Quarterlytics / Healthcare / Medical - Healthcare Information Services / NextGen Healthcare / FY2006 Annual Report

NextGen Healthcare
Annual Report 2006

NXGN · NASDAQ Healthcare
Claim this profile
Ticker NXGN
Exchange NASDAQ
Sector Healthcare
Industry Medical - Healthcare Information Services
Employees 1001-5000
← All annual reports
FY2006 Annual Report · NextGen Healthcare
Loading PDF…
Q
U
A
L
I
T
Y

S
Y
S
T
E
M
S
,

I

N
C

.

/
/

2
0
0
6

A
N
N
U
A
L

R
E
P
O
R
T

2 0 0 6   A N N U A L   R E P O R T

 
 
 
 
 
 
 
 
QUA L I T Y  S YS T E MS ,  I NC . and its NextGen Healthcare Information Systems subsidiary 

develop and market computer-based practice management systems, electronic patient 

records systems, and connectivity applications for dental and medical group practices. 
Products are marketed under the QSI and NextGen® product names. Visit www.qsii.com 
and www.nextgen.com for additional information.

D E A R   F E L L O W   S H A R E H O L D E R S ,   C L I E N T S   A N D   A S S O C I A T E S :

Q UA L I T Y  S Y S T E M S ,  I N C .    //    2 0 0 6  A N N UA L  R E P O R T 

         1

Overall, Fiscal 2006 was a good year for your Company.

We once again received third-party accolades for the quality of our NextGen 

Led by our NextGen Healthcare Information Systems Division, revenue and 

profit growth for the year was strong, though our third quarter was proof  

positive that not all quarters can be record-setters. We were pleased to finish  

the year in strong fashion and have moved into FY 2007 proud of our past 

accomplishments and energized to take on future challenges.

We also recognized continued and important returns on some of our internal 

investments. At the NextGen division, the rollouts of NextGen CHS and our  

e-learning initiative are notable examples. QSI division clients had the opportunity 

to benefit from the integration of new x-ray technologies into our CPS offering. 

All clients benefited from our continued investment in product enhancement 

products and the strength of our financial performance as a company. HIMSS/

MS-HUG, Forbes, Fortune and BusinessWeek were among the entities recognizing 

our efforts again this year. Please know that while we are extremely appreciative 

of these types of recognition, the confidence placed in us by our growing com-

munity of long-lived medical and dental clients represents, by far, our most 

important endorsement.

Again this year Pat Cline, Greg Flynn, and Paul Holt redefined the terms  

“commitment” and “leadership.” Their teams, in turn, have set new standards 

for teamwork, dedication and execution. My thanks go out to each and all.  

You are an admirable group.

and development across many other areas of our product lines. Adding to our 

As always, your past, present and future support is greatly appreciated and is 

client training facilities in multiple locations was yet another of the year’s  

never taken for granted.

notable investment milestones. Investments and efforts similar to these have 

continued into the early part of FY 2007.

Sincerely,

From a human resources perspective, growth in the size, breadth, and depth  

of our sales, implementation, support, development and corporate accounting 

departments reflect our continued investment in our team and our desire to 

Louis Silverman

broaden the foundation from which we pursue future success.

President & Chief Executive Officer

“ Our EMR allowed us to continue seeing  

patients until that last possible moment.  

Days later, we were back up and running— 

all of the data was available.”

Dr. James Holly, CEO and Managing Partner

Southeast Texas Medical Associates

“ We also leverage the reporting and health  

maintenance capabilities of NextGen EPM  

and EMR to open various strategic avenues  

of negotiations with our payors.”

Dr. William Carriere, Medical Director

Family Care Partners, Jacksonville, Florida

“ NextGen is one of the factors that has  

allowed us to expand so successfully.”

Dr. Gregory Spencer, Director of Clinical Information Technology 

Crystal Run Healthcare, New York State 

Q UA L I T Y  S Y S T E M S ,  I N C .    //    2 0 0 6  A N N UA L  R E P O R T 

         3

M A K I N G   A   D I F F E R E N C E

S O U T H E A S T   T E X A S   M E D I C A L   A S S O C I A T E S ,  a NextGen 

“We also leverage the reporting and health maintenance capabilities of NextGen 

Healthcare client since 1998, had an eventful past year. They took home the  

EPM and EMR to open various strategic avenues of negotiations with our payors,” 

coveted HIMSS’ Davies Award of Excellence for best ambulatory practice  

remarks Dr. William Carriere, Medical Director at FCP.

and were Physicians’ Practice’s Runner Up Practice of the Year for 2005. They 

previously were named MS-HUG Clinic of the Year, noting more than a  
$3 million increase in revenue after implementing NextGen® systems. 
Led by Dr. James Holly, SETMA also was instrumental in treating patients 

under adverse conditions in the aftermath of Hurricane Rita last September. 

With a disaster preparedness plan that enabled them to prepare and then recover 

and run NextGen EMR and EPM within days of the storm, they earned kudos 

from local officials and patients as well as from the 4,000 evacuees they treated.

C R Y S T A L   R U N  in New York State is clearly a case study in practice growth. 

A future-minded business that implemented NextGen EMR and EPM in 1999, 

it grew from 15 physicians to 100 within five years and saved more than $11 

million in transcription and other costs.

“NextGen is one of the factors that has allowed us to expand so successfully,” says 

Dr. Gregory Spencer, Director of Clinical Information Technology at Crystal Run. 

K A T Z E N   E Y E   G R O U P  is one of NextGen’s premier ophthalmology part-

Dr. Holly noted, “Our EMR allowed us to continue seeing patients until that 

ners and has proven that NextGen EMR adds value for their specialty. With an 

last possible moment. Days later, we were back up and running—all of the data 
was available.”

impressive 25% revenue increase due to stronger charge capture and coding 
along with higher patient flow as a result of their device interfacing, Katzen sets 

O G D E N   C L I N I C  is a great example of the immediate benefits many prac-

tices see with information technology. In just the first year of implementing 

NextGen EMR, they realized savings and revenue improvement of $1 million, 

and quickly won MS-HUG Clinic of the Year in 2005.

a high bar for paperless ophthalmology practices.

According to Dr. Richard Edlow, COO of Katzen, “It’s changing the way 

healthcare is being delivered.’’

H E A R T   A N D   F A M I L Y   H E A L T H   I N S T I T U T E  is an efficiency  

Dr. Kelly Amann of Ogden also appreciated the time savings he was seeing with 

specialist. After implementing NextGen EMR, they proceeded to document  

the new system. “Within the first two months, I was saving 30 minutes per day 

64 separate process improvements in their office and reduced their medical 

and getting home earlier—which my wife appreciates.”

records staff by 22 FTEs. 

F A M I L Y   C A R E   PA R T N E R S  in Jacksonville, Florida, is noting clear 

improvements in patient care after implementing NextGen EMR. Recognized  

for practice-wide success in improving patient health, practice health also 

improved as revenue increased by $2 million.

Dr. David Wertheimer, President and CEO, remarked, “The practice-wide  
conclusion at Heart and Family has been that our conversion to a nearly paper-

less environment has been a huge success, benefiting not only our bottom  

line, but also our physicians, staff, colleagues in the community and, most 

importantly, patients.”

4  

          Q UA L I T Y  S Y S T E M S ,  I N C .    //    2 0 0 6  A N N UA L  R E P O R T

F I S C A L   2 0 0 6   F I N A N C I A L   P E R F O R M A N C E

C OM PA N Y   R E V E N U E  

N E X TGE N  R E V E N U E 

N E X TGE N  

I NCR E A SE D  BY

 34%

TO  $119.3  M I L L ION

 39%

E A R N I NGS   PE R  

SH A R E  I NCR E A SE

I NCR E A SE D  BY

 41%

TO  $103.7  M I L L ION

ACC OU N TS  FOR

 87%

OF  C OM PA N Y 

R E V E N U E

»  Revenue has increased at the compounded annual rate of 28% for the 

»  Diluted earnings per share increased at the compounded rate of 42% 

FY02–06 period.

during the FY02–06 period.

»  Our NextGen Healthcare Information Systems Division has achieved 

»  Special dividends were paid to shareholders in both FY05 and FY06. 

a compounded revenue growth rate of 40% during this same period, 

A combined $43 million was returned to shareholders via those dividend 

and increased its share of total Company revenue to 87%.

payments.

30649 Promo.indd   4
30649 Promo.indd   4

8/31/06   4:27:37 PM
8/31/06   4:27:37 PM

Q U A L I T Y   S Y S T E M S ,   I N C .     / /     2 0 0 6   F O R M   10 - K

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, 2006 
or 
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT of 1934 

[X] 

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 92612 
(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 if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.   

Yes [   ]    

No  [X] 

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Exchange Act.  

Yes [   ]   

No  [X] 

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 [   ] 

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 a large accelerated filer, an accelerated filer, or a non-accelerated filer.  See definition of 

“accelerated filer and large accelerated filer” in Rule 12b-2 of the Exchange Act.  

Large accelerated filer [   ] 

Accelerated filer  [X] 

Non-accelerated filer  [   ] 

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). 

Yes [   ]   

No  [X] 

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

The aggregate market value of the voting stock held by non-affiliates of the Registrant as of September 30, 2005: $564,833,000 (based on 
the  closing  sales  price  of  the  Registrant’s  Common  Stock  as  reported  in  the  NASDAQ  National  Market  System  on  that  date,  $33.71  per 
share).* (1) 

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) 

26,711,117 
(Outstanding at June 8, 2006) 

* 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. 

(1)  On January 26, 2006, the Company declared a 2-for-1 stock split with respect to its outstanding shares of common stock for 

shareholders of record on March 3, 2006.  On January 27, 2005, the Company declared a 2-for-1 stock split with respect to its outstanding 
shares of common stock for shareholders of record on March 4, 2005. All share prices and share amounts set forth herein have been 
retroactively adjusted to reflect such stock splits. 

Documents incorporated by Reference: None. 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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. 

ITEM 1. 

General 

BUSINESS 

PART I 

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, are 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  within  our  target  marketplace  and  among  our  competitors,  and  competition  from  larger,  better 
capitalized  competitors.  Many  other  economic,  competitive,  governmental  and  technological  factors  could  impact  our  ability  to  achieve  our 
goals.  Interested persons are urged to review the risks described under “Item 1A. Risk Factors” and in Item 7. “Management’s Discussion and 
Analysis  of  Financial  Condition  and  Results  of  Operations”  as  well  as  in  our  other  public  disclosures  and  filings  with  the  Securities  and 
Exchange Commission. 

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 

 3

 
 
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. 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 client practices utilize at least 
some of these services from us or one of our competitors. Other EDI/connectivity services are used more sporadically by client practices. We 

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

 4

 
 
 
 
 
 
 
 
                                                      
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), NextGen Express, a version of NextGenemr  designed 
for small practices and NextGen Community Health Solution (NextGenchs).  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  87.0%  of  our  revenue  for  fiscal  2006  compared  to 
82.7%  in  fiscal  2005.  Inclusive  of  divisional  EDI  revenue,  the  QSI  Division  accounted  for 13.0%  and 17.3%  of  revenue  in fiscal 2006  and 
2005, respectively. The NextGen Division’s revenue grew at 41.0% and 35.2% in fiscal 2006 and 2005, respectively, while the QSI Division’s 
revenue increased by 1.2% and decreased by 6.8% in fiscal 2006 and 2005, 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.   

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

 
 
 
 
 
 
 
                                                      
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  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 its 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 

 6

 
 
 
 
 
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  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  multi-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: 

Periodontal charting via light-pen, voice-activation, or keyboard entry for full periodontal examinations and PSR scoring; 

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

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

 7

 
 
                                                      
 
•  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  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: 

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

•  Data captured using user-customized input “templates”; 
• 
•  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.      NextGen 
Express, is a version of NextGenemr  designed for small practices. 

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

 8

 
 
                                                      
In May 2006, the NextGen Division announced the launch of a new community network technology product named NextGen® Community 
Health Solution (NextGen CHS).  The NextGen CHS facilitates cross-enterprise data sharing, enabling individual medical practices in a given 
community to selectively share critical data such as demographics, referrals, medications lists, allergies, diagnoses, lab results, histories and 
more.  This  is  accomplished  through  a  secure,  community-wide  data  repository  that  links  health  care  providers,  whether  they  have  the 
NextGen®  Electronic  Medical  Record  (NextGen®  EMR)  system,  another  compatible  EMR  system,  or  no  EMR,  together  with  hospitals, 
payors, labs and other entities. The product is designed to facilitate a Regional Health Information Organization, or "RHIO." The result is that 
for  every  health  care  encounter  in  the  community,  a  patient-centric  and  complete  record  is  accessible  for  the  provider.  The  availability, 
currency  and  completeness  of  information  plus  the  elimination  of  duplicate  data  entry  can  lead  to  significantly  improved  patient  safety, 
enhanced decision making capabilities, time efficiencies and cost savings.  

In fiscal year 2006, we introduced a new service named Practice Solutions.  This service provides billing services to single and group practice 
practitioners. 

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. 

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, 2006 and 2005. 

 9

 
 
 
 
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 six  to twenty four 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. 

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, 2006, 2005, or 2004.  

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. 

 10

 
 
 
 
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. 

During fiscal year 2006, we introduced NextGen E-learning, an on-line learning subscription service which allows end users to train on the 
software on the internet.  E-learning allows end users to self manage their own learning with their personal learning path.  The service allows 
users to track the status of courses taken.   

Also in fiscal year 2006, we opened a NextGen training facility adjacent to our corporate offices in Irvine, California and initiated expansion of 
training facilities in Horsham, Pennsylvania and Atlanta, Georgia.   

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 

 11

 
 
 
 
 
 
 
 
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 2006, 2005, and 2004, we 
expended  approximately  $11.4  million,  $9.6  million,  and  $8.7  million,  respectively,  on  research  and  development  activities,  including 
capitalized software amounts of $3.3 million, $2.7 million, and $2.6 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 June 1, 2006, we employed 538 persons, of which 529 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.  

ITEM 1A.   

RISK FACTORS 

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, evolving 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.        There  has  been  significant  merger  and  acquisition 
activity  among  a  number  of  our  competitors  in  recent  months.  Transaction  induced  pressures,  or  other  related  factors  may  result  in  price 
erosion or other negative market dynamics that could have a material adverse effect on our business, results of operations, financial condition 
and price of our stock. 

