes  in  conditions,  or  that  the  degree  of 
compliance with the policies or procedures may deteriorate.  

 41

 
 
 
 
 
 
 
 
 
 
The Company's independent registered  public accounting firm has audited  management's  assessment of 
the effectiveness of the Company's internal control over financial reporting as of March 31, 2005 as stated 
in their report which is included herein.  

ITEM 9B. 

OTHER INFORMATION  

None. 

ITEM 10. 

DIRECTORS AND EXECUTIVE OFFICERS OF REGISTRANT 

PART III 

Except for information concerning our executive officers which is included under the caption “Executive 
Officers of the Company” following Part I, Item 4 of this Report, the information required by Item 10 is 
incorporated herein by reference from our definitive proxy statement for our 2005 annual shareholders’ 
meeting to be filed with the Securities and Exchange Commission within 120 days after the end of the 
fiscal year ended March 31, 2005. 

ITEM 11. 

EXECUTIVE COMPENSATION 

The  information  required  by  Item  11  is  incorporated  herein  by  reference  from  our  definitive  proxy 
statement  for  our  2005  annual  shareholders’  meeting  to  be  filed  with  the  Securities  and  Exchange 
Commission within 120 days after the end of the fiscal year ended March 31, 2005. 

ITEM 12. 

SECURITY  OWNERSHIP  OF  CERTAIN  BENEFICIAL  OWNERS  AND 
MANAGEMENT AND RELATED STOCKHOLDER MATTERS 

The  information  required  by  Item  12  is  incorporated  herein  by  reference  from  our  definitive  proxy 
statement  for  our  2005  annual  shareholders’  meeting  to  be  filed  with  the  Securities  and  Exchange 
Commission within 120 days after the end of the fiscal year ended March 31, 2005. 

ITEM 13. 

CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS 

The  information  required  by  Item  13  is  incorporated  herein  by  reference  from  our  definitive  proxy 
statement  for  our  2005  annual  shareholders’  meeting  to  be  filed  with  the  Securities  and  Exchange 
Commission within 120 days after the end of the fiscal year ended March 31, 2005. 

ITEM 14. 

PRINCIPAL ACCOUNTING AND FEES AND SERVICES 

The  information  required  by  Item  14  is  incorporated  herein  by  reference  from  our  definitive  proxy 
statement  for  our  2005  annual  shareholders’  meeting  to  be  filed  with  the  Securities  and  Exchange 
Commission within 120 days after the end of the fiscal year ended March 31, 2005. 

 42

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
PART IV 

ITEM 15. 

EXHIBITS, FINANCIAL STATEMENT, SCHEDULES AND REPORTS ON FORM 
10-K 

(a) 

(1)  Index to Financial Statements: 

Page 

(cid:131)  Report of Independent Registered Public Accounting Firm............................................. 49 

(cid:131)  Report of Independent Registered Public Accounting Firm on Internal Control Over 

Financial Reporting........................................................................................................... 50 

(cid:131)  Consolidated Balance Sheets — Years Ended 

March 31, 2005 and March 31, 2004................................................................................ 52 

(cid:131)  Consolidated Statements of Income — Years Ended 

March 31, 2005, March 31, 2004 and 2003 ...................................................................... 53 

(cid:131)  Consolidated Statements of Shareholders’ Equity — Years Ended 

March 31, 2005, March 31, 2004 and 2003 ...................................................................... 54 

(cid:131)  Consolidated Statements of Cash Flows — Years Ended 

March 31, 2005, March 31, 2004 and 2003 ...................................................................... 55 

(cid:131)  Notes to Consolidated Financial Statements..................................................................... 56 

 (2)  The following financial statement schedule for the years ended March 31, 2005, March 31, 
2004 and 2003, read in conjunction with the financial statements of Quality Systems, Inc., is 
filed as part of this Annual Report on Form 10-K. 

(cid:131)  Schedule II — Valuation and Qualifying Accounts ......................................................... 71 

Schedules other than that listed above have been omitted since they are either not required, 
not applicable, or because the information required is included in the financial statements or 
the notes thereto. 

(3)  The exhibits listed in the Index to Exhibits hereof are attached hereto or incorporated herein by 

reference and filed as apart of this Report. 

 43

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
EXHIBIT 
NUMBER 

INDEX TO EXHIBITS 

EXHIBIT 

3.1 

Articles  of  Incorporation  of  the  Company,  as  amended,  are  hereby 
incorporated  by  reference  to  Exhibit  3.1  to  our  Annual  Report  on  Form 
10-K for the year ended March 31, 1984, File No. 2-80056. 

3.1.1 

Amendment to Articles of Incorporation, effective March 4,  2005. ** 

3.2 

3.3 

3.4 

3.5 

Bylaws of the Company, as amended and restated.  ** 

Certificate  of  Amendment  of  Bylaws  of  the  Company  is  hereby 
incorporated by  reference  to Exhibit  3.2.1  to our  Registration  Statement 
on Form S-1, File No. 333-00161.  

Text of Sections 2 and 3 of Article II of the Bylaws of the Company is 
hereby incorporated By reference to Exhibit 3.2.2 to our Quarterly report 
on Form  10-QSB  for  the period  Ended December  31, 1996,  File  No. 0-
13801. 

Certificate  of  Amendment  of  Bylaws  of  the  Company,  is  hereby 
incorporated by reference to Exhibit 3.2.3 to our Annual Report on Form 
10-K for the year ended March 31, 2000, File No. 0-13801. 

10.2*   

1989 Incentive Stock Option Plan is hereby incorporated by reference to 
Exhibit  4.1  to  our  Registration  Statement  on  Form  S-8,  File  No.  33-
31949. 

10.2.1*    Form  of  Incentive  Stock  Option  Agreement  is  hereby  incorporated  by 
reference to Exhibit 10.2 to our Registration Statement on Form S-1, File 
No. 333-00161. 

10.2.2*    Form  of  Non-Qualified  Stock  Option  Agreement  is  hereby  incorporated 
by reference to Exhibit 10.3 to our Registration Statement on Form S-1, 
File No. 333-00161. 

10.3*   

10.4*   

Form  of  Incentive  Stock  Option  Agreement  is  hereby  incorporated  by 
reference to Exhibit 10.2 to our Registration Statement on Form S-1, File 
No. 2-80056. 

1993 Deferred Compensation Plan is hereby incorporated by reference to 
Exhibit 10.5 to our Annual Report on  Form 10-KSB for the year ended 
March 31, 1994, File No. 0-13801. 

10.4.2*    Profit  Sharing  and  Retirement  Plan,  as  amended,  is  hereby  incorporated 
by reference to Exhibit 10.4.2 to our Annual Report on Form 10-KSB for 
the year ended March 31, 1994, File No. 0-13801. 

10.4.3* 

10.5 

Profit Sharing and Retirement Plan, as amended, amendments No. 2 and 
3,  are  hereby  incorporated  by  reference  to  Exhibit  10.4.3  to  our  Annual 
Report on Form 10-KSB for the year ended March 31, 1996, File No. 0-
13801. 

Series  “A”  Convertible  Preferred  Stock  Purchase  Agreement,  as 
amended,  dated  April  21,  1995  between  the  Company  and  Clinitec 
International, Inc., is hereby incorporated by reference to Exhibit 10.11 to 
our Annual Report on Form 10-KSB for the year ended March 31, 1995, 
File No. 0-13801. 

 44

 
 
 
 
 
 
 
10.6  

Form of Indemnification Agreement is hereby incorporated by reference 
to Exhibit 10.10 to our Registration Statement on Form S-1, File No. 333-
00161. 

10.6.1* 

Form  of  Indemnification  Agreement  for  directors  and  executive  officers 
authorized January 27, 2005. ** 

10.7  

10.8 

Agreement  and  Plan  of  Merger,  dated  May  16,  1996,  by  and  among 
Quality  Systems, 
Inc.,  CII  Acquisition  Corporation,  Clinitec 
International, Inc. and certain shareholders of Clinitec International, Inc. 
and certain exhibits are hereby incorporated by reference to Exhibit 2 to 
our Current Report on Form 8-K, dated May 17, 1996 and filed May 30, 
1996. 

Asset Purchase Agreement, dated May 15, 1997, by and among NextGen 
Healthcare  Information  Systems,  Inc.,  MHIS  Acquisition  Corp.,  Quality 
Systems,  Inc.,  and  certain  shareholders  of  NextGen  Healthcare 
Information Systems, Inc. is hereby incorporated by reference to Exhibit 
2  of  Company’s  Current  Report  on  Form  8-K, dated  May  15,  1997  and 
filed  May 29, 1997, File No. 0-13801. 

10.9*  

1998  Employee  Stock  Contribution  Plan  is  hereby  incorporated  by 
reference to Exhibit 4.1 to our Registration Statement on Form S-8, File 
No. 333-63131. 

10.10* 

1998  Stock  Option  Plan  is  hereby  incorporated  by  reference  to  Exhibit 
4.1 to our Registration Statement on Form S-8, File No. 333-67115. 

10.10.1*  Amended and Restated 1998 Stock Option Plan. ** 

10.11*   Memorandum  of  Understanding  regarding  the  April  3,  2000  resignation 
of  Sheldon  Razin  between  Sheldon  Razin  and  Quality  Systems,  Inc.,  is 
hereby incorporated by reference to Exhibit 10.16 to our Annual Report 
on Form 10-K for the year ended March 31, 2000, File No. 0-13801. 

10.12*  Memorandum of Understanding Relating to Director Nominees is hereby 
incorporated  by  reference  to  Company’s  Definitive  Proxy  Statement  for 
our 1999 Shareholder’s Meeting, File No. 001-12537. 

10.13* 

10.14 

10.15 

10.16 

10.17 

Employment  Agreement  dated  July  20,  2000  between  Quality  Systems, 
Inc.  and  Lou  Silverman  is  hereby  incorporated  by  reference  to  Exhibit 
10.18  to  our  Quarterly  Report  on  Form  10-Q  for  the  quarter  ended 
September 30, 2000, File No. 0-13801. 

Lease  Agreement  between  Company  and  Tower  Place,  L.P.  dated 
November  15,  2000,  commencing  February  5,  2001 
is  hereby 
incorporated by reference to Exhibit 10.14 to our Annual Report on Form 
10-K for the year ended March 31, 2001, File No. 0-13801. 

Lease  Agreement  between  Company  and  Orangewood  Business  Center 
Inc.  dated  April  3,  2000,  amended  February  22,  2001,  is  hereby 
incorporated by reference to Exhibit 10.15 to our Annual Report on Form 
10-K for the year ended March 31, 2001, File No. 0-13801. 

Lease Agreement between Company and Craig Development Corporation 
dated  February  20,  2001  is  hereby  incorporated  by  reference  to  Exhibit 
10.16 to our Annual Report on Form 10-K for the year ended March 31, 
2001, File No. 0-13801. 

Sublease Agreement between Company and Infinium Software dated February 
22,  2002  is  hereby  incorporated  by  reference  to  Exhibit  10.17  to  our  Annual 
Report on Form 10-K for the year ended March 31, 2003, File No. 0-13801. 

 45

 
10.18 

10.19 

10.20* 

10.21* 

Lease  Agreement  between  Company  and  HUB  Properties  LLC  dated  May  8, 
2002 is hereby incorporated by reference to Exhibit 10.18 to our Annual Report 
on Form 10-K for the year ended March 31, 2003, File No. 0-13801. 

Lease  Agreement  between  the  Company  and  LakeShore  Towers  Limited 
Partnership  Phase  IV,  a  California  limited  partnership,  dated  September  15, 
2004. ** 

Board Service Agreement between the Company and Lou Silverman  is 
incorporated by reference to Exhibit 10.2.1 to our Current Report of Form  
8-K, dated May 31, 2005, File No. 001-12537. 

Board  Service  Agreement  between  the  Company  and  Patrick  Cline  is 
incorporated by reference to Exhibit 10.2.1 to our Current Report of   Form 
 8-K, dated May 31, 2005, File No. 001-12537. 

21  

List of Subsidiaries.     

23.1 

Consent of Independent Certified Public Accountants – Grant Thornton LLP. 

31.1 

32.1 

    Certifications Required by Rule 13a-14(a) of the Securities Exchange Act of 1934, as  
    amended, as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.  ** 

Certification  of  Chief  Executive  Officer  and  Chief  Financial  Officer  Pursuant 
18 U.S.C.  Section  1350,  as  Adopted  Pursuant  to  Section  906  of  the  Sarbanes-Oxley  Act  of 
2002.  ** 

to                            

*    This exhibit is a management contract or a compensatory plan or arrangement. 
**  Filed herewith. 

 46

 
 
 
 
 
 
 
                             
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, we have duly 
caused this Report to be signed on our behalf by the undersigned, thereunto duly authorized. 

SIGNATURES 

By: /s/ LOUIS E. SILVERMAN 
Louis E. Silverman, 
President and Chief Executive Officer 

Date: June 3, 2005 

KNOW  ALL  PERSONS  BY  THESE  PRESENTS,  that  each  of  the  persons  whose  signature  appears 
below  hereby  constitutes  and  appoints  Louis  E.  Silverman  and  Paul  Holt,  each  of  them  acting 
individually,  as  his  attorney-in-fact,  each  with  the  full  power  of  substitution,  for  him  in  any  and  all 
capacities,  to  sign  any  and  all  amendments  to  this  Annual  Report  on  Form  10-K,  and  to  file  the  same, 
with all exhibits thereto and other documents in connection therewith, with the Securities and Exchange 
Commission, granting unto said attorneys-in-fact, and each of them, full power and authority to do and 
perform each and every act and thing requisite and necessary to be done in and about the premises as fully 
to  all  intents  and  purposes  as  he  might  or  could  do  in  person,  hereby  ratifying  and  confirming  our 
signatures as they may be signed by our said attorney-in-fact and any and all amendments to this Annual 
Report on Form 10-K. 

Pursuant to the requirement of the Securities Exchange Act of 1934, this Report has been signed by the 
following persons on our behalf in the capacities and on the dates indicated. 

Signature 

Title 

Date 

/s/ SHELDON RAZIN 

Sheldon Razin 

/s/ LOUIS E. SILVERMAN. 

Louis E. Silverman 

/s/ PATRICK CLINE 

Patrick Cline 

/s/ PAUL HOLT 

Paul Holt 

/s/ WILLIAM BOTTS 

William Botts 

/s/ MAURICE DEWALD 

Maurice DeWald 

Chairman of the Board  

June 9, 2005 

Director, President and Chief Executive 
Officer (Principal Executive 
Officer)/Director 

June 9, 2005 

Director, President, NextGen Healthcare 
Information Systems Division 

June 9, 2005 

Secretary  and  Chief  Financial  Officer 
(Principal Financial Officer) 

June 9, 2005 

June 9, 2005 

June 9, 2005 

Director 

Director 

 47

 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
Signature 

/s/ AHMED HUSSEIN 

Ahmed Hussein 

/s/ JONATHAN JAVITT 

Jonathan Javitt 

/s/ VINCENT LOVE  

Vincent Love 

/s/ STEVEN PLOCHOCKI 

Steven Plochocki 

Title 

Director 

Director 

Director 

Director 

Date 

June 9, 2005 

June 9, 2005 

June 6, 2005 

June 9, 2005 

 48

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM 

Board of Directors and Shareholders 
Quality Systems, Inc. 

We have audited the accompanying consolidated balance sheets of Quality Systems, Inc. as of March 31, 
2005 and 2004, and the related consolidated statements of income, shareholders’ equity, and cash flow for 
each  of  the  three  years  in  the  period  ended  March  31,  2005.    These  financial  statements  are  the 
responsibility  of  the  Company’s  management.    Our  responsibility  is  to  express  an  opinion  on  these 
financial statements based on our audits. 

We conducted our audits in accordance with the standards of the Public Company Accounting Oversight 
Board (United States).  Those standards require that we plan and perform the audit to obtain reasonable 
assurance  about  whether  the  financial  statements  are  free  of  material  misstatement.    An  audit  includes 
examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements.  
An  audit  also  includes  assessing  the  accounting  principles  used  and  significant  estimates  made  by 
management,  as  well  as  evaluating  the  overall  financial  statement  presentation.    We  believe  that  our 
audits provide a reasonable basis for our opinion. 

In  our  opinion,  the  consolidated  financial  statements  referred  to  above  present  fairly,  in  all  material 
respects, the consolidated financial position of Quality Systems, Inc. as of March 31, 2005 and 2004 and 
the  consolidated  results  of  operations  and  its  consolidated  cash  flows  for  each  of  the  three  years  in  the 
period ended March 31, 2005 in conformity with accounting principles generally accepted in the United 
States of America. 

We have also audited Schedule II of Quality Systems, Inc. for each of the three years in the period ended 
March  31,  2005.    In  our  opinion,  this  schedule,  when  considered  in  relation  to  the  basic  consolidated 
financial  statements  taken  as  a  whole,  present  fairly,  in  all  material  respects,  the  information  set  forth 
therein. 

We  have  also  audited,  in  accordance  with  the  standards  of  the  Public  Company  Accounting  Oversight 
Board  (United  States),  the  effectiveness  of  Quality  Systems,  Inc.’s  internal  control  over  financial 
reporting as of March 31, 2005, based on criteria established in Internal Control – Integrated Framework 
issued by the Committee of Sponsoring Organizations of the Treadway Commission and our report dated 
June 3, 2005, expressed an unqualified opinion thereon. 

/s/ GRANT THORNTON LLP  

Irvine, California 
June 3, 2005 

 49

 
 
 
 
 
 
 
 
 
 
 
  
 
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM ON INTERNAL 
CONTROL OVER FINANCIAL REPORTING 

Board of Directors and Shareholders 
Quality Systems, Inc. 

We  have  audited  management's  assessment,  included  in  the  accompanying  Quality  Systems,  Inc. 
Management’s  Report  on  Internal  Control  Over  Financial  Reporting,  that  Quality  Systems,  Inc. 
maintained  effective  internal  control  over  financial  reporting  as  of  March  31,  2005,  based  on  criteria 
established  in  Internal  Control  –  Integrated  Framework  issues  by  the  Committee  of  Sponsoring 
Organizations of the Treadway Commission (COSO).  Quality Systems, Inc.’s management is responsible 
for  maintaining  effective  internal  control  over  financial  reporting  and  for  its  assessment  of  the 
effectiveness of internal control over financial reporting.  Our responsibility is to express an opinion on 
management's  assessment  and  an  opinion  on  the  effectiveness  of  the  company's  internal  control  over 
financial reporting based on our audit. 

We conducted our audit in accordance with the standards of the Public Company Accounting Oversight 
Board (United States). Those standards require that we plan and perform the audit to obtain reasonable 
assurance about whether effective internal control over financial reporting was maintained in all material 
respects.  Our audit included obtaining an understanding of internal control over financial reporting, 
evaluating management's assessment, testing and evaluating the design and operating effectiveness of 
internal control, and performing such other procedures as we considered necessary in the circumstances.  
We believe that our audit provides a reasonable basis for our opinions.  

A company's internal control over financial reporting is a process designed to provide reasonable 
assurance regarding the reliability of financial reporting and the preparation of financial statements for 
external purposes in accordance with generally accepted accounting principles.  A company's internal 
control over financial reporting includes those policies and procedures that (1) pertain to the maintenance 
of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the 
assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to 
permit preparation of financial statements in accordance with generally accepted accounting principles, 
and that receipts and expenditures of the company are being made only in accordance with authorizations 
of management and directors of the company; and (3) provide reasonable assurance regarding prevention 
or timely detection of unauthorized acquisition, use, or disposition of the company's assets that could have 
a material effect on the financial statements. 

Because of its inherent limitations, internal control over financial reporting may not prevent or detect 
misstatements.  Also, projections of any evaluation of effectiveness to future periods are subject to the 
risk that controls may become inadequate because of changes in conditions, or that the degree of 
compliance with the policies or procedures may deteriorate.  

In our opinion, management's assessment that Quality Systems, Inc. maintained effective internal control 
over financial reporting as of March 31, 2005, is fairly stated, in all material respects, based on criteria 
established  in  Internal  Control  –  Integrated  Framework  issued  by  the  Committee  of  Sponsoring 
Organizations of the Treadway Commission.  Also in our opinion, Quality Systems, Inc. maintained, in 
all  material  respects,  effective  internal  control  over  financial  reporting  as  of  March  31,  2005,  based  on 
criteria  established  in  Internal  Control  –  Integrated  Framework  issued  by  the  Committee  of  Sponsoring 
Organizations of the Treadway Commission.   

