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NextGen Healthcare
Annual Report 2007

NXGN · NASDAQ Healthcare
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FY2007 Annual Report · NextGen Healthcare
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2 0 0 7   A N N U A L   R E P O R T
2 0 0 7   A N N U A L   R E P O R T

»  a year of accomplishments

»

»

Financial Recognition
#26 – Forbes 200 Best Small Companies in America 

#19 – BusinessWeek 100 Hot Growth Companies 

#25 – Business 2.0 100 Fastest Growing Tech Companies 

#17 – Fortune America’s 100 Fastest Growing Small Companies 

#84 – Fortune 100 Fastest Growing Companies

Company/ Product Achievements
»  NextGenEMR Ranked #1  

  for large, mid-size, and small group practices–AC Group

»  NextGenEMR Ranked #1  

  for Functionality, Multi-Specialty Functionality, Mental Health and FQHC’s–AC Group

»  NextGenEMR Innovation Award Winner,  

  Disease Surveillance–with client partner Joslin Clinic–MS-HUG 

»  NextGenEMR Innovation Award Finalist,  

  Clinical Records, Ambulatory–with client partner Crystal Run Healthcare– MS-HUG 

»  NextGenEMR DOQ-IT Approved 

  Doctor’s Office Quality-Information Technology  

»  NextGenEMR GoldRxTM 

  Certification–SureScripts®

 »  NextGenEMR Version 5.3–CCHIT CertifiedSM product  

   for CCHIT Ambulatory EHR 2006 (Certification Commission for Healthcare Information Technology)

»  NextGenEPM/EMR/ICS Ranked #1  

  Integrated Solution for Complete Physician Office Automation–AC Group 

»  NextGenCHS Best Technology  

  to Integrate Data Exchange and Automate Business Processes–Consumer Health World

          
 
 
 
 
 
»  to the shareholders  

of quality systems, inc.

This is the 7th letter to shareholders I have written 

I greatly respect and admire the more than 650 people 

since arriving at the Company in August of 2000. Each 

who represent our Company so well. As a team, they 

year I have managed to avoid subjecting you to the 

have worked with extraordinary passion and have 

pithy prediction(s) du jour or prattling on about “our 

too many successes to count,” the “unbelievably bright 

achieved extraordinary results. Those who have skill-
fully coded, sold, implemented, and supported our 

prospects for the year(s) ahead,” or “the innumerable 

products and our clients over the past many years have 

important breakthroughs just around the corner.” There 

been instrumental in helping the Company capitalize 

will be no change in protocol this year. We remain 

on the opportunities of the past. I hope to be able to 

proud proponents of trying to talk less while trying to 

say that each year. Their energy, insight and enthusiasm 

do more. 

are among the Company’s most valued assets. 

During FY07, Company revenue grew by 32% and 

As we have grown, we have remained entrepreneurial 

earnings per share (diluted) grew by 42%. This was 

in spirit and culture. We have worked hard and largely 

driven by revenue growth of 36% and operating 

successfully to eschew politics and bureaucracy. We 

income growth of 40% in the NextGen Division,  

remain content to let our competitors corner the market 

which for the year represented 89% of total Company 

on self-promotion.

revenue. The QSI division achieved revenue growth  

of 7% and operating income growth of 22%. 

We are proud of our past and see the potential for a 

bright future. We are appreciative of the many clients 

Achieving good growth was—and remains—our goal 

and shareholders who hold similar views. 

and your expectation. We are fortunate to be in a 

good business at a good time. Selling products that are 
drawing increasing interest and attention certainly beats 

the alternative. I am confident that the markets we serve 
will again give us the opportunity to execute success-
fully in the coming year, though I cannot predict how 

well we will actually do. I sincerely hope that our FY08 

achievements will align with your expectations for the 

coming year(s). I know the effort will be there.

Sincerely,

Louis Silverman
President and Chief Executive Officer

1

» a year of continuing innovation

Product development successes during FY07 included:

REGI O N A L  HE A LT H  INF O RM ATI O N  

C O MMUNIT Y  HE A LTH   S O LUTI O N  

F ED ER A L   PAY- F O R- PERF O RM A N CE 

O RG ANIZ ATIO NS  ( RHIOS )  iPN Avista 

is a Colorado healthcare collaborative 

( CHS )   NextGenCHS is a web-based 
community health portal that allows 

( P4P)  P RO G R A MS   Healthcare  

information technology is critical  

composed of a Federally Qualified 

NextGen clients such as the Ann Arbor 

to successful participation in  

Health Center (FQHC); a Medicaid/ 

Area Health Information Exchange 

P4P programs.

Medicare HMO; Avista Adventist 

(A3HIE) to share information critical to 

Hospital; and physicians from 15  

patients they treat and refer.

NextGenEMR provides physicians with 
an efficient and accurate means of col-

private practices at 19 sites.

Believed to be the nation’s first  

NextGenCHS enables A3HIE partners to 
improve quality of care and decrease 

lecting and electronically submitting 

the data required for these programs.

physician-led, physician-funded  

healthcare costs by streamlining online 

RHIO, iPN Avista uses NextGen’s 

referrals and reports and making 

enterprise architecture to create and 

demographic information, medications, 

share single, longitudinal medical 

allergies, and current problem and 

records for patients, as well as dis-

diagnoses lists easily and electronically 

charge summaries, ER reports,  

available.

progress notes, and allergies and  

medication lists.