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. 

 12

 
 
 
 
 
 
 
 
 
 
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. 

Our  quarterly  operating  results  have  historically  fluctuated  and  may  do  so  in  the  future.      Our  revenue  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 in revenue recognition or other accounting guidelines employed by us and/or established by the Financial Accounting 

• 
• 
• 
• 
• 
• 
• 
Standards Board or other rule-making bodies;  
• 
• 
•  market acceptance of new products, applications and product enhancements;  
• 
• 
• 
• 
• 
• 

the availability and cost of system components;  
the financial stability of clients;  

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 six to twenty four months from initial contact to contract execution/shipment.  

 13

 
 
 
 
 
 
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 Statement of Position (SOP) 97-2, as modified by SOP 98-9 and Staff Accounting Bulletin (SAB) 
104. SAB 104 summarizes the staff’s views in applying generally accepted accounting principles to revenue recognition in financial statements.    

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; 
governmental regulatory action; 
health care reform measures; 
client relationship developments; 
purchases or sales of company stock; 
changes occurring in the markets in general; and  
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, 2006.  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 

 14

 
 
 
 
 
  
 
 
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,  the  number  of  “broker  non-votes”,  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, 2006 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 face risks related to litigation advanced by a director and shareholder of the Company.   In October 2005, a lawsuit was filed against us 
and six of our eight directors (those elected by the shareholders, but not nominated by Mr. Ahmed Hussein) by one of our directors, Mr. Ahmed 
Hussein.  The  complaint  alleges  that  in  connection  with  our  2005  Annual  Shareholders'  Meeting,  the  certified  results  from  the  independent 
inspector  of  election  included  certain  proxies  that  should  not  have  been  included  in  the  final  vote  tabulation.  The  independent  inspector  of 
election certified the election of the eight directors presently serving on the Board after hearing Mr. Hussein's claim concerning this matter. On 
March 24, 2006  the  California  Superior  Court  issued  a ruling  in  favor  of  the  Company,  upholding  the validity  of the  previously  announced 
election results and finding that Mr. Hussein was not entitled to equitable relief.  Mr. Hussein has filed a notice of appeal with respect to the 
Court’s decision.  As a result of such litigation, the Company's operating results and share price may be negatively impacted due to the negative 
publicity,  additional  expenses  incurred,  management  distraction,  and/or  other  factors.  In  addition,  litigation  of  this  nature  may  negatively 
impact our ability to attract and retain qualified board members. It is also possible that Mr. Hussein will launch further proxy contests or legal 
action in opposition to the Company's board nominees at  one or more future shareholder meetings with potential negative effects similar to 
those discussed above.  

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 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. 

 15

 
 
 
 
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 increasingly 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 shortfall 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, 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 

 16

 
 
 
 
 
 
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: 

• 

• 

• 
• 
• 

• 

• 

• 
• 

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;  
use of cash as acquisition currency may adversely impact interest or investment income, thereby potentially negatively affecting our 
earnings and /or earnings per share; 
difficulty in effectively integrating any acquired technologies or software products into our current products and technologies; 
difficulty in predicting and responding to issues related to product transition such as development, 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, including any deficiencies in internal controls and procedures and the costs associated with remedying such 
deficiencies;   
difficulty in integrating acquired operations due to geographical distance, and language and cultural differences; and 
the possibility that acquired assets become impaired, requiring the Company to take a charge to earnings which could be significant. 

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.  

 17

 
 
 
 
 
 
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.  

 18

 
 
 
 
 
 
 
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  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 our 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.   

 19

 
 
 
 
 
 
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 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  clin ical 
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; 
our contracts with customers and partners; 
state laws regulating healthcare professionals; 

• 
• 
• 
•  Medicaid laws;  
• 

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

•  Health Care Financing Administration standards for Internet transmission of health data. 

 20

 
 
 
 
 
The Health Insurance Portability and Accountability Act of 1996 establishes elements including, but not limited to, 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. 

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  ch anging  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 

 21

 
 
 
 
 
 
 
 
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:  

• 

• 
• 

a national standard for electronic transactions and code sets to be used in those transactions involving certain common health care 
transactions; 
privacy regulations to protect the privacy of plan participants and patients’ medical records; and  
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.  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 
divert other Company 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 supersede 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 (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 

 22

 
 
  
 
 
 
 
 
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 material weaknesses in our internal controls are identified by ourselves or our independent 
auditors.    Any  material  weaknesses  identified  in  our  internal  controls  as  part  of  the  ongoing  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.   

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, either organic growth or through acquisitions (or both), the challenges 
involved in implementing appropriate controls will increase and may require that we evolve some or all of our internal control processes.  

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 ending 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 will have a negative 
impact upon our earnings per share and may have a negative impact on the price of our stock. 

Continuing  worldwide  political  and  economic  uncertainties  may  adversely  impact  our  revenue  and  profitability.        The  last  several  years 
have  been  periodically  marked  by  concerns  including  but  not  limited  to  inflation,  decreased  consumer  confidence,  the  lingering  effects  of 
international conflicts, energy costs and terrorist and military activities. These conditions can 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 special cash dividends in March 2005 and 2006, 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 
expectations to the contrary could have a material negative impact upon the price of our stock. 

 23

 
 
 
 
 
 
 
Our future policy concerning stock splits is uncertain. While we effected a 2:1 split of our stock in March 2005 and a second 2:1 stock split in 
March 2006, there can be no assurance that another stock split will occur in the future. Unfulfilled expectations to the contrary could have a 
material negative impact upon the price of our stock. 

ITEM 1B. 

UNRESOLVED STAFF COMMENTS 

None. 

ITEM 2. 

PROPERTIES 

Our principal administrative, accounting and QSI Division operations are located in Irvine, California, under a lease that commenced in May 
2005, and expires in May 2008.  We lease approximately 12,000 square feet of space at this location.   In September 2005, we executed a lease 
for  approximately  3,300  square  feet  of  space  in  a  building  adjacent  to  our  corporate  office  in  Irvine  to  house  additional  corporate  staff  and 
NextGen training operations.  This lease expires in January 2011.   We lease approximately 69,000 square feet of space for the principal office 
of  our  NextGen  Division  in  Horsham,  Pennsylvania.  This  lease  expires  in  July  2011.    In  September  2005,  we  executed  a  new  lease  for 
approximately 24,000 square feet of space for the NextGen Division in Atlanta, Georgia.  This lease expires in October 2011.  In addition, we 
lease approximately 6,000 square feet of space in Santa Ana, California, to house our assembly and warehouse operations of the QSI Division.  
We  also  have  an  aggregate  of  approximately  3,000  square  feet  of  space  in  Massachusetts,  Minnesota,  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  October  2011.      Should  we  continue  to  grow,  we  will  be  required  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. 

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 2006. 

Executive Officers of the Company 

Our executive officers as of June 1, 2006 were as follows: 

 24

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Name  

Age 

Position 

Louis E. Silverman.............................................. 47 

President, Chief Executive Officer 

Patrick B. Cline ................................................... 45 

President, NextGen Healthcare Information Systems Division 

Greg Flynn .......................................................... 48 

Executive Vice President and General Manager of QSI Division 

Paul A. Holt......................................................... 40 

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. 

 25

 
 
 
 
PART II 

ITEM 5. 

MARKET  FOR  REGISTRANT’S  COMMON  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 

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

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

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

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

June 30, 2005 .................................................

September 30, 2005........................................

December 31, 2005 ........................................

High 

$12.875 

13.875 

16.245 

24.450 

30.750 

35.850 

44.615 

Low 

$9.875 

10.385 

12.025 

13.950 

20.420 

23.305 

31.045 

March 31, 2006 ..............................................

$45.970 

$31.810 

At June 1, 2006, there were approximately 102 holders of record of our Common Stock. We estimate the number of beneficial holders of our 
Common Stock to be in excess of 11,000. 

In January 2006, 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 3, 2006.  The stock began trading post split on March 27, 2006.  In January 2005, the Board 
of Directors 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.  The dividend per share amount has been adjusted to reflect the stock splits.  All share 
prices in the above table have been retroactively adjusted to reflect such stock split. 

 26

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
In March 2006, we paid a dividend on shares of our Common Stock equal to $0.875 per share.  The record date for the dividend was February 
24, 2006.  In March 2005, we paid a dividend on shares of our Common Stock equal to $0.75 per share.  The record date for the dividend was 
February 24, 2005.  These dividend per share amounts have been adjusted to reflect the stock splits noted above.  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 2006. 

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.  All share prices in the 
table below have been retroactively adjusted to reflect the fiscal year 2006 and 2005 stock splits.  

 27

 
 
 
 
 
Consolidated Financial Data 

(In Thousands, Except Per Share Data) 
Statements of Income Data: 
Revenue ...................................................
Cost of revenue ........................................

Gross profit ..............................................
Selling, general and administrative 
expenses...................................................
Research and development costs..............

Income from operations ...........................
Interest income ........................................

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

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

Basic net income per share ......................
Diluted net income per share ...................
Basic weighted average shares 
outstanding...............................................
Diluted weighted average shares 
outstanding...............................................

                                   Year ended March 31, 

2006 

2005 

2004 

2003 

2002 

$     119,287 
         39,828 

         79,459 

         35,554 
           8,087 

         35,818 
           2,108 

         37,926 
         14,604 

$       23,322 

$    88,961 
      32,669 

      56,292 

      24,776 
        6,903 

      24,613 
           876 

      25,489 
        9,380 

$    16,109 

$    70,934 
      28,673 

       42,261 

       19,482 
         6,139 

       16,640 
            386 

       17,026 
         6,626 

$     10,400 

$      54,769 
      23,755 

       31,014 

       15,293 
         5,062 

       10,659 
            434 

       11,093 
         4,058 

$       7,035 

$      44,422 
      19,253 

       25,169 

       13,068 
         4,243 

         7,858 
            643 

         8,501 
         3,233 

$       5,268 

$           0.88 
$           0.85 

$        0.63 
$        0.61 

$         0.42 
$         0.40 

$         0.29 
$         0.28 

$         0.22 
$         0.21 

         26,413 

      25,744 

       24,872 

       24,508 

       24,100 

         27,356 

      26,406 

       25,932 

       25,556 

       24,960 

Balance Sheet Data (at end of period): 
Cash and cash equivalents .......................
Working capital .......................................
Total assets ..............................................
Total liabilities.........................................
Total shareholders’ equity .......................

$       57,255 
         61,724 
       122,247 
         49,838 
$       72,409 

$    51,157 
       55,111 
       99,442 
       36,711 
$     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 

 28

 
 
 
 
 
   
 
 
      
      
 
 
 
 
 
 
 
 
 
 
       
 
       
       
 
       
      
       
       
 
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 1A. 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 may not be 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,  capitalized  software  costs  and  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.  We currently recognize revenue pursuant to SOP 97-2, as amended by SOP 98-9. We generate revenue from the sale of 
licensing rights to use our software products sold directly to end-users and value-added resellers (VARs). We also generate revenue from sales 
of hardware and third party software, and implementation, training, software customization, EDI, post-contract support (“maintenance”) and 
other services performed for customers who license our products.  

A  typical  system  contract  contains  multiple  elements  of  the  above  items.  SOP  97-2,  as  amended,  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).    We limit our assessment of VSOE for each element to either the 

 29

 
 
 
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.  

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. 

We bill 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.  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: 

• 

• 
• 
• 

the 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 its contractual obligations; and 
reliable estimates of progress towards completion can be made. 

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

 30

 
 
 
 
 
 
 
 
 
 
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  we  are  unable  to  make  reliable  estimates  of  progress  of  completion  of  the  contract,  the  completed  contract 
method is utilized.   

From time to time, we offer future purchase discounts on our products and services as part of our sales arrangements.  Pursuant to AICPA TPA 
5100.51, 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. 

Allowance  for  Doubtful  Accounts.    We  maintain  allowances  for  doubtful  accounts  for  estimated  losses  resulting  from  the  inability  of  our 
customers  to  make  required  payments.    We  perform  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.  

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  with  the  completion  of  a  working  model  of  the  enhancement  or  product,  any  additional  development  costs  are  capitalized  in 
accordance with 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, which is generally 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, 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 statute 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.    

During the year ended March 31, 2006, the Company recognized approximately $0.8 million in credits related to research and development. 

Management’s treatment of research and development tax credits represented a significant estimate which affected the effective income tax rate 
for the Company in the years ending March 31, 2006 and 2005.   Research and development credits taken by the Company involve certain 

 31

 
 
 
 
 
 
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.    

Qualified Production Activities Deduction. During the year ended March 31, 2006, the Company recognized approximately $0.8 million in 
deductions related to the qualified production activities deduction (QPAD) under Internal Revenue Code (IRS).  The QPAD calculation was 
determined using interim guidance provided by proposed IRS Regulations and Notices.   

Management’s treatment of this deduction represented an estimate that affected the effective income tax rate for the Company in the current 
year.    The  deduction  taken  by  the  Company  involved  certain  assumptions  and  judgments  regarding  the  allocation  of  indirect  expenses  as 
prescribed under the Code and Regulations. 

Overview of Company results  

•  We have experienced significant growth in our total revenue as a result of revenue growth in our NextGen Division.   Our total 

Company revenue grew 34.1% on a consolidated basis during the twelve months ended March 31, 2006 versus 2005 and 25.4% in the 
twelve months ended March 31, 2005 versus 2004.   

•  Consolidated income from operations grew 45.5% in the twelve months ended March 31, 2006 versus 2005 and 47.9% in the twelve 

months ended March 31, 2005 versus 2004.  This performance was driven by the results in our NextGen Division. 

•  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 41.0% in the 
twelve months ended March 31, 2006 versus 2005 and 35.2% in the twelve months ended March 31, 2005 versus 2004 while 
divisional operating income (excluding unallocated corporate expenses) grew 55.4% in the twelve months end March 31, 2006 and 
64.1% in the twelve months ended March 31, 2005. 

•  During the twelve months ended March 31, 2006, we added staffing resources to departments including sales, marketing, support, 

implementation, software development, and administration and intend to continue to do so, as business conditions and the hiring 
environment allows,  in fiscal year 2007. 