We  have  also  audited,  in  accordance  with  the  standards  of  the  Public  Company  Accounting  Oversight 
Board (United States), the consolidated balance sheets of Quality Systems, Inc. as of March 31, 2005 and 
2004, and the related consolidated statements of income, shareholders’ equity, and cash flows for each of 

 50

 
 
 
  
 
  
  
   
   
 
   
the  three  years  in  the  period  ended  March  31,  2005,  and  our  report  dated  June  3,  2005  expressed  an 
unqualified opinion. 

/s/ GRANT THORNTON LLP 

Irvine, California 
June 3, 2005 

 51

 
  
 
 
  
QUALITY SYSTEMS, INC. 
CONSOLIDATED BALANCE SHEETS 
(In Thousands, Except Share Data) 

March 31, 
2005 

March 31, 
2004 

Current Assets 

ASSETS 

Cash and cash equivalents.................................................................................................... $       51,157 
  33,362 
Accounts receivable, net ......................................................................................................
960 
Inventories, net.....................................................................................................................
15 
Income tax receivable ..........................................................................................................
1,796 
Net current deferred tax assets .............................................................................................
1,677 
Other current assets..............................................................................................................
88,967 
Total current assets...................................................................................................

$    51,395 
20,280 
725 
— 
2,979 
1,493 
76,872 

Other assets 

Equipment and improvements, net.......................................................................................
Capitalized software costs, net .............................................................................................
Net long-term deferred tax assets.........................................................................................
Goodwill, net........................................................................................................................
Other assets, net ...................................................................................................................

2,697 
4,334 
— 
1,840 
1,604 

2,012 
3,608 
1,104 
1,840 
1,242 

Total assets............................................................................................................... $       99,442 

$    86,678 

Current liabilities 

LIABILITIES and STOCKHOLDERS’ EQUITY 

Accounts payable ................................................................................................................. $         2,284 
24,115 
Deferred revenue..................................................................................................................
3,436 
Accrued employee compensation and benefits ....................................................................
— 
Income tax payable ..............................................................................................................
4,021 
Other current liabilities ........................................................................................................
       33,856 
Total current liabilities .............................................................................................

Deferred revenue, net of current......................................................................................................
Net deferred tax liabilities ...............................................................................................................
Deferred compensation....................................................................................................................

Total liabilities .........................................................................................................

 1,362 
 291 
1,202 

36,711 

$      1,655 
16,060 
2,610 
273 
2,859 
23,457 

1,203 
— 
1,013 

25,673 

Commitments and contingencies ....................................................................................................

— 

— 

Shareholders' equity 

Common Stock, $0.01 par value; 40,000 shares authorized, 13,111 and 12,650 shares 

issued and outstanding at March 31, 2005 and 2004, respectively...................................
131 
Additional paid-in capital.....................................................................................................
44,499 
Retained earnings.................................................................................................................
19,213 
(1,112) 
Deferred compensation ........................................................................................................
   62,731 
Total shareholders' equity.........................................................................................
Total liabilities and shareholders' equity .................................................................. $       99,442 

127 
39,671 
22,750 
(1,543) 
61,005 

$    86,678 

The accompanying notes to these consolidated financial statements are an integral part of these consolidated statements. 

 52

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
QUALITY SYSTEMS, INC. 
CONSOLIDATED STATEMENTS OF INCOME  
(In Thousands, except per share amounts) 

Revenue: 

Software, hardware and supplies ......................................................  
Implementation and training services ...............................................  
System sales ...............................................................................................  

$           39,672 
            8,856 
           48,528 

$      32,632 
    6,893 
  39,525 

$       25,391 
     3,778 
  29,169 

         2005 

Year Ended March 31,  
2004 

2003 

          Maintenance and other services ........................................................  
          Electronic data interchange services………………………………... 
Maintenance, EDI, and other services…………………………………….. 

         29,945 
         10,488 
         40,433 

23,117 
    8,292 
  31,409 

       18,441 
     7,159 
  25,600 

Total revenue ....................................................................................  

          88,961 

  70,934 

  54,769 

Cost of revenue: 

Software, hardware and supplies ......................................................  
Implementation and training services ...............................................  
Total cost of system sales ...........................................................................  

    7,525 
          6,300 
          13,825 

   8,141 
     5,197 
  13,338 

          Maintenance and other......................................................................  

   12,120 

10,313 

          Electronic data interchange services .................................................  

          6,724 

    5,022 

Total cost of maintenance, EDI, and other services 

         18,844 

  15,335 

  7,299 
    2,929 
  10,228 

  9,072 

    4,455 

  13,527 

Total cost of revenue ........................................................................  

          32,669 

  28,673 

  23,755 

Gross profit.......................................................................................  

         56,292 

   42,261 

  31,014 

Operating expenses: 
Selling, general and administrative expenses  ............................................  
Research and development costs ................................................................  
Total operating expenses ..................................................................  

24,776 
           6,903 
         31,679 

19,482 
    6,139 
  25,621 

  15,293 
      5,062 
    20,355 

Income from operations ....................................................................  

24,613 

16,640 

 10,659 

Investment income......................................................................................  

              876 

       386 

        434 

Income before provision for income taxes..................................................  
Provision for income taxes .........................................................................  

        25,489 
             9,380 

17,026 
    6,626 

 11,093 
     4,058 

Net income........................................................................................  

$            16,109 

$      10,400 

$         7,035 

Net income per share, basic ........................................................................  
Net income per share, diluted .....................................................................  

$               1.25 
$               1.22 

$          0.84 
$          0.80 

$           0.57 
$           0.55 

Weighted average shares outstanding, basic...............................................  
Weighted average shares outstanding, diluted............................................  

12,872 
13,203 

12,436 
12,966 

12,254 
 12,778 

The accompanying notes to these consolidated financial statements are an integral part of these consolidated statements. 

 53

 
 
 
 
    
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
QUALITY SYSTEMS, INC. 
CONSOLIDATED STATEMENT OF CHANGES IN SHAREHOLDERS' 
EQUITY  
For the Three Years Ended March 31, 2005, 2004 and 2003 
(In Thousands) 

Balance, March 31, 2002 
Exercise of stock options .....................
Tax benefit resulting from stock 
options..................................................
Net income...........................................

Balance, March 31, 2003 
Exercise of stock options .....................
Tax benefit resulting from stock 
options..................................................
Stock based compensation ...................
Net income...........................................

Balance, March 31, 2004 
Exercise of stock options .....................
Tax benefit resulting from stock 
options..................................................
Stock based compensation ...................
Dividends paid .....................................
Net income...........................................

Balance, March 31, 2005 

Common Stock 

Amount 
Shares 
12,210  $        122 

94  

–  
–  

1  

–  
–  

APIC 

Retained 
Earnings 
$    34,613  $        5,315  $                – 
                  – 
               –  

Deferred 
Compensation 

351 

Total 
Shareholders’ 
Equity 
$        40,050 
            352 

96 
–  

               – 

7,035  

                   – 
– 

              96 
          7,035 

12,304 
346 

123 
4 

35,060 
1,304 

      12,350 
               – 

– 
– 

       47,533 
         1,308 

– 
– 
– 

– 
– 
– 

1,454 
1,853 
– 

               – 
              – 
10,400 

– 
(1,543) 
– 

        1,454 
           310 
      10,400 

12,650 
461 

127 
4 

39,671 
2,148 

      22,750 
               – 

(1,543) 
– 

       61,005 
        2,152 

– 
– 
– 
– 

– 
– 
– 
– 

2,680 
– 
– 
– 

               – 
              – 
      (19,646) 
       16,109 

– 
431 
– 
– 

         2,680 
             431 
       (19,646) 
        16,109 

13,111  $         131  $    44,499  $     19,213 

$        (1,112)  $         62,731 

The accompanying notes to these consolidated financial statements are an integral part of these consolidated statements. 

 54

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
QUALITY SYSTEMS, INC. 
CONSOLIDATED STATEMENTS OF CASH FLOWS 
(In Thousands) 

Cash flows from operating activities: 

Net income  

Year Ended March 31,  

2005 

2004 

2003 

$   16,109 

$ 10,400 

$7,035 

Adjustments to reconcile net income to net cash provided by operating activities: 

Depreciation ........................................................................................ 
Amortization of capitalized software costs.......................................... 
Provision for bad debts........................................................................ 
Provision for inventory obsolescence .................................................. 
Non-cash compensation from stock option grants............................... 
Loss on short-term investments and other ........................................... 
Tax benefit from exercise of stock options.......................................... 
Deferred income taxes, net .................................................................. 

Change in assets and liabilities: 

Accounts receivable............................................................................. 
Inventories........................................................................................... 
Income tax receivable.......................................................................... 
Other current assets ............................................................................. 
Other assets ......................................................................................... 
Accounts payable ................................................................................ 
Deferred revenue ................................................................................. 
Accrued compensation and related benefits ........................................ 
Income tax payable.............................................................................. 
Other current liabilities........................................................................ 
Deferred compensation........................................................................ 

Net cash provided by operating activities...................................... 

Cash flows from investing activities: 

Additions to capitalized software costs ......................................................... 
Additions to equipment and improvements ................................................... 
Proceeds from the sale of short-term investments ......................................... 

Net cash used in investing activities .............................................. 

Cash flows from financing activities: 
Dividends paid 
Proceeds from the exercise of stock options ....................................... 

Net cash (used in) provided by financing activities ....................... 

Net (decrease) increase in cash and cash equivalents ........................................... 

Cash and cash equivalents, beginning of year ...................................................... 

1,012 
1,952 
797 
160 
431 
– 
2,680 
2,578 

(13,879) 
(395) 
(15) 
(184) 
(362) 
629 
8,214 
826 
(273) 
1,162 
189 

21,631 

(2,678) 
(1,697) 
– 

(4,375) 

(19,646) 
2,152 

(17,494) 

     (238) 

51,395 

836 
1,490 
647 
54 
310 
– 
1,454 
(235) 

(3,400) 
(112) 
– 
627 
(373) 
(822) 
5,564 
248 
273 
8 
334 

910 
1,267 
623 
40 
– 
21 
96 
298 

(4,455) 
          411 
– 
(943) 
– 
(180) 
       5,544 
          687 
– 
       1,871 
(42) 

17,303 

13,183 

(2,587) 
(1,072) 
– 

(3,659) 

– 
1,308 

1,308 

14,952 

36,443 

(1,660) 
(1,109) 
234 

(2,535) 

– 
352 

352 

11,000 

25,443 

Cash and cash equivalents, end of year ................................................................ 

$   51,157 

$51,395 

$36,443 

The accompanying notes to these consolidated financial statements are an integral part of these consolidated statements. 

Supplemental Information.  During fiscal 2005, 2004 and 2003 the Company made income tax payments of $4,541, $4,716, and 
$4,280, respectively. 

 55

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
QUALITY SYSTEMS, INC. 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 
MARCH 31, 2005 and 2004 
(dollars in thousands, except per share amounts) 

1.   Description of Business 

Quality  Systems,  Inc.,  comprised  of  the  QSI  Division  (QSI  Division)  and  a  wholly  owned  subsidiary, 
NextGen Healthcare Information Systems, Inc. (NextGen Division) (collectively, the Company), develops 
and markets proprietary healthcare information systems that automate medical and dental group practices, 
community  health  centers,  physician  hospital  organizations,  management  service  organizations,  and 
dental  schools.  The  Company’s  software  systems  include  general  patient  information,  appointment 
scheduling, billing, insurance claims submission and processing, managed care plan implementation and 
referral management, treatment outcome studies, treatment planning, drug formularies, electronic patient 
records,  dental  charting  and  letter  generation.  In  addition  to  providing  fully  integrated  solutions,  the 
Company  offers  its  clients  comprehensive  hardware  and  software  maintenance  and  support  services, 
system  training  services  and  electronic  claims  submission  services.    The  Company’s  principal 
administrative,  accounting  and  QSI  Division  operations  are  located  in  Irvine, California.   The  principal 
office of the NextGen Division is located in Horsham, Pennsylvania. 

On February 2, 2005, the Board of Directors declared a 2-for-1 stock split with respect to the Company’s 
outstanding shares of common stock.  The stock split record date was March 4, 2005 and the stock began 
trading  post  split  on  March  28,  2005.    References  to  share  and  per  share  data  contained  in  the 
consolidated financial statements and notes to the consolidated financial statements has been retroactively 
adjusted to reflect the stock split.   

2.   Summary of Significant Accounting Policies 

Principles  of  Consolidation.    The  consolidated  financial  statements  include  the  accounts  of  the 
Company and its wholly owned subsidiary. All significant intercompany accounts and transactions have 
been eliminated. 

Basis of Presentation.   The accompanying consolidated financial statements have been prepared in 

accordance with accounting principals generally accepted in the United States of America.   

References to dollar amounts in this financial statement sections are in thousands, except share and per 
share data, unless otherwise specified.  Certain prior year amounts have been reclassified to conform with 
fiscal year 2005 presentation.   

Revenue recognition.  The Company currently recognizes revenue pursuant to Statement of Position 
No. 97-2, “Software Revenue Recognition” (SOP 97-2),  as amended by Statement of Position No. 98-9 
“Modification  of  SOP  97-2,  Software  Revenue  Recognition”  (SOP  98-9).  The  Company  generates 
revenue  from  the  sale  of  licensing  rights  to  its  software  products  directly  to  end-users  and  value-added 
resellers (VARs). The Company also generates revenue from sales of hardware and third party software, 
implementation,  training,  software  customization,  Electronic  Data  Interchange  (EDI),  post-contract 
support (maintenance) and other services performed for customers who license its products.  

A  typical  system  contract  contains  multiple  elements  of  the  above  items.  SOP  98-9,  requires  revenue 
earned  on  software  arrangements  involving  multiple  elements  to  be  allocated  to  each  element  based  on 
the relative fair values of those elements.   The fair value of an element must be based on vendor specific 
objective evidence (VSOE).    The Company limits its assessment of VSOE for each element to either the 
price  charged  when  the  same  element  is  sold  separately  (using  a  rolling  average  of  stand  alone 
transactions)  or  the  price  established  by  management  having  the  relevant  authority  to  do  so,  for  an 
element not yet sold separately. VSOE calculations are updated and reviewed at the end of each quarter.   

When  evidence  of  fair  value  exists  for  the  delivered  and  undelivered  elements  of  a  transaction,  then 
discounts  for  individual  elements  are  aggregated  and  the  total  discount  is  allocated  to  the  individual 
elements in proportion to the elements’ fair value relative to the total contract fair value.    

 56

 
 
 
 
 
 
 
 
When evidence of fair value exists for the undelivered elements only, the residual method, provided for 
under  SOP  98-9,  is  used.      Under  the  residual  method,  the  Company  defers  revenue  related  to  the 
undelivered elements in a system sale based on VSOE of fair value of each of the undelivered elements, 
and  allocates  the  remainder  of  the  contract  price  net  of  all  discounts  to  revenue  recognized  from  the 
delivered  elements.    Undelivered  elements  of  a  system  sale  may  include    implementation  and  training 
services,  hardware  and  third  party  software,    maintenance,  future  purchase  discounts,  or  other  services.   
If VSOE of fair value of any undelivered element does not exist, all revenue is deferred until VSOE of 
fair value of the undelivered element is established or the element has been delivered. 

The Company bills for the entire contract amount upon contract execution.  Amounts billed in excess of 
the  amounts  contractually  due  are  recorded  in  accounts  receivable  as  advance  billings.    Amounts  are 
contractually  due  when  services  are  performed  or  in  accordance  with  contractually  specified  payment 
dates. 

Provided  the  fees  are  fixed  and  determinable  and  collection  is  considered  probable,  revenue  from 
licensing rights and sales of hardware and third party software is generally recognized upon shipment and 
transfer  of  title.  In  certain  transactions  where  collection  risk  is  high,  the  cash  basis  method  is  used  to 
recognized  revenue.  Revenue  from  implementation  and  training  services  is  recognized  as  the 
corresponding  services  are  performed.  Maintenance  revenue  is  recognized  ratably  over  the  contractual 
maintenance period. 

Contract accounting is applied where services include significant software modification, development or 
customization. In such instances, the  arrangement fee is  accounted for  in accordance with Statement of 
Position  No.  81-1  “Accounting  for  Performance  of  Construction-Type  and  Certain  Production-Type 
Contracts” (SOP 81-1).  Pursuant to SOP 81-1, the Company uses the percentage of completion method 
provided all of the following conditions exist: 

(cid:131) 

(cid:131) 
(cid:131) 
(cid:131) 

contract includes provisions that clearly specify the enforceable rights regarding goods or services to 
be provided and received by the parties, the consideration to be exchanged, and the manner and terms 
of settlement; 
the customer can be expected to satisfy its obligations under the contract; 
the Company can be expected to perform it’s contractual obligations; and 
reliable estimates of progress towards completion can be made. 

The  Company  measures  completion  using  labor  input  hours.  Costs  of  providing  services,  including 
services accounted for in accordance with SOP 81-1, are expensed as incurred. 

If  a  situation  occurs  in  which  a  contract  is  so  short  term  that  the  financial  statements  would  not  vary 
materially from using the percentage-of-completion method or in which the Company is unable to make 
reliable estimates of progress of completion of the contract, the completed contract method is utilized.   

From time to time, the Company offers future purchase discounts on its products and services as part of 
its  sales  arrangements.  Pursuant  to  AICPA  TPA  5100.51,  such  discounts  which  are  incremental  to  the 
range of discounts reflected in the pricing of the other elements of the arrangement, which are incremental 
to the range of discounts typically given in comparable transactions, and which are significant, are treated 
as  an  additional  element  of  the  contract  to  be  deferred.    Amounts  deferred  related  to  future  purchase 
options are not recognized until either the customer exercises the discount offer or the offer expires. 

Cash  and  Cash  Equivalents.    Cash  and  cash  equivalents  consist  of  cash,  money  market  funds  and 
short  term  U.S.  Treasuries  with  maturities  of  less  than  90  days.    The  money  market  fund  in  which  the 
Company holds a portion of its cash invests in only investment grade money market instruments from a 
variety of industries, and therefore bears minimal risk.  The average maturity of the investments held by 
the money market fund is approximately two months. 

Short-Term  Investments.  The  Company  classifies  any  short-term  investments  into  one  of  the 

following categories: 

 57

 
 
 
 
 
 
 
 
 
 
 
 
•  Trading – Debt securities that do not meet the “intent-to-hold” criteria and equity securities, both of 

which are bought and held principally for the purpose of being sold in the near term. 

•  Available-for-sale – Debt securities that do not meet the “intent-to-hold” criteria and which are not 
classified  as  trading  securities,  as  well  as  all  equity  securities  not  otherwise  classified  as  trading 
securities. 

•  Held to maturity – Debt securities for which the Company has the intent and the ability to hold to 

maturity. 

Trading securities are carried on the balance sheet at fair market value and unrealized gains and losses are 
recorded  in  the  statement  of  operations.  Available-for-sale  securities  are  carried  in  the  balance  sheet  at 
fair  market  value;  realized  gains  and  losses  are  recorded  in  the  statement  of  operations  when  they  are 
earned or incurred, and unrealized gains and losses, net of tax effect, are recognized as a component of 
shareholders' equity. Held to maturity securities are carried in the balance sheet at cost (unless there are 
declines in the values of individual securities that are not due to temporary declines), and realized gains 
and  losses  are  recorded  in  the  statement  of  operations  in  the  period  that  they  are  earned  or  incurred. 
Realized gains and losses from investment transactions are determined on a specific identification basis.  
The Company had no short term investments at March 31, 2005 or 2004. 

Accounts  Receivable.  The  Company  provides  credit  terms  ranging  from  thirty  days  to  less  than 
twelve months for most system and maintenance contract sales and generally does not require collateral. 
The Company performs ongoing credit evaluations of it’s customers and maintains reserves for estimated 
credit losses.  Reserves for potential credit losses are determined by establishing both specific and general 
reserves.    Specific  reserves  are  based  on  management’s  estimate  of  the  probability  of  collection  for 
certain troubled accounts.  General reserves are established based on our historical experience of bad debt 
expense  and  the  aging  of  our  accounts  receivable  balances,  net  of  deferred  revenue  and  specifically 
reserved  accounts.    Accounts  are  written  off  as  uncollectible  only  after  the  Company  has  expended 
extensive collection efforts.   

Included in accounts receivable are amounts related to maintenance and services which were billed, but 
which had not yet been rendered as of the end of the fiscal year.  Undelivered maintenance and services 
are included on the balance sheet in deferred revenue.   

Inventories.    Inventories  consist  of  hardware  for  specific  customer  orders  and  spare  parts,  and  are 
valued at lower of cost (first-in, first-out) or market.  Management provides a reserve to reduce inventory 
to its net realizable value. 