Affiliated providers have the informa-

tion they need at their fingertips to 

make optimal treatment decisions.

Information is entered into each  
practice’s NextGenEMR system and  
is automatically “pushed” into the 
NextGenCHS repository, where it can  
be accessed by member physicians.

Additionally, because NextGen’s product 

A3HIE currently consists of four primary 

architecture stores patient information 

care and specialty practices, repre-

as discrete data elements in a shared, 

senting 210 physicians and 50 nurse 

central database, practices can analyze 

practitioners and serving 400,000 

aggregate clinical data across patient 

patients—about 75% of the greater 

populations to measure quality  

Ann Arbor community.

outcomes, participate in pay-for- 

performance programs, and con-

tinually improve quality of care.

The consortium’s plan is to expand  
the NextGenCHS patient information 
exchange to include additional prac-

tices and patients.

To help practices participate in these 
programs, NextGenEMR and NextGenEPM 
incorporate discrete data capture tools 

that allow providers to collect required 

quality measures during the normal 

course of clinical documentation or 

billing processes.

NextGen customers currently participate 

in two major P4P efforts:

Physicians Quality Reporting Initiative 

(PQRI) NextGen is working with clients 
to streamline PQRI data submissions. 

At the heart of this effort are NextGen’s 

clinical templates, which include map-

ping to the Centers for Medicare & 

Medicaid Services (CMS) quality  
indicators built into NextGenEMR  
disease management protocols. 

Medicare Care Management 

Performance (MCMP) This CMS pilot 

program was scheduled to roll out  

in summer 2007 with participating 

NextGen practices.

2

» Regional Health Information Organizations
» Regional Health Information Organizations

“ We regard the EMR as the heart of  
“ We regard the EMR as the heart of  
iPN Avista’s technology infrastruc-
iPN Avista’s technology infrastruc-
ture, since it provides the conduit for 
ture, since it provides the conduit for 
all patient information.”
all patient information.”

   Christopher D. Sprowl, MD, President, iPN Avista 
   Christopher D. Sprowl, MD, President, iPN Avista 

» Community Health Solution
» Community Health Solution

“ We’re tying a lot of people together here, and 
“ We’re tying a lot of people together here, and 
we’re making the best use of our EMRs. The 
we’re making the best use of our EMRs. The 
level of individual care was high, but the EMR 
level of individual care was high, but the EMR 
and CHS will allow us to raise the level of 
and CHS will allow us to raise the level of 
health across the community.”
health across the community.”

  Dr. Neal Weinberg, Pediatrician, IHA
  Dr. Neal Weinberg, Pediatrician, IHA

» Federal Pay-for-Performance Programs
» Federal Pay-for-Performance Programs

“ We know of no other product available today that can  
“ We know of no other product available today that can  
offer the capability to capture data for this program  
offer the capability to capture data for this program  
right out of the clinical system. Without the NextGen  
right out of the clinical system. Without the NextGen  
solutions, we would have to create a separate program  
solutions, we would have to create a separate program  
to go into our billing system and extract the data, which 
to go into our billing system and extract the data, which 
would have necessitated a great deal of extra work and 
would have necessitated a great deal of extra work and 
unplanned expenses.”
unplanned expenses.”

  Mark Foster, MD, Hudson Valley Primary Care
  Mark Foster, MD, Hudson Valley Primary Care

3
3

» 2007 financial performance

C OMPANY  RE VENUE   

NE X TGEN  RE VENUE   

INCRE ASED  BY

INCRE ASED  BY

 32%

TO  $157.2  MILLION

 36%

TO  $14 0.6  MILLION

E ARNINGS  PER  SHARE  

NE X TGEN   

( F UL LY   D ILU T E D )  INCRE ASED  BY

AC C OUNTED  FOR

 42%

TO  $1.21  PER  SHARE

 89%

OF  C OMPANY  RE VENUE

»  Revenue has increased at the compounded annual 

rate of 30% for the FY03–07 period.

»  Earnings per share (fully diluted) increased at  

the compounded rate of 45% during the  

FY03–07 period.

»  Our NextGen Healthcare Information Systems 
Division’s revenue grew at the compounded  

annual rate of 39% during the FY03–07 period.

»  Special dividends totaling $70 million were paid  

to shareholders in FY05, FY06, and FY07.

4

»  quality systems, inc.  

2007 form 10-k

UNITED STATES 
SECURITIES AND EXCHANGE COMMISSION 
WASHINGTON, DC 20549 

FORM 10-K 

ANNUAL REPORT 
PURSUANT TO SECTIONS 13 OR 15(d) OF THE 
SECURITIES EXCHANGE ACT OF 1934 

(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, 2007 

or 

[X] 

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE 
SECURITIES EXCHANGE ACT OF 1934 
For the transition period from _____________ to _______________ 

Commission file number:  0-13801 

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

California 
(State or other jurisdiction of 
incorporation or organization) 

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

18191 Von Karman Avenue, Irvine, California 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: 

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

NASDAQ Global Select Market 
(Name of each exchange on which registered) 

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

None 
(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 Act.   Yes        No  X   

-1- 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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.  [ X ] 

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.  (Check one): 
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   

The aggregate market value of the voting stock held by non-affiliates of the Registrant as of  September 30, 
2006:  $660,124,000  (based  on  the  closing  sales  price  of  the  Registrant’s  common  stock  as  reported  in  the 
NASDAQ National Market System on that date, $38.78 per share).* (1)  

The Registrant has no non-voting common equity. 