•  During the twelve months ended March 31, 2006, we executed our first significant sale to Siemens Medical Solutions totaling $4.0 
million.  We recognized $2.5 million related to this sale during the quarter ended March 31, 2006.  The remaining balance will be 
recognized in future periods. 

•  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. 

 32

 
 
 
 
 
 
 
QSI Division 

•  Our QSI Division experienced a revenue increase of 1.2% in the twelve months ended March 31, 2006 versus 2005 and a decline of 
6.8% in the twelve months ended March 31, 2005 versus 2004.  The Division experienced a 13.3% decrease in operating income 
(excluding unallocated corporate expenses) in the twelve months ended March 31, 2006 and 14.7% decrease in the twelve months 
ended March 31, 2005. 

•  Our goals for the QSI Division include maximizing revenue and profit performance given the constraints present in this Division’s 

target market. 

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

Revenue: 

System sales ............................................................................................

55.5% 

54.5% 

55.7% 

Year Ended March 31, 

 2006 

 2005 

 2004 

Maintenance and other services 

Electronic Data Interchange services 
Total revenue 
Cost of revenue: 
System sales 
Maintenance and other services 
Electronic Data Interchange services 
Cost of revenue 
Gross profit 
Selling, general and administrative expenses 
Research and development costs 
Income from operations 
Interest income 
Income before provision for income taxes 
Provision for income taxes 
Net income 

        33.4 

        11.1 

      100.0 

        13.6 
        12.6 
          7.2 
        33.4 
        66.6 
        29.8 
          6.8 
        30.0 
          1.8 
        31.8 
        12.2 
        19.6% 

        36.8 

          8.7 

      100.0 

        15.5 
        17.2 
          4.0 
        36.7 
        63.3 
        27.9 
          7.8 
        27.7 
          1.0 
        28.7 
        10.5 
      18.1% 

        32.6 

        11.7 

      100.0 

        18.8 
        14.5 
          7.1 
        40.4 
        59.6 
        27.4 
          8.7 
        23.5 
          0.5 
        24.0 
          9.3 
       14.7% 

 33

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Comparison of the Years Ended March 31, 2006 and March 31, 2005 

For the year ended March 31, 2006, our net income was $23.3 million or $0.88 per share on a basic and $0.85 per share on a fully diluted basis.  
In comparison, we earned $16.1 million or $0.63 per share on a basic and $0.61 on a fully diluted basis in the year ended March 31, 2005.  The 
increase in net income for the year ended March 31, 2006, was achieved primarily through the following: 

• 
• 
• 

a 34.1% increase in consolidated revenue;  
a 41.0% increase in NextGen Division revenue which accounted for 87.0% of consolidated revenue; and 
an increase in our consolidated gross profit margin from 63.3% to 66.6%. 

Revenue.  Revenue for the year ended March 31, 2006 increased 34.1% to $119.3 million from $89.0 million for the year ended March 31, 
2005.  NextGen  Division  revenue  increased  41.0%  from  $73.6  million  to  approximately  $103.7  million  in  the  period,  while  QSI  Division 
revenue increased slightly by 1.2% during the period from $15.4 million to $15.5 million.   

We divide revenue into three categories; “System sales”, “Maintenance and other services” and “Electronic data interchange (EDI) 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.   

System  Sales.   Company-wide  sales  of  systems  for  the  twelve  months  ended  March  31,  2006  increased  36.5%  to $66.2  million  from  $48.5 
million in the prior year.   

Our  increase  in  revenue  from  sales  of  systems  was  principally  the  result  of  a  37.0%  increase  in  category  revenue  at  our  NextGen  Division 
whose sales in this category grew from $46.6 million during the year ended March 31, 2005 to $63.8 million during the year ended March 31, 
2006.  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 increased to approximately $2.4 million in the year ended March 31, 2006 from $1.9 million in the 
year ended March 31, 2005.    

 34

 
 
 
 
 
 
 
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 

(in thousands) 
Twelve months ended 
  March 31, 2006 
QSI Division........................... $           984 
NextGen Division...................
48,847 
Consolidated........................... $      49,831 

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

  Hardware, Third 
Party Software 
and Supplies 

Implementation 
and Training 
Services 

$        1,013 
4,094 
$        5,107 

$            411 
10,882 
$       11,293 

Total 
System Sales 

$        2,408 
63,823 
$      66,231 

$           743 
4,810 
$        5,553 

$             306 
8,550 
$          8,856 

$        1,938 
46,590 
$      48,528 

NextGen Division software revenue increased 47.0% between the twelve months ended March 31, 2005 and the twelve months ended March 
31, 2006.  The Division’s software revenue accounted for 76.5% of divisional system sales revenue during the twelve months ended March 31, 
2006, an increase from 71.3% in the prior year period.   

Software revenue from VARs totaled approximately $7.0 million during the year ended March 31, 2006 compared to $2.7 million in the year 
ago period.  The increase in VAR revenue was impacted in part by revenue from sales to Siemens Medical Solutions. 

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,  2006,  6.4%  of  NextGen’s  system  sales  revenue  was  represented  by  hardware  and  third  party 
software  compared  to  10.3%  in  the  same  prior  year  period.    We  have  noted  that  the  last  several  quarters’  and  years’  results  have  generally 
included  a relatively  lower  amount  of hardware  and  third  party  software  compared  to  prior  year  periods.   However,  this decrease  is  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. 

 35

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Implementation and training revenue at the NextGen Division increased 27.3% in the twelve months ended March 31, 2006 compared to the 
twelve  months  ended  March  31,  2005.    The  growth  in  implementation  and  training  revenue  is  the  result  of  increases  in  the  amount  of 
implementation  and  training  services  rendered  to  our  customers.    Implementation  and  training  revenue  at  the  NextGen  Division  slightly 
decreased its share of divisional system sales revenue to 17.0% in the twelve months ended March 31, 2006 from 18.3% in the twelve months 
ended March 31, 2005.  The amount of implementation and training services revenue and the corresponding rate of growth compared to a prior 
period in any given year is dependent 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, 
2006  versus  March  31,  2005  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.  

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 2006 and 2005, 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 increased by approximately $0.5 million in the twelve months ended March 31, 2006 compared to the 
twelve months ended March 31, 2005 due primarily to increases in all three categories.  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.   

EDI, Maintenance and Other.  Company-wide revenue from maintenance, EDI, and other services grew 31.2% to $53.1 million from $40.4 
million. The increase in this category resulted principally from an increase in maintenance, EDI and Other revenue generated from the NextGen 
Division’s client base.  Total NextGen Division maintenance revenue for the year ended March 31, 2006 grew 35.3% to $24.2 million from 
$17.9 million in the year ago period, while EDI revenue grew 53.0% to $8.6 million compared to $5.6 million in the year ago period.   Other 
revenue for the NextGen Division, which consists primarily of third party license renewals and time and materials billings grew 103.6% to $7.2 
million compared to $3.5 million a year ago.  QSI Division maintenance revenue declined 4.7% from $7.3 million to $6.9 million in the same 
period while divisional EDI revenue declined by approximately 4.2% from $4.9 million to $4.7 million.  Other revenue for the QSI Division 
grew 19.7% to $1.5 million compared to $1.3 million a year ago. 

 36

 
 
 
 
The following table details revenue by category for the twelve month periods ended March 31, 2006 and 2005: 

(in thousands) 

Maintenance 

EDI 

Other 

Total  

Twelve months ended 
  March 31, 2006 
QSI Division...........................
NextGen Division...................
Consolidated...........................

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

$       6,939 
24,185 
$     31,124 

$         4,673 
8,583 
$       13,256 

$         1,524 
7,152 
$         8,676 

$   13,136 
39,920 
$   53,056 

$       7,279 
17,881 
$     25,160 

$         4,877 
5,611 
$       10,488 

$         1,273 
3,512 
$         4,785 

$   13,429 
27,004 
$   40,433 

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,  2006  and  2005  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, 2005 
Billing sites added…. 
Billing sites removed. 
March 31, 2006….… 

558 
292 
(19) 
831 

394 
260 
(87) 
567 

296 
6 
(27) 
275 

218 
19 
(48) 
189 

854 
298 
(46) 
1,106 

612 
279 
(135)
756 

Cost of Revenue.  Cost of revenue for the year ended March 31, 2006 increased 21.9% to $39.8 million from $32.7 million for the year ended 
March  31,  2005,  while  the  cost  of  revenue  as  a  percentage  of  net  revenue  declined  to  33.4%  from  36.7%  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 87.0% from 82.7% in 
the prior year.  

 37

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The following table details revenue and cost of revenue on a consolidated and divisional basis for the twelve month periods ended March 31, 
2006 and 2005: 

(in thousands, except percentages) 

2006 

Year Ended March 31, 
2005 

% 

Consolidated 
Revenue ......................................................................   $  119,287 
Cost of revenue...........................................................  
39,828 

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

79,459 

100.0% 
33.4 

66.6 

$   88,961 
32,669 

56,292 

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

103,743 
32,063 

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

71,680 

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

15,544 
7,765 

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

$    7,779 

100.0 
30.9 

69.1 

100.0 
50.0 

50.0% 

73,594 
25,004 

48,590 

15,367 
7,665 

$   7,702 

% 

100.0% 
36.7 

63.3 

100.0 
34.0 

66.0 

100.0 
49.9 

50.1% 

Gross profit margins at the NextGen Division for the year ended March 31, 2006 increased to 69.1% from 66.0% 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  remained 
consistent  at  approximately  50.0%  in  the  years  ended  March  31,  2005  and  2006.    For  the  QSI  Division  higher  hardware  and  third  party 
software costs offset a decrease in the relative level of applicable headcount expense associated with delivering our products and services.    

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: 

 38

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Hardware, 
Third Party 
Software  

Payroll and 
related 
Benefits 

Outside 
Services, 
Amortization of 
Software 
Development 
Costs and Other 

Total Cost 
of Revenue 

Gross Profit 

ended 

Twelve  months 
March 31, 2006 
QSI Division.......................
NextGen Division...............
Consolidated.......................

ended 

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

9.8% 
4.6 
5.3 

6.1 
6.8 
6.7% 

19.1%  
11.8 
12.7 

17.8 
12.6 
13.5%  

21.1% 
14.5 
15.4 

26.0 
14.6 
16.5% 

50.0% 
30.9 
33.4 

49.9 
34.0 
36.7% 

50.0% 
69.1 
66.6 

50.1 
66.0 
63.3% 

During  the  twelve  months  ended  March  31,  2006,  hardware  and  third  party  software  constituted  a  smaller  portion  of  consolidated  revenue 
compared  to  the  same  prior  year  period,  driven  principally  both  by  the  composition  of  NextGen  Division  revenue  and  NextGen  Division 
revenue increasing its share of total Company 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 12.7% of consolidated revenue compared to 
13.5%  during  the  prior  twelve  months  ended  March  31,  2005.    The  absolute  level  of  consolidated  payroll  and  benefit  expenses  grew 
approximately $3.2 million 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  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 changes to related headcount at the QSI Division. 

 39

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 the NextGen Division increased for the twelve month 
period ending March 31, 2006 versus the prior year period and the QSI Division remained fairly consistent for the twelve month period ending 
March 31, 2006 versus the prior year period. 

Selling,  General  and  Administrative  Expenses.    Selling,  general  and  administrative  expenses  for  the  year  ended  March  31,  2006  increased 
43.5% to $35.6 million as compared to $24.8 million for the year ended March 31, 2005.  The increase resulted primarily from increases of 
$2.6 million in selling and administrative salaries and related benefits expenses in the NextGen Division, $1.8 million in commission expense 
in the NextGen Division, $1.2 million in travel expense in the NextGen Division, $2.6 million in other general and administrative expenses 
primarily in the NextGen Division and $2.6 million in increased corporate related expenses.   Approximately $1.0 million of the increase in 
year over year corporate related expenses was salaries and related benefits.  Expenses associated with the Annual Shareholders meeting, the 
contested  director  election,  and  subsequent  litigation  initiated  by  Ahmed  Hussein  also  contributed  to  the  increase  in  corporate  expenses.  
Selling,  general  and  administrative  expenses  as  a  percentage  of  revenue  increased  to  29.8%  in  the  fiscal  year  ended  March  31,  2006  from 
27.9% in the fiscal period ended March 31, 2005 due to selling, general and administrative expenses growing at a 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  also  anticipate  increased  expenditures  at  the  corporate  level  related  to  headcount  additions,  compensation  and 
professional service fees.  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, 2006 and 2005 were $8.1 million and $6.9 
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 6.8% from 7.8% 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. 

Interest  Income.    Interest  income  for  the  year  ended  March  31,  2006  increased  140.6%  to  approximately  $2.1  million  compared  with  $0.9 
million in the year ended March 31, 2005.  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, 2006.  During the 
fourth quarter of fiscal year 2006, the Company paid a dividend of approximately $23.4 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, 2006 was approximately $14.6 million as compared 
to approximately $9.4 million for the year ago period. The effective tax rates for fiscal 2006 and 2005 were 38.5% and 36.8%, respectively.  
The provision for income taxes for the year ended March 31, 2005 differs from the combined statutory rates primarily due to the impact of 

 40

 
 
 
 
 
 
 
varying  state  income  tax  rates  and  the  impact  of  research  and  development  tax  credits.    The  provision  for  income  taxes  for  the  year  ended 
March  31,  2006  differs  from  the  combined  statutory  rates  primarily  due  to  the  impact  of  varying  state  income  tax  rates,  research  and 
development tax credits and the qualified production activities deduction.  During fiscal 2005, the Company recognized approximately $0.5 
million of research and development credits which had not been recognized previously due to the uncertainty concerning the ultimate amount 
of tax to be credited. During the year 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 previously recognized. 

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 $0.63 per share on a basic and $0.61 per share on a fully diluted basis.  
In comparison, we earned $10.4 million or $0.42 per share on a basic and $0.40 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.    

 41

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

(in thousands) 
Twelve months ended 
  March 31, 2005 
QSI Division...........................
NextGen Division...................
Consolidated...........................

Software 

$           889 
33,230 
$      34,119 

Hardware, 
Third Party 
Software and 
Supplies 

$           743 
4,810 
$        5,553 

Implementation 
and Training 
Services 

Total 
System Sales 

$             306 
8,550 
$          8,856 

$        1,938 
46,590 
$      48,528 

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

$           807 
24,657 
$      25,464 

$        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.  