Equipment  and  Improvements.    Equipment  and  improvements  are  stated  at  cost  less  accumulated 
depreciation  and  amortization.  Depreciation  and  amortization  of  equipment  and  improvements  are 
provided over the estimated useful lives of the assets, or the related lease terms if shorter, generally by the 
straight-line method. Useful lives range as follows: 

Computers and electronic test equipment     
Furniture and fixtures                
Vehicles                                      
Leasehold improvements  

 3-5 years 
    5-7 years 
     7 years  
lesser of lease term or estimated useful life of asset 

Software Development Costs.  Development costs incurred in the research and development of new 
software  products  and  enhancements  to  existing  software  products  are  expensed  as  incurred  until 
technological feasibility has been established. After technological feasibility is established, any additional 
development  costs  are  capitalized  in  accordance  with  the  Statement  of  Financial  Accounting  Standards 
No.  86,  “Accounting  for  the  Costs  of  Computer  Software  to  be  Sold,  Leased  or  Otherwise  Marketed” 
(SFAS 86).  Such capitalized costs are amortized on a straight line basis over the estimated economic life 
of the related product, of three years. The Company performs an annual review of the recoverability of 
such  capitalized  software  costs.  At  the  time  a  determination  is  made  that  capitalized  amounts  are  not 
recoverable  based  on  the  estimated  cash  flows  to  be  generated  from  the  applicable  software,  any 
remaining capitalized amounts are written off. 

  Goodwill  and  Intangible  Assets.    The  Company  follows  Statement  of  Financial  Accounting 
Standards No. 142, “Goodwill and Other Intangible Assets” (SFAS 142).  This statement applies to the 

 58

 
 
 
 
 
 
amortization of goodwill and other intangible assets.  The Company ceased amortizing amounts related to 
goodwill  effective  April  1,  2001.    The  balance  of  goodwill  is  related  to  the  NextGen  Division.    Under 
SFAS 142, management is required to perform an annual assessment of the implied fair value of goodwill 
and intangible assets with indefinite lives for impairment.  The Company compared the fair value of the 
NextGen  Division  with  the  carrying  amount  of  its  assets  and  determined  that  none  of  the  goodwill 
recorded was impaired as of June 30, 2004 (the date of the Company’s last annual impairment test).  The 
fair  value  of  the  NextGen  Division  was  determined  using  an  estimate  of  future  cash  flows  for  the 
NextGen  Division  over  ten  years  and  risk  adjusted  discount  rates  of  between  15  and  25  percent  to 
compute a net present value of future cash flows. 

Long  Lived  Assets.  The  Company  follows  Statement  of  Financial  Accounting  Standards  No.  144, 
“Accounting for the Impairment or Disposal of Long-Lived Assets” (SFAS 144). SFAS 144 establishes a 
single  accounting  model  for  the  impairment  or  disposal  of  long-lived  assets,  including  discontinued 
operations. SFAS 144 superseded Statement of Financial Accounting Standard No. 121, “Accounting for 
the Impairment of Long-Lived Assets and for Long-Lived Assets to be Disposed Of” (SFAS 121), and 
Accounting Principles Board Opinion No. 30, “Reporting the Results of Operations-Reporting the Effects 
of Disposal of a Segment of a Business, and Extraordinary, Unusual and Infrequently Occurring Events 
and Transactions” (APB 30).  Management periodically reviews the carrying value of long-lived assets to 
determine  whether  or  not  impairment  to  such  value  has  occurred  and  has  determined  that  there  was  no 
impairment at March 31, 2005.   

Income Taxes.  Income taxes are provided for the tax effects of transactions reported in the financial 
statements and consists of taxes currently due plus deferred taxes related to differences between the basis 
of  assets  and  liabilities  for  financial  and  tax  reporting.  The  deferred  income  tax  assets  and  liabilities 
represent  the  future  tax  return  consequences  of  those  differences,  which  will  either  be  taxable  or 
deductible  when  the  assets  and  liabilities  are  recovered  or  settled.    Deferred  income  taxes  also  are 
recognized for operating losses that are available to offset future taxable income and tax credits that are 
available to offset future income taxes. Valuation allowances are established as a reduction of net deferred 
income tax assets when management determines that it is more likely than not that the deferred assets will 
not be realized. 

      Advertising Costs.  Advertising costs are charged to operations as incurred. The Company does not 
have  any  direct-response  advertising.  Advertising  costs,  which  includes  trade  shows  and  conventions, 
were  approximately  $1,251,  $1,262  and  $874  for  the  years  ended  March  31,  2005,  2004  and  2003, 
respectively,  and  were  included  primarily  in  selling,  general  and  administrative  expenses  in  the 
consolidated statements of income. 

  The Company has entered into marketing assistance agreements 
     Marketing Assistance Agreements. 
with  existing  users  of  the  Company’s  products  which  provide  the  opportunity  for  those  users  to  earn 
commissions if and only if they host specific site visits upon our request for prospective customers which 
directly result in a purchase of our software by the visiting prospects.   Amounts earned by existing users 
under this program are treated as a selling expense in the period in which commissionable software has 
been recognized as revenue. 

Earnings per Share.  Pursuant to Statement of Financial Accounting Standards No. 128, “Earnings 
Per  Share”  (SFAS  128),  the  Company provides  dual  presentation  of  “basic”  and  “diluted” earnings  per 
share (EPS).    

Basic  EPS  excludes  dilution  from  common  stock  equivalents  and  is  computed  by  dividing  income 
available to common stockholders by the weighted average number of common shares outstanding for the 
period. Diluted EPS reflects the potential dilution from common stock equivalents. 

 59

 
 
 
 
 
 
 
The following table reconciles the weighted average shares outstanding for basic and diluted net income 
per share for the periods presented. 

(In thousands except per share amounts) 

Basic net income per share: 

Year Ended March 31, 

2005 

2004 

2003 

Net income....................................................................... $         16,109 

$       10,400 

$       7,035 

Weighted average of common shares outstanding...........
    12,872 
Net income share ............................................................. $             1.25 

  12,436 
$          0.84 

  12,254 
$         0.57 

Diluted net income per share: 

Weighted average of common shares outstanding 

           12,872 

         12,436 

       12,254    

              Weighted average of common shares equivalents: 

Weighted average options outstanding ............................

        331 

        530 

        524 

Weighted  average  number  of  common  and  common 
equivalent shares..............................................................
Net income per share ....................................................... $            1.22 

          13,203 

        12,966 

        12,778 

$          0.80 

$         0.55 

Stock-Based  Compensation.    The  Company  accounts  for  stock-based  employee  compensation  as 
prescribed by Accounting Principles Board Opinion No. 25, “Accounting for Stock Issued to Employees” 
(APB  No.  25),  and  has  adopted  the  disclosure  provisions  from  the  Statement  of  Financial  Accounting 
Standards No. 148, “Accounting for Stock-Based Compensation-Transition and Disclosure” (SFAS 148) 
that  supersedes  Statement  of  Financial  Accounting  Standards  No.  123,  “Accounting  for  Stock-Based 
Compensation” (SFAS 123). SFAS 148 requires pro forma disclosures of net income and net income per 
share as if the fair value based method of accounting for stock-based awards had been applied for both 
employee and non-employee grants. It also requires disclosure of option status on a more prominent and 
frequent  basis.  Such  disclosure  for  the  years  ended  March  31,  2005,  2004  and  2003  is  presented 
immediately  below.  The  Company  accounts  for  stock  options  and  warrants  issued  to  non-employees 
based  on  the  fair  value  method,  but  has  not  elected  this  treatment  for  grants  to  employees  and  board 
members.  Under  the  fair  value  based  method,  compensation  cost  is  recorded  based  on  the  value  of  the 
award at the grant date and is recognized over the service period.  

          The Company’s fair value calculations for options granted on February 11, 2005 were made using 
the Black-Scholes option pricing model with the following assumptions: expected life – approximately 57 
months  from  the  date  of  the  grant;  stock  volatility  –  47.7%  ,  risk  free  interest  rate  of  3.7%  and,  no 
dividends  during  the  expected  term.    Although  the  Company  announced  a  one-time  $1.50  per  share 
dividend on January 31, 2005, no commitment to any future dividends was made at the time the dividend 
was  announced  and  no  commitment  to  any  future  dividends  exists  as  of  the  filing  of  the  Company’s 
annual report.  The Company had not paid a dividend to its shareholders prior to the one-time dividend 
announced on January 31, 2005.  Therefore, management believes that using a zero dividend rate in the 
valuation of the stock options granted on February 11, 2005 is appropriate.   

The Company’s fair value calculations for options granted in fiscal years ended 2005 and 2004 with 
the exception of the above grant on February 11, 2005, were made using the Black-Scholes option pricing 
model  with  the  following  assumptions:  expected  life  –  approximately  48  months  from  the  date  of  the 
grant; stock volatility – 55 to 57% , risk free interest rate of 3.0% ; and, no dividends during the expected 
term.   No options were granted in fiscal 2003.   

 60

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    The  Company’s  calculations  are  based  on  a  single  option  valuation  approach  and  forfeitures  are 
recognized as they occur. If the computed fair values of awards had been amortized to expense over the 
vesting period of the awards, pro forma net income and net income per share would have been as follows:  

(in thousands, except for per share amounts) 

Year Ended March 31,  

2005 

2004 

2003 

Proforma net income .....................................................................

Net income ....................................................................................
Option compensation expense (net of taxes)   
Proforma option compensation cost (net of taxes) 

    $    16,109  
               272 
           (1,483) 
          14,898 
Reported basic net income per share ......................................      $        1.25 
           1.16 
Proforma basic net income per share  .....................................
              1.22 
Reported diluted net income per share....................................
              1.13 
Proforma diluted net income per share. ..................................

   $     10,400 
             189 
           (414) 
        10,175 
   $        0.84 
        0.82 
           0.80 
           0.78 

 $    7,035 
           – 
      (322) 
    6,713 
 $      0.57 
      0.55 
      0.55 
      0.53 

Fair value of option awards granted...............................................      $    12,707 

   $      2,078 

   $          -- 

  Had  the  Company  used  a  different  methodology  such  as  the  binomial  model  to  value  options,  a 
different valuation may have been determined which may have changed the proforma expense.  

Segment Disclosures.  The Company presents reporting information regarding operating segments in 
accordance with Statement of Financial Accounting Standards No. 131, “Disclosures About Segments of 
an Enterprise and Related Information” (SFAS 131). Operating segments are identified as components of 
an enterprise about which separate discrete financial information is available for evaluation by the chief 
operating  decision  maker,  or  decision  making  group,  in  making  decisions  on  how  to  allocate  resources 
and assess performance. 

  Use of Estimates.  The preparation of financial statements in conformity with accounting principles 
generally  accepted  in  the  United  States  of  America  requires  management  to  make  estimates  and 
assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets 
and liabilities at the date of the financial statements, and the reported amounts of revenue and expenses 
during the reporting period.  On an on-going basis, the Company evaluates its estimates, including those 
related to uncollectible receivables, vendor specific objective evidence, and the percentage of completion 
related  to  certain  service  revenue.    The  Company  bases  its  estimates  on  historical  experience  and  on 
various other assumptions that are believed to be reasonable under the circumstances, the results of which 
form the basis for making judgments about the carrying values of assets and liabilities that are not readily 
apparent from other sources.  Actual results may differ from these estimates under different assumptions 
or conditions.  

      New  Accounting  Pronouncements.    In  November  2004,  the  FASB  issued  Statement  of  Financial 
Accounting  Standards  No.  151    “Inventory  Costs  –  an  amendment  of  ARB  No.  43,  Chapter  4”  (SFAS 
151)  to  clarify  the  accounting  for  abnormal  amount  of  idle  facility  expense,  freight,  handling  costs  and 
wasted  material.   This  statement  requires  that  those  items  be  recognized  as  current  period  charges.   In 
addition, this statement requires that allocation of fixed production overhead to the costs of conversion be 
based  on  the  normal  capacity  of  the  production  facilities.    SFAS  151  is  effective  for  inventory  costs 
incurred during fiscal years beginning after June 15, 2005.  The Company does not expect the adoption of 
SFAS 151 to have material effect on its financial statements. 

     In December 2004, the Financial Accounting Standards Board (FASB) issued Statement of Financial 
Accounting Standards No. 123R, “Share-Based Payment” (SFAS 123R) which is a revision of SFAS 123. 
Statement  123R  supersedes  APB  25  and  amends  Statement  of  Financial  Accounting  Standards  No.  95, 
“Statement  of  Cash  Flows”  (SFAS  95).  SFAS  123R  requires  all  share-based  payments  to  employees, 
including grants of employee stock options, to be recognized in the income statement based on their fair 
values  and  the  pro  forma  disclosure  alternative  is  no  longer  allowable  under  Statement  123R.  
Subsequently, in April 2005, the Securities and Exchange Commission (SEC) changed the effective date 
from the first interim or annual reporting period beginning after June 15, 2005 to the first annual reporting 
period beginning after June 15, 2005, which for the Company will be fiscal year 2007.  The Company has 
not  completed  the  process  of  evaluating  the  impact  that  will  result  from  adopting  SFAS  123R  and  is 

 61

 
 
 
 
 
therefore unable to disclose the impact that adoption will have on the Company’s financial position and 
results of operations. 

3.   Intangible Assets – Capitalized Software Costs 

  As of March 31, 2005 and 2004, the Company had the following amounts related to intangible assets 
with definite lives:  

(in thousands) 

Capitalized software development (3 yrs): 

As of March 31,  

2005 

2004 

Gross carry amount............................................................................................ $      13,287 
Accumulated amortization.................................................................................         (8,953) 
Net capitalization software development........................................................... $       4,334 

$    10,610 
       (7,002) 
$      3,608 

Aggregate amortization expense during year ended March 31.......................... $       1,952 

$      1,490 

Information related to net capitalized software costs is as follows: 

(in thousands) 

As of March 31,  

Beginning of year. .................................................................................................... $        3,608 
Capitalization............................................................................................................
      2,678 
Amortization .............................................................................................................         (1,952) 
End of year................................................................................................................ $       4,334 

2005 

2004 
$       2,511 
     2,587 
       (1,490) 
$      3,608 

The following table represents the remaining estimated amortization of intangible assets with 
determinable lives as of March 31, 2005 (in thousands):  

For the year ended March 31, 
   2006  ..................................................................................................................................  
   2007 ...................................................................................................................................  
   2008 ...................................................................................................................................  
                       Total 

$      2,055 
    1,574 
       705 
$      4,334 

4.   Cash and Cash Equivalents  

  At March 31, 2005 and 2004, the Company had cash and cash equivalents of $51,157 and $51,395, 
respectively, invested in both a major national brokerage firm's institutional fund that specializes in U.S. 
government  securities  and  commercial  paper  with  high  credit  ratings,  and  short  term  U.S.  treasury 
securities.   

Investment income for each of the three years ended March 31 consists of the following: 

(in thousands) 

March 31, 2005 

Year Ended 
March 31, 2004 

March 31, 2003 

Investment income................................

           $876 

           $386  

          $434 

 62

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
5.   Composition of Certain Financial Statement Captions 

 (in thousands) 

Accounts Receivable 

March 31, 

2005 

2004 

Accounts receivable, excluding undelivered maintenance and services  ......... $      22,162 
Undelivered  maintenance  and  services  billed  in  advance,  included  in
deferred revenue...............................................................................................
        13,037 
Reserve for bad debt.........................................................................................         (1,837) 
Accounts receivable, net........................................................................ $      33,362 

$   13,075 

       8,498 
      (1,293) 
$    20,280 

Inventories..................................................................................................................
Computer systems and components, net of reserve for obsolescence of $146
and $207, respectively...................................................................................... $           891 
Replacement  parts  for  certain  client  systems,  net  of  accumulated 
amortization of $849 and $684, respectively ...................................................                 -- 
Miscellaneous parts and supplies .....................................................................                69 
          Inventories, net....................................................................................... $           960 

Equipment and Improvements 

Computer and electronic test equipment .......................................................... $        5,788 
Furniture and fixtures.......................................................................................           1,950 
Vehicles............................................................................................................                 -- 
Leasehold improvements..................................................................................              187 
          7,925 
           Accumulated depreciation and amortization ...................................................         (5,228) 
                    Equipment and improvements, net ......................................................... $        2,697 

$        478 

          221 
            26 
$        725 

$     4,568 
       1,509 
              8 
          151 
       6,236 
     (4,224) 
$     2,012 

Deferred Revenue 

Maintenance ..................................................................................................... $       4,639 
Implementation services...................................................................................        17,471       
Undelivered software and other .......................................................................          3,367 
Deferred revenue ................................................................................... $     25,477 

$     3,794 
     10,756 
       2,713 
$   17,263 

Accrued Compensation and Related Benefits 

Bonus ............................................................................................................... $       1,998 
Vacation ...........................................................................................................          1,438 
$       3,436 

$     1,435  
       1,175 
$     2,610 

Other current liabilities 

Sales tax payable .............................................................................................. $          726 
Commissions payable.......................................................................................             625 
Customer deposits ............................................................................................             527 
Accrued EDI expenses .....................................................................................             419 
Professional services ........................................................................................             417 
Deferred rent ....................................................................................................             198 
Other accrued expenses....................................................................................          1,109 
$        4,021 

 $         442 
          356 
          397 
          467 
            96 
          352 
          749 
$     2,859 

6.   Income Taxes 

During  the  year  ended  March  31,  2003,  the  Company  filed  amended  federal  returns  for  the  fiscal 
years ended March 31, 1999 through 2001 and certain state tax returns for the fiscal years ended March 
31, 1998 through 2001, to take advantage of available tax credits related to its research and development 
activities.  The tax credits reported on the aforementioned returns resulted in refund claims of $418 for 
federal  and  $158  for  state  income  tax  purposes.    Additionally,  the  Company  claimed  research  and 

 63

 
 
 
 
 
 
     
        
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
development credits of $781 for the years ended March 31, 2002, 2003, and 2004 and has estimated $400 
in tax credits for the year ended March 31, 2005.   

The provision for income taxes for the year ended March 31, 2004 and 2003 accounted for a portion 
of the aggregate tax credits accumulated through the end of each period due to the uncertainly concerning 
the ultimate amount of tax to be credited.   As of March 31, 2004, the Company  had a balance of $505 in 
credits  which  had  not  been  recognized.    In  the  quarter  ended  March  31,  2005,  the  state  of  California 
completed an audit of the Company’s tax returns and did not materially change credits related to research 
and  development.  Based  on  the  results  of  that  audit,  the  provision  for  income  taxes  for  the  year  ended 
March 31, 2005 was offset by the recognition of the $505 in tax credits which had not been recognized as 
of March 31 2004.    

The provision for income taxes consists of the following components: 

(in thousands) 

Current: 

March 31, 
2005 

Year Ended 
March 31, 
2004 

March 31, 
2003 

Federal taxes ........................................................................... $         5,365 
           1,438 
State taxes  ..............................................................................
           6,803 
         Total...............................................................................

$      5,551 
         1,310 
         6,861 

$      3,211 
           549 
        3,760 

Deferred: 

Federal taxes 
State taxes. ..............................................................................

Total...............................................................................

           2,040 
              537 
           2,577 

          (179)  
            (56) 
          (235) 

           268 
          30 
           298 

$         9,380 

$       6,626 

$      4,058 

The  provision  for  income  taxes  differs  from  the  amount  computed  at  the  federal  statutory  rate  as 

follows: 

(in thousands) 

March 31, 
2005 

Year Ended 
March 31, 
2004 

March 31, 
2003 

Federal income tax statutory..........................................................

  35.0% 

        35.0% 

       34.0% 

Increase (decreases) resulting from: 

State income taxes  .................................................................
    4.6 
Research & development tax credits ......................................         (4.3) 
 1.5 
Other. ......................................................................................

          4.9 
        (1.0) 
           --    

         5.1 
        (1.9) 
        (0.6)  

Effective income tax rate ...............................................................

     36.8% 

       38.9% 

       36.6% 

 64

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
          
          
 
   
 
The  net  deferred  tax  assets  in  the  accompanying  consolidated  balance  sheets  consist  of  the 

following at March 31, 2005 and 2004: 

(in thousands) 

Deferred tax assets: 

As of March 31,  

2005 

2004 

Deferred revenue and bad debt allowance. .......................................................... $        1,081  
Inventory valuation..............................................................................................              195 
Purchased in-process research and development .................................................           2,038 
Intangible assets...................................................................................................              118 
Accrued compensation.........................................................................................              903 
Deferred compensation ........................................................................................             517 
Other ....................................................................................................................              102 
               Total deferred tax assets.............................................................................           4,954 

 $    2,477 
     164 
2,348 
118 
       716 
          442 
147 
6,412 

Deferred tax liabilities: 

Accelerated depreciation......................................................................................
       (1,791) 
Capitalized software ............................................................................................
   (1,469) 
State income taxes/Other .....................................................................................            (189) 
Total deferred tax liabilities ......................................................................         (3,449) 
Total deferred tax assets, net..................................................................... $        1,505 

        (927) 
  (1,133) 
         (269) 
      (2,329) 
$      4,083 

The deferred tax assets and liabilities have been shown net in the accompanying consolidated balance 
sheets based on the long-term or short-term nature of the items which give rise to the deferred amount.  
No valuation allowance has been made against the deferred tax assets as the Company expects to receive 
the full benefit of the assets recorded. 