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 

27,122,955 

(Class) 

 (Outstanding at June 7, 2007) 

*  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  31,  2006,  the  registrant  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 February 2, 2005, the registrant 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.  

-2- 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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  (―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.  

Forward-looking  statements  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, the risk factors discussed in Item 1A of this report as well as  factors discussed elsewhere in this and 
other reports  and  documents  we  file  with  the  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 unless required by law.  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 Commission. 

ITEM 1. 

BUSINESS 

Company Overview 

PART I 

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

Quality  Systems,  Inc.,  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.   

 3 

 
 
 
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  that  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 rates for this 
software, commonly referred to as clinical software, are relatively low. 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 
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.   

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

 4 

                                                   
 
Inclusive of divisional EDI revenue, the NextGen Division accounted for approximately 89.4% of our revenue for 
fiscal 2007 compared to 87.0% in fiscal 2006. Inclusive of divisional EDI revenue, the QSI Division accounted for 
10.6%  and  13.0%  of  revenue  in  fiscal  2007  and  2006,  respectively.  The  NextGen  Division’s  revenue  grew  at 
35.5% and 41.0% in fiscal 2007 and 2006, respectively, while the QSI Division’s revenue increased by 6.7% and 
1.2% in fiscal 2007 and 2006, respectively.   

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

Industry Background  

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

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

Our Strategy   

Our strategy is, at present, to focus on our 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.   

 5 

 
 
 
 
Products 

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

Practice Management  Systems.   Our  products  consist  primarily  of  proprietary  healthcare  software  applications 
together with third party hardware and other non-industry specific software. The systems range in capacity  from 
one to thousands of users, allowing us to address the needs of both small and large 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  RS6000[5]  central  processing  unit and  IBM'S  AIX[6]  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.  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 NextGen WEB trade names, respectively.  

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

  Electronic charting of dental procedures, treatment plans and existing conditions; 
  Periodontal  charting  via  light-pen,  voice-activation,  or  keyboard  entry  for  full  periodontal  examinations 

and PSR scoring; 

  Digital imaging of X-ray and intra-oral camera images; 
  Computer-based patient education modules, viewable chair-side to enhance case presentation; 
  Full  access  to  patient  information,  treatment  plans,  and  insurance  plans  via  a  fully  integrated  interface 

with our dental practice management product; and  

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

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

 6 

 
                                                   
 
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 Pentium[7]-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 Server[8] or Oracle[9]. The system is scalable from one to thousands of workstations. 

NextGenemr stores and maintains clinical data including: 

  Data captured using user-customizable input ―templates‖; 
  Scanned or electronically acquired images, including X-rays and photographs; 
  Data electronically acquired through interfaces with clinical instruments or external systems; 
  Other records, documents or notes, including electronically captured handwriting and annotations; and 
  Digital voice recordings. 

NextGenemr also offers a workflow module, prescription management, automatic document and letter generation, 
patient  education,  referral  tracking,  interfaces  to  billing  and  lab  systems,  physician  alerts  and  reminders,  and 
powerful  reporting  and  data  analysis  tools.    NextGen  Express  is  a  version  of  NextGenemr  designed  for  small 
practices. 

In 2006, the NextGen Division launched a new health information network technology product named NextGen 
Community  Health  Solution  (NextGen  CHS).   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  (NextGenemr)  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 

7Pentium 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. 

 7 

                                                   
 
 
 
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.  

Also  in  fiscal  year  2006,  we  introduced  a  new  service  named  Practice  Solutions.   This  service  provides  billing 
services to solo and group practices. 

Connectivity  Services.  We  make  available  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  patient  health  portal,  NextMD®.  
NextMD is a  vertical portal for the healthcare industry, linking patients with their physicians, 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, integrating a number of these features with physicians’ existing systems. 

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, 2007, 2006 and 2005. 

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 can be performed on the 
prospective clients’ premises, or 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  normally  receive  up-front  licensing  fees.    Clients  have  the  option  to 
purchase maintenance services which, if purchased, are invoiced on a monthly, quarterly or annual 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. 

 8 

 
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 adversely affect us. No client 
accounted  for  ten percent  or  more  of  net  revenue  during the  fiscal  years  ended  March  31,  2007,  2006,  or  2005.  
However, one client did represent approximately 12.5% of gross accounts receivable as of March 31, 2007. 

Customer Service and Support   

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

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

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

We  offer our clients support services for most system components, including hardware and software, for a fixed 
monthly, quarterly or annual 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 

 9 

 
 
 
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. 

In addition, NextGen E-learning is 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.   

In fiscal year 2007, we opened a new NextGen training facility in Dallas, Texas.  This new training facility adds to 
our existing training facilities located in  Horsham, Pennsylvania, Atlanta, Georgia and adjacent to our corporate 
offices in Irvine, California.   