 42

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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.  

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.    

EDI, Maintenance 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. 

 43

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

(in thousands) 
Twelve months ended 
  March 31, 2005 
QSI Division...........................
NextGen Division...................
Consolidated...........................

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

Maintenance 

EDI 

Other 

Total  

$       7,279 
17,881 
$     25,160 

$         4,877 
5,611 
$       10,488 

$         1,273 
3,512 
$         4,785 

$     13,429 
27,004 
$     40,433 

$       7,570 
11,481 
$     19,051 

$         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 

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.  

 44

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
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: 

(in thousands, except percentages) 

2005 

Year Ended March 31, 
2004 

% 

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

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

56,292 

100.0% 
36.7 

63.3 

$   70,934 
28,673 

42,261 

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

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

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

73,594 
25,004 

48,590 

15,367 
7,665 

100.0 
34.0 

66.0 

100.0 
49.9 

54,443 
20,398 

34,045 

16,491 
8,275 

% 

100.0% 
40.4 

59.6 

100.0 
37.5 

62.5 

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. 

 45

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 

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

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

6.1% 
6.8 
6.7 

7.6 

10.8 
10.0% 

17.8%  
12.6 
13.5 

16.8 

14.2 
14.8%  

26.0% 
14.6 
16.5 

25.8 

12.5 
15.6% 

49.9% 
34.0 
36.7 

50.2 

37.5 
40.4% 

50.1% 
66.0 
63.3 

49.8 

62.5 
59.6% 

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.   

 46

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 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. 

Interest  Income.    Interest  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.  

 47

 
 
 
 
 
 
 
 
 
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.    

Liquidity and Capital Resources 

The following table presents selected financial statistics and information for each of the years ended March 31, 2006, 2005 and 2004: 

(in thousands) 

2006 

Year ended March 31, 
2005 

2004 

Cash and cash equivalents......................................................... 

$      57,225 

$     51,157 

  $     51,395 

Net increase (decrease) in cash and cash equivalents................  $       6,068 

$        (238) 

  $     14,952 

Net income.................................................................................  $     23,322 

$     16,109 

  $     10,400 

Net cash provided by operating activities..................................  $     30,678 

$     21,631 

  $     17,303 

Number of days of sales outstanding. ....................................... 

            115 

           119 

              98 

Cash provided by operations has historically been our primary source of cash and has primarily been driven by our net income and secondarily 
by non-cash expenses including depreciation, amortization of capitalized software, provisions for bad debts and inventory obsolescence, and 
stock option expenses. 

 48

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
The following table summarizes our statement of cash flows for the year ended March 31, 2006, 2005 and 2004: 

(in thousands) 

2006 

Year ended March 31, 
2005 

2004 

Net income................................................................................. 
Non-cash expenses..................................................................... 
Tax benefit from exercise of stock options................................ 
Change in deferred revenue....................................................... 
Change in accounts receivable................................................... 
Change in assets and liabilities.................................................. 
Net cash provided by operating activities.................................. 

$   23,322 
5,595 
4,831 
10,439 
(12,484) 
(1,025) 
$   30,678 

$   16,109 
4,352 
2,680 
8,214 
(13,879) 
4,155 
$   21,631 

  $   10,400 
3,337 
1,454 
5,564 
(3,400) 
(52) 
  $   17,303 

Net  Income. As  referenced in  the  above  table, net  income  makes  up  the  majority  of  our  cash generated from  operations  for  the  year  ended 
March 31, 2006, 2005 and 2004.  Our NextGen Division’s contribution to net income has increased each year due to that Division’s operating 
income increasing more quickly than the Company as a whole. 

Non-Cash  expenses.  Non-cash  expenses  include  depreciation,  amortization  of  capitalized  software,  provisions  for  bad  debts  and  inventory 
obsolescence, and stock option expenses.  Total non-cash expenses decreased by approximately $1.2 million between the years ended March 
31, 2006 versus 2005.  The change is primarily related to $4.1 million decrease in deferred income taxes offset by increases in the amortization 
of capitalized software, depreciation and provision for bad debts.     

Tax benefits from stock options.  The value of stock options exercised by employees grew in the year ended March 31, 2006 resulting in an 
increase of approximately $2.2 million dollars of tax benefit in the period ending March 31, 2006. 

Deferred Revenue. Cash from operations benefited significantly from increases in deferred revenue primarily due to an increase in the volume 
of implementation and maintenance services invoiced by the NextGen Division which had not yet been rendered or recognized as revenue.  
This benefit is offset by the increase in unpaid deferred revenue.  Deferred revenue grew by approximately $10.4 million for the year ended 
March 31, 2006 versus growth of $8.2 million in the year ago period, resulting in increases to cash provided by operating activities for the 
respective periods.   

Accounts Receivable. Accounts receivable grew by approximately $12.5 million, $13.9 million and $3.4 million for the years ended March 31, 
2006, 2005 and 2004, respectively.  The increase in accounts receivable in the periods is due to the following factors: 

•  NextGen division revenue grew 41.0%, 35.2% and 45.8% for the years ended March 31, 2006, 2005 and 2004, respectively;   
•  The NextGen Division constituted a larger percentage of our receivables at March 31, 2006 compared to March 31, 2005.  Turnover of 
accounts receivable in the NextGen Division is slower than the QSI Division due to the fact that the majority of the QSI Division’s 

 49

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
revenue is coming from maintenance and EDI services which typically have shorter payment terms than systems sales related revenue 
which historically have accounted for a major portion of NextGen Division sales; and    

•  We experienced an increase in the volume of undelivered services billed in advance by the NextGen Division which were unpaid as of 

the end of each period and included in accounts receivable. This resulted in an increase in both deferred revenue and accounts 
receivable of approximately $4.4 million and $4.5 million for the years ended March 31, 2006 and 2005, respectively. 

The turnover of accounts receivable measured in terms of days sales outstanding (DSO) decreased from 119 days to 115 days during the year 
ended  March  31,  2006  primarily  due  to  improved  turnover  of  accounts  receivable  and  revenue  growing  at  a  faster  rate  than  the  accounts 
receivable balance and the $4.0 million transaction with Siemens Medical Solutions that was paid upfront during fiscal year 2006.   

If amounts included in both accounts receivable and deferred revenue were netted, the Company’s turnover of accounts received expressed as 
days sales outstanding would be 70 days as of March 31, 2006 and 72 days as of March 31, 2005.  Provided turnover of accounts receivable, 
deferred revenue, and profitability remain consistent with the year ended March 31, 2006, we anticipate being able to continue to generate cash 
from operations during fiscal 2006 primarily from the net income of the Company.    

Net  cash  used  in  investing  activities  for  the  year  ended  March  31,  2006  was  $5.7  million  and  consisted  of  additions  to  equipment  and 
improvements and capitalized software.  

Net cash used in financing activities for the year ended March 31, 2006 was $18.9 million and consisted of a dividend paid to shareholders of 
$23.4 million offset by $4.5 million of proceeds from the exercise of stock options.  We recorded a reduction in income tax liability of $4.8 
million related to tax deductions received from employee stock option exercises.  The benefit was recorded as additional paid in capital.   

At  March  31,  2006,  we  had  cash  and  cash  equivalents  of  $57.2  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.  

 50

 
 
 
 
 
 
 
Contractual Obligations 

The following table summarizes our significant contractual obligations at March 31, 2006, and the effect that such obligations are expected to 
have on our liquidity and cash in future periods:  

Contractual Obligations – Non-cancelable lease obligations 
Year Ending March 31, 
2007 
2008 
2009 
2010 
2011 and beyond 

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

(in thousands) 

$1,771 
2,137 
1,905 
1,903 
2,688 

$10,404 

New Accounting Pronouncements  

 In May 2005, the Financial Accounting Standards Board (FASB) issued Statement of Financial Accounting Standards No. 154, “Accounting 
Changes  and  Error  Corrections,  a  replacement  of  APB  Opinion  No. 20,  Accounting  Changes,  and  Statement  No. 3,  Reporting  Accounting 
Changes in Interim Financial Statements” (SFAS 154). SFAS 154 provides guidance on the accounting for and reporting of accounting changes 
and  error  corrections.    It  establishes,  unless  impracticable,  retrospective  application  as  the  required  method  for  reporting  a  change  in   
accounting   principle  in  the  absence  of  explicit   transition requirements specific to the newly adopted  accounting  principle.  SFAS 154 is 
effective for  accounting  changes  and  corrections of  errors  made  in  fiscal  years  beginning  after  December  15,  2005.  The  Company does not 
expect  the  adoption  of  SFAS  154  will  have  a  material  effect  on  its  consolidated  financial  position,  consolidated  results  of  operations,  or 
liquidity. 

In December 2004, the 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 estimated 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.  SFAS 123R 
will be applicable to the Company beginning April 1, 2006, and the Company intends to adopt the standard using the “modified prospective” 
method. The “modified prospective” method requires compensation costs to be recognized, beginning with the effective date of adoption, for a) 
all share-based payments granted after the effective date and b) awards granted to employees prior to the effective date of the statement that 
remain unvested on the effective date.   As permitted by SFAS 123  we have historically accounted for share-based payments to employees 

 51

 
 
 
 
 
 
 
 
 
using  the  intrinsic  value  method  prescribed  in  APB  No. 25  “Accounting  for  Stock  Issued  to  Employees”,  and  as  such,  generally  have 
recognized  no  compensation  cost  for  employee  equity  incentives.  Accordingly,  the  adoption  of  SFAS  123R  will  have  an  impact  on  the 
Company’s  results  of  operations,  although  it  will  have  no  impact  on  our  overall  liquidity.  The  impact  of  the  adoption  of  SFAS  123R  for 
currently  outstanding  but  unvested  options  is  approximately  $7.9  million  based  on  the  estimated  fair  values  used  to  prepare  the  proforma 
disclosure information. SFAS 123R also requires the benefits of tax deductions in excess of recognized compensation cost to be reported as a 
financing cash flow, rather than as an operating cash flow as required under current requirements. This requirement may reduce net operating 
cash flows and increase net financing cash flows in periods after adoption. 

ITEM 7A. 

QUANTITATIVE AND QUALITATIVE 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  IN  AND  DISAGREEMENTS  WITH  ACCOUNTANTS  ON  ACCOUNTING  AND  FINANCIAL 
DISCLOSURE 

ITEM 9A. 

CONTROLS AND PROCEDURES  

Evaluation of Disclosure Controls and Procedures. Based on their evaluation of our disclosure controls and procedures as of March 31, 2006, 
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 thereunder.     

Changes in Internal Control over Financial Reporting.  During the year ended March 31, 2006, no changes have occurred in our internal 
controls over financial reporting that have materially affected, or are reasonably likely to materially affect, our financial reporting function.  

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, 

 52

 
 
 
 
 
 
 
 
 
 
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, 2006.  

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.  

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, 2006 as stated in their report which is included herein.  

ITEM 9B. 

OTHER INFORMATION  

None. 

ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS 

Directors and Executive Officers 

PART III 

The names, ages, positions held and business experience of our directors and executive officers as of June 1, 2006 are as follows: 

Patrick B. Cline (45) currently serves as a director and 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;  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 

 53

 
 
 
 
 
 
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 has been a director of the Company since 2005. 

Maurice J. DeWald (66) is a director and since 1992 has been the Chief Executive Officer of Verity Financial Group, Inc., a financial advisory 
firm. He is a director of Advanced Materials Group, Inc., Mizuho Corporate Bank of California and Integrated Healthcare Holdings, Inc. 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. Mr. DeWald has been a director of the 
Company since 2004. 

Ibrahim Fawzy (65) is a director and has been president of Fawzy Consultant Group since 2001. Fawzy Consultant Group works mainly in 
investment  industrial  projects.  Dr.  Fawzy  has  taught  mechanical  engineering  at  Cairo University  in Egypt  since 2001.  Previously,  he  taught 
mechanical engineering at the University of London in England. Prior to forming his own consultancy group, Dr. Fawzy held several posts with 
the Egyptian government, including as cultural attaché in London, from 1979 to 1983. Dr. Fawzy was the Minister of Industry and Mineral 
Wealth from 1993 through 1996 and the Chairman of the General Authority for Investment from 1996 to 1999. Dr. Fawzy is a director of seven 
companies in Egypt, three of which are public (The Egyptians Abroad for Investment and Development, Misr Canada Lube Oil and El-Nubaria 
for Agricultural Mechanization).   Dr. Fawzy has been a director of the Company since 2005. 

Ahmed Hussein (65) is a director 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 Nobria Agriculture, a publicly held Egyptian corporation.  Mr. 
Hussein has been a director of the Company since 1999. 

Vincent J. Love (65) is a director and 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  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. Mr. Love has been a director of the Company since 2004. 

Steven T. Plochocki (54) is a director.  He 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. Mr. Plochocki has been a director of the Company since 2004. 

Sheldon Razin (68) is a director.  He is the founder of the Company and has served as its Chairman of the Board since our 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 our 

 54

 
 
President,  except  for  the  period  from  August  1990  to  August  1991.  Additionally,  Mr.  Razin  served  as  Treasurer  from  our  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 our 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  (47)  is  a  director  and joined  the  Company  as  President  and  Chief  Executive  Officer  of  the  Company  in  July  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 has been a director of the Company since 2005. 

Greg Flynn (48) 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 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 (40) 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. 

Our directors serve until the election and qualification of their respective successors.  Our executive officers are elected by, and serve at the 
discretion of, the Board of Directors. 

Board of Directors Meetings and Related Matters 

Our 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; 

 55

 
(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. 

ii. 

iii. 

iv. 

v. 

compensation for Board or Board committee service; 

payments arising  solely from  investments in our securities; 

compensation paid to a family  member  who is a non-executive employee of the Company or a parent or subsidiary 
of the Company; 

benefits under a tax-qualified retirement plan, or non-discretionary compensation; or 

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

(c) 

(d) 

(e) 

(f) 

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; 

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. 

ii. 

payments  arising  solely from  investments in our securities; or 

payments under non-discretionary charitable contribution matching programs; 

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 

a director who is, or has a family member who is, a current partner of our outside auditor, or was a partner or employee of our 
outside auditor who worked on our 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. 