 7.   Employee Benefit Plans and Employment Agreements 

The  Company  has  a  401  (k)  for  the  benefit  of  substantially  all  of  its  employees.  Participating 
employees  may  defer  up  to  the  IRS  limit  based  on  the  IRS  Code  per  year.  The  annual  contribution  is 
determined  by  a  formula  set  by  the  Company’s  Board  of  Directors  and  may  include  matching  and/or 
discretionary contributions.  The Retirement Plans may be amended or discontinued at the discretion of 
the  Board  of  Directors.  Contributions  of  $162,  $161  and  $143  were  made  by  the  Company  to  the 
retirement plan for the fiscal years ended March 31, 2005, 2004 and 2003, respectively. 

The Company has a deferred compensation plan (the Deferral Plan) for the benefit of officers and key 
employees. Participating employees may defer between five and 50% of their compensation for a Deferral 
Plan year. In addition, the Company may, but is not required to, make contributions into the Deferral Plan 
on  behalf  of  participating  employees.  Each  employee’s  deferrals  together  with  earnings  thereon  are 
accrued  as  part  of  the  long-term  liabilities  of  the  Company.  Investment  decisions  are  made  by  each 
participating  employee  from  a  family  of  mutual  funds.    To  offset  this  liability,  the  Company  has 
purchased life insurance policies on most of the participants. The Company is the owner and beneficiary 
of the policies and the cash values are intended to produce cash needed to help make the benefit payments 
to employees when they retire or otherwise leave the Company. The values of the life insurance policies 
and  the  cumulative  liability  for  deferrals  are  included  on  the  balance  sheet  of  the  Company.    .  The  net 
cash surrender value of the life insurance policies and an equal amount of related Company obligation for 
deferred compensation was $1,202 and $1,013 at March 31, 2005 and 2004, respectively.  The values of 
the life insurance policies and the related Company obligation are included on the balance sheet in other 
assets  and  other  liabilities,  respectively.    The  Company  made  contributions  of  $13,  $12  and  $12  to  the 
Deferral Plan for each of the fiscal years ended March 31, 2005, 2004 and 2003, respectively. 

The  Company  has  a  voluntary  employee  stock  contribution  plan  for  the  benefit  of  all  full  time 
employees.  The plan is designed to allow employees to acquire shares of the Company’s common stock 
through  automatic  payroll  deduction.    Each  eligible  employee  may  authorize  the  withholding  of  up  to 

 65

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
10% of his/her gross payroll each pay period to be used to purchase shares on the open market by a broker 
designated by the Company.  In addition, the Company will match 5% of each employee’s contribution 
and will pay all brokerage commissions and fees in connection with each purchase.  The amount of the 
Company  match  is  discretionary  and  subject  to  change.    The  plan  is  not  intended  to  be  an  employee 
benefit plan under the Employee Retirement Income Security Act of 1974, and is therefore not required to 
comply  with  that  act.    Contributions  of  approximately  $6,  $3  and  $1  were  made  by  the  Company  for 
fiscal years ended March 31, 2005, 2004 and 2003, respectively. 

The Company has an Employment Agreement (“Agreement”) with Mr. Louis E. Silverman dated July 
20,  2000  which  details  the  terms  of  his  employment  as  its  Chief  Executive  Officer.      Mr.  Silverman  is 
eligible  for  a  cash  bonus  of  up  to  50%  of  his  annual  base  compensation  based  on  performance  goals 
established jointly between himself and the Board of Directors.  

Mr. Silverman’s employment may be terminated for any reason by himself or the Company upon 60 
days written notice.  Should Mr. Silverman terminate his employment due to the Company’s breach of the 
Agreement he will be entitled to (i) a lump sum payment equal to six months base compensation; and (ii) 
12 months worth of accelerated vesting of stock options granted pursuant to the agreement.  Should Mr. 
Silverman’s employment be terminated without cause or by himself for good reason, he will be entitled to 
(i)  unpaid  base  compensation  and  vacation  earned  and  accrued  through  his  date  of  termination  plus  a 
lump sum equal to six months base compensation, (ii) any other performance bonus earned and not paid, 
and  (iii)  12  months  worth  of  accelerated  vesting  of  stock  options  granted  pursuant  to  the  agreement.  
Should Mr. Silverman’s employment be terminated due to a “change of control” he will be entitled to (i) 
unpaid  base  compensation  and  vacation  earned  plus  a  lump  sum  payment  equal  to  six  months  base 
compensation; (ii) any performance bonus earned but not paid; and (iii) immediate vesting of all unvested 
options.  A “change of control” is defined as the earliest occurrence of any of the following events:  the 
direct  or  indirect  sale,  lease,  exchange  or  other  transfer  of  35%  or  more  of  the  total  assets  of  the 
Company,  the  merger  or  consolidation  of  the  Company  with  another  company  with  the  effect  that  the 
shareholders of the Company immediately prior to the merger hold less than 51% of the combined voting 
power of the then outstanding securities of the surviving company; the replacement of a majority of the 
Company’s Directors without the approval of the Board of Directors; the purchase of 25% or more of the 
combined voting power of the outstanding securities of the Company with the exception of the purchase 
of securities by  Sheldon Razin or Ahmed Hussein of shares owned by either Sheldon Razin or Ahmed 
Hussein.      The  Agreement  also  grants  immediate  vesting  of  all  unvested  options  should  a  change  of 
control occur whether or not Mr. Silverman’s employment is terminated. 

8.  Employee Stock Option Plans 

  During  fiscal  1990,  the  Company’s  shareholders  approved  a  stock  option  plan  (the  “1989  Plan”) 
under which 2,000,000 shares of Common Stock were reserved for the issuance of options. The 1989 Plan 
provides that salaried officers, key employees and non-employee Directors of the Company may, at the 
discretion  of  the  Board  of  Directors,  be  granted  options  to  purchase  shares  of  Common  Stock  at  an 
exercise price not less than 85% of their fair market value on the option grant date. Upon an acquisition of 
the Company by merger or asset sale, each outstanding option may be subject to accelerated vesting under 
certain circumstances. The 1989 Plan terminated on June 30, 1999, and there are no outstanding options 
under this plan at March 31, 2005. 

     In September 1998, the Company’s shareholders approved a stock option plan (the “1998 Plan”) under 
which 2,000,000 shares of Common Stock have been reserved for the issuance of options. The 1998 Plan 
provides  that  employees,  directors  and  consultants  of  the  Company,  at  the  discretion  of  the  Board  of 
Directors  or  a  duly  designated  compensation  committee,  be  granted  options  to  purchase  shares  of 
Common Stock. The exercise price of each option granted shall be determined by the Board of Directors 
at the date of grant. Upon an acquisition of the Company by merger or asset sale, each outstanding option 
may  be  subject  to  accelerated  vesting  under  certain  circumstances.  The  1998  Plan  terminates  on 
December  31,  2007,  unless  sooner  terminated  by  the  Board.  At  March  31,  2005,  138,150  shares  were 
available for future grant under the 1998 Plan.  As of March 31, 2005, there were 1,084,722 outstanding 
options related to this plan. 

 66

 
 
 
  
 
    On  February  11,  2005,  the  Board  of  Directors  granted  522,450  options  under  the  1998  plan  to 
selected  employees  and  to  Directors  (7,000  for  each  Director)  at  an  exercise  price  equal  to  the  market 
price of the Company’s Common Stock on the date of grant ($38.68 per share).  The options granted to 
employees vest in four annual installments beginning February 11, 2006 and expire on February 11, 2012.  
The  options  granted  to  Directors  fully  vested  on  May  11,  2005  and  expire  on  February  11,  2012.    No 
compensation expense has been recorded for these options.  

  On  September  21,  2004,    the  Board  of  Directors  granted  35,000  options  under  the  1998  plan  to 
Directors  (5,000  for  each  Director)  at  an  exercise  price  equal  to  the  market  price  of  the  Company’s 
Common Stock on the date of the grant ($25.50 per share).  The options fully vested on March 21, 2005 
and expire on September 21, 2009.  No compensation expense has been recorded for these options.   

   On September 3, 2004, the Board of Directors granted 30,000 options under the 1998 plan to selected 
employees at an exercise price equal to the market price of the Company’s Common Stock on the date of 
the grant ($23.71 per share).  The options vest in four equal annual installments beginning September 3, 
2005 and expire on September 3, 2009.  No compensation expense has been recorded for these options.   

  On  June  10,  2004,  the  Board  of  Directors  granted  300,000  options  under  the  1998  plan  to  selected 
employees at an exercise price equal to the market price of the Company’s Common Stock on the date of 
the grant ($23.34 per share).  The options vest in four equal annual installments beginning June 10, 2005 
and expire on June 10, 2009.  No compensation expense has been recorded for these options.   

  On  October  29,  2003,  the  Board  of  Directors  granted  7,000  options  under  the  1998  plan  to  Emad 
Zikry, a then Director of the Company, at an exercise price of $3.50 per share, as director fees solely for 
his service on the Board of Directors.  The options vested immediately and expire on October 20, 2008.  
This option grant resulted in compensation expense of approximately $130 recorded in the quarter ended 
December 31, 2003 using the intrinsic value method. 

       On  October  29,  2003,  the  Board  of  Directors  granted  120,000  options  under  the  1998  plan  to 
employees  at  an  exercise  price  of  $7.73  per  share.    The  options  vest  in  four  equal  annual  installments 
beginning  October  29,  2004  and  expire  on  October  29,  2008.    Based  on  the  closing  share  price  of  the 
Company's  stock  on  October  29, 2003  ($22.08  per share),  this  option  grant  will  result  in  compensation 
expense  of  up  to  $1,722  (assuming  all  employees  granted  options  continue  their  employment  at  the 
Company throughout the entire four year vesting period)  to be amortized evenly over the next four years 
ending  October,  2007.      During  the  years  ended  March  31,  2005  and  2004,  the  Company  recognized 
compensation  expense  of  $431  and  $180  related  to  these  options.      During  the  years  ended  March  31, 
2005,  2004  and  2003,  the  Company  received  tax  benefit  from  the  exercise  of  stock  options  of  $2,680, 
$1,454 and $96, respectively. 

  A summary of option transactions under the 1989 & 1998 Plans for the three years ended March 31, 
2005 is as follows: 

2005 

  Weighted-
Average 
Exercise 
Price 

2004 

  Weighted-
Average 
Exercise 
Price 

Options 

$      5.26 
      32.46 
        4.58 
          4.05 

   896,154 
   127,000 
  (346,480) 
    (15,500) 

         4.37 
       7.50 
       3.78 
         4.49 

Options 

   661,174 
   887,450 
 (460,278) 
     (3,624) 

2003 

  Weighted-
Average 
Exercise 
Price 

$      4.31 
           -- 
       3.72 
             -- 

Options 

    990,966 
              -- 
     (94,812) 
              -- 

1,084,722 

  $    27.77   

   661,174 

    $   5.26 

    896,154 

  $      4.37 

   138,150 

1,025,600 

 1,152,600 

Outstanding, 
 beginning of year 
Granted 
Exercised 
Canceled 
Outstanding,  
   end of year 
Available 
  for future grants 

 67

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
      
 
The majority of the outstanding stock options vest ratably over a four-year period commencing from 
the  respective  option  grant  dates.  Stock  options  outstanding  at  March  31,  2005  are  summarized  as 
follows: 

Options Outstanding 

Options Exercisable 

Weighted 
Average 
Remaining 
Contractual Life 

Weighted 
Average 
Exercise 
Price 

2.44 

4.17 

6.22 

 $    6.68 

23.57 

 $  38.68 

Number 
Exercisable 

46,550 

35,000 

Weighted 
Average 
Exercise 
Price 

$   5.46 

   25.50 

-- 

$       -- 

Range of 
Exercise Price 

Number 
Outstanding 

  $  3.50 

to    $    7.73 

197,272 

23.34 

to 

 25.50 

365,000 

$38.68 

to    $  38.68 

522,450 

9.   Commitments and Contingencies 

Litigation.  The Company is a party to various legal proceedings incidental to its business, none of 

which are considered by management to be material. 

Rental  Commitments.    The  Company leases  facilities  and  offices  under  irrevocable  operating  lease 
agreements expiring at various dates through March 2010. Rent expense for the years ended March 31, 
2005,  2004,  and  2003  was  $1,285,  $1,226  and  $1,068,  respectively.    Rental  commitments  under  these 
agreements are as follows:  

Year Ending March 31,  

2006 
2007 
2008 
2009 
2010 

.........................................................................................................................
.........................................................................................................................
.........................................................................................................................
.........................................................................................................................
.........................................................................................................................

$1,257 
925 
942 
671 
206 

$4,001 

      Commitments & Guarantees.  Software license agreements in both our QSI and NextGen Divisions 
include a performance guarantee that our software products will substantially operate as described in the 
applicable program documentation for a period of 365 days after delivery. To date, we have not incurred 
any significant costs associated with these warranties and do not expect to incur significant warranty costs 
in the future.  Therefore, no accrual has been made for potential costs associated with these warranties.  

     We  have  historically  offered  short-term  rights  of  return  of  less  than  20  days  in  certain  of  our  sales 
arrangements.   Based on our historical experience with similar types of sales transactions bearing these 
short-term rights of return, we have not recorded any accrual for returns in our financial statements.   

     Our standard sales agreements in the NextGen Division contain an indemnification provision pursuant 
to which we indemnify, hold harmless, and agree to reimburse the indemnified party for losses suffered or 
incurred  by  the  indemnified  party  in  connection  with  any  United  States  patent,  any  copyright  or  other 
intellectual  property  infringement  claim  by  any  third  party  with  respect  to  our  software.      The  QSI 
division  arrangements  occasionally  utilize  this  type  of  language  as  well.    As  we  have  not  incurred  any 
significant  costs  to  defend  lawsuits  or  settle  claims  related  to  these  indemnification  agreements,  we 
believe that our estimated exposure on these agreements is currently minimal. Accordingly, we have no 
liabilities recorded for these indemnification obligations.  

 68

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
10.  Fair Value of Financial Instruments 

The  Company’s  financial  instruments  include  cash,  accounts  receivable,  accounts  payable, deferred 
revenue  and  accrued  liabilities.    Management  believes  that  the  fair  value  of  cash,  accounts  receivable, 
accounts payable, deferred revenue, and accrued liabilities approximate their carrying values due to the 
short-term nature of these instruments. 

11.  Operating Segment Information 

The  Company  has  prepared  operating  segment  information  in  accordance  with  SFAS  131 
“Disclosures  About  Segments  of  an  Enterprise  and  Related  Information”  to  report  components  that  are 
evaluated regularly by its chief operating decision maker, or decision making group in deciding how to 
allocate  resources  and  in  assessing  performance.  Reportable  operating  segments  include  the  NextGen 
Division and the QSI Division.   

The  accounting  policies  of  the  Company’s  operating  segments  are  the  same  as  those  described  in 
Note 2 - Summary of Significant Accounting Policies, except that the disaggregated financial results of 
the  segments  reflect  allocation  of  certain  functional  expense  categories  consistent  with  the  basis  and 
manner in which Company management internally disaggregates financial information for the purpose of 
assisting in making internal operating decisions.  Certain corporate overhead costs, such as executive and 
accounting  department  personnel  related  expenses,  are  not  allocated  to  the  individual  segments  by 
management.  Management  evaluates  performance  based  on  stand-alone  segment  operating  income.  
Because the Company does not evaluate performance based on return on assets at the operating segment 
level, assets are not tracked internally by segment. Therefore, segment asset information is not presented.   

  Operating segment data for the three years ended March 31, was as follows: 

(in thousands) 

Year Ended March 31,  
2005 
  Revenue ..................................  $     15,367 
  Operating income (loss)..........           4,162 

QSI Division 

NextGen Division 

Unallocated Corp. 
Expenses 

Consolidated 

 $        73,594 
           25,904 

$                -- 
           (5,453) 

$       88,961 
       24,613 

2004 
  Revenue ..................................         16,491 
  Operating income (loss)..........           4,877 

2003 
  Revenue ..................................         17,423 
  Operating income (loss)..........  $       4,675 

           54,443 
           15,789 

                  -- 
          (4,026) 

       70,934 
       16,640 

           37,346 
 $          8,902 

                  -- 
$         (2,918) 

        54,769 
$       10,659 

 69

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
12.  Selected Quarterly Operating Results (unaudited) 

The  following  table  presents  quarterly  unaudited  consolidated  financial  information  for  the  eight 
quarters  in  the  period  ended  March  31,  2005.    Such  information  is  presented  on  the  same  basis  as  the 
annual information presented in other sections of this report.  In management’s opinion, this information 
reflects all adjustments that are necessary for a fair presentation of the results for these periods.  
COMPARISON BY QUARTER * 

(in thousands) 

Quarter Ended (Unaudited) 

6/30/03 

9/30/03 

12/31/03 

3/31/04 

6/30/04 

9/30/04 

12/31/04 

3/31/05 

Software, hardware and supplies 
Implementation and training  
Total system sales 
Maintenance, EDI and other 
     Total revenue 
Cost of revenue: 
Software, hardware and supplies 
Implementation and training 
Total cost of system sales 
Cost  of  maintenance,  EDI  and 
other 
     Total cost of revenue 
Gross profit 
Selling, general, & administrative 
Research  and development 
Income from operations 
Investment income 
Income  before  provision 
income taxes 
Provision for income taxes 
Net income 

for 

Net income per share – basic * 
Net income per share – diluted * 
Weighted average shares 
  outstanding – basic 
Weighted average shares 
  outstanding – diluted 

$    7,819  $ 8,244 
   1,782 
 10,026 
   7,616 
 17,642 

   1,655 
   9,474 
   6,832 
 16,306 

$    8,068  $  8,501  $8,819 
    1,665 
  2,265 
  10,166  11,084 
    8,621 
  9,046 
  18,787  20,130 

    1,791 
    9,859 
    8,340 
  18,199 

   1,972 
   1,253 
      3,225 

   2,603 
1,129 
   3,732 

    1,966 
    1,427 
    3,393 

    1,600 
    1,388 
    2,988 

  2,352 
  1,392 
  3,744 

3,385 
   6,610 
   9,696 
   4,740 
   1,366 
   3,590 
      100 

3,760 
   7,492 
 10,150 
   4,768 
   1,502 
   3,880 
        89 

4,130 
    7,523 
  10,676 
    4,902 
    1,628 
    4,146 
         95 

 4,060 
  4,357 
  8,101 
    7,048 
  11,739  12,029 
  4,953 
    5,072 
  1,612 
    1,643 
  5,464 
    5,024 
     120 
       102 

3,690 
   1,413 

 3,969 
   1,561 
$    2,277  $ 2,408 

 4,241 
    1,630 

  5,584 
  2,202 
$    2,611  $  3,104  $3,382 

5,126 
    2,022 

$9,307 
  2,300 
11,607 
  9,610 
21,217 

  1,692 
  1,579 
  3,271 

  4,666 
  7,937 
13,280 
  5,414 
  1,818 
  6,048 
     170 

  6,218 
  2,503 
$3,715 

$ 9,781 
   1,889 
 11,670 
 10,418 
 22,088 

   1,384 
   1,575 
   2,959 

   4,556 
   7,515 
 14,573 
   6,420 
   1,707 
  6,446 
     263 

   6,709 
   2,488 
$ 4,221 

$ 11,765 
     2,402 
   14,167 
   11,359 
   25,526 

    2,097 
    1,754 
     3,851 

    5,265 
    9,116 
  16,410 
    7,989 
    1,766 
    6,655 
       323 

     6,978 
     2,187 
$   4,791 

$      0.18  $   0.20 
$      0.18  $   0.19 

$      0.21  $    0.25  $  0.27 
$      0.20  $    0.24  $  0.26 

$  0.29 
$  0.28 

$  0.33 
$  0.32 

$    0.37   
$    0.36   

12,314 

12,334 

12,478 

 12,624 

12,666 

12,780 

12,952 

   13,089 

12,932 

12,982 

13,098 

 13,164 

13,154 

13,196 

13,282 

   13,370 

*  Will not add to annual EPS due to rounding 

 70

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
  
  
   
  
    
    
   
  
  
  
   
   
  
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Schedule II 
ALLOWANCE FOR DOUBTFUL ACCOUNTS 
(in thousands) 

For the Year Ended 

Balance at 
Beginning 
of Period 

Additions 
Charged to 
Costs and 
Expenses 

Deductions 

Balance at 
End of 
Period 

March 31, 2005 .........................................................
March 31, 2004 .........................................................
March 31, 2003 .........................................................