Competition   

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

Product 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 2007, 2006, and 2005, we expended approximately $15.2 million, $11.4 million, and 
$9.6 million, respectively, on research and development activities, including capitalized software amounts of $5.0 
million,  $3.3  million,  and  $2.7  million,  respectively.  In  addition,  a  portion  of  our  product  enhancements  have 
resulted from software development work performed under contracts with our clients.  

Employees 

As of June 1, 2007, we employed 661 persons, of which 647 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  which,  if  we  fail  to  properly  address,  could  adversely  affect  our 
business,  results  of  operations,  financial  condition  and  price  of  our  stock.  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 adversely affect our 
business, results of operations, financial condition and price of our stock. 

 10 

 
 
 
 
 
 
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 
adversely affect our business, results of operations and financial condition. Also, there can be no assurance that our 
applications  will  achieve  broad  market  acceptance  or  will  successfully  compete  with  other  available  software 
products. 

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

The unpredictability of our quarterly operating results may cause the price of our common stock to fluctuate or 
decline.    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;  
the availability and cost of system components;  
the financial stability of clients;  

  market acceptance of new products, applications and product enhancements;  

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

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

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 

 11 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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  adversely  affect  our  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 adversely affected. 

Our  common  stock  price  has  been  volatile,  which  could  result  in  substantial  losses  for  investors  purchasing 
shares  of  our  common  stock  and  in  litigation  against  us.    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.   

Moreover, in the past, securities class action litigation has often been brought against a company following periods 
of volatility in the market price of its securities.  We may in the future be the target of similar litigation.  Securities 
litigation could result in substantial costs and divert management’s attention and resources.   

 12 

 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
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  36%  of  the  outstanding  shares  of  our 
common  stock  at  March  31,  2007.    Our  Bylaws  permit  our  shareholders  to  cumulate  their  votes,  the  effect  of 
which  is  to  provide  shareholders  with  sufficiently  large  concentrations  of  our  shares  the  opportunity  to  assure 
themselves one or more seats on our 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 36%  of the outstanding shares of  our common stock at March 31, 2007 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.  

If our principal products and our new product development fail to meet the needs of our clients, we may fail to 
realize  future  growth.    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 adversely affected.  At certain times in the past, we have also experienced delays in 
purchases  of  our  products  by  clients  anticipating  our  launch  of  new  products.  There  can  be  no  assurance  that 
material order deferrals in anticipation of new product introductions from ourselves or other entities will not occur. 

If the emerging technologies and platforms of Microsoft and others upon which we build our products do not 
gain or continue to maintain 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, which may force us to adjust our sales, marketing and pricing 
strategies.  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, the majority of our 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 adversely affect our financial condition, cash flows and quarterly and annual 

 13 

 
 
 
 
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. 

Many of our competitors have greater resources than we do.  In order to compete successfully, we must keep 
pace with our competitors in anticipating and responding to the rapid changes involving the industry in which 
we  operate,  or  our  business,  results  of  operations  and  financial  condition  may  be  adversely  affected.    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 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  website,  which  may  cause  us  expense  and  management 
distraction.  We could be subject to third party claims based on the nature and content of information supplied on 
our website 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  website  or  third  party  websites  linked  from  our  website  or  through 
content  and  information  that  may  be  posted  by  users  in  chat  rooms,  bulletin  boards  or  on  websites  created  by 
professionals  using  our  applications.  Even  if  these  claims  do  not  result  in  liability  to  us,  investigating  and 
defending against these claims could be expensive and time consuming and could divert management’s attention 
away from our operations. 

We  face  risk  and/or  the  possibility  of  claims  from  activities  related  to  strategic  partners,  which  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 rely on third parties to provide services that affect 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.  These third 
parties could raise their prices and/or be acquired by competitors of our which could potentially create short and 
long-term disruptions to our business negatively impacting our revenue, profit and/or stock price.  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: 

 14 

 
 
 
 
 
 
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  affect  interest  or  investment  income,  thereby 
potentially adversely 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  effect  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 us 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  an 
adverse effect on our results of operations.  

We face the risks and uncertainties that are associated with litigation against us, which may adversely impact 
our marketing, distract management and have a negative impact upon our business, results of operations and 
financial condition.  We face the risks associated with litigation concerning the operation of our business.  The 
uncertainty  associated  with  substantial  unresolved  litigation  may  have  an  adverse  effect  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  an  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. 

Because we believe that proprietary rights are material to our success, misappropriation of these rights could 
adversely  affect  our  financial  condition.    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 

 15 

 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
royalty  arrangement  or  other  financial  arrangement  with  the  party  asserting  the  claim.  Responding  to  and 
defending any such claims may distract the attention of our management and adversely affect 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  and  other  services  from  third  parties,  which  may  cause  us  to 
discontinue, delay or reduce product shipments.  We depend upon licenses for some of the technology used in our 
products as well as other services from third-party vendors. Most of these arrangements can be continued/renewed 
only by mutual consent and may be terminated for any number of reasons. We may not be able to continue using 
the products or services made available to us under these arrangements on commercially reasonable terms or at all. 
As  a  result,  we  may  have  to  discontinue,  delay  or  reduce  product  shipments  or  services  provided  until  we  can 
obtain equivalent technology or services. Most of our third-party licenses are non-exclusive. Our competitors may 
obtain  the  right  to  use  any  of  the  business  elements  covered  by  these  arrangements  and  use  these  elements  to 
compete directly with us. In addition, if our vendors choose to discontinue providing their technology or services 
in the future or are unsuccessful in their continued research and development efforts, we may not be able to modify 
or adapt our own products.  