 56

 
During  the  fiscal  year  ended  March  31,  2006,  the  Board  held  10  meetings.  There  were  no  actions  taken  by  unanimous  written  consent.  No 
director  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. 

The Board has an Audit Committee which consists of Messrs. DeWald, Love, and Plochocki. 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 our 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 our internal accounting and financial controls and reporting systems practices. During the fiscal year ended March 31, 2006, the Audit 
Committee held 15 meetings. The Audit Committee’s current charter, adopted January 29, 2004, is included as Appendix A to our 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 consists of Messrs. DeWald, Love and Plochocki. 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 our most recent annual meeting of shareholders. 

The  Nominating  Committee  believes  that  it  is  desirable  that  directors  possess  an  understanding  of  our  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. 

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 

 57

 
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. 

During  the  fiscal  year  ended  March  31,  2006  the  Nominating  Committee  held  five  meetings.  The  Nominating  Committee’s  current  charter, 
while not posted on our website, is included as Appendix B to our 2004 Proxy Statement. 

The  Board  has  a  Compensation  Committee  which  consists  of  Messrs.  DeWald,  Love  and  Plochocki.  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 our compensation plans applicable to both 
senior management and the Board (including committees thereof). The Compensation Committee establishes compensation policies applicable 
to our executive officers. During the fiscal year ended March 31, 2006, the Compensation Committee held 11 meetings. 

The Board has a Transaction Committee which consists of Messrs. DeWald, Love and Plochocki. The Transaction Committee is responsible 
for considering and making recommendations to our 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  our  total  assets.  The  Transaction  Committee  is  composed  entirely  of 
independent directors. During the fiscal year ended March 31, 2006, the Transaction Committee held five meetings. 

Under our 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 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  our  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. 

Until  the  election  of  directors  at  the  2006  Annual  Meeting  of  Shareholders,  the  Company’s  Director  Compensation  Program  provides  as 
follows:   

 58

 
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 24,000 options to purchase Common Stock of the Company upon election to the Board. 
Thereafter,  each  nonemployee  director  reelected  to  the  Board  shall  receive  20,000  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.   

Effective  upon  the  election  of  directors  at  the  Company’s  2006  Annual  Meeting  of  Shareholders,  the  Director  Compensation  Program  is 
amended to provide as follows: 

All  non-employee  directors  shall receive  a  retainer of  $30,000  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.  In addition to the cash 
remuneration above, each newly elected and re-elected nonemployee director shall receive 5,000 options to purchase Common Stock 
of  the  Company  upon  each  annual election date.   The  options  shall  be  priced  at  the  fair  market value  of  the  Company's  
Common Stock on the date of grant, vest in four equal annual installments from the date of grant (subject to the Vesting Event set 
forth below), and expire seven years from the date of grant.  Such options shall become fully vested at the at the conclusion of such 
director’s term of service if the director is not re-elected to the Board except where such failure to re-elect the director is the result of 
(i) a voluntary withdrawal from Board service by such director or (ii) prior removal from the Board for cause under Section 304 of the 
California Corporations Code (the “Vesting Event”). 

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 our Common Stock are required to report their initial ownership of our 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,  2006,  all  of  its  officers,  directors  and 
greater than 10% shareholders complied with all filing requirements applicable to such persons with the exception of Ibrahim Fawzy who did 
not file a Form 3 on a timely basis concerning a single acquisition of director options, and Ahmed Hussein who did not file a Form 4 on a 
timely basis concerning a single acquisition of director options.  Both Messrs. Fawzy and Hussein subsequently made such filings. 

 59

 
Code of Ethics 

We  have  adopted  a  Code  of  Business  Conduct  and  Ethics  that  applies  to,  among  others,  our  Chief  Executive  Officer  and  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. 

 60

 
ITEM 11. 

EXECUTIVE COMPENSATION 

Compensation of Executive Officers 

The following table sets forth certain compensation information for the three fiscal years ended March 31, 2006, 2005, and 2004, 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 2006 
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 

Louis Silverman 

Chief Executive Officer and 
President 

Patrick Cline President, NextGen 
Healthcare Information 
Systems Division 

Greg Flynn 

Executive Vice President, 
General Manager of QSI 
Division 

Paul Holt 

Chief Financial Officer 

Year 

2006 
2005 
2004 

2006 
2005 
2004 

2006 
2005 
2004 

2006 
2005 
2004 

Salary ($) 

Bonus ($) 

343,883 
289,042 
278,500 

352,605 
299,645 
253,900 

216,333 
202,167 
187,500 

191,154 
142,051 
119,378 

312,934 
144,521 
139,250 

312,619 
280,110 
196,500 

14,062 
20,217 
18,810 

58,000 
64,570 
28,541 

Long Term 
Compensation 
Awards 
Securities 
Underlying 
Options 

— 
85,000 
— 

— 
125,000 
18,000 

— 
38,750 
10,000 

— 
33,500 
— 

All Other 
($)(1) 

2,341 
2,113 
2,000 

11,724 
6,529 
5,600 

4,447 
4,155 
4,063 

4,607 
1,962 
1,479 

(1) 

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

 61

 
 
 
 
 
 
 
 
 
 
 
 
Option /SAR Grants in Last Fiscal Year 

The following table provides information with respect to option grants during fiscal 2006 to the Named Executive Officers.  No options were 
granted to the Named Executive Officers during fiscal year 2006.  A total of 19,000 options were granted to other Company employees during 
fiscal year 2006.  Non employee directors were granted an aggregate 124,000 options during fiscal year 2006. 

Number of 
Securities 
Underlying 
Options 
Granted (#) 

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

Exercise or 
Base Price 
$/Share 

Expiration
Date 

— 
— 
— 
— 

—% 
—% 
—% 
—% 

$  — 
$ 
 — 
$ 
 — 
$ 
 — 

— 
— 
— 
— 

$ 
$ 
$ 
$ 

Potential Realizable Value 
Stock Price Appreciation 
for Option Term (#)* 

5% 

— 
  — 
  — 
  — 

10% 

— 
  — 
  — 
  — 

$ 
$ 
$ 
$ 

Name 

Louis Silverman 
Patrick Cline 
Greg Flynn 
Paul Holt 

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. 

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 2006 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 2006 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 ($33.10). 

 62

 
 
 
 
Shares 
Acquired on 
Exercise (#) 

Number of Securities 
Underlying Unexercised 
Options at March 31, 2006 (#)

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

Value 

Realized ($)  Exercisable  Unexercisable Exercisable  Unexercisable 

59,936 
79,500 
11,912 
6,000 

$1,816,369 
$1,632,731 
$   293,017 
$   139,592 

42,508 
— 
12,463 
10,750 

127,500 
205,500 
68,125 
50,250 

— 

$    585,145  $    1,754,719 
$    3,566,899 
$    171,522  $    1,193,309 
$    147,947  $       781,356 

Name 

Louis Silverman 
Patrick Cline 
Greg Flynn 
Paul Holt 

Compensation of Directors 

Until  the  election  of  directors  at  the  2006  Annual  Meeting  of  Shareholders,  the  Company’s  Director  Compensation  Program  provides  as 
follows: 

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 24,000 options to purchase Common Stock of the Company upon election to the Board. 
Thereafter,  each  nonemployee  director  reelected  to  the  Board  shall  receive  20,000  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. 

Effective  upon  the  election  of  directors  at  the  Company’s  2006  Annual  Meeting  of  Shareholders,  the  Director  Compensation  Program  is 
amended to provide as follows: 

All  non-employee  directors  shall  receive  a  retainer  of  $30,000  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.  In addition to the cash 
remuneration above, each newly elected and re-elected nonemployee director shall receive 5,000 options to purchase Common Stock 
of the Company upon each annual election date.  The options shall be priced at the fair market value of the Company's Common Stock 
on the date of grant, vest in four equal annual installments from the date of grant (subject to the Vesting Event set forth below), and 
expire seven years from the date of grant.  Such options shall become fully vested at the at the conclusion of such director’s term of 
service if the director is not re-elected to the Board except where such failure to re-elect the director is the result of (i) a voluntary 

 63

 
 
 
 
 
 
 
withdrawal from Board service by such director or (ii) prior removal from the Board for cause under Section 304 of the California 
Corporations Code (the “Vesting Event”). 

Employment Contracts and Termination of Employment and Change of Control Arrangements 

Mr.  Silverman  has  an  Employment  Agreement  (“Agreement”)  with  the  Company  which  details  the  terms  of  his  employment  as  our  Chief 
Executive Officer. The Agreement granted Mr. Silverman a total of 497,040 options which vested equally over a four year period commencing 
with  the  effective  date  of  the  Agreement  (July  20,  2000)  and  a  total  of  239,760  options  which  vested  equally  over  a  four  year  period 
commencing one year from the effective date of the Agreement, July 20, 2001. 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 payable to shareholders of record as of 
March 4, 2005 and a 2 for 1 stock split payable to shareholders of record as of March 3, 2006. 

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)  immediate  vesting  of  an  additional  25%  of  all  granted,  but  unvested  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 our 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 our 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. 

 64

 
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 our Board. 

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 our Common Stock as of June 1, 2006 by (i) each 
person  known  by  the  Company  to  beneficially  own  more  than  5%  of  the  outstanding  shares  of  Common  Stock,  (ii)  each  of  our  current 
directors, (iii) each of the Named Executive Officers (as defined in this Report), 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 
Patrick Cline 
Louis Silverman 
Maurice J. DeWald 
Vincent J. Love 
Steven T. Plochocki 
Ibrahim Fawzy 
Greg Flynn 
Paul Holt 
All directors and Named Executive  
Officers as a group (10 persons) 

Number of Shares 
of Common Stock 
Beneficially Owned (2)(4)(5) 

Percent of 
Common Stock 
Beneficially Owned (3)(4) 

5,176,880 
4,651,600 
115,500 
76,908 
44,000 
44,000 
44,000 
24,000 
14,995 
14,950 

19.4% 
17.4% 
* 
* 
* 
* 
* 
* 
* 
* 

           10,206,833 

       38.2% 

 65

 
 
 
 
 
 
 
* 

Less than 1%. 

1. 
California 92612. 

Unless  otherwise  indicated,  the  address  is  c/o  Quality  Systems,  Inc.,  18191  Von  Karman  Avenue,  Suite  450,  Irvine, 

2. 

Unless otherwise indicated, to our 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  26,711,000  shares  of  Common  Stock  outstanding  as  of  June  1,  2006.  Any 
securities not outstanding but subject to options exercisable as of June 1, 2006 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 June 1, 2006 or exercisable within 
60 days after June 1, 2006, and are, respectively, as follows: Mr. Razin, 44,000 shares; Mr. Hussein, 44,000 shares; Mr. Fawzy, 24,000 shares; 
Mr. Silverman, 42,508 shares; Mr. Cline, 20,000 shares; Mr. Flynn, 12,463 shares; Mr. Holt, 10,750 shares; Mr. DeWald, 44,000 shares; Mr. 
Love, 44,000 shares; Mr. Plochocki, 44,000 shares; and all directors and Named Executive Officers as a group, 329,721 shares. 

5. 

All share amounts set forth in this report have been adjusted to give effect to a 2 for 1 stock payable to shareholders of record 

as of March 4, 2005 and a 2 for 1 stock split payable to shareholders of record as of March 3, 2006. 

 66

 
Equity Compensation Plan Information 

The  following  table  sets  forth  information  about  our  common  stock  that  may  be  issued  upon  the  exercise  of  options  under  all  our 

equity compensation plans as of March 31, 2006. 

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 under equity 
compensation (excluding 
securities in column a) 
(c) 

1,798,372 

$16.78 

133,300 

— 

1,798,372 

— 

$16.78 

— 

133,300 

Plan Category 

Equity compensation plan 
approved by security holders 

Equity compensation plans not 
approved by security holders 

Total 

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 
$167,322  in  salary  and  bonus  during  the  fiscal  year  ended  March  31,  2006.  Kim  Cline,  Vice  President  of  Client  Services,  at  our  NextGen 
Healthcare  Information  System  subsidiary,  is  the sister of Patrick  Cline, President of  the  NextGen Healthcare Information  System  Division. 
Kim Cline earned $160,190 in salary and bonus during the fiscal year ended March 31, 2006. 

 67

 
 
 
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, 2006 and 
2005. 

Audit fees 
Audit related fees 
Tax fees 
All other fees 

2006 

2005 

$ 
$ 
$ 
$ 

819,000 
— 
— 
9,000 

$ 
$ 
$ 
$ 

941,000 
— 
7,000 
6,000 

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. 

 68

 
 
 
ITEM 15. 

EXHIBITS AND FINANCIAL STATEMENT SCHEDULES  

(a) 

(1) 

Index to Financial Statements: 

PART IV 

Page 

(cid:131)  Report of Independent Registered Public Accounting Firm ...........................................................76 

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

Control Over Financial Reporting………………………………………………………………….77 

(cid:131)  Consolidated Balance Sheets  

March 31, 2006 and March 31, 2005 ..............................................................................................79 

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

March 31, 2006, March 31, 2005 and March 31, 2004 ...................................................................81 

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

March 31, 2006, March 31, 2005 and March 31, 2004 ...................................................................83 

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

March 31, 2006, March 31, 2005 and March 31, 2004 ...................................................................84 

(cid:131)  Notes to Consolidated Financial Statements ...................................................................................86 

 (2)  The following financial statement schedule for the years ended March 31, 2006, March 31, 2005 and 2004, 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......................................................................109 

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 a part of this 

Report. 

 69

 
 
 
 
 
 
EXHIBIT 
NUMBER 

INDEX TO EXHIBITS 

EXHIBIT 

3.1 

3.1.1 

3.1.2 

3.2 

3.3 

3.4 

3.5 

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. 

Amendment  to  Articles  of  Incorporation,  effective  March  4,  2005  is  hereby  incorporated  by 
reference to Exhibit 3.1.1 of our Annual Report on Form 10-K for the year ended March 31, 2005. 

Amendment  to  Articles  of  Incorporation,  effective  March  2,  2006  is  hereby  incorporated  by 
reference to Exhibit 3.1 of our Current Report on Form 8-K filed March 6, 2006. 