  $    1,293 
  $       990  
  $       813 

  $    797 
  $    647 
  $    623 

  $    (253)   
  $    (344) 
  $    (446)  

  $     1,837  
  $     1,293  
  $        990  

ALLOWANCE FOR INVENTORY OBSOLESCENSE 
(in thousands) 

For the Year Ended 

Balance at 
Beginning 
of Period 

Additions 
Charged to 
Costs and 
Expenses 

Deductions 

Balance at 
End of 
Period 

March 31, 2005 .........................................................
March 31, 2004 .........................................................
March 31, 2003 .........................................................

  $       207 
  $       160  
  $       127 

  $    160 
  $      54 
  $      40 

  $    (221)   
  $        (7) 
  $        (7)  

  $        146 
  $        207  
  $        160 

 71

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
INDEX TO EXHIBITS 

3.1.1  Amendment to Articles of Incorporation, effective March 4, 2005. 

3.6 

Bylaws of the Company, as amended and restated. 

10.6.1  Form of Indemnification Agreement for directors and executive officers authorized January 27, 2005. 

10.10.1  Amended and Restated 1998 Stock Option Plan. 

10.19  Lease Agreement between the Company and Lakeshore Towers Limited Partnership Phase IV, a 

California limited partnership.   

23.1     Consent of Independent Registered Public Accounting Firm – Grant Thornton LLP. 

31.1  Certification of  Chief Executive Officer Required by Rule 13a-14(a) of the Securities Exchange 
Act of 1934, as amended, as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. 

31.2  Certification of Chief Financial Officer  Required by Rule 13a-14(a) of the Securities Exchange 
Act of 1934, as amended, as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. 

32.1  Certification  of  Chief  Executive  Officer  and  Chief  Financial  Officer  Pursuant  to  18 U.S.C. 

Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. 

 72

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
QUALITY SYSTEMS, INC. 
LIST OF SUBSIDIARIES 

1.   NextGen  Healthcare  Information  Systems,  Inc,  Inc.,  a  California  corporation,  is  a  wholly-owned 

subsidiary of Quality Systems, Inc. 

 73

 
 
 
 
 
EXHIBIT 23.1 

CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM 

We  have  issued  reports  dated  June  3,  2005,  accompanying  the  consolidated  financial  statements  and 
schedule  and  management’s  assessment  of  the  effectiveness  of  internal  control  over  financial  reporting 
included in the Annual Report of Quality Systems, Inc. on Form 10-K for the year ended March 31, 2005.  
We  hereby  consent  to  the  incorporation  by  reference  of  said  report  in  the  Registration  Statements  of 
Quality  Systems,  Inc.  on  Forms  S-8  (File  No.  33-31949,  effective  November  6,  1989,  File  No.  333-
63131, effective September 10, 1998 and File No. 333-67115, effective November 12, 1998). 

/s/  Grant Thornton LLP 

Irvine, California 
June 3, 2005 

 74

 
 
 
 
 
 
 
 
  
 
 
CERTIFICATION OF CEO PURSUANT TO SECURITIES EXCHANGE ACT RULES 
13A-14 AND 15D-14 AS ADOPTED PURSUANT TO SECTION 302 OF THE 
SARBANES-OXLEY ACT OF 2002 

I, Louis Silverman, certify that:  

1.  I have reviewed this Form 10-K of Quality Systems, Inc.; 

2.  Based on my knowledge, this report does not contain any untrue statement of a material fact or omit 
to  state  a  material  fact  necessary  to  make  the  statements  made,  in  light  of  the  circumstances  under 
which such statements were made, not misleading with respect to the period covered by this report;  

3.  Based  on  my  knowledge,  the  financial  statements,  and  other  financial  information  included  in  this 
report,  fairly  present  in  all  material  respects  the  financial  condition,  results  of  operations  and  cash 
flows of the registrant as of, and for, the periods presented in this report; 

4.  The  registrant’s  other  certifying  officer(s)  and  I  are  responsible  for  establishing  and  maintaining 
disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and 
internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) 
for the registrant and have: 

(a)  Designed  such  disclosure  controls  and  procedures,  or  caused  such  disclosure  controls  and 
procedures to be designed under our supervision, to ensure that material information relating to the 
registrant, including its consolidated subsidiaries, is made known to us by others within those entities, 
particularly during the period in which this report is being prepared; 

(b)  Designed  such  internal  control  over  financial  reporting,  or  caused  such  internal  control  over 
financial reporting to be designed under our supervision, to provide reasonable assurance regarding 
the reliability of financial reporting and the preparation of financial statements for external purposes 
in accordance with generally accepted accounting principles; 

(c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented 
in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of 
the end of the period covered by this report based on such evaluation; and  

(d) Disclosed in this report any change in the registrant’s internal control over financial reporting 
that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in 
the case of an annual report) that has materially affected, or is reasonably likely to materially affect, 
the registrant’s internal control over financial reporting; and  

5.  The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation 
of internal control over financial reporting, to the registrant’s auditors and the audit committee of the 
registrant’s board of directors (or persons performing the equivalent functions):  

(a)  All  significant  deficiencies  and  material  weaknesses  in  the  design  or  operation  of  internal 
control over financial reporting which are reasonably likely to adversely affect the registrant’s ability 
to record, process, summarize and report financial information; and  

 75

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(b) Any fraud, whether or not material, that involves management or other employees who have a 

significant role in the registrant’s internal control over financial reporting.  

Date: June 3, 2005 

By: /s/ LOUIS E. SILVERMAN 

      Louis E. Silverman, 

President and Chief Executive Officer 

 76

 
 
 
 
 
 
 
 
 
 
 
 
CERTIFICATION OF CEO PURSUANT TO SECURITIES EXCHANGE ACT RULES 
13A-14 AND 15D-14 AS ADOPTED PURSUANT TO SECTION 302 OF THE 
SARBANES-OXLEY ACT OF 2002 

I, Paul A. Holt, certify that:  

1.  I have reviewed this Form 10-K of Quality Systems, Inc.; 

2.  Based on my knowledge, this report does not contain any untrue statement of a material fact or omit 
to  state  a  material  fact  necessary  to  make  the  statements  made,  in  light  of  the  circumstances  under 
which such statements were made, not misleading with respect to the period covered by this report;  

3.  Based  on  my  knowledge,  the  financial  statements,  and  other  financial  information  included  in  this 
report,  fairly  present  in  all  material  respects  the  financial  condition,  results  of  operations  and  cash 
flows of the registrant as of, and for, the periods presented in this report; 

4.  The  registrant’s  other  certifying  officer(s)  and  I  are  responsible  for  establishing  and  maintaining 
disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and 
internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) 
for the registrant and have: 

(a)  Designed  such  disclosure  controls  and  procedures,  or  caused  such  disclosure  controls  and 
procedures to be designed under our supervision, to ensure that material information relating to the 
registrant, including its consolidated subsidiaries, is made known to us by others within those entities, 
particularly during the period in which this report is being prepared; 

(b)  Designed  such  internal  control  over  financial  reporting,  or  caused  such  internal  control  over 
financial reporting to be designed under our supervision, to provide reasonable assurance regarding 
the reliability of financial reporting and the preparation of financial statements for external purposes 
in accordance with generally accepted accounting principles; 

(c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented 
in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of 
the end of the period covered by this report based on such evaluation; and  

(d) Disclosed in this report any change in the registrant’s internal control over financial reporting 
that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in 
the case of an annual report) that has materially affected, or is reasonably likely to materially affect, 
the registrant’s internal control over financial reporting; and  

5.  The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation 
of internal control over financial reporting, to the registrant’s auditors and the audit committee of the 
registrant’s board of directors (or persons performing the equivalent functions):  

(a)  All  significant  deficiencies  and  material  weaknesses  in  the  design  or  operation  of  internal 
control over financial reporting which are reasonably likely to adversely affect the registrant’s ability 
to record, process, summarize and report financial information; and  

 77

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(b) Any fraud, whether or not material, that involves management or other employees who have a 

significant role in the registrant’s internal control over financial reporting.  

Date: June 3, 2005 

                    Paul A. Holt, 

By: /s/ PAUL HOLT 

Secretary and Chief Financial Officer 

 78

 
 
 
 
 
 
 
 
 
 
EXHIBIT 32.1 

CERTIFICATION OF CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER 
PURSUANT TO 18 U.S.C. SECTION 1350, 
AS ADOPTED PURSUANT TO 
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002 

In connection with the annual report on Form 10-K of Quality Systems, Inc. (the “Company”) for 
the  quarterly  period  ended  March  31,  2004  (the  “Report”),  the  undersigned  hereby  certify  in  their 
capacities as Chief Executive Officer and Chief Financial Officer of the Company, respectively, pursuant 
to 18 U.S.C. section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that: 

1. 

the  Report  fully  complies  with  the  requirements  of  Section  13(a)  or  15(d)  of  the 

Securities Exchange Act of 1934, as amended; and 

2. 

the  information  contained  in  the  Report  fairly  presents,  in  all  material  respects,  the 

financial condition and results of operations of the Company. 

Dated: June 3 , 2005 

Dated: June 3, 2005 

By: /s/ LOUIS SILVERMAN____ 

Louis Silverman 

  Chief Executive Officer (principal executive 

officer) 

By: /s/ PAUL HOLT 

Paul Holt 

  Chief Financial Officer (principal financial 

officer) 

A  signed  original  of  this  written  statement  required  by  Section  906,  or  other  document 
authenticating, acknowledging, or otherwise adopting the signatures that appear in typed form within the 
electronic version of this written statement required by Section 906, has been provided to the Company 
and  will  be  retained  by  the  Company  and  furnished  to  the  Securities  and  Exchange  Commission  or  its 
staff upon request. 

 79

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
UNITED STATES 
SECURITIES AND EXCHANGE COMMISSION 
Washington, DC 20549 

(Mark One) 
[X] 

ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE 

FORM 10-K/A NO. 1 

SECURITIES EXCHANGE ACT OF 1934 
For the fiscal year ended March 31, 2005 
or 

[X] 

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE 

SECURITIES EXCHANGE ACT OF 1934 

For the transition period 
from 

to 

Commission file number:  0-13801 

Quality Systems, Inc. 
(Exact name of Registrant as specified in its charter) 

California 
(State or other jurisdiction of 
incorporation or organization) 

95-2888568 
(I.R.S. Employer Identification No.) 

18191 Von Karman Avenue, Irvine, California 92603 
(Address of principal executive offices, including zip code) 

(949) 255-2600 
(Registrant’s telephone number, including area code) 

Securities registered pursuant to Section 12(b) of the Act: 
None 
None 
(Name of each exchange on which registered) 
(Title of each class) 

Securities registered pursuant to Section 12(g) of the Act: 

Common Stock, par value $.01 per Share 
(Title of class) 

Indicate by check mark whether the Registrant (1) has filed all reports required to be filed by Section 
13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter 
period  that  the  Registrant  was  required  to  file  such  reports),  and  (2)  has  been  subject  to  such  filing 
requirements for the past 90 days. Yes [X] No [X] 

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is 
not contained herein, and will not be contained, to the best of Registrant’s knowledge, in definitive proxy 
or information statements incorporated by reference in Part III of this Form 10-K or any amendment to 
this Form 10-K. [  ] 

Indicate by check mark whether the Registrant is an accelerated filer (as defined in Rule 12b-2 of the 

Act).  Yes [X] No [X] 

The  aggregate  market  value  of  the  voting  stock  held  by  non-affiliates  of  the  Registrant  as  of 
September 30, 2004: $210,543,000 (based on the closing sales price of the Registrant’s Common Stock as 
reported in the NASDAQ National Market System on that date, $50.51 per share).* 

The aggregate market value of the voting stock held by non-affiliates of the Registrant as of June 3, 
2005: $415,011,000 (based on the closing sales price of the Registrant’s Common Stock as reported in the 
NASDAQ National Market System on that date, $51.30 per share).* 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
*For  purposes  of  this  report,  in  addition  to  those  shareholders  which  fall  within  the  definition  of 
“affiliates” under Rule 405 of the Securities Act of 1933, as amended, holders of ten percent or more of 
the Registrant’s Common Stock are deemed to be affiliates.  

Indicate the number of shares outstanding of each of the Registrant’s classes of Common Stock, as of 

the latest practicable date. 

Common Stock, $.01 par value 

13,124,860 

(Class) 

(Outstanding at July 27, 2005) 

DOCUMENTS INCORPORATED BY REFERENCE 

None.  

EXPLANATORY NOTE 

This  Amendment  No.  1  to  Form  10-K  is  being  filed  to  include  the  information  required  by 

Part III, Items 10, 11, 12, 13 and 14. 

 
 
 
 
 
 
 
 
  
PART III 

ITEM 10. 

DIRECTORS AND EXECUTIVE OFFICERS OF REGISTRANT 

Directors and Executive Officers 

The  names,  ages,  positions  held  and  business  experience  of  the  Company’s  directors  and 

executive officers as of July 27, 2005 is as follows: 

William  V.  Botts  (69)  was  a  director  of  Summit  Designs  from  1996  to  2000.  He  served  as 
Chairman  and  Chief  Executive  Officer  of  Summit  Designs  from  July  1999  to  April  2000  when  the 
company  merged  with  a  larger  private  company  and  became  publicly  traded  on  Nasdaq  as  Innovada 
which he then served as its director through July 2002. Since 1993 he has been engaged as an independent 
consultant to business in areas related to problem solving, operations, strategic planning, mergers and/or 
acquisitions.  He has held numerous other past and present directorship and chairmanship positions with 
privately held companies. 

Patrick  B.  Cline  (44)  currently  serves  as  President  of  the  Company’s  NextGen  Healthcare 
Information Systems Division. He served as the Company’s interim Chief Executive Officer for the April 
- July 2000 period. Mr. Cline was a co-founder of Clinitec; a company acquired by Quality Systems, Inc. 
in 1996, and has served as its President since its inception in January 1994 and throughout its transition to 
NextGen  Healthcare  Information  Systems.  Prior  to  co-founding  Clinitec,  Mr.  Cline  served,  from  July 
1987  to  January  1994,  as  Vice  President  of  Sales  and  Marketing  with  Script  Systems,  a  subsidiary  of 
InfoMed, a healthcare information systems company. From January 1994 to May 1994, after the founding 
of Clinitec, Mr. Cline continued to serve, on a part time basis, as Script Systems’ Vice President of Sales 
and Marketing. Mr. Cline has held senior positions in the healthcare information systems industry since 
1981. Mr. Cline was appointed a director of the Company by the Board on May 25, 2005. 

Maurice  J.  DeWald  (65)  is  and  has  been  since  1992  the  Chief  Executive  Officer  of  Verity 
Financial Group, Inc., a financial advisory firm. He is a director of Advanced Materials Group, Inc. and 
Mizuho  Corporate  Bank  of  California. He  was  an  audit  partner/managing  partner  with  the  international 
accounting  firm  KPMG,  LLP  and  was  with  that  firm  from  1962  to  1991.  He  holds  a  B.B.A.  from  the 
University of Notre Dame and has a California C.P.A. professional certification. 

Jonathan  Javitt  (48)  is  the  Co-Founder  of  Health  Directions,  LLC  and  has  served  as  its  Vice 
Chairman  since  1998.  Prior  to  his  current  position  he  was  Co-Founder  &  Chief  Scientific  Officer  of 
Active Health Management from 1999 to 2004. Additionally, Dr. Javitt was  Co-Founder & Director of 
Coderyte, Inc. from 1999 to 2004 and Founder & Chairman of Certitude, Inc from 1994 to 1997. Between 
2003 and 2005 he served as chair of the Health Subcommittee of the President's Information Technology 
Advisory  Committee,  White  House  Office  of  Science  and  Technology  Policy.  He was  previously  Vice 
Chairman/Chief  Science  Officer  of  eMedx  (later  Active  Health)  from  June  1998  to  April  2004.  He  has 
held senior executive positions with United Health Care (UNH) from 1997 to 1998 and First Consulting 
Group (FCGI) from 2004 to 2005. He holds an A.B. from Princeton University, obtained his M.D. from 
Cornell University, and holds a Masters Degree in Public Health from Harvard University. 

Vincent  J.  Love  (64)  is  the  managing  partner  of  Kramer,  Love  &  Cutler,  LLP,  a  financial 
consulting  group.  He  was  employed  by  the  accounting  firm  Ernst  &  Young  from  1967  to  1994,  and 
served as a partner of that firm from 1979 to 1994. He is a member of Counsel, the governing body, of the 
American Institute of Certified Public Accountants and an honorary member of the Executive Committee 

 3

 
 
 
 
 
 
 
 
of the American Arbitration Association. He achieved the rank of Captain in the U.S. Army, has a B.B.A. 
from the City College of New York, and is a New York, Ohio, and Connecticut C.P.A.  

Steven T. Plochocki (53) joined Trinity Hospice, a national hospice provider, as Chief Executive 
Officer  and  board  member  in  October  2004.  Prior  to  joining  Trinity  Hospice,  he  was  Chief  Executive 
Officer  of  InSight,  a  national  provider  of  diagnostic  imaging  services  from  November  1999  to  August 
2004. Previously he was Chief Executive Officer of Centratex Support Services, Inc., a support services 
company for the healthcare industry and had previously held other senior level positions with healthcare 
industry  firms.  He  holds  B.A.  in  Journalism  and  Public  Relations  from  Wayne  State  University  and  a 
Master’s degree in Business Management from Central Michigan University. 

Sheldon Razin (67) is the founder of the Company and has served as its Chairman of the Board 
since the Company’s inception in 1974. He served as the Company’s Chief Executive Officer from 1974 
until April 2000. Since its inception until April 2000, he also served as the Company’s President, except 
for the period from August 1990 to August 1991. Additionally, Mr. Razin served as Treasurer from the 
Company’s inception until October 1982. Prior to founding the Company, he held various technical and 
managerial  positions  with  Rockwell  International  Corporation  and  was  a  founder  of  the  Company’s 
predecessor,  Quality  Systems,  a  sole  proprietorship  engaged  in  the  development  of  software  for 
commercial and space applications and in management consulting work. Mr. Razin holds a B.S. degree in 
Mathematics from the Massachusetts Institute of Technology.  

Louis E. Silverman (46) was appointed President and Chief Executive Officer of the Company on 
July 31, 2000. Mr. Silverman was previously Chief Operations Officer of CorVel Corp., a publicly traded 
national managed care services and technology firm with headquarters in Irvine, California. Mr. 
Silverman holds a Master of Business Administration degree from Harvard Graduate School of Business 
Administration and a Bachelor of Arts degree from Amherst College. Mr. Silverman was appointed a 
director of the Company by the Board on May 25, 2005. 

Ahmed Hussein (64) is, and has been since 1997, the Director of National Investment Company, 

Cairo, Egypt. Mr. Hussein founded National Investment Company in 1996 and has served as a member of 
its Board of Directors since its inception. Mr. Hussein served as a Senior Vice President of Dean Witter 
from 1993 to 1996. Mr. Hussein is a director of the following publicly held Egyptian companies: Nasr 
City Co., Simo Paper Co., and Nobria Agriculture. 

Greg Flynn (47) has served as the QSI Division's General Manager since April 2000 and as 

Executive Vice President since August 1998 after serving as Vice President of Sales and Marketing from 
January 1996 to August 1998. Between June 1992 and January 1996, Mr. Flynn served as Vice President 
Administration. In these capacities, Mr. Flynn has been responsible for numerous functions related to the 
Company’s ongoing management and sales. Previously, Mr. Flynn served as the Company’s Vice 
President, Corporate Communications. Mr. Flynn joined us in January 1982. He holds a B.A. degree in 
English from the University of California, Santa Barbara. 

Paul A. Holt (39) was appointed Chief Financial Officer in November 2000. Mr. Holt has served 
as the Company’s Controller from January 2000 to May 2000 and was appointed interim Chief Financial 
Officer in May 2000. Prior to joining the Company, Mr. Holt was the Controller of Sierra Alloys Co., 
Inc., a titanium metal manufacturing company from August 1999 to December 1999. From May 1997 to 
July 1999, he was Controller of Refrigeration Supplies Distributor, a wholesale distributor and 
manufacturer of refrigeration supplies and heating controls. From March 1995 to April 1997 he was 
Assistant Controller of Refrigeration Supplies Distributor. Mr. Holt is a Certified Public Accountant and 
holds an M.B.A. from the University of Southern California and a B.A. in Economics from the University 
of California, Irvine. 