We face the possibility of damages resulting from internal and external security breaches, and viruses.  In the 
course  of  our  business  operations,  we  compile  and  transmit  confidential  information,  including  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, and which may diminish Internet usage and availability as well as access to our website.  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  its  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 website operators may obstruct or diminish access to our website by 
our customers resulting in a loss of potential or existing users of our services. 

 16 

 
 
 
 
 
 
Our failure to manage growth could harm our business, results of operations and financial condition. 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 an 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 
an adverse effect on our business, results of operations and financial condition. 

Our operations are dependent upon our key personnel.  If such personnel were to leave unexpectedly, we may 
not be able to execute our business plan.  Our future performance depends in significant part upon the continued 
service of our key technical and senior management personnel, many of whom have been with us for a significant 
period of time.  These personnel have acquired specialized knowledge and skills with respect to our business.  We 
maintain  key  man  life  insurance  on  only  one  of  our  employees.  Because  we  have  a  relatively  small  number  of 
employees  when  compared  to  other  leading  companies  in  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  an  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,  which  could  have  an  adverse  effect  on  our 
business, results of operations and financial condition. Certain of our products provide applications that relate to 
patient clinical information. Any failure by our products to provide accurate and timely information could result in 
claims  against  us.  In  addition,  a  court  or  government  agency  may  take  the  position  that  our  delivery  of  health 
information directly, including through licensed practitioners, or delivery of information by a third party site that a 
consumer accesses through our Web sites, exposes us to assertions of malpractice, other personal injury liability, 
or  other  liability  for  wrongful  delivery/handling  of  healthcare  services  or  erroneous  health  information.  We 
maintain insurance to protect against claims associated with the use of our products as well as liability limitation 
language  in  our  end-user  license  agreements,  but  there  can  be  no  assurance  that  our  insurance  coverage  or 
contractual language would adequately cover any claim asserted against us.  A successful claim brought against us 
in  excess  of  or  outside  of  our  insurance  coverage  could  have  an  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. 

 17 

  
 
 
 
 
 
 
 
 
 
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 adversely affect our business, results of operations and financial condition. 

We are subject to the effect of payor and provider conduct which we cannot control and accordingly, there is no 
assurance  that  revenues  for  our  services  will  continue  at  historic  levels.    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.  
As a result of this, or other market factors, we are unable to ensure 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  payors  could  adversely 
affect our transaction volume and financial results.  In addition, we cannot provide assurance that we will be able 
to maintain our existing 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,  which  may  adversely impact  our  business,  financial  condition 
and  results  of  operations.  The  healthcare  industry  is  subject  to  changing  political,  economic  and  regulatory 
influences that may affect the procurement processes and operation of healthcare facilities. During the past several 
years, the healthcare industry has been subject to an increase in governmental regulation of, among other things, 
reimbursement rates and certain capital expenditures.  

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

As  existing  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 effect at this time.  We have 

 18 

 
 
 
 
 
 
 
 
taken steps to modify our products, services and internal practices as necessary to facilitate our compliance with 
the  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, developments of additional federal and state regulations and policies 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 adversely affect our business, financial condition and results of operations.  

If our products fail to comply with evolving government and industry standards and regulations, we may have 
difficulty  selling  our  products.    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, one or more of which could adversely affect our business, financial condition, cash flows, 
revenue  and  results  of  operations.  Based  on  our reading  and interpretations  of  relevant  guidance,  principles  or 
concepts issued by, among other authorities, the American Institute of Certified Public Accountants, the Financial 
Accounting Standards Board, and the 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  changes  in  our  revenue 
recognition  and/or  other  accounting  policies  and  practices  that  could  adversely  affect  our  business,  financial 
condition, cash flows, revenue and results of operations. 

If material weaknesses in our internal controls are identified by ourselves or our independent auditors, our per 
share price may be adversely affected. 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 our 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, through 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.  

Continuing worldwide political and economic uncertainties may adversely affect 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 

 19 

 
 
 
 
 
 
 
 
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 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 adversely affect the price of our stock. 

Our future policy concerning the payment of dividends is uncertain, which could adversely affect the price of 
our stock.  We have announced our intention to pay a quarterly dividend commencing with the conclusion of our 
first  fiscal  quarter  of  2008  (June  30,  2007)  and  pursuant  to  this  policy  the  Board  has  declared  a  quarterly  cash 
dividend of $0.25 per share on our outstanding shares of common stock, payable to shareholders of record as of 
June 15, 2007 with an anticipated distribution date of July 5, 2007. We anticipate that future quarterly dividends, if 
and when declared by the Board pursuant to this policy, would likely be distributable on or about the fifth day of 
each of the months of October, January, April and July.  There can be no guarantees that we will have the financial 
wherewithal to fund this dividend in perpetuity.  Further, the Board may decide not to pay further the dividend at 
some future time for financial or non-financial reasons.  Unfulfilled expectations regarding future dividends could 
adversely affect 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  78,000  square  feet  of  space  for  the 
principal office of our NextGen Division in Horsham, Pennsylvania. This lease expires in March 2011.  In January 
2007, we executed a new lease for approximately 35,000 square feet of space for the NextGen Division in Atlanta, 
Georgia.  This lease expires in October 2011.  In May 2006, we executed a lease for approximately 3,000 square 
feet  of  space  in  Dallas,  Texas  for  NextGen  staff  and  a  new  NextGen  training  facility.    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 
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 may be required to lease additional space.  We believe that suitable additional or 
substitute space is available, if needed, at market 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  currently  pending  matters  has  yet  to  be  determined,  we  do  not  presently  believe  that  their 
outcome will adversely affect 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 2007. 