Bylaws of the Company, as amended and restated is hereby incorporated by reference to Exhibit 3.2 
of our Annual Report on Form 10-K for the year ended March 31, 2005. 

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.  

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. 

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. 

10.2*   

1989  Incentive  Stock  Option  Plan  is  hereby  incorporated  by  reference  to  Exhibit  4.1  to  our 
Registration Statement on Form S-8. 

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. 

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. 

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. 

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. 

 70

 
 
 
 
 
 
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. 

10.4.3* 

10.5 

10.6  

10.6.1* 

10.7  

10.8 

10.9*  

10.10* 

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.   

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. 

Form  of  Indemnification  Agreement  is  hereby  incorporated  by  reference  to  Exhibit  10.10  to  our 
Registration Statement on Form S-1. 

Form of Indemnification Agreement for directors and executive officers authorized January 27, 2005 
is  hereby  incorporated by  reference  to  Exhibit  10.6.1  of our Annual  Report  on Form  10-K  for  the 
year ended March 31, 2005. 

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. 

1998  Employee  Stock  Contribution  Plan  is  hereby  incorporated  by  reference  to  Exhibit  4.1  to  our 
Registration Statement on Form S-8. 

1998  Stock  Option  Plan  is  hereby  incorporated  by  reference  to  Exhibit  4.1  to  our  Registration 
Statement on Form S-8. 

10.10.1*  Amended  and  Restated  1998  Stock  Option  Plan  is  hereby  incorporated  by  reference  to  Exhibit 

10.10.1 of our Annual Report on Form 10-K for the year ended March 31, 2005. 

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. 

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. 

 71

 
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  our  Quarterly  Report  on  Form  10-Q  for  the 
quarter ended September 30, 2000. 

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 our Annual Report on Form 
10-K for the year ended March 31, 2001. 

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. 

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. 

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. 

Lease  Agreement  between  the  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. 

Lease  Agreement  between  the  Company  and  LakeShore  Towers  Limited  Partnership  Phase  IV,  a 
California  limited  partnership,  dated  September  15,  2004  is    hereby  incorporated  by  reference  to 
Exhibit 10.19 of our Annual Report on Form 10-K for the year ended March 31, 2005. 

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. 

10.21* 

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. 

10.22* 

2005 Stock Option and Incentive Plan is incorporated by reference to Exhibit A to our Schedule 14A 
filed on August 17, 2005. 

 72

 
 
 
 
10.23 

10.24 

Lease agreement between the Company and Von Karman Michelson Corporation dated September 
6, 2005.  ** 

Fourth  Amendment  to  lease  agreement  between  the  Company  and  Tower  Place,  L.P.  dated 
September 22, 2005. ** 

10.25   

Second  Amendment  to  lease  agreement  between  the  Company  and  HUB  Properties  LLC  dated 
February 14, 2006. ** 

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 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 herewith. 

 73

 
 
 
 
 
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 8, 2006 

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 

Chairman of the Board  

_____June 8, 2006 

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

_____June 8, 2006 

 74

 
 
 
 
 
 
 
 
 
 
 
 
Signature 

Title 

Date 

/s/ PATRICK CLINE 

Patrick Cline 

/s/ PAUL HOLT 

Paul Holt 

/s/ MAURICE DEWALD 

Maurice DeWald 

Ibrahim Fawzy 

Ahmed Hussein 

/s/ VINCENT LOVE  

Vincent Love 

/s/ STEVEN PLOCHOCKI 

Steven Plochocki 

Director,  President,  NextGen  Healthcare 
Information Systems Division 

_____June 8, 2006 

Secretary  and  Chief  Financial  Officer 
(Principal Financial Officer) 

_____June 8, 2006 

_____June 8, 2006 

_____June 8, 2006 

_____June 8, 2006 

Director 

Director 

Director 

Director 

Director 

 75

 
 
 
 
 
 
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,  2006  and  2005,  and  the  related 
consolidated statements of income, shareholders’ equity, and cash flows for each of the three years in the period ended March 31, 2006.  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, 2006 and 2005 and the consolidated results of  its operations and its consolidated cash flows for each 
of  the  three  years  in  the  period  ended  March  31,  2006  in  conformity  with  accounting  principles  generally  accepted  in  the  United  States  of 
America. 

Our audit was conducted for the purpose of forming an opinion on the basic financial statements take as a whole.  Schedule II is presented for 
purposes of additional analysis and is not a required part of the basic financial statements.  This schedule has been subjected to the auditing 
procedures applied in the audit of the basic financial statements and, in our opinion, is fairly stated in all material respects in relation to the 
basic financial statements take as a whole. 

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, 2006, 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 2, 2006, 
expressed an unqualified opinion thereon. 

/s/ GRANT THORNTON LLP (typed) 

Irvine, California 
June 2, 2006 

 76

 
 
 
 
 
 
 
 
 
  
 
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, 2006, 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.  

 77

 
 
  
 
  
  
   
   
In our opinion, management's assessment that Quality Systems, Inc. maintained effective internal control over financial reporting as of March 
31,  2006,  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, 2006, 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,  2006  and  2005,  and  the  related  consolidated  statements  of  income,  shareholders’ 
equity,  and  cash  flows  for  each  of  the  three  years  in  the  period  ended  March  31,  2006,  and  our  report  dated  June  2,  2006  expressed  an 
unqualified opinion on those financial statements. 

/s/ GRANT THORNTON LLP (typed) 

Irvine, California 
June 2, 2006 

 78

 
   
  
 
 
  
 
   
 
QUALITY SYSTEMS, INC. 
CONSOLIDATED BALANCE SHEETS 
(IN THOUSANDS, EXCEPT PER SHARE DATA) 

MARCH 31, 
2006 

  MARCH 31, 

2005 

ASSETS 

Current assets: 
  Cash and cash equivalents............................................................................................  $   57,225 
  Accounts receivable, net.............................................................................................. 
     44,665 
          561 
Inventories, net............................................................................................................. 
       1,195 
Income tax receivable.................................................................................................. 
       1,824 
  Net current deferred tax assets..................................................................................... 
       2,912 
  Other current assets...................................................................................................... 
   108,382 
          Total current assets............................................................................................. 

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

       3,739 
       5,171 
       1,157 
       1,840 
       1,958 
          Total assets.........................................................................................................  $ 122,247 

LIABILITIES AND SHAREHOLDERS' EQUITY 

Current liabilities: 
  Accounts payable......................................................................................................... 
  Deferred revenue.......................................................................................................... 
  Accrued compensation and related benefits................................................................. 
  Other current liabilities................................................................................................ 
          Total current liabilities....................................................................................... 

$     2,934 
     34,422 
       5,490 
       3,812 
     46,658 

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

       1,494 
             -- 
       1,686 
     49,838 

 79

$ 51,157 
   33,362 
        960 
          15 
     1,796 
     1,677 
   88,967 

     2,697 
     4,334 
           -- 
     1,840 
     1,604 
$ 99,442 

$  2,284 
  24,115 
    3,436 
    4,021 
  33,856 

    1,362 
       291 
    1,202 
  36,711 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
MARCH 31, 
2006 

  MARCH 31, 

2005 

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

Shareholders’ equity: 
  Common stock, $0.01 par value; authorized 50,000 shares; issued 
  and outstanding 26,711 and 26,222 shares at March 31, 2006 
            267 
  and March 31, 2005, respectively.............................................................................. 
       53,675 
  Additional paid-in capital............................................................................................. 
       19,151 
  Retained earnings......................................................................................................... 
          (684) 
  Deferred compensation................................................................................................ 
          Total shareholders' equity.................................................................................. 
       72,409 
          Total liabilities and shareholders’ equity...........................................................  $   122,247 

    262 
   44,368 
   19,213 
   (1,112) 
   62,731 
$ 99,442 

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

 80

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
QUALITY SYSTEMS, INC. 
CONSOLIDATED STATEMENTS OF INCOME 
(IN THOUSANDS, EXCEPT PER SHARE DATA) 

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

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

March 31,  
2006 

$    54,938 
      11,293 
      66,231 

      39,800 
      13,256 
      53,056 

March 31, 
2005 

$   39,672 
       8,856 
     48,528 

    29,945 
    10,488 
    40,433 

March 31, 
2004 

$   32,632 
       6,893 
     39,525 

     23,117 
       8,292 
     31,409 

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

    119,287 

    88,961 

     70,934 

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

 Maintenance and other services......................................... 
 Electronic data interchange services.................................. 
Total cost of maintenance, EDI and other 
services............................................................................... 
   Total cost of revenue........................................................ 

       8,148 
       8,088 
     16,236 

     15,023 
       8,569 

     23,592 
     39,828 

      7,525 
      6,300 
    13,825 

    12,120 
      6,724 

    18,844 
    32,669 

       8,141 
       5,197 
     13,338 

     10,313 
       5,022 

     15,335 
     28,673 

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

     79,459 

    56,292 

     42,261 

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

     35,554 
       8,087 
     43,641 

    24,776 
      6,903 
    31,679 

     19,482 
       6,139 
     25,621 

 81

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

March 31, 
2006 
      35,818 

  March 31, 

2005 
     24,613 

  March 31, 
2004 
     16,640 

Interest income.................................................................... 

        2,108 

          876 

          386 

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

      37,926 
      14,604 

     25,489 
       9,380 

     17,026 
       6,626 

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

$    23,322 

$   16,109 

$   10,400 

Net income per share: 
  Basic................................................................................. 
  Diluted.............................................................................. 

Weighted average shares outstanding: 
  Basic................................................................................. 
  Diluted.............................................................................. 

$       0.88 
$       0.85 

$      0.63 
$      0.61 

$       0.42 
$       0.40 

     26,413 
     27,356 

     25,744 
     26,406 

     24,872 
     25,932 

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

 82

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
QUALITY SYSTEMS, INC. 
CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS’ EQUITY 
 (IN THOUSANDS) 

Retained 
Earnings 

$12,350 
– 

Deferred 
Compensation 
$      – 
– 

Total Shareholders’ 
Equity 
$       47,533 
1,308 

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 
Exercise of stock options ...................
Tax benefit resulting from stock 
options ...............................................
Stock based compensation .................
Dividends paid ...................................
Net income.........................................

Common Stock 
Shares  Amount 
$246 
24,608 
8 
692 

– 
– 
– 

– 
– 
– 

APIC 
$34,937 
1,300 

1,454 
1,853 
– 

25,300 
922 

254 
8 

39,544 
2,144 

– 
– 
10,400 

22,750 
– 

– 
– 

– 
(1,543) 
– 

(1,543) 
– 

– 
431 

– 
– 

2,680 
– 

– 
– 

– 
– 

– 
– 

– 
– 

– 
– 

(19,646) 
16,109 

26,222 
489 

262 
5 

44,368 
4,476 

19,213 
– 

(1,112) 
– 

– 
– 
– 
– 

– 
– 
– 
– 

4,831 
– 
– 
– 

– 
– 
(23,384) 
23,322 

– 
428 
– 
– 

1,454 
310 
10,400 

61,005 
2,152 

2,680 
431 

(19,646) 
16,109 

62,731 
4,481 

4,831 
428 
(23,384) 
23,322 

$72,409 

Balance, March 31, 2006 

26,711 

$267 

$53,675 

$19,151 

$(684) 

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

 83

 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
QUALITY SYSTEMS, INC. 
CONSOLIDATED STATEMENTS OF CASH FLOWS 
(IN THOUSANDS) 

Cash flows from operating activities: 
 Net income................................................................................ 
  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 
     exercises................................................................................ 
    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 taxes payable............................................................. 
    Other current liabilities.......................................................... 
    Deferred compensation.......................................................... 
       Net cash provided by operating activities 

Cash flow from investing activities: 
 Additions to capitalized software costs…………………......... 
 Additions to equipment and improvements…………….......... 
       Net cash used in investing activities................................... 

  March 31, 

2006 

March 31, 
2005 

March 31, 
2004 

$   23,322 

$   16,109 

$   10,400 

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) 

836 
1,490 
647 
54 

310 
1,454 
 (235) 

(3,400) 
(112) 
-- 
627 
(373) 
(822) 
5,564 
248 
273 
8 
334 
17,303 

(2,587) 
(1,072) 
(3,659) 

1,368 
2,460 
1,181 
158 

428 
4,831 
(1,476) 

(12,484) 
241 
(1,180) 
(1,235) 
(354) 
650 
10,439 
2,054 
-- 
(209) 
484 
30,678 

(3,297) 
(2,410) 
(5,707) 

 84

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
March 31,  
2006 

March 31, 
2005 

March 31, 
2004 

Cash flows from financing activities: 
 Dividends paid.......................................................................... 
 Proceeds from the exercise of stock options………………..... 
       Net cash (used in) provided by financing 
        activities............................................................................. 

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

(23,384) 
4,481 

(18,903) 

6,068 

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

51,157 

(19,646) 
2,152 

(17,494) 

(238) 

51,395 

-- 
1,308 

1,308 

14,952 

36,443 

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

$    57,225 

$   51,157 

$   51,395 

Supplemental disclosures of cash flow information 
 Cash paid during the period for income taxes, 
  net of refunds........................................................................... 

$    11,022 

$    4,541 

$    4,716 

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

.

 85

 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
  
 
     
 
 
 
 
 
 
    
 
   
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
QUALITY SYSTEMS, INC. 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 
MARCH 31, 2006 and 2005 
(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  for  a  wide 
range of entities including 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 
EDI  services  which  provide  a  variety  of  connectivity  services  to  and  between  patients,  providers  and  payors.    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 January 31, 2006, 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 3, 2006 and the stock began trading post split on March 27, 2006.  References to share and per share data 
contained in the consolidated financial statements and notes to the consolidated financial statements have 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  principles 
generally accepted in the United States of America.   

References to dollar amounts in these 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 2006 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 

 86

 
 
 
 
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  97-2  as  amended  by  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.  

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 recognize 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: 

• 

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; 

 87

 
 
 
 
 
 
 
 
 
• 
• 
• 

the customer can be expected to satisfy its obligations under the contract; 
the Company can be expected to perform its 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. 

Accounts Receivable. The Company provides credit terms which typically range 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 its 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. 