 4

 
 
 
 
The Company’s executive officers are elected by, and serve at the discretion of, the Board of 

Directors. 

Board of Directors Meetings and Related Matters 

The  Company’s  Bylaws  require  that  at  least  a  majority  of  the  members  of  the  Board  shall  be 
independent  directors.  The  Bylaws  state  that  an  “independent  director”  means  a  person  other  than  an 
officer  or  employee  of  the  Company  or  its  subsidiaries  or  any  other  individual  having  a  relationship, 
which, in the opinion of the Board, would interfere with the exercise of independent judgment in carrying 
out the responsibilities of a director. The following persons shall not be considered independent: 

(a)  a director who is, or at any time during the past three years was, employed by the Company 

or by any parent or subsidiary of the Company; 

(b)  a director who accepted or who has a family member (as defined below) who accepted any 
payments from the company or any parent subsidiary of the Company in excess of $60,000 
during the current or any of the past three fiscal years, other than for the following: 
i.  compensation for Board or Board committee service; 
ii.  payments arising solely from investments in the Company’s securities; 
iii.  compensation paid to a family member who is a non-executive employee of 

the Company or a parent or subsidiary of the Company; 

iv.  benefits  under  a 

tax-qualified  retirement  plan,  or  non-discretionary 

compensation; or 

v.  loans permitted under Section 13(k) of the Exchange Act of 1934; 

(c)  a director who is a family member of an individual who is or at any time during the past three 
years was, employed by the Company or by any parent or subsidiary of the Company as an 
executive officer; 

(d)  a director who is, or has a family member who is, a partner in, or a controlling shareholder or 
an  executive  officer  of,  any  organization  to  which  the  Company  made,  or  from  which  the 
Company received, payments for property or services in the current or any of the past three 
fiscal  years  that  exceed  5%  of  the  recipient’s  consolidated  gross  revenues  for  that  year,  or 
$200,000, whichever is more, other than the following: 

i.  payments arising solely from investments in the Company’s securities; or 
ii.  payments  under  non-discretionary  charitable  contribution  matching 

programs; 

(e)  a director of the Company who is, or has a family member who is, employed as an executive 
officer of another entity where at any time during the past three years any of the officers of 
the Company serve on the compensation committee of such other entity; or 

(f)  a director who is, or has a family member who is, a current partner of the Company’s outside 
auditor, or was a partner or employee of the Company’s outside auditor who worked on the 
Company’s audit at any time during any of the past three years. 

A “family member” for these purposes means a person’s spouse, parents, children and siblings, 

whether by blood, marriage or adoption, or anyone residing in such person’s home. 

During the fiscal year ended March 31, 2005, the Board held 12 meetings. There were no actions 
taken by unanimous written consent. No director standing for re-election to the Board attended less than 
75%  of  the  aggregate  of  all  meetings  of  the  Board  and  all  meetings  of  committees  of  the  Board  upon 
which he served. 

 5

 
 
 
 
 
On July 7, 2005, one of the Company’s directors, Mr. Ahmed Hussein, filed a Schedule 13D with 
the  Securities  and  Exchange  Commission  and  sent  a  written  notice  to  the  Company  informing  the 
Company that, among other things, he may cumulate his votes and may seek to elect one or more of two 
independent director nominees (in addition to himself) at the 2005 Annual Meeting. 

In  light  of  Mr.  Hussein's  schedule  13D  filing,  on  July  18,  2005  the  Board  formed  a  Special 
Committee.  Among other things, the Special Committee has been delegated all powers of  the Board in 
connection  with  the  solicitation  and  voting  of  proxies  at  the  annual  meeting.  The  Special  Committee 
consists  of  the  following  directors:  William  Botts,  Patrick  Cline,  Maurice  DeWald,  Jonathan  Javitt, 
Vincent Love, Steven Plochocki, Sheldon Razin, and Lou Silverman.  

Additionally,  Mr.  Hussein  declined  to  complete  the  Company's  2005  Director's  Questionnaire. 
Therefore, this report was prepared without the benefit of any additional information that may have been 
included if his Questionnaire had been completed and returned to the Company. 

The  Board  has  an  Audit  Committee  which  since  September  21,  2004  has  consisted  of  Messrs. 
DeWald,  Love,  and  Botts.  The  Audit  Committee  is  comprised  entirely  of  "independent"  (as  defined  in 
Rule 4200(a)(15) of the Nasdaq listing standards) directors and operates under a written charter adopted 
by  the  Board.  The  duties  of  the  Audit  Committee  include  meeting  with  the  independent  public 
accountants  of  the  Company  to  review  the  scope  of  the  annual  audit  and  to  review  the  quarterly  and 
annual  financial  statements  of  the  Company  before  the  statements  are  released  to  the  Company's 
shareholders.  The Audit Committee also evaluates the independent public accountants' performance and 
makes  recommendations  to  the  Board  as  to  whether  the  independent  public  accounting  firm  should  be 
retained  by  the  Company  for  the  ensuing  fiscal  year.  In  addition,  the  Audit  Committee  reviews  the 
Company's internal accounting and financial controls and reporting systems practices. During the fiscal 
year ended March 31, 2005, the Audit Committee held seven meetings. The Audit Committee's current 
charter, adopted January 29, 2004, is included as Appendix A to the Company's 2004 Proxy Statement. 
The  Audit  Committee  and  Board  have  confirmed  that  the  Audit  Committee  does  and  will  continue  to 
include at least three independent members. The Audit Committee and the Board have confirmed that Mr. 
DeWald  meets  applicable  Nasdaq  listing  standards  for  designation  as  an  "Audit  Committee  Financial 
Expert" and being for being "independent." 

The  Board  has  a  Nominating  Committee  which  since  September  21,  2004  has  consisted  of 
Messrs.  Plochocki,  Javitt,  and  Love.  The  Nominating  Committee  is  responsible  for  identifying  and 
recommending to the Board direct nominee candidates and is composed entirely of independent directors. 
The  Nominating  Committee  will  consider  candidate  nominees  for  election  as  director  who  are 
recommended  by  shareholders.  Recommendations  should  be  sent  to  the  Secretary  of  the  Company  and 
should include the candidate's name and qualifications and a statement from the candidate that he or she 
consents to being named in the proxy statement and will serve as a director if elected. In order for any 
candidate to be considered by the Nominating Committee and, if nominated, to be included in the proxy 
statement,  such  recommendation  must  be  received  by  the  Secretary  not  less  than  150  days  prior  to  the 
anniversary date of the Company's most recent annual meeting of shareholders. 

The Nominating Committee believes that it is desirable that directors possess an understanding of 
the  Company's  business  environment  and  have  the  knowledge,  skills,  expertise  and  such  diversity  of 
experience  that  the  Board's  ability  to  manage  and  direct  the  affairs  and  business  of  the  Company  is 
enhanced.  Additional  considerations  may  include  an  individual's  capacity  to  enhance  the  ability  of 
committees of the Board to fulfill their duties and/or satisfy any independence requirements imposed by 
law, regulation or listing requirements. 

 6

 
The  Nominating  Committee  may  receive  suggestions  from  current  Board  members,  Company 
executive officers or other sources, which may be either unsolicited or in response to requests from the 
Nominating  Committee  for  such  candidates.  The  Nominating  Committee  may  also,  from  time  to  time, 
engage firms that specialize in identifying director candidates. 

Once  a  person  has  been  identified  by  the  Nominating  Committee  as  a  potential  candidate,  the 
Nominating  Committee  may  collect  and  review  publicly  available  information  regarding  the  person  to 
assess whether the person should be considered further. If the Nominating Committee determines that the 
candidate warrants further consideration, the Chairman or another member of the Nominating Committee 
may contact the person. Generally, if the person expresses a willingness to be considered and to serve on 
the Board, the Nominating Committee may request information from the candidate, review the person's 
accomplishments  and  qualifications  and  may  conduct  one  or  more  interviews  with  the  candidate.  The 
Nominating  Committee  may  consider  all  such  information  in  light  of  information  regarding  any  other 
candidates that the Nominating Committee might be evaluating for nomination to the Board. Nominating 
Committee members may contact one or more references provided by the candidate or may contact other 
members of the business community or other persons that may have greater first-hand knowledge of the 
candidate's accomplishments. With the nominee's consent, the Nominating Committee may also engage 
an outside firm to conduct background checks on candidates as part of the nominee evaluation process. 
The  Nominating  Committee's  evaluation  process  does  not  vary  based  on  the  source  of  the 
recommendation, though in the case of a shareholder nominee, the Nominating Committee and/or Board 
may take into consideration the number of shares held by the recommending shareholder and the length of 
time that such shares have been held. 

In  compiling  the  Board  slate  appearing  in  the  Company’s  proxy  statement  for  its  2005  annual 
meeting,  nominee  referrals  as  well  as  nominee  recommendations  were  received  from  existing  directors 
and members of management - both solicited and unsolicited. No paid consultants were engaged by the 
Company, the Board or any of its committees for the purposes of identifying qualified, interested Board 
candidates. 

During the fiscal year ended March 31, 2005 the Nominating Committee held two meetings. The 
Nominating  Committee's  current  charter,  while  not  posted  on  the  Company's  website,  is  included  as 
Appendix B to the Company's 2004 Proxy Statement. 

The  Board  has  a  Compensation  Committee  which  since  September  21,  2004  has  consisted  of 
Messrs.  Botts,  DeWald,  and  Javitt.  The  Compensation  Committee  is  composed  entirely  of  independent 
directors,  and  is  responsible  for  (i)  ensuring  that  senior  management  will  be  accountable  to  the  Board 
through  the  effective  application  of  compensation  policies  and  (ii)  monitoring  the  effectiveness  of  the 
Company's  compensation  plans  applicable  to  both  senior  management  and  the  Board  (including 
committees  thereof).  The  Compensation  Committee  establishes  compensation  policies  applicable  to  the 
Company's  executive  officers.  During  the  fiscal  year  ended  March  31,  2005,  the  Compensation 
Committee held nine meetings.  

The  Board  has  a  Transaction  Committee  which  since  September  21,  2004  has  consisted  of 
Messrs.  Javitt,  Botts,  and  Plochocki.  The  Transaction  Committee  is  responsible  for  considering  and 
making recommendations to the Company's Board with respect to all proposals involving (i) a change in 
control of the Company or (ii) the purchase or sale of assets constituting more than 10% of the Company's 
total assets. The Transaction Committee is composed entirely of independent directors. During the fiscal 
year ended March 31, 2005, the Transaction Committee held five meetings. 

Under  the  Company's  Bylaws,  if  at  any  time  the  Chairman  of  the  Board  shall  be  an  executive 
officer  of  the  Company,  or  for  any  other  reason  shall  not  be  an  independent  director,  a  non-executive 

 7

 
Lead Director ("Lead Director") shall be selected by the independent directors. The Lead Director shall be 
one  of  the  independent  directors,  shall  be  a  member  of  the  Audit  Committee  and  of  the  Executive 
Committee,  if  there  is  such  a  committee,  and  shall  be  responsible  for  coordinating  the  activities  of  the 
independent  directors.  The  Lead  Director  shall  assist  the  Board  in  assuring  compliance  with  the 
Company's corporate governance procedures and policies, and shall coordinate, develop the agenda for, 
and  moderate  executive  sessions  of  the  Board's  independent  directors.  Such  executive  sessions  shall  be 
held immediately following each regular meeting of the Board, and or at other times as designated by the 
Lead Director. The Lead Director shall approve, in consultation with the other Independent Directors, the 
retention of consultants who report directly to the Board. If at any time the Chairman of the Board is one 
of the independent directors, then he or she shall perform the duties of the Lead Director. 

Directors of the Company who are also employees of the Company are not compensated for their 
services as directors or committee members. Under the terms of the Company's Director Compensation 
Program, all non-employee directors of the Company shall receive a retainer of $24,000 per year, plus a 
fee of $2,000 per meeting of the Board attended. Directors who serve on a committee of the Board shall 
receive a fee of $1,000 per committee meeting attended. Board members traveling cross country to attend 
a Board meeting or committee meeting shall receive an additional fee of $1,000. In addition to the cash 
remuneration above, each newly elected nonemployee director shall receive 12,000 options to purchase 
Common Stock of the Company upon election to the Board. For purposes of the Director Compensation 
Program,  all  nonemployee  directors  elected  at  the  September  21,  2004,  shareholder's  meeting  were 
deemed newly elected. Thereafter, each nonemployee director reelected to the Board shall receive 10,000 
options to purchase  Common Stock of the Company  upon each annual reelection date. The options are 
priced at the fair market value of the Company's Common Stock on the date of grant, fully vest in three 
months from the date of grant, and expire seven years from the date of grant. 

Section 16(a) Beneficial Ownership Reporting Compliance 

Under  Section  16(a)  of  the  Securities  Exchange  Act  of  1934,  as  amended,  the  directors  and 
officers  of  the  Company  and  any  person  who  owns  more  than  ten  percent  of  the  Company's  Common 
Stock are required to report their initial ownership of the Company's Common Stock and any subsequent 
changes  in  that  ownership  to  the  Securities  and  Exchange  Commission  ("SEC")  and  Nasdaq.  Officers, 
directors and greater than 10% shareholders are required by SEC regulations to furnish the Company with 
copies of all forms they file in accordance with Section 16(a). 

Based solely on its review of the copies of such forms received by it, or written representations 
from  certain  reporting  persons  that  no  Forms  5  were  required  for  those  persons,  the  Company  believes 
that,  during  the  fiscal  year  ended  March  31,  2005,  all  of  its  officers,  directors  and  greater  than  10% 
shareholders  complied  with  all  filing  requirements  applicable  to  such  persons  with  the  exception  of 
Ahmed Hussein who failed to file a Form 4 related to a grant of 7,000 options received on February 11, 
2005. Mr. Hussein’s Form 4 concerning such grant was subsequently filed with the SEC on July 29, 2005. 

Code of Ethics 

We  have  adopted  a  Code  of  Business  Conduct  and  Ethics  that  applies  to  our  Chief  Executive 
Officer,  Chief  Financial  Officer  (our  principal  accounting officer).  This  Code  is  posted  on our  Website 
located at www. qsii.com.  The  code  of  ethics  may  be  found  as  follows:  From  our  main  Web  page,  first 
click  on  "company  info"  and  then  on  "corporate  governance."  We  intend  to  satisfy  the  disclosure 
requirement under Item 10 of Form 8-K regarding an amendment to, or waiver from, a provision of this 
Code by posting such information on our Website, at the address and location specified above.  

 8

 
ITEM 11. 

EXECUTIVE COMPENSATION 

Compensation of Executive Officers 

The following table sets forth certain compensation information for the three fiscal years ended 
March 31, 2005, 2004, and 2003, respectively, by the Chief Executive Officer and the other highest paid 
executive officers of the Company (up to four) serving as such at the end of the 2005 fiscal year whose 
aggregate  total  annual  salary  and  bonus  for  such  year  exceeded  $100,000  (the  "Named  Executive 
Officers"). 

Summary Compensation Table 

Name and Principal Position 

Year 

Salary 
($) 

Bonus 
($) 

Long Term 
Compensation  
 Awards        
Securities 
Underlying 
Options 

All Other 
Compensation 
($) (1) 

Louis Silverman  
   Chief Executive Officer and 

President 

2005 
2004 
2003 

289,042 
278,500 
262,937 

144,521 
139,250 
103,602 

85,000 
--- 
--- 

Patrick Cline  
    President, NextGen 

Healthcare Information 
Systems Division 

Gregory Flynn  
   Executive Vice President, 
General Manager of QSI 
Division 

Paul Holt  
   Chief Financial Officer 

2005 
2004 
2003 

303,245 
257,500 
243,287 

280,110 
196,500 
118,250 

125,000 
18,000 
--- 

2005 
2004 
2003 

202,167 
187,500 
180,000 

20,217 
18,810 
— 

2005 
2004 
2003 

142,051 
119,378 
101,438 

64,570 
28,541 
27,250 

38,750 
10,000 
--- 

33,500 
--- 
--- 

2,113 
2,000 
2,000 

2,929 
2,000 
2,000 

4,155 
4,063 
1,800 

1,962 
1,479 
1,197 

(1) 

This column reflects amounts attributable to Company contributions to the Company's Deferred 
Compensation Plan and/or 401k plan. 

 9

 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Option /SAR Grants in Last Fiscal Year 

The following table provides information with respect to option grants during fiscal 2005 to the 

Named Executive Officers. 

Number of 
Securities 
Underlying 
Options 
Granted (#) 

85,000 
40,000 
85,000 

9,000 

29,750 

8,000 

25,500 

Percent of 
Total 
Options 
Granted to 
Employees in 
Fiscal Year 
(%) 
9.58% 
4.51% 
9.58% 

1.01% 

3.35% 

0.90% 

2.87% 

Potential Realizable 
Value at Assumed 
Annual Rates of Stock 
Price Appreciation for 
Option Term (#)* 

5%                  10% 

Exercise or 
Base Price 
($/Share) 

Expiration 
Date 

$38.675 
$23.335 
$38.675 

2/10/2012 
6/9/2009 
2/10/2012 

$1,338,292  3,118,789
$257,881 
569,850 
$1,338,292  3,118,789

$23.710 

9/2/2009 

$58,956 

130,277 

$38.675 

2/10/2012 

$468,402 

1,091,576

$23.710 

9/2/2009 

$52,405 

115,802 

$38.675 

2/10/2012 

$401,488 

935,637 

Name 

Louis Silverman 
Patrick Cline 
Patrick Cline 

Gregory Flynn 

Gregory Flynn 

Paul Holt 

Paul Holt 

Aggregated Option /SAR Exercises in Last Fiscal Year and Fiscal Year-End Option/SAR Values 

The  following  table  provides  information  on  option  exercises  in  fiscal  2005  by  the  Named 
Executive  Officers  and  unexercised  options  held  by  each  of  them  at  the  close  of  such  fiscal  year.  No 
Named  Executive  Officer  exercised  any  stock  appreciation  rights  during  fiscal  2005  or  held  any  stock 
appreciation  rights  at  the  end  of  such  fiscal  year.  The  value  of  unexercised  in  the  money  options  was 
calculated using the closing share price on the last trading day of the fiscal year ($42.34). 

Shares 
Acquired 
on 
Exercise (#) 
254,200 
8,500 
2,500 
13,000 

Value 
Realized 
($) 
$5,645,481
$172,830
$50,313
$293,103

Name 
Louis Silverman 
Patrick Cline 
Gregory Flynn 
Paul Holt 

Number of Securities 
Underlying Unexercised 
Options at March 31, 
2005(#) 

Value of Unexercised 
In-the-Money Options at 
Fiscal Year-End ($) 

Exercisable 
0 
0 
0 
0 

Unexercisable 
114,972 
142,500 
46,250 
33,500 

Exercisable 
0 
0 
0 
0 

Unexercisable 
1,385,871 
1,685,840 
536,279 
242,498 

* Calculations assume that the fair market value on the date of grant appreciates at the indicated rate, 
compounded annually for the entire term of the options, and that the option is exercised at the exercise 
price and sold on the last day of its term at the appreciated price. 

Stock price appreciation of 5% and 10% is assumed pursuant to the rules of the Securities and 

Exchange Commission.  The Company cannot provide assurance that the actual stock price will 
appreciate over the option term at the assumed levels or at any other defined level. 

 10

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Employment Contracts and Change of Control Arrangements 

Mr. Silverman has an Employment Agreement (“Agreement”)  with the Company which details 
the  terms  of  his  employment  as  the  Company’s  Chief  Executive  Officer.    The  Agreement  granted  Mr. 
Silverman  a  total  of  248,520  options  which  vest  equally  over  a  four  year  period  commencing  with  the 
effective  date  of  the  Agreement  (July  20,  2000).  At  the  time  the  Agreement  was  entered  into,  Mr. 
Silverman  was  eligible  for  a  cash  bonus  of  up  to  50%  of  his  annual  base  compensation  based  on 
performance goals established jointly between himself and the Board.  

All share amounts set forth in this disclosure have been adjusted to give effect to a 2 for 1 stock 

split effective March 28, 2005 and payable to shareholders of record as of March 4, 2005. 