 20 

 
 
 
 
 
 
PART II 

ITEM 5. 

MARKET  FOR  REGISTRANT’S  COMMON  STOCK,  RELATED  STOCKHOLDER 
MATTERS AND ISSUER PURCHASES OF EQUITY SECURITIES 

Market Price and Holders 

Our common stock is traded on the NASDAQ Global Select Market under the symbol ―QSII.‖ The following table 
sets  forth  for  the  quarters  indicated  the  high  and  low  sales  prices  for  each  period  indicated  as  reported  on  the 
NASDAQ Global Select Market and reflects all stock splits effected. 

Quarter Ended 

High 

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

$30.750 

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

$35.850 

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

$44.615 

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

$45.970 

June 30, 2006............................... 

September 30, 2006..................... 

December 31, 2006...................... 

March 31, 2007........................... 

$38.270 

$42.000 

$43.680 

$45.440 

Low 

$20.420 

$23.305 

$31.045 

$31.810 

$28.300 

$30.430 

$34.750 

$36.850 

At June 1, 2007, there were approximately 97 holders of record of our common stock. We estimate the number of 
beneficial holders of our common stock to be in excess of 13,000. 

Dividends and Splits 

In  February  2005,  we  announced  that  our  Board  of  Directors  declared  a  2-for-1  stock  split  with  respect  to  our 
outstanding shares of common stock.  The stock split record date was March 4, 2005 and the stock began trading 
post split on March 28, 2005.   

In March 2005, we paid a one-time dividend on shares of our common stock equal to $0.75 per share.  The record 
date for the dividend was February 24, 2005.  The dividend per share amount has been adjusted to reflect the stock 
split noted above.   

In January 2006, we announced that our 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  March  2006,  we  paid  a  $0.875  per  share  dividend  on  shares  of  our  common  stock.  The  record  date  for  the 
dividend was February 24, 2006. The dividend per share amount has been adjusted to reflect the stock split noted 
above.  

In January 2007, our Board of Directors adopted a policy whereby we intend to pay a regular quarterly dividend of 
$0.25 per share on our outstanding common stock commencing with conclusion of our first fiscal quarter of 2008 
(June  30,  2007)  and  continuing  each  fiscal  quarter  thereafter,  subject  to  further  Board review  and  approval  and 

 21 

 
 
 
 
 
 
 
 
establishment  of  record  and  distribution  dates  by  our  Board  of  Directors  prior  to  the  declaration  of  each  such 
quarterly  dividend.    On  May  31,  2007,  the  Board  declared  a  quarterly  cash  dividend  of  $0.25  per  share  on  our 
outstanding  shares  of  common  stock,  payable  to  shareholders  of  record  as  of  June  15,  2007  with an anticipated 
distribution date of July 5, 2007. We anticipate that future quarterly dividends, if and when declared by the Board 
pursuant to this policy,  would likely be distributable on or about the fifth day of each of the months of October, 
January, April and July. 

In  February  2007,  we  paid  a  $1.00  per  share  dividend  on  shares  of  our  common  stock.  The record  date  for  the 
dividend was February 13, 2007.  

Payment of future dividends, if any, will be at the discretion of our Board after taking into account various factors, 
including  without  limitation,  our  financial  condition,  operating  results,  current  and  anticipated  cash  needs  and 
plans for expansion.     

Performance Graph 

The following graph compares the cumulative total returns of our common stock, the Total Return Index for The 
NASDAQ Stock Market, and the NASDAQ Computer & Data Processing Services Stock Index over the five-year 
period ended March 31, 2007 assuming $100 was invested on April 1, 2002 with all dividends, if any, reinvested.    
This performance graph shall not be deemed to be ―soliciting material‖ or ―filed‖ for purposes of Section 18 of the 
Securities Exchange  Act  of  1934, as  amended  (the  ―Exchange  Act‖)  or  otherwise  subject  to  the  liabilities  under 
that  Section  and  shall not  be  deemed  to  be  incorporated  by  reference  into  any  filing  of  the  Company  under  the 
Securities Act of 1933, as amended or the Exchange Act.  

COMPARISON OF 5 YEAR CUMULATIVE TOTAL RETURN* 

Among Quality Systems, Inc., The NASDAQ Composite Index 
And The NASDAQ Computer & Data Processing Index 

$1,400 

$1,200 

$1,000 

$800 

$600 

$400 

$200 

$0 

3/02 

3/03 

3/04 

3/05 

3/06 

3/07 

Quality Systems, Inc. 

NASDAQ Composite 

NASDAQ Computer & Data Processing 

* $100 invested on 4/1/02 in stock or index-including reinvestment of dividends. 
Fiscal year ending March 31. 