 88

 
 
 
 
 
 
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, 
by the straight-line method. Useful lives range as follows: 

Computers and electronic test equipment     
Furniture and fixtures                
Leasehold improvements  

 3-5 years 
    5-7 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  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  provides  support  services  on 
current and prior two versions of its software.  Management performs an annual review of the estimated economic life and 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 amortization of goodwill and other intangible assets.  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, 2005 (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).  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, 2006.   

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 temporary differences between the basis of assets and liabilities for financial and tax reporting. The deferred 
income tax assets and liabilities represent the future state and federal 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. 

 89

 
 
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 $1,915, $1,251 and $1,262 for the years ended March 31, 
2006, 2005 and 2004, respectively, and were included in selling, general and administrative expenses in the consolidated statements of income. 

Marketing Assistance Agreements.   The  Company  has  entered  into  marketing  assistance  agreements  with  certain  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. 

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) 

Year Ended March 31,  

2006 

2005 

2004 

Basic net income per share: 

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

  Weighted average of common shares outstanding...............................................

  Net income per share ...........................................................................................

$   23,322 

26,413 
$       0.88 

$  16,109 

25,744 
$      0.63 

$ 10,400 

24,872 
$     0.42 

Diluted net income per share: 

  Weighted average of common shares outstanding 

  Weighted average of common equivalents shares: 

26,413 

25,744 

24,872 

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

  Weighted average number of common and common equivalent shares..............

  Net income per share ...........................................................................................

943 
27,356 

$      0.85 

662 
26,406 

$     0.61 

1,060 
25,932 

$     0.40 

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  of  Statement  of 

 90

 
 
 
 
 
 
 
 
 
 
 
 
   
 
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 employee grants. SFAS 148 also requires disclosure of option status on a more prominent and frequent basis. Such disclosure for 
the  years  ended  March  31,  2006,  2005  and  2004  is  presented  immediately  below.  The  Company  accounts  for  stock  options  granted  to 
employees  and  board  members  based  on  the  intrinsic  method  as  prescribed  by  APB  No.  25.    The  Company  accounts  for  stock  options  and 
warrants issued to non-employees based on the fair value method.  Under the fair value based method, compensation cost is recorded based on 
the estimated fair value of the award at the grant date and is recognized over the service period. 

The  Company’s  fair  value  calculations  for  options  granted  during  fiscal  year  2006  and  the  February  11,  2005  options  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 – 47.7% , risk free interest rate of 3.7% and, no dividends during the expected term.  Although the Company announced a one-time 
$0.75 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 existed at the times the options were granted.  The Company had not paid a dividend to its shareholders 
prior to the one-time dividend announced on January 31, 2005.  On January 31, 2006, the Company announced a one-time dividend of $0.875 
per  share.    This  dividend  was  announced  subsequent  to  the  options  granted  in  fiscal  year  2006  and  was  not  considered  in  the  fair  value 
calculations.  Therefore, management believes that using a zero dividend rate in the valuation of the stock options granted during fiscal year 
2006 is appropriate.   

The Company’s fair value calculations for options granted in fiscal years ended 2005 and 2004, with the exception of the 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.    

 91

 
 
 
 
 
 
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: 

Net income, as reported............................................................... 
Add: Option compensation expense, net of tax……………….. 
Deduct:  Stock-based 
employee 
expense 
determined  under  the  fair  value  based  method,  net  of  related 
tax effects…………………………………………………….... 
Pro forma net income.................................................................. 

compensation 

Net income per  share: 
   Basic, as reported..................................................................... 
   Basic, pro forma....................................................................... 
   Diluted, as reported.................................................................. 
   Diluted, pro forma.................................................................... 
Fair  market  value  of  option  awards  granted  during 
period........................................................................................... 

2006 

$ 23,322 
262 

Year End March 31, 
2005 

2004 

$ 16,109 
272 

$  10,400 
189 

(3,280) 
$ 20,304 

(1,483) 
$ 14,898 

(414) 
$  10,175 

$     0.88 
$     0.77 
$     0.85 
$     0.74 

$     0.63 
$     0.58 
$     0.61 
$     0.56  

$     0.42  
$     0.41 
$     0.40 
$     0.39  

$   2,178 

$ 12,707 

$   2,078 

Had  the  Company  used  a  different  methodology  to  value  its  options,  such  as  the  binomial  model,  a  different  valuation  may  have  been 
determined which may have changed the pro forma 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  income  taxes  and  related  credits  and  deductions.    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 

 92

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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  May 2005,  the  Financial  Accounting  Standards  Board  (FASB)  issued  Statement  of  Financial 
Accounting Standards No. 154, “Accounting Changes and Error Corrections, a replacement of APB Opinion No. 20, Accounting Changes, and 
Statement No. 3, Reporting Accounting Changes in Interim Financial Statements” (SFAS 154). SFAS 154 provides guidance on the accounting 
for  and  reporting  of  accounting  changes  and  error  corrections.    It  establishes,  unless  impracticable,  retrospective  application  as  the  required 
method for reporting a change in   accounting   principle  in  the  absence  of  explicit   transition requirements specific to the newly adopted  
accounting  principle.  SFAS 154 is effective for accounting changes and corrections of errors made in fiscal years beginning after December 
15,  2005.  The  Company  does  not  expect  the  adoption  of  SFAS  154  will  have  a  material  effect  on  its  consolidated  financial  position, 
consolidated results of operations, or liquidity. 

In December 2004, the 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 estimated 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.  SFAS 123R 
will be applicable to the Company beginning April 1, 2006, and the Company intends to adopt the standard using the “modified prospective” 
method. The “modified prospective” method requires compensation costs to be recognized, beginning with the effective date of adoption, for a) 
all share-based payments granted after the effective date and b) awards granted to employees prior to the effective date of the statement that 
remain unvested on the effective date.   As permitted by SFAS 123  we have historically accounted for share-based payments to employees 
using  the  intrinsic  value  method  prescribed  in  APB  No. 25  “Accounting  for  Stock  Issued  to  Employees”,  and  as  such,  generally  have 
recognized  no  compensation  cost  for  employee  equity  incentives.  Accordingly,  the  adoption  of  SFAS  123R  will  have  an  impact  on  the 
Company’s  results  of  operations,  although  it  will  have  no  impact  on  our  overall  liquidity.  The  impact  of  the  adoption  of  SFAS  123R  for 
currently outstanding but unvested options is approximately $7,867 based on the estimated fair values used to prepare the proforma information 
above. SFAS 123R also requires the benefits of tax deductions in excess of recognized compensation cost to be reported as a financing cash 
flow, rather than as an operating cash flow as required under current requirements. This requirement may reduce net operating cash flows and 
increase net financing cash flows in periods after adoption. 

 93

 
 
 
 
3. Intangible Assets – Capitalized Software Costs   

As of March 31, 2006 and 2005, the Company had the following amounts related to intangible assets with definite lives:  

(in thousands) 

Capitalized software development (3 yrs): 

As of March 31, 

2006 

2005 

Gross carry amount. ..............................................................................................
Accumulated amortization ....................................................................................
Net capitalization software development ..............................................................
Aggregate amortization expense during year ended March 31 .............................

$  16,584 
(11,413) 
$    5,171 
$    2,460 

$ 13,287 
(8,953) 
$   4,334 
$   1,952 

Information related to net capitalized software costs is as follows: 

(in thousands) 

Beginning of year. ....................................................................................................
Capitalization............................................................................................................
Amortization.............................................................................................................
End of year ...............................................................................................................

As of March 31, 

2006 
$   4,334 
3,297 
(2,460) 
$   5,171 

2005 
$   3,608 
2,678 
(1,952) 
$   4,334 

The  following  table  represents  the  remaining  estimated  amortization  of  intangible  assets  with  determinable  lives  as  of  March  31,  2006  (in 
thousands):  

For the year ending March 31, 
   2007 ................................................................................................................................... 
   2008.................................................................................................................................... 
   2009.................................................................................................................................... 
                       Total 

$   2,673 
1,803 
695 
$   5,171 

 94

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
4. Cash and Cash Equivalents  

At  March  31,  2006  and  2005,  the  Company  had  cash  and  cash  equivalents  of  $57,225  and  $51,157  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. 
Interest income for each of the three years ended March 31 consists of the following: 

(in thousands) 

Interest income .....................................

2006 
$     2,108 

Year Ended March 31 
2005 
$        876 

2004 
$      386 

5. Composition of Certain Financial Statement Captions 

(in thousands) 
Accounts receivable are summarized as follows: 

Accounts receivable, excluding undelivered maintenance and 
services................................................................................................... 
Undelivered software, maintenance and services billed in advance, 
included in deferred revenue.................................................................. 
Accounts receivable, gross..................................................................... 

Reserve for bad debts............................................................................. 

March 31, 
2006 

March 31, 
2005 

$   29,832 

$   22,162 

17,389 
47,221 

(2,556) 

13,037 
35,199 

 (1,837) 

Accounts receivable, net......................................................................... 

$   44,665 

$   33,362 

Inventories are summarized as follows: 

Computer systems and components, net of reserve for obsolescence  
of $304 and $146, respectively............................................................... 
Miscellaneous parts and supplies........................................................... 

March 31, 
2006 

$       539 
22 

March 31, 
2005 

$      891 
69 

Inventories, net....................................................................................... 

$       561 

$      960 

 95

 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Equipment and improvements are summarized as follows: 

Computer and electronic test equipment.................................................... 
Furniture and fixtures................................................................................. 
Leasehold improvements........................................................................... 

Accumulated depreciation and amortization.............................................. 

March 31, 
2006 

$     7,501   
2,237 
597 
10,335 
(6,596) 

March 31, 
2005 

$     5,788 
1,950 
187 
7,925 
(5,228) 

Equipment and improvements, net............................................................. 

$     3,739  

$     2,697 

Short and long-term deferred revenue are summarized as follows: 

Maintenance............................................................................................... 
Implementation services............................................................................. 
Undelivered software and other................................................................. 

$     7,838 
23,792 
4,286 

March 31, 
2006 

March 31, 
2005 

$     4,639 
17,471 
3,367 

Deferred revenue........................................................................................ 

$    35,916 

$    25,477 

Accrued compensation and related benefits are summarized as follows: 

Bonus.......................................................................................................... 
Vacation..................................................................................................... 

$     3,714 
1,776 

March 31, 
2006 

March 31, 
2005 

$     1,998 
1,438 

Accrued compensation and related benefits............................................... 

$     5,490 

$     3,436 

 96

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Other current liabilities are summarized as follows: 

Customer deposits...................................................................................... 
Sales tax payable........................................................................................ 
Commission payable.................................................................................. 
Professional services.................................................................................. 
Deferred rent.............................................................................................. 
Accrued EDI expenses............................................................................... 
Other accrued expenses.............................................................................. 

March 31, 
2006 
$       624 
575 
519 
224 
360 
470 
1,040 

March 31, 
2005 
$      527 
833 
625 
417 
198 
419 
1,002 

Other current liabilities.............................................................................. 

$    3,812 

$    4,021 

6. Income Taxes 

During the year ended March 31, 2006 and 2005, the Company claimed research and development tax credits of $821 and $493, respectively.  
For  the  year  ended  March  31,  2006,  we  are  claiming  a  deduction  of  $840  for  the  newly-created  qualified  production  activities  income 
deduction under Section 199 of the Internal Revenue Service Code.  The Company is claiming these credits on its tax returns.  Research and 
development credit and the qualified production activities income deduction taken by the Company involve certain assumptions and judgments 
regarding qualification of expenses under the relevant tax codes.   

The provision (benefit) for income taxes consists of the following components: 

(in thousands) 

Current: 

 2006 

Year Ended March 31,  
2005 

2004 

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

$  12,824 
3,256 
16,080 

Deferred: 

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

(1,168) 
(308) 
(1,476) 

$   5,365 
1,438 
6,803 

2,040 
537 
2,577 

$   5,551 
1,310 
6,861 

(179) 
(56) 
(235) 

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

$  14,604 

$   9,380 

$   6,626 

 97

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(in thousands) 

Deferred tax liabilities: 

As of March 31,  

2006 

2005 

Accelerated depreciation .....................................................................................
Capitalized software ............................................................................................
Prepaid expense...................................................................................................
State income taxes ...............................................................................................
Other....................................................................................................................
Total deferred tax liabilities ......................................................................
Total deferred tax assets, net.....................................................................

(916) 
2,229) 
(1,121) 
-- 
(64) 
(4,330) 
$  2,981 

(1,791) 
(1,469) 
-- 
(189) 
-- 
(3,449) 
$  1,505 

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 
management expects to receive the full benefit of the assets recorded. 

 7. Employee Benefit Plans and Employment Agreements 

The Company has a 401(k) plan available to 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 $202, $162 and $161 were  made by the Company to the 401(k) plan for the fiscal years ended March 31, 2006, 2005 and 
2004, respectively. 

The  Company  has  a  deferred  compensation  plan  (the  Deferral  Plan)  for  the  benefit  of  officers  and  employees  who  qualify  for  inclusion. 
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 net cash surrender value of the life insurance policies and an 
equal amount of related Company obligation for deferred compensation was $1,653 and $1,202 at March 31, 2006 and 2005, respectively.  The 
values of the life insurance policies and the related Company obligation are included on the balance sheet in other long term assets and deferred 
compensation,  respectively.    The  Company  made  contributions  of  $25,  $13  and  $12  to  the  Deferral  Plan  for  each  of  the  fiscal  years  ended 
March 31, 2006, 2005 and 2004, respectively. 

 99

 
 
 
 
 
 
 
 
 
 
The  Company  has  a  voluntary  employee  stock  contribution  plan  for  the  benefit  of  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 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  $14,  $6  and  $3  were  made  by  the  Company  for  fiscal  years  ended  March  31,  2006,  2005  and  2004, 
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.  Under the terms of the Agreement, 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  of  Directors.    The  Board  of 
Directors  has  subsequently  approved  a  bonus  program  that  contains  a  provision  that  makes  Mr.  Silverman  eligible  for  a  cash  bonus  that  is 
greater than that set forth in the Agreement.  

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) immediate vesting of an additional 25% of all granted, but unvested 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) 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 

In September 1998, the Company’s shareholders approved a stock option plan (the “1998 Plan”) under which 4,000,000 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 

 100

 
 
 
 
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, 2006, 133,300 shares were available for future grant 
under the 1998 Plan.  As of March 31, 2006, there were 1,798,372 outstanding options related to this Plan. 