Mr. Silverman’s employment may be terminated for any reason by himself or the Company upon 
60 days written notice. Should Mr. Silverman terminate his employment due to the Company’s breach of 
the Agreement he will be entitled to (i) a lump sum payment equal to six months base compensation; and 
(ii) 12 months worth of accelerated vesting of granted stock options. Should Mr. Silverman’s employment 
be  terminated  without  cause  or  by  himself  for  good  reason,  he  will  be  entitled  to  (i)  unpaid  base 
compensation and vacation earned and accrued through his date of termination plus a lump sum equal to 
six months base compensation, (ii) any other performance bonus earned and not paid, and (iii) vesting of 
an additional 25% of all unvested stock options. Should Mr. Silverman’s employment be terminated due 
to a “change of control” he will be entitled to (i) unpaid base compensation and vacation earned plus a 
lump  sum  payment  equal  to  six  months  base  compensation;  (ii)  any  performance  bonus  earned  but  not 
paid; and (iii) immediate vesting of all unvested options. A “change of control” is defined as the earliest 
occurrence of any of the following events: the direct or indirect sale, lease, exchange or other transfer of 
35%  of  more  of  the  total  assets  of  the  Company,  the  merger  or  consolidation  of  the  Company  with 
another company with the effect that the shareholders of the Company immediately prior to the merger 
hold  less  than  51%  of  the  combined  voting  power  of  the  then  outstanding  securities  of  the  surviving 
company; the replacement of a majority of the Company’s Directors without the approval of the Board; 
the purchase of 25% or more of the combined voting power of the outstanding securities of the Company 
with the exception of the purchase of securities by Ahmed Hussein or Sheldon Razin of shares owned by 
either Sheldon Razin or Ahmed Hussein.  The Agreement also grants immediate vesting of all unvested 
options should a change of control occur whether or not Mr. Silverman’s employment is terminated. 

For options other than those discussed above, the Board, as the administrator of the Company's 
1989  Stock  Option  Plan  and  1998  Stock  Option  Plan,  has  the  discretion  to  accelerate  any  outstanding 
options  held  by  the  Named  Executive  Officers  and  employees  in  the  event  of  an  acquisition  of  the 
Company by a merger or asset sale in which the outstanding options under each such plan are not to be 
assumed by the successor corporation or substituted with options to purchase shares of such corporation. 

Board Compensation 

Information  regarding  compensation  of  members  of  the  Board  is  included  above  in  Part  III, 

Item 10 under the heading “Board of Directors Meetings and Related Matters.” 

Compensation Committee Interlocks and Insider Participation 

No director or executive officer of the Company is known by the Company to serve as an officer, 
director  or  member  of  a  compensation  committee  of  any  other  entity  for  which  an  executive  officer  or 
director thereof is also a member of the Company’s Board. 

 11

 
 
ITEM 12. 

SECURITY  OWNERSHIP  OF  CERTAIN  BENEFICIAL  OWNERS  AND 
MANAGEMENT AND RELATED STOCKHOLDER MATTERS 

Beneficial Ownership Table 

The following table sets forth certain information with respect to the beneficial ownership of the 
Company's Common Stock as of July 27, 2005 by (i) each person known by the Company to beneficially 
own  more  than  5%  of  the  outstanding  shares  of  Common  Stock,  (ii)  each  of  the  Company's  current 
directors and nominees for director, (iii) each of the Named Executive Officers (as hereinafter defined), 
and (iv) all current directors and Named Executive Officers of the Company as a group: 

Name of Beneficial Owner(1)

Janet Razin and Sheldon Razin 
Ahmed Hussein 
Louis Silverman 
Patrick Cline 
Jonathan Javitt 
William V. Botts 
Maurice J. DeWald 
Vincent J. Love 
Steven T. Plochocki 
Paul Holt 
Gregory Flynn 
All directors and Named Executive Officers as a 
group  (11  persons,  including  those  named 
above) 

* Less than 1%. 

Number of Shares 
Of Common Stock 
Beneficially Owned(2)(4)(5)
2,666,440 
2,315,800 
47,172 
46,500 
16,074 
12,000 
12,000 
12,000 
12,000 
6,000 
2,310 
5,148,296 

Percent of 
Common Stock 
Beneficially Owned(3) (4)
20.31% 
17.64% 

* 
* 
* 
* 
* 
* 
* 
* 
* 

38.87% 

1.  Unless  otherwise  indicated,  the  address  is  c/o  Quality  Systems,  Inc.,  18191  Von  Karman  Avenue,  Suite  450, 

Irvine, California 92612. 

2.  Unless otherwise indicated, to the Company’s knowledge, the persons named in the table have sole voting and 
sole investment power with respect to all shares beneficially owned, subject to community property laws where 
applicable. 

3.   Applicable percentage ownership is based on 13,115,000 shares of Common Stock outstanding as of July 27, 
2005.  Any securities not outstanding but subject to options exercisable as of July 27, 2005 or exercisable within 
60 days after such date are deemed to be outstanding for the purpose of computing the percentage of outstanding 
Common Stock beneficially owned by the person holding such options but are not deemed to be outstanding for 
the purpose of computing the percentage of Common Stock beneficially owned by any other person. 

4.  Includes  shares  of  Common  Stock  subject  to  stock  options  which  were  exercisable  as  of  July  27,  2005  or 
exercisable within 60 days after July 27, 2005, and are, respectively, as follows: Mr. Razin, 12,000 shares; Mr. 
Hussein, 12,000 shares; Mr. Silverman, 29,972 shares; Mr. Cline, 10,000 shares; Mr. Flynn, 2,250 shares; Mr. 
Holt, 2,000 shares; Mr. Botts, 12,000 shares; Mr. DeWald, 12,000 shares; Mr. Javitt, 12,000 shares; Mr. Love, 
12,000  shares;  Mr.  Plochocki,  12,000  shares;  and  all  directors  and  Named  Executive  Officers  as  a  group, 
128,222 shares.  

5.   All  share  amounts  set  forth  in  this  report  have  been  adjusted  to  give  effect  to  a  2  for  1  stock  split  effective 

March 28, 2005 and payable to shareholders of record as of March 4, 2005. 

 12

 
 
 
 
 
 
 
 
 
Equity Compensation Plan Information 

The  following  table  sets  forth  information  about  the  Company’s  common  stock  that  may  be 
issued  upon  the  exercise  of  options  under  all  of  the  Company’s  equity  compensation  plans  as  of 
March 31, 2005. 

Plan Category 

Number of securities to 
be issued upon exercise 
of outstanding options, 
warrants and rights 
(a) 

Weighted–average 
exercise price of 
outstanding options, 
warrants and rights
(b) 

Number of securities 
remaining available for 
future issuance under equity 
compensation plans 
(excluding securities 
reflected in column a) 
(c) 

Equity compensation plans 
approved by security holders  
Equity compensation plans not 
approved by security holders  
Total 

1,084,722 

0 
1,084,722 

   $27.77 

0 
   $27.77 

138,150 

0 
138,150 

ITEM 13. 

CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS 

David Razin, who is Vice President EDI Services of the Company, is the son of Sheldon Razin, 
Chairman of the Board. David Razin earned $164,300 in salary and bonus during the fiscal year ended 
March 31,  2005.    Kim  Cline,  Vice  President  of  Client  Services,  at  the  Company’s  NextGen  Healthcare 
Information  System  subsidiary,  is  the  sister  of  Patrick  Cline,  President  of  the  NextGen  Healthcare 
Information  System  Division.  Kim Cline earned $147,684 in salary and a bonus during the fiscal year 
ended March 31, 2005 and was awarded 37,000 stock options during the same period.  

ITEM 14. 

PRINCIPAL ACCOUNTING AND FEES AND SERVICES 

The following table sets forth the aggregate fees billed to the Company by Grant Thornton, LLP 

for the fiscal years ended March 31, 2005 and 2004. 

Audit fees 

$941,000 

$250,000 

2005 

2004 

Audit-related fees 

Tax fees 

All other fees 

$          0 

$    7,000 

$   6,000 

$          0 

$   11,000 

$   34,000 

The  Audit  Committee’s  policy  is  to  preapprove  all  auditing  services  and  permitted  non-audit 
services  (including  the  fees  and  terms  thereof)  to  be  performed  for  the  Company  by  its  independent 
auditor, subject to the de minimis exceptions for non-audit services described in Section 10A(i)(1)(B) of 
the Securities Exchange Act of 1934 which are approved by the Audit Committee prior to the completion 
of the audit.  

 13

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
EXHIBIT 
NUMBER 

3.1 

INDEX TO EXHIBITS 

EXHIBIT

Articles of Incorporation of the Company, as amended, are hereby 
incorporated by reference to Exhibit 3.1 to the Company’s Annual 
Report on Form 10-K for the year ended March 31, 1984, File No. 
2-80056. 

3.1.1 

Amendment  to  Articles  of  Incorporation,  effective  March  4, 
2005. ** 

3.2 

3.3 

3.4 

3.5 

Bylaws of the Company, as amended and restated.  ** 

Certificate  of  Amendment  of  Bylaws  of  the  Company  is  hereby 
incorporated  by  reference  to  Exhibit  3.2.1  to  the  Company’s 
Registration Statement on Form S-1, File No. 333-00161.  

Text  of  Sections  2  and  3  of  Article  II  of  the  Bylaws  of  the 
Company  is  hereby  incorporated  By  reference  to  Exhibit  3.2.2  to 
the  Company’s  Quarterly  report  on  Form  10-QSB  for  the  period 
Ended December 31, 1996, File No. 0-13801. 

Certificate  of  Amendment  of  Bylaws  of  the  Company,  is  hereby 
incorporated  by  reference  to  Exhibit  3.2.3  to  the  Company’s 
Annual Report on Form 10-K for the year ended March 31, 2000, 
File No. 0-13801. 

10.2*   

1989  Incentive  Stock  Option  Plan  is  hereby  incorporated  by 
reference to Exhibit 4.1 to the Company’s Registration Statement 
on Form S-8, File No. 33-31949. 

10.2.1*    Form of Incentive Stock Option Agreement is hereby incorporated 
by  reference  to  Exhibit  10.2  to  the  Company’s  Registration 
Statement on Form S-1, File No. 333-00161. 

10.2.2*    Form  of  Non-Qualified  Stock  Option  Agreement  is  hereby 
incorporated  by  reference  to  Exhibit  10.3  to  the  Company’s 
Registration Statement on Form S-1, File No. 333-00161. 

10.3*    Form of Incentive Stock Option Agreement is hereby incorporated 
by  reference  to  Exhibit  10.2  to  the  Company’s  Registration 
Statement on Form S-1, File No. 2-80056. 

10.4*   

1993  Deferred  Compensation  Plan  is  hereby  incorporated  by 
reference  to  Exhibit  10.5  to  the  Company’s  Annual  Report  on  
Form  10-KSB  for  the  year  ended  March  31,  1994,  File  No.  0-
13801. 

10.4.2*    Profit  Sharing  and  Retirement  Plan,  as  amended,  is  hereby 
incorporated  by  reference  to  Exhibit  10.4.2  to  the  Company’s 
Annual  Report  on  Form  10-KSB  for  the  year  ended  March  31, 
1994, File No. 0-13801. 

 14

 
 
 
 
 
 
EXHIBIT 
NUMBER 

EXHIBIT

10.4.3*  Profit Sharing and Retirement Plan, as amended, amendments No. 
2 and 3, are hereby incorporated by reference to Exhibit 10.4.3 to 
the Company’s Annual Report on Form 10-KSB for the year ended 
March 31, 1996, File No. 0-13801. 

10.5 

Series  “A”  Convertible  Preferred  Stock  Purchase  Agreement,  as 
amended, dated April 21, 1995 between the Company and Clinitec 
International,  Inc.,  is  hereby  incorporated  by  reference  to  Exhibit 
10.11  to  the  Company’s  Annual  Report  on  Form  10-KSB  for  the 
year ended March 31, 1995, File No. 0-13801. 

10.6  

Form  of  Indemnification  Agreement  is  hereby  incorporated  by 
reference 
the  Company’s  Registration 
to 
Statement on Form S-1, File No. 333-00161. 

to  Exhibit  10.10 

10.6.1*  Form  of  Indemnification  Agreement  for  directors  and  executive 

officers authorized January 27, 2005. ** 

10.7  

10.8 

10.9*  

10.10* 

Agreement  and  Plan  of  Merger,  dated  May  16,  1996,  by  and 
among  Quality  Systems,  Inc.,  CII  Acquisition  Corporation, 
Clinitec  International,  Inc.  and  certain  shareholders  of  Clinitec 
International, Inc. and certain exhibits are hereby incorporated by 
reference to Exhibit 2 to the Company’s Current Report on Form 
8-K, dated May 17, 1996 and filed May 30, 1996. 

Asset  Purchase  Agreement,  dated  May  15,  1997,  by  and  among 
NextGen Healthcare Information Systems, Inc., MHIS Acquisition 
Corp., Quality Systems, Inc., and certain shareholders of NextGen 
Healthcare  Information  Systems,  Inc.  is  hereby  incorporated  by 
reference to Exhibit 2 of Company’s Current Report on Form 8-K, 
dated May 15, 1997 and filed  May 29, 1997, File No. 0-13801. 

1998 Employee Stock Contribution Plan is hereby incorporated by 
reference to Exhibit 4.1 to the Company’s Registration Statement 
on Form S-8, File No. 333-63131. 

1998  Stock  Option  Plan  is  hereby  incorporated  by  reference  to 
Exhibit 4.1 to the Company’s Registration Statement on Form S-8, 
File No. 333-67115. 

10.10.1*  Amended and Restated 1998 Stock Option Plan. ** 

10.11*   Memorandum  of  Understanding  regarding  the  April  3,  2000 
resignation of Sheldon Razin between Sheldon Razin and Quality 
Systems, Inc., is hereby incorporated by reference to Exhibit 10.16 
to the Company’s Annual Report on Form 10-K for the year ended 
March 31, 2000, File No. 0-13801. 

10.12*  Memorandum of Understanding Relating to Director Nominees is 
hereby  incorporated  by  reference  to  Company’s  Definitive  Proxy 
Statement  for  the  Company’s  1999  Shareholder’s  Meeting,  File 
No. 001-12537. 

 15

 
 
EXHIBIT 
NUMBER 

EXHIBIT

10.13*  Employment  Agreement  dated  July  20,  2000  between  Quality 
Systems,  Inc.  and  Lou  Silverman  is  hereby  incorporated  by 
reference to Exhibit 10.18 to the Company’s Quarterly Report on 
Form 10-Q for the quarter ended September 30, 2000, File No. 0-
13801. 

10.14 

10.15 

10.16 

10.17 

10.18 

10.19 

Lease Agreement between Company and Tower Place, L.P. dated 
November  15,  2000,  commencing  February  5,  2001  is  hereby 
incorporated  by  reference  to  Exhibit  10.14  to  the  Company’s 
Annual Report on Form 10-K for the year ended March 31, 2001, 
File No. 0-13801. 

Lease  Agreement  between  Company  and  Orangewood  Business 
Center  Inc.  dated  April  3,  2000,  amended  February  22,  2001,  is 
the 
hereby 
Company’s  Annual  Report  on  Form  10-K  for  the  year  ended 
March 31, 2001, File No. 0-13801. 

incorporated  by  reference 

to  Exhibit  10.15 

to 

Lease  Agreement  between  Company  and  Craig  Development 
Corporation  dated  February  20,  2001  is  hereby  incorporated  by 
reference  to  Exhibit  10.16  to  the  Company’s  Annual  Report  on 
Form 10-K for the year ended March 31, 2001, File No. 0-13801. 

Sublease  Agreement  between  Company  and  Infinium  Software 
dated  February  22,  2002  is  hereby  incorporated  by  reference  to 
Exhibit 10.17 to the Company’s Annual Report on Form 10-K for 
the year ended March 31, 2003, File No. 0-13801. 

Lease  Agreement  between  Company  and  HUB  Properties  LLC 
dated May 8, 2002 is hereby incorporated by reference to Exhibit 
10.18 to the Company’s Annual Report on Form 10-K for the year 
ended March 31, 2003, File No. 0-13801. 

Lease  Agreement  between  the  Company  and  LakeShore  Towers 
Limited  Partnership  Phase  IV,  a  California  limited  partnership, 
dated September 15, 2004. ** 

10.20*  Board Service Agreement between the Company and Lou 

Silverman is incorporated by reference to Exhibit 10.2.1 to our 
Current Report of Form  8-K, dated May 31, 2005, File No. 
001-12537. 

10.21*  Board Service Agreement between the Company and Patrick Cline 

is incorporated by reference to Exhibit 10.2.1 to the Company’s  
Current Report of Form 8-K, dated May 31, 2005, File No. 
001-12537. 

21 

List of Subsidiaries*** 

23.1 

Consent  of  Independent  Registered  Public  Accounting  Firm  – 
Grant Thornton LLP. 

 16

 
 
 
 
 
 
 
 
 
 
EXHIBIT 
NUMBER 

EXHIBIT

24 

31.1 

32.1 

Power  of  Attorney  (contained  on  the  signature  page  to  the  initial 
filing of this Report)** 

Certifications  Required  by  Rule  13a-14(a)  of  the  Securities 
Exchange  Act  of  1934,  as  amended,  as  Adopted  Pursuant  to 
Section 302 of the Sarbanes-Oxley Act of 2002.  *** 

Certification  of  Chief  Executive  Officer  and  Chief  Financial 
Officer  Pursuant  to  18 U.S.C.  Section  1350,  as  Adopted  Pursuant 
to Section 906 of the Sarbanes-Oxley Act of 2002.  ** 

*    This exhibit is a management contract or a compensatory plan or arrangement. 
**  Filed  as  an  exhibit  to  the  initial  filing  of  this  Report  and  incorporated  herein  by 

reference. 
*** Filed herewith. 

 17

 
 
 
 
Pursuant  to  the  requirements  of  Section  13  or  15(d)  of  the  Securities  Exchange  Act  of  1934,  the  registrant  has 
duly caused this Amendment No. 1 to Form 10-K to be signed on its behalf by the undersigned, thereunto duly authorized. 

SIGNATURES 

By: /s/ LOUIS E. SILVERMAN 
Louis E. Silverman, 
President and Chief Executive Officer 

Date: August 9, 2005 

Pursuant to the requirement of the  Securities Exchange Act of 1934, this Amendment No. 1 to Form 10-K has 

been signed by the following persons on behalf of the registrant and in the capacities and on the dates indicated. 

Signature 

Title 

Date 

/s/ SHELDON RAZIN* 

Sheldon Razin 

/s/ LOUIS E. SILVERMAN 

Louis E. Silverman 

/s/ PATRICK CLINE* 

Patrick Cline 

/s/ PAUL HOLT 

Paul Holt 

/s/ WILLIAM BOTTS* 

William Botts 

/s/ MAURICE DEWALD* 

Maurice DeWald 

Ahmed Hussein 

/s/ JONATHAN JAVITT* 

Jonathan Javitt 

/s/ VINCENT LOVE* 

Vincent Love 

/s/ STEVEN PLOCHOCKI* 

Steven Plochocki 

*By: 

/S/ LOUIS E. SILVERMAN
Louis E. Silverman, 
Attorney-In-Fact 

Chairman of the Board  

August 9, 2005 

Director, President and Chief Executive 
Officer (Principal Executive 
Officer)/Director 

August 9, 2005 

Director, President, NextGen Healthcare 
Information Systems Division 

August 9, 2005 

Secretary  and  Chief  Financial  Officer 
(Principal Financial Officer) 

August 9, 2005 

August 9, 2005 

August 9, 2005 

August 9, 2005 

August 9, 2005 

August 9, 2005 

August 9, 2005 

Director 

Director 

Director 

Director 

Director 

Director 

 18

 
 
 
 
 
 
 
 
 
 
 
 
INDEX TO EXHIBITS FILED WITH THIS AMENDMENT NO. 1 TO FORM 10-K 

EXHIBIT 
NUMBER 

EXHIBIT

21 

List of Subsidiaries 

31.1  Certification of Chief Executive Officer Required by Rule 13a-14(a) of the Securities Exchange 
Act of 1934, as amended, as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. 

31.2  Certification of Chief Financial Officer  Required by Rule 13a-14(a) of the Securities Exchange 
Act of 1934, as amended, as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. 

 19

 
 
 
 
 
EXHIBIT 21 

LIST OF SUBSIDIARIES 

NextGen Healthcare Information Systems, Inc., a California corporation, is a wholly-owned subsidiary of 
Quality Systems, Inc. 

 
 
 
 
 
 
EXHIBIT 31.1 

CERTIFICATION OF CHIEF EXECUTIVE OFFICER PURSUANT TO 
SECURITIES EXCHANGE ACT RULES 13a-14(a) AND 15d-14(a) 
AS ADOPTED PURSUANT TO 
SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002 

I, Louis E. Silverman, certify that:  

1.  I have reviewed this Amendment No. 1 to Form 10-K of Quality Systems, Inc.; and 

2.  Based on my knowledge, this report does not contain any untrue statement of a material fact or omit 
to  state  a  material  fact  necessary  to  make  the  statements  made,  in  light  of  the  circumstances  under 
which such statements were made, not misleading with respect to the period covered by this report. 