 22 

 
 
  
The last trade price of our common stock on each of March 31, 2003, 2004, 2005, 2006 and 2007 was published by 
NASDAQ and, accordingly  for the periods ended March 31, 2003, 2004, 2005, 2006 and 2007 the reported last 
trade  price  was  utilized  to  compute  the total  cumulative  return  for  our  common  stock  for  the  respective  periods 
then  ended.    Shareholder  returns  over  the  indicated  periods  should  not  be  considered  indicative  of  future  stock 
prices or shareholder returns.  

Recent Sales of Unregistered Securities 

We did not make any unregistered sales of our common stock during the fourth quarter of 2007. 

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, 2007 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.  

 23 

 
Consolidated Financial Data 
(In Thousands, Except Per Share Data) 

Statements of Income Data 

2007 

2006 

2005 

2004 

2003 

                                                                     Year ended March 31, 

$  88,961 
    32,669 

$   70,934 
     28,673 

$   54,769 
    23,755 

    56,292 

       42,261 

      31,014 

    24,776 

       19,482 

     15,293 

      6,903 
    24,613 
         876 

         6,139 
       16,640 
            386 

       5,062 
     10,659 
          434 

    25,489 
      9,380 

       17,026 
         6,626 

     11,093 
       4,058 

$  16,109 

$     10,400 

$     7,035 

$      0.63 

$       0.42 

$      0.29 

$      0.61 

$       0.40 

$      0.28 

    25,744 

       24,872 

     24,508 

    26,406 

       25,932 

     25,556 

$  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 

      79,459 

      35,554 

        8,087 
      35,818 
        2,108 

Statements of Income Data: 
Revenue ...........................................................................  
Cost of revenue .................................................................  

$  157,165 
      50,784 

$  119,287 
      39,828 

Gross profit ......................................................................  
Selling, general and administrative 
expenses ...........................................................................  

      45,337 

    106,381 

Research and development costs ........................................  

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

      10,166 
      50,878 
        3,306 

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

      54,184 
      20,952 

      37,926 
      14,604 

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

$    33,232 

$    23,322 

Basic net income per share ................................................  

$        1.24 

$       0.88 

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

       26,882 

       27,550 

$        1.21 

$       0.85 

      26,413 

      27,356 

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

$     60,028 
$     76,616 
$   150,681 
$     59,435 
$     91,246 

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

 24 

 
 
 
 
 
  
 
      
      
     
     
     
     
     
    
     
    
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ITEM 7. 

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

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 affect 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 Commission. 

The following discussion should be read in conjunction with, and is qualified in  its 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 consolidated financial  statements 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 consolidated 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 but 
not  limited  to  those  related  to  revenue  recognition,  uncollectible  accounts  receivable,  and  income  taxes  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,  share-based 
compensation  and  income  taxes  are  among  the  most  critical  accounting  policies  that  affect  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 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 or annually depending on the nature of the product or service.   

 25 

 
 
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, we defer revenue related to the undelivered elements in a system sale 
based on VSOE of fair value of each of the undelivered elements, and allocate 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.    In  certain  transactions  whose 
collections risk is high, the cash basis method is used to recognize revenue.  If the fee is not fixed or determinable, 
then the revenue recognized in each period (subject to application of other revenue recognition criteria) will be the 
lesser of the aggregate of amounts due and payable or the amount of the arrangement fee that would have  been 
recognized  if  the  fees  were  being  recognized  using  the  residual  method.  Fees  which  are  considered  fixed  or 
determinable at the inception of our arrangements must include the following characteristics: 

  The fee must be negotiated at the outset of an arrangement, and generally be based on the specific volume 
of products to be delivered without being subject to change based on variable pricing mechanisms such as 
the number of units copied or distributed or the expected number of users. 

  Payment terms must not be considered extended.  If a significant portion of the fee is due more than 12 
months  after  delivery  or  after  the  expiration  of  the  license,  the  fee  is  presumed  not  fixed  and 
determinable. 

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, we use 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; 
  We can be expected to perform our 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. 

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.   

 26 

 
 
 
 
 
Product returns are estimated in accordance with Statement of Financial Accounting Standards No. 48, ―Revenue 
Recognition  When  Right  of  Return  Exists‖  (SFAS  48).    The  Company  also  ensures  that  the  other  criteria  in 
SFAS 48 have been met prior to recognition of revenue:  

  The price is fixed or determinable;  
  The  customer  is  obligated  to  pay  and  there  are  no  contingencies  surrounding  the  obligation  or  the 

payment;  

  The customer’s obligation would not change in the event of theft or damage to the product;  
  The customer has economic substance;  
  The amount of returns can be reasonably estimated; and  
  We do not have significant obligations for future performance in order to bring about resale of the product 

by the customer. 

We have historically offered short-term rights of return of less than 30 days in certain sales arrangements. If we are 
able  to  estimate  returns  for  these  types  of  arrangements,  revenue  is  recognized  and  these  arrangements  are 
recorded  in  the  consolidated  financial  statements.    If  we  are  unable  to  estimate  returns  for  these  types  of 
arrangements, revenue is not recognized in our consolidated financial statements until the rights of return expire. 

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. 