In October 2005, the Company’s shareholders approved a stock option and incentive plan (the “2005 Plan”) under which 2,400,000 shares of 
Common Stock have been reserved for the issuance of awards, including stock options, both incentive stock options and non-qualified stock 
options, stock appreciation rights, restricted stock, unrestricted stock, restricted stock units, performance shares, performance units (including 
performance options) and other stock based awards. The 2005 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 awards to purchase shares of Common Stock. 
The  exercise  price  of  each  award  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 award may be subject to accelerated vesting under certain circumstances. The 2005 Plan 
terminates on May 25, 2015, unless sooner terminated by the Board. At March 31, 2006, 2,400,000 shares were available for future grant under 
the 2005 Plan.  As of March 31, 2006, there were no outstanding options related to this Plan. 

On October 5, 2005, the Board of Directors  granted a total of  124,000  stock  options  under  the  Company's  1998  Stock  Option  Plan  to 
non-management Directors  pursuant  to  the  Company's   previously  announced compensation plan for  non-management directors,  at an 
exercise price equal to the market price of the Company's  common stock on the date of the grant ($34.065 per share).  The options fully vested 
on January 5, 2006 and expire on October 5, 2012. No compensation expense has been recorded for these options.  

On August 8, 2005, the Board of Directors granted 19,000 options under the Company’s 1998 Stock Option 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 ($32.445 per share).  The options vest in four 
equal  annual  installments  beginning  August  8,  2006  and  expire  on  August  8,  2012.    No  compensation  expense  has  been  recorded  for  these 
options.    

On February 11, 2005, the Board of Directors granted 1,044,900 options under the 1998 plan to selected employees and to Directors (14,000 
for each Director) at an exercise price equal to the market price of the Company’s Common Stock on the date of grant ($19.34 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  70,000  options  under  the  1998  plan  to  Directors  (10,000  for  each  Director)  at  an 
exercise price equal to the market price of the Company’s Common Stock on the date of the grant ($12.75 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 60,000 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  ($11.855  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.   

 101

 
 
 
 
 
 
 
On June 10, 2004, the Board of Directors granted 600,000 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 ($11.67 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 240,000  options under  the  1998  plan  to  employees  at  an  exercise  price of  $3.865 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  ($11.04  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, 2006, 2005 and 2004, the Company 
recognized compensation expense of $428, $431 and $180 related to these options.   During the years ended March 31, 2006, 2005 and 2004, 
the Company received tax benefit from the exercise of stock options of $4,831, $2,680, and $1,454 respectively. 

On October 29, 2003, the Board of Directors granted 14,000 options under the 1998 plan to Emad Zikry, a then Director of the Company, at an 
exercise price of $1.75 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. 

 102

 
 
 
 
 
 
A summary of option transactions under the 1998 Plan for the three years ended March 31, 2006 is as follows: 

Year Ended March 31, 
2006 

Year Ended March 31, 
2005 

Year Ended March 31, 
2004 

Options 

2,169,444 
143,000 
(486,772) 
(27,300) 

Weighted 
-Average 
Exercise 
Price 

$ 13.89 
33.85 
9.20 
12.37 

Options 

1,322,348 
1,774,900 
(920,556) 
(7,248) 

Weighted 
-Average 
Exercise 
Price 

$   2.63 
16.23 
2.29 
2.03 

1,798,372 

$ 16.78 

2,169,444 

$ 13.89 

Options 

1,792,308 
254,000 
(692,960) 
(31,000) 
1,322,348 

Weighted 
-Average 
Exercise 
Price 

$   2.19 
3.75 
1.89 
2.25 

$   2.63 

133,300 

276,300 

2,051,200 

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

 103

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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, 2006 are summarized as follows: 

Options Outstanding 

Options Exercisable 

Range of 
Exercise Price 

Number 
Outstanding 

$ 2.81 

to 

$  3.87 

143,558 

$11.67 

to 

$12.75 

585,910 

$19.34 

to 

$19.34 

925,904 

$32.45 

to 

$34.07 

143,000 

1,798,372 

9. Commitments and Contingencies 

Weighted 
Average 
Remaining 
Life 

Weighted  
Average 
Exercise  
Price 

2.27 

3.24 

5.87 

6.50 

$    3.70 

$  11.77 

$  19.34 

$  33.85 

Weighted 
Average 
Exercise  
Price 

$    2.88 

$  12.21 

$  19.34 

$  34.07 

Number  
Exercisable 

23,558 

99,910 

223,829 

124,000 

471,297 

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 October 2011. Rent expense for the years ended March 31, 2006, 2005, and 2004 was $1,634, $1,285 and $1,226, respectively.  Rental 
commitments under these agreements are as follows:  

Year Ending March 31,  

2007 
2008 
2009 
2010 
2011 and beyond 

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

$1,771 
2,137 
1,905 
1,903 
2,688 

$10,404 

 104

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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.  

10.  Fair Value of Financial Instruments 

The Company’s financial instruments include cash and cash equivalents, accounts receivable, accounts payable, deferred revenue and accrued 
liabilities.  Management believes that the fair value of cash and cash equivalents, 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.   

 105

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

(in thousands) 

Year Ended March 31,  
2006 
  Revenue ........................................... $   15,544 
3,610 
  Operating income (loss)...................

QSI Division 

NextGen 
Division 

Unallocated 
Corp. Expenses 

Consolidated 

$   103,743 
40,245 

$               -- 
(8,037) 

$    119,287 
35,818 

2005 
  Revenue ...........................................
  Operating income (loss)...................

15,367 
4,162 

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

73,594 
25,904 

-- 
(5,453) 

88,961 
24,613 

54,443 
$      15,789 

-- 
$      (4,026) 

70,934 
$     16,640 

 106

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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, 2006.  
Such information is presented on the same basis as the annual information presented in the accompanying consolidated financial statements.  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) 

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

for 

6/30/04 

9/30/04 

12/31/04 

3/31/05 

6/30/05 

9/30/05 

12/31/05 

3/31/06 

$  8,819 
    2,265 
  11,084 
    6,759 
    2,287 

$9,307 
  2,300 
11,607 
  7,022 
  2,588 

$ 9,781 
   1,889 
 11,670 
   7,681 
   2,737 

$ 11,765 
     2,402 
   14,167 
    8,483 
    2,876 

$12,973  $13,661  $ 10,835 
     2,615 
   3,031 
    2,490 
   13,450 
 16,692 
  15,463 
     9,992 
   9,676 
    8,863 
     3,310 
   3,174 
    3,102 

$17,469 
    3,157 
  20,626   
 11,269 
   3,670 

    9,046 
  20,130 

  9,610 
21,217 

 10,418 
 22,088 

   11,359 
   25,526 

  11,965 
  27,428 

 12,850 
 29,542 

   13,302 
   26,752 

 14,939 
 35,565 

    2,352 
    1,392 
    3,744 
    2,947 
    1,410 

    4,357 
    8,101 
  12,029 
    4,953 
    1,612 
    5,464 
       120 

    5,584 
    2,202 
$  3,382 

  1,692 
  1,579 
  3,271 
  2,956 
  1,710 

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

  6,218 
  2,503 
$3,715 

   1,384 
   1,575 
   2,959 
   2,823 
   1,733 

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

   6,709 
   2,488 
$ 4,221 

 107

    2,097 
    1,754 
     3,851 
    3,394 
    1,871 

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

    2,456 
    1,824 
    4,280 
    3,409 
    2,062 

    5,471 
    9,751 
  17,677 
    8,032 
    1,741 
    7,904 
       341 

   1,907 
   1,942 
   3,849 
   3,637 
   2,125 

   5,762 
   9,611 
 19,931 
   8,920 
   1,977 
   9,034 
      460 

     1,659 
     1,975 
     3,634 
     3,553 
     2,216 

     5,769 
     9,403 
   17,349 
     8,016 
     2,208 
     7,125 
        594 

   2,126 
   2,347 
   4,473 
   4,432 
   2,158 

   6,590 
 11,063 
 24,502 
 10,586 
   2,161 
 11,755 
      713 

     6,978 
     2,187 
$   4,791 

   9,494 
    8,245 
    3,170 
   3,700 
$  5,075  $ 5,794 

     7,719 
     2,904 
$   4,815 

 12,468 
   4,830 
$ 7,638 

 
 
 
 
 
  
   
  
  
   
  
    
 
 
 
 
 
 
 
 
 
   
  
    
    
    
    
    
 
   
   
  
   
   
   
   
 
(in thousands) 

Quarter Ended (Unaudited) 

6/30/04 

9/30/04 

12/31/04 

3/31/05 

6/30/05 

9/30/05 

12/31/05 

3/31/06 

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

$    0.13 
$    0.13 

$  0.15 
$  0.14 

$  0.16 
$  0.16 

$    0.18    $    0.19    $   0.22   $     0.18   $   0.29 
$    0.18    $    0.19    $   0.21   $     0.18   $   0.28 

  25,332 

25,560 

25,904 

  26,178 

  26,224 

 26,298 

   26,490 

 26,642 

  26,308 

26,392 

26,564 

  26,740 

  26,950 

 27,128 

   27,372 

 27,432 

*  Will not add to annual EPS due to rounding 

 108

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
For the Year Ended 

Schedule II 
ALLOWANCE FOR DOUBTFUL ACCOUNTS 
(in thousands) 

Balance at 
Beginning of 
Period 

Additions 
Charged to 
Costs and 
Expenses 

Deductions 

Balance at 
End of Period 

March 31, 2006.................................................. $   1,837 
March 31, 2005.................................................. $   1,293 
March 31, 2004.................................................. $      990 

$   1,181 
$      797 
$      647 

$   (462) 
$   (253) 
$   (344) 

$   2,556 
$   1,837 
$   1,293 

For the Year Ended 

ALLOWANCE FOR INVENTORY OBSOLESCENSE 
(in thousands) 

Balance at 
Beginning of 
Period 

Additions 
Charged to 
Costs and 
Expenses 

Deductions 

Balance at 
End of 
Period 

March 31, 2006.................................................. $   146 
March 31, 2005.................................................. $   207 
March 31, 2004.................................................. $   160 

$   179 
$   160 
$     54 

$    (21) 
$  (221) 
$      (7) 

$   304 
$   146 
$   207 

 109

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
INDEX TO EXHIBITS 

10.23  Lease agreement between the Company and Von Karman Michelson Corporation dated September 6, 2005. 

10.24  Fourth Amendment to lease agreement between the Company and Tower Place, L.P. dated September 22, 2005. 

10.25    Second Amendment to lease agreement between the Company and HUB Properties LLC dated February 14, 2006.  

21 

List of Subsidiaries 

23.1 

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

31.1 

31.2 

32.1 

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. 

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. 

 110

 
 
 
 
 
 
 
 
 
 
EXHIBIT 21 

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. 

 111

 
 
 
 
 
EXHIBIT 23.1 

CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM 

We have issued reports dated June 2, 2006, 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, 2006.  We hereby consent to the incorporation by reference of said reports 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, File No. 333-67115, 
effective November 12, 1998 and File No. 333-129752, effective November 16, 2005). 

/s/  Grant Thornton LLP 

Irvine, California 
June 2, 2006 

 112

 
 
 
 
 
 
 
 
  
 
 
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:  

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

1. 
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  

(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 8, 2006 

By: /s/ LOUIS E. SILVERMAN 

      Louis E. Silverman, 

President and Chief Executive Officer 

 113

 
 
 
 
 
 
 
 
CERTIFICATION OF CFO 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  

(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 8, 2006 

By: /s/ PAUL HOLT 

        Paul A. Holt, 

Secretary and Chief Financial Officer 

 114

 
 
 
 
 
 
 
 
 
 
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 period ended March 31, 2005 
(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 8, 2006 

By: /s/ LOUIS SILVERMAN____ 

Louis Silverman 
Chief Executive Officer (principal executive officer) 

Dated: June 8, 2006 

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. 

 115

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Q UA L I T Y  S Y S T E M S ,  I N C .    //    2 0 0 6  A N N UA L  R E P O R T     

C O R P O R A T E   I N F O R M A T I O N

D I R E C T O R S   O F   T H E   C O M P A N Y

O F F I C E R S   O F   T H E   C O M P A N Y

Sheldon Razin

Chairman 

Patrick Cline

Louis Silverman

President & Chief Executive Officer

Patrick Cline

President, NextGen Healthcare Information Systems

President, NextGen Healthcare  

Maurice DeWald

Information Systems

Chief Executive Officer, Verity Financial Group, Inc.

Greg Flynn

L E G A L   C O U N S E L

Rutan & Tucker, LLP

Costa Mesa, California

I N D E P E N D E N T   A U D I T O R S

Grant Thornton LLP

Irvine, California

Executive Vice President &  

General Manager, QSI Division

Paul Holt

Chief Financial Officer

I N V E S T O R   R E L A T I O N S   C O N S U L T A N T S

CCG Investor Relations

Los Angeles, California

310.477.9800

F O R M   1 0 - 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.

Ahmed Hussein

Director

Ibrahim Fawzy

Director

Vincent Love

Managing Partner, Kramer, Love & Cutler, LLP

Steven Plochocki

Chief Executive Officer, Trinity Hospice

Louis Silverman

President & Chief Executive Officer,

Quality Systems, Inc.

m
o
c
.
s
r
o
n
n
o
c
-
n
a
r
r
u
c
.
w
w
w

/

.
c
n
i

,
s
r
o
n
n
o
c
&
n
a
r
r
u
c

y
b

d
e
n
g
i
s
e
d

 
 
 
 
 
 
 
C O R P O R A T E / Q S I   D I V I S I O N   H E A D Q U A R T E R S  
18191 Von Karman Avenue, Suite 450  
Irvine, California 92612  
949.255.2600

www.qsii.com

N E X T G E N   D I V I S I O N   L O C A T I O N S
795 Horsham Road  
Horsham, Pennsylvania 19044  
215.657.7010

3340 Peachtree Road 
Atlanta, Georgia 30326  
404.467.1500

www.nextgen.com

Q
U
A
L
I
T
Y

S
Y
S
T
E
M
S
,

I

N
C

.

/
/

2
0
0
6

A
N
N
U
A
L

R
E
P
O
R
T