Date: August 9, 2005 

By: /s/ LOUIS E. SILVERMAN 

      Louis E. Silverman, 

President and Chief Executive Officer 

 
 
 
 
 
 
 
 
 
 
 
 
 
EXHIBIT 31.2 

CERTIFICATION OF CHIEF FINANCIAL OFFICER PURSUANT TO 
SECURITIES EXCHANGE ACT RULES 13a-14(a) AND 15d-14(a) 
AS ADOPTED PURSUANT TO 
SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002 

I, Paul A. Holt, certify that:  

1.  I have reviewed this Amendment No. 1 to Form 10-K of Quality Systems, Inc.; and 

2.  Based on my knowledge, this report does not contain any untrue statement of a material fact or omit 
to  state  a  material  fact  necessary  to  make  the  statements  made,  in  light  of  the  circumstances  under 
which such statements were made, not misleading with respect to the period covered by this report.  

Date: August 9, 2005 

                    Paul A. Holt, 

By: /s/ PAUL HOLT 

Secretary and Chief Financial Officer 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
UNITED STATES 
SECURITIES AND EXCHANGE COMMISSION 
Washington, DC 20549 

(Mark One) 
[X] 

ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE 

FORM 10-K/A NO. 2 

SECURITIES EXCHANGE ACT OF 1934 
For the fiscal year ended March 31, 2005 
or 

[X] 

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE 

SECURITIES EXCHANGE ACT OF 1934 

For the transition period 
from 

to 

Commission file number:  0-13801 

Quality Systems, Inc. 
(Exact name of Registrant as specified in its charter) 

California 
(State or other jurisdiction of 
incorporation or organization) 

95-2888568 
(I.R.S. Employer Identification No.) 

18191 Von Karman Avenue, Suite 450, Irvine, California 92603 
(Address of principal executive offices, including zip code) 

(949) 255-2600 
(Registrant’s telephone number, including area code) 

Securities registered pursuant to Section 12(b) of the Act: 
None 
None 
(Name of each exchange on which registered) 
(Title of each class) 

Securities registered pursuant to Section 12(g) of the Act: 

Common Stock, par value $.01 per Share 
(Title of class) 

Indicate by check mark whether the Registrant (1) has filed all reports required to be filed by Section 
13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter 
period  that  the  Registrant  was  required  to  file  such  reports),  and  (2)  has  been  subject  to  such  filing 
requirements for the past 90 days. Yes [X] No [X] 

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is 
not contained herein, and will not be contained, to the best of Registrant’s knowledge, in definitive proxy 
or information statements incorporated by reference in Part III of this Form 10-K or any amendment to 
this Form 10-K. [  ] 

Indicate by check mark whether the Registrant is an accelerated filer (as defined in Rule 12b-2 of the 

Act).  Yes [X] No [X] 

The  aggregate  market  value  of  the  voting  stock  held  by  non-affiliates  of  the  Registrant  as  of 
September 30, 2004: $210,543,000 (based on the closing sales price of the Registrant’s Common Stock as 
reported in the NASDAQ National Market System on that date, $50.51 per share).* 

The aggregate market value of the voting stock held by non-affiliates of the Registrant as of June 3, 
2005: $415,011,000 (based on the closing sales price of the Registrant’s Common Stock as reported in the 
NASDAQ  National  Market  System  on  that  date,  $51.30  per  share).    For  purposes  of  this  report,  in 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
addition  to  those  shareholders  which  fall  within  the  definition  of  “affiliates”  under  Rule  405  of  the 
Securities Act of 1933, as amended, holders of ten percent or more of the Registrant’s Common Stock are 
deemed to be affiliates.  

Indicate the number of shares outstanding of each of the Registrant’s classes of Common Stock, as of 

the latest practicable date. 

Common Stock, $.01 par value 
(Class) 

13,115,360 
(Outstanding at June 8, 2005) 

DOCUMENTS INCORPORATED BY REFERENCE 

None.  

EXPLANATORY NOTE 

This Amendment No. 2 to Form 10-K is being filed to correct a typographical error contained on 
the signature page and power of attorney for the initial filing of the Registrant’s Form 10-K. As originally 
filed, the signature page and the power of attorney contained on the signature page inadvertently included 
the  conformed  signature  of  Mr. Ahmed  Hussein,  one  of  the  members  of  the  Registrant’s  board  of 
directors.  However, Mr. Hussein did not sign the Form 10-K or power of attorney. 

 
 
 
 
 
 
  
EXHIBIT 
NUMBER 

3.1 

INDEX TO EXHIBITS 

EXHIBIT

Articles of Incorporation of the Company, as amended, are hereby 
incorporated by reference to Exhibit 3.1 to the Company’s Annual 
Report on Form 10-K for the year ended March 31, 1984, File No. 
2-80056. 

3.1.1 

Amendment  to  Articles  of  Incorporation,  effective  March  4, 
2005. ** 

3.2 

3.3 

3.4 

3.5 

Bylaws of the Company, as amended and restated.  ** 

Certificate  of  Amendment  of  Bylaws  of  the  Company  is  hereby 
incorporated  by  reference  to  Exhibit  3.2.1  to  the  Company’s 
Registration Statement on Form S-1, File No. 333-00161.  

Text  of  Sections  2  and  3  of  Article  II  of  the  Bylaws  of  the 
Company  is  hereby  incorporated  By  reference  to  Exhibit  3.2.2  to 
the  Company’s  Quarterly  report  on  Form  10-QSB  for  the  period 
Ended December 31, 1996, File No. 0-13801. 

Certificate  of  Amendment  of  Bylaws  of  the  Company,  is  hereby 
incorporated  by  reference  to  Exhibit  3.2.3  to  the  Company’s 
Annual Report on Form 10-K for the year ended March 31, 2000, 
File No. 0-13801. 

10.2*   

1989  Incentive  Stock  Option  Plan  is  hereby  incorporated  by 
reference to Exhibit 4.1 to the Company’s Registration Statement 
on Form S-8, File No. 33-31949. 

10.2.1*    Form of Incentive Stock Option Agreement is hereby incorporated 
by  reference  to  Exhibit  10.2  to  the  Company’s  Registration 
Statement on Form S-1, File No. 333-00161. 

10.2.2*    Form  of  Non-Qualified  Stock  Option  Agreement  is  hereby 
incorporated  by  reference  to  Exhibit  10.3  to  the  Company’s 
Registration Statement on Form S-1, File No. 333-00161. 

10.3*    Form of Incentive Stock Option Agreement is hereby incorporated 
by  reference  to  Exhibit  10.2  to  the  Company’s  Registration 
Statement on Form S-1, File No. 2-80056. 

10.4*   

1993  Deferred  Compensation  Plan  is  hereby  incorporated  by 
reference  to  Exhibit  10.5  to  the  Company’s  Annual  Report  on  
Form  10-KSB  for  the  year  ended  March  31,  1994,  File  No.  0-
13801. 

10.4.2*    Profit  Sharing  and  Retirement  Plan,  as  amended,  is  hereby 
incorporated  by  reference  to  Exhibit  10.4.2  to  the  Company’s 
Annual  Report  on  Form  10-KSB  for  the  year  ended  March  31, 
1994, File No. 0-13801. 

 3

 
 
 
 
 
 
EXHIBIT 
NUMBER 

EXHIBIT

10.4.3*  Profit Sharing and Retirement Plan, as amended, amendments No. 
2 and 3, are hereby incorporated by reference to Exhibit 10.4.3 to 
the Company’s Annual Report on Form 10-KSB for the year ended 
March 31, 1996, File No. 0-13801. 

10.5 

Series  “A”  Convertible  Preferred  Stock  Purchase  Agreement,  as 
amended, dated April 21, 1995 between the Company and Clinitec 
International,  Inc.,  is  hereby  incorporated  by  reference  to  Exhibit 
10.11  to  the  Company’s  Annual  Report  on  Form  10-KSB  for  the 
year ended March 31, 1995, File No. 0-13801. 

10.6  

Form  of  Indemnification  Agreement  is  hereby  incorporated  by 
reference 
the  Company’s  Registration 
to 
Statement on Form S-1, File No. 333-00161. 

to  Exhibit  10.10 

10.6.1*  Form  of  Indemnification  Agreement  for  directors  and  executive 

officers authorized January 27, 2005. ** 

10.7  

10.8 

10.9*  

10.10* 

Agreement  and  Plan  of  Merger,  dated  May  16,  1996,  by  and 
among  Quality  Systems,  Inc.,  CII  Acquisition  Corporation, 
Clinitec  International,  Inc.  and  certain  shareholders  of  Clinitec 
International, Inc. and certain exhibits are hereby incorporated by 
reference to Exhibit 2 to the Company’s Current Report on Form 
8-K, dated May 17, 1996 and filed May 30, 1996. 

Asset  Purchase  Agreement,  dated  May  15,  1997,  by  and  among 
NextGen Healthcare Information Systems, Inc., MHIS Acquisition 
Corp., Quality Systems, Inc., and certain shareholders of NextGen 
Healthcare  Information  Systems,  Inc.  is  hereby  incorporated  by 
reference to Exhibit 2 of Company’s Current Report on Form 8-K, 
dated May 15, 1997 and filed  May 29, 1997, File No. 0-13801. 

1998 Employee Stock Contribution Plan is hereby incorporated by 
reference to Exhibit 4.1 to the Company’s Registration Statement 
on Form S-8, File No. 333-63131. 

1998  Stock  Option  Plan  is  hereby  incorporated  by  reference  to 
Exhibit 4.1 to the Company’s Registration Statement on Form S-8, 
File No. 333-67115. 

10.10.1*  Amended and Restated 1998 Stock Option Plan. ** 

10.11*   Memorandum  of  Understanding  regarding  the  April  3,  2000 
resignation of Sheldon Razin between Sheldon Razin and Quality 
Systems, Inc., is hereby incorporated by reference to Exhibit 10.16 
to the Company’s Annual Report on Form 10-K for the year ended 
March 31, 2000, File No. 0-13801. 

10.12*  Memorandum of Understanding Relating to Director Nominees is 
hereby  incorporated  by  reference  to  Company’s  Definitive  Proxy 
Statement  for  the  Company’s  1999  Shareholder’s  Meeting,  File 
No. 001-12537. 

 4

 
 
EXHIBIT 
NUMBER 

EXHIBIT

10.13*  Employment  Agreement  dated  July  20,  2000  between  Quality 
Systems,  Inc.  and  Lou  Silverman  is  hereby  incorporated  by 
reference to Exhibit 10.18 to the Company’s Quarterly Report on 
Form 10-Q for the quarter ended September 30, 2000, File No. 0-
13801. 

10.14 

10.15 

10.16 

10.17 

10.18 

10.19 

Lease Agreement between Company and Tower Place, L.P. dated 
November  15,  2000,  commencing  February  5,  2001  is  hereby 
incorporated  by  reference  to  Exhibit  10.14  to  the  Company’s 
Annual Report on Form 10-K for the year ended March 31, 2001, 
File No. 0-13801. 

Lease  Agreement  between  Company  and  Orangewood  Business 
Center  Inc.  dated  April  3,  2000,  amended  February  22,  2001,  is 
the 
hereby 
Company’s  Annual  Report  on  Form  10-K  for  the  year  ended 
March 31, 2001, File No. 0-13801. 

incorporated  by  reference 

to  Exhibit  10.15 

to 

Lease  Agreement  between  Company  and  Craig  Development 
Corporation  dated  February  20,  2001  is  hereby  incorporated  by 
reference  to  Exhibit  10.16  to  the  Company’s  Annual  Report  on 
Form 10-K for the year ended March 31, 2001, File No. 0-13801. 

Sublease  Agreement  between  Company  and  Infinium  Software 
dated  February  22,  2002  is  hereby  incorporated  by  reference  to 
Exhibit 10.17 to the Company’s Annual Report on Form 10-K for 
the year ended March 31, 2003, File No. 0-13801. 

Lease  Agreement  between  Company  and  HUB  Properties  LLC 
dated May 8, 2002 is hereby incorporated by reference to Exhibit 
10.18 to the Company’s Annual Report on Form 10-K for the year 
ended March 31, 2003, File No. 0-13801. 

Lease  Agreement  between  the  Company  and  LakeShore  Towers 
Limited  Partnership  Phase  IV,  a  California  limited  partnership, 
dated September 15, 2004. ** 

10.20*  Board Service Agreement between the Company and Lou 

Silverman is incorporated by reference to Exhibit 10.2.1 to our 
Current Report of Form  8-K, dated May 31, 2005, File No. 
001-12537. 

10.21*  Board Service Agreement between the Company and Patrick Cline 

is incorporated by reference to Exhibit 10.2.1 to the Company’s  
Current Report of Form 8-K, dated May 31, 2005, File No. 
001-12537. 

21 

List of Subsidiaries**** 

23.1 

Consent  of  Independent  Registered  Public  Accounting  Firm  – 
Grant Thornton LLP** 

 5

 
 
 
 
 
 
 
 
 
 
EXHIBIT 
NUMBER 

EXHIBIT

24 

Power of Attorney ***** 

Certification  of  Chief  Executive  Officer  Required  by  Rule  13a-
14(a)  of  the  Securities  Exchange  Act  of  1934,  as  amended,  as 
Adopted  Pursuant  to  Section  302  of  the  Sarbanes-Oxley  Act  of 
2002 *** 

Certification  of  Chief  Financial  Officer  Required  by  Rule  13a-
14(a)  of  the  Securities  Exchange  Act  of  1934,  as  amended,  as 
Adopted  Pursuant  to  Section  302  of  the  Sarbanes-Oxley  Act  of 
2002 *** 

Certification  of  Chief  Executive  Officer  and  Chief  Financial 
Officer  Pursuant  to  18 U.S.C.  Section  1350,  as  Adopted  Pursuant 
to Section 906 of the Sarbanes-Oxley Act of 2002.  ** 

31.1 

31.2 

32.1 

*   
** 

This exhibit is a management contract or a compensatory plan or arrangement. 
Filed as an exhibit to the initial filing of this Report and incorporated herein by 
reference. 
Filed herewith. 

*** 
****  Filed as an exhibit to Amendment No. 1 to this Report. 
*****  Contained on the signature page to the initial filing of this Report, and corrected 
via the Explanatory Note on the facing page of this Form 10-K/A No. 2. 

 6

 
 
 
 
 
Pursuant  to  the  requirements  of  Section  13  or  15(d)  of  the  Securities  Exchange  Act  of  1934,  the  registrant  has 

duly caused this Form 10-K/A No. 2 to be signed on its behalf by the undersigned, thereunto duly authorized. 

SIGNATURES 

By: /s/ LOUIS E. SILVERMAN 
Louis E. Silverman, 
President and Chief Executive Officer 

Date: August 19, 2005 

Pursuant to the requirement of the Securities Exchange Act of 1934, this Form 10-K/A No. 2 has been signed by 

the following persons on behalf of the registrant and in the capacities and on the dates indicated. 

Signature 

Title 

Date 

/s/ SHELDON RAZIN* 

Sheldon Razin 

/s/ LOUIS E. SILVERMAN 

Louis E. Silverman 

/s/ PATRICK CLINE* 

Patrick Cline 

/s/ PAUL HOLT 

Paul Holt 

/s/ WILLIAM BOTTS* 

William Botts 

/s/ MAURICE DEWALD* 

Maurice DeWald 

Ahmed Hussein 

/s/ JONATHAN JAVITT* 

Jonathan Javitt 

/s/ VINCENT LOVE* 

Vincent Love 

/s/ STEVEN PLOCHOCKI* 

Steven Plochocki 

*By: 

/S/ LOUIS E. SILVERMAN
Louis E. Silverman, 
Attorney-In-Fact 

Chairman of the Board  

August 19, 2005 

Director, President and Chief Executive 
Officer (Principal Executive 
Officer)/Director 

August 19, 2005 

Director, President, NextGen Healthcare 
Information Systems Division 

August 19, 2005 

Secretary  and  Chief  Financial  Officer 
(Principal Financial Officer) 

August 19, 2005 

August 19, 2005 

August 19, 2005 

August 19, 2005 

August 19, 2005 

August 19, 2005 

August 19, 2005 

Director 

Director 

Director 

Director 

Director 

Director 

 7

 
 
 
 
 
 
 
 
 
 
 
 
INDEX TO EXHIBITS FILED WITH THIS FORM 10-K/A NO. 2 

EXHIBIT 
NUMBER 

EXHIBIT

31.1  Certification of Chief Executive Officer Required by Rule 13a-14(a) of the Securities Exchange 
Act of 1934, as amended, as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. 

31.2  Certification of Chief Financial Officer  Required by Rule 13a-14(a) of the Securities Exchange 
Act of 1934, as amended, as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. 

 8

 
 
 
 
EXHIBIT 31.1 

CERTIFICATION OF CHIEF EXECUTIVE OFFICER PURSUANT TO 
SECURITIES EXCHANGE ACT RULES 13a-14(a) AND 15d-14(a) 
AS ADOPTED PURSUANT TO 
SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002 

I, Louis E. Silverman, certify that:  

1.  I have reviewed this Form 10-K/A No. 2 of Quality Systems, Inc.; and 

2.  Based on my knowledge, this report does not contain any untrue statement of a material fact or omit 
to  state  a  material  fact  necessary  to  make  the  statements  made,  in  light  of  the  circumstances  under 
which such statements were made, not misleading with respect to the period covered by this report. 

Date: August 19, 2005 

By: /s/ LOUIS E. SILVERMAN 

      Louis E. Silverman, 

President and Chief Executive Officer 

 
 
 
 
 
 
 
 
 
 
 
 
 
EXHIBIT 31.2 

CERTIFICATION OF CHIEF FINANCIAL OFFICER PURSUANT TO 
SECURITIES EXCHANGE ACT RULES 13a-14(a) AND 15d-14(a) 
AS ADOPTED PURSUANT TO 
SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002 

I, Paul A. Holt, certify that:  

1.  I have reviewed this Form 10-K/A No. 2 of Quality Systems, Inc.; and 

2.  Based on my knowledge, this report does not contain any untrue statement of a material fact or omit 
to  state  a  material  fact  necessary  to  make  the  statements  made,  in  light  of  the  circumstances  under 
which such statements were made, not misleading with respect to the period covered by this report.  

Date: August 19, 2005 

                    Paul A. Holt, 

By: /s/ PAUL HOLT 

Secretary and Chief Financial Officer 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Corporate Information

Directors of the Company

Officers of the Company

Sheldon Razin

Chairman 

William Botts

Director

Patrick Cline

President 

Louis Silverman

President & Chief Executive Officer

Patrick Cline

President

NextGen Healthcare Information Systems

Greg Flynn

NextGen Healthcare Information Systems

Executive Vice President &  

Maurice DeWald

Chief Executive Officer 

Verity Financial Group, Inc.

Ahmed Hussein

Director

Jonathan Javitt

Vice Chairman

Health Directions, LLC

Vincent Love

Managing Partner

Kramer, Love & Cutler, LLP

Steven Plochocki

Chief Executive Officer

Trinity Hospice

Louis Silverman

President & Chief Executive Officer

Quality Systems, Inc.

General Manager

QSI Division

Paul Holt

Chief Financial Officer

Legal Counsel

Rutan & Tucker, LLP

Costa Mesa, California

Independent Auditors

Grant Thornton LLP

Irvine, California

Investor Relations Consultants

Coffin Communications Group

Los Angeles, California

310.477.9800

Form 10-K

A copy of the Company’s Annual Report on 

Form 10-K, as filed with the Securities and 

Exchange Commission, is available on the 

Company’s website at www.qsii.com or by 

contacting the Company at our Company 

Headquarters.

2005 Annual Report

Quality  Systems,  Inc.  and  its  NextGen  Healthcare  Information 
Systems subsidiary develop and market computer-based practice 
management  systems,  electronic  patient  records  systems,  and 
connectivity  applications  for  medical  and  dental  group  prac-
tices.  Products  are  marketed  under  the  QSI  and  NextGen®  
product  names.  Visit  www.qsii.com  and  www.nextgen.com  for 

additional information.

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A Higher IQ for Healthcare IT

Corporate/QSI Division 
Headquar ters 
18191 Von Karman Avenue, Suite 450  
Irvine, California 92612  
949.255.2600

NextGen Division Locations
795 Horsham Road  
Horsham, Pennsylvania 19044  
215.657.7010

www.qsii.com

www.nextgen.com

3340 Peachtree Road, Suite 450 
Atlanta, Georgia 30326  
404.467.1500

2 0 0 5   A N N U A L   R E P O R T