Revenue is divided 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.  The majority of the revenue in the 
system  sales  category  is  related  to  the  sale  of  software.    Revenue  in  the  maintenance,  EDI  and  other  services 
category  includes,  maintenance, EDI,  follow  on  training and  implementation  services,  annual  third  party  license 
fees and other revenue. 

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. 

 27 

 
 
 
 
Share-Based  Compensation.    On  April  1,  2006,  we  adopted  Statement  of  Financial  Accounting  Standard  No. 
123R,  ―Share-Based  Payment‖  (SFAS  123R)  which  requires  the  measurement  and  recognition  of  compensation 
expense  for  all  share-based  payment  awards  made  to  employees  and  directors  based  on  estimated  fair  values.  
SFAS 123R supersedes our previous accounting under Accounting Principles Board Opinion No. 25, ―Accounting 
for  Stock  Issued  to  Employees‖  (APB  25).    SFAS  123R  requires  us  to  estimate  the  fair  value  of  share-based 
payment awards on the date of grant using an option-pricing model.  The value of the portion of the award that is 
expected  to  vest  is  recognized  as  expense  over  the  requisite  service  period  in  our  consolidated  statement  of 
income.    We  use  the  simplified  method  for  estimating  expected  term  equal to  the  midpoint  between  the  vesting 
period  and  the  contractual  term.    Prior  to  using  the  simplified  method,  we  estimated  the  expected  term  of  an 
option.  We estimate volatility by using the weighted average historical volatility of our common stock, which we 
believe  approximates  expected  volatility.    The  risk  free  rate  is  the  implied  yield  available  on  the  U.S  Treasury 
zero-coupon issues with remaining terms equal to the expected term.  Those inputs are then entered into the Black 
Scholes model.   

Research  and  Development  Tax  Credits.   During  each  of  the  years  ended  March  31,  2007  and  2006,  we 
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 that affected 
the  effective  income  tax  rate  for  us  in  the  years  ending  March  31,  2007  and  2006.    Research  and  development 
credits  taken  by  us  involve  certain  assumptions  and  judgments  regarding  qualification  of  expenses  under  the 
relevant tax codes.   

Qualified  Production  Activities  Deduction.  During  the  years  ended  March  31,  2007  and  2006,  we  recognized 
approximately  $1.5  million  and  $0.8  million,  respectively,  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 us 
in  the  years  ended  March  31,  2007  and  2006.   The  deduction  taken  by  us  involved  certain  assumptions  and 
judgments regarding the allocation of indirect expenses as prescribed under the Code and Regulations. 

Overview of Our Results  

  We have experienced significant growth in our total revenue mainly as a result of revenue growth in our 
NextGen  Division.      Our  total  company  revenue  grew  31.8%  on  a  consolidated  basis  during  the  year 
ended March 31, 2007 versus 2006 and 34.1% in the year ended March 31, 2006 versus 2005.   

  Consolidated  income  from  operations  grew  42.1%  in  the  year  ended  March  31,  2007  versus  2006  and 
45.5%  in  the  year  ended  March  31,  2006  versus  2005.    This  performance  was  driven  primarily  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 35.5% in the year ended March 31, 2007 versus 2006 and 41.0% in the year ended March 
31, 2006 versus 2005 while divisional operating income (excluding unallocated corporate expenses) grew 
39.9% in the year end March 31, 2007 and 55.4% in the year ended March 31, 2006. 

  During  the  year  ended  March  31,  2007,  we  added  staffing  resources  to  departments  including  sales, 
marketing,  support,  software  development, and  administration  and  intend to  continue  to  do  so  in  fiscal 
year 2008, as business conditions and the hiring environment allow. 

 28 

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

QSI Division 

  Our QSI Division experienced a revenue increase of 6.7% in the year ended March 31, 2007 versus 2006 
and  an  increase  of  1.2%  in  the  year  ended  March  31,  2006  versus  2005.    The  Division  experienced  a 
21.6% increase in operating income (excluding unallocated corporate expenses) in the year ended March 
31, 2007 and 13.3% decrease in the year ended March 31, 2006. 

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

present in the QSI 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 income.  

Year Ended March 31, 

2007 

2006 

2005 

Revenue: 

  Software, hardware and supplies ..............................................      43.8% 
  Implementation and training .....................................................        7.8 
System sales ..............................................................................      51.6 
  Maintenance ............................................................................      26.7 
  EDI services ............................................................................      10.8 
  Other services ..........................................................................      10.9 
Maintenance, EDI and other services ..........................................      48.4 
Total revenue .............................................................................    100.0 

Cost of revenue: 

  Software, hardware and supplies ..............................................        5.4 
  Implementation and training .....................................................        5.5 
Total cost of system sales ...........................................................      10.9 
  Maintenance ............................................................................        7.5 
  EDI services ............................................................................        7.7 
  Other services ..........................................................................        6.2 

Total cost of maintenance, EDI and other services ......................  
    21.4 
Total cost of revenue ..................................................................      32.3 

    46.0% 
      9.5 
    55.5 
    26.1 
    11.1 
      7.3 
    44.5 
  100.0 

      6.8 
      6.8 
    13.6 
      9.2 
      7.2 
      3.4 

    19.8 
    33.4 

   44.6% 
     9.9 
   54.5 
   28.3 
   11.8 
     5.4 
   45.5 
 100.0 

     8.4 
     7.1 
   15.5 
     7.8 
     7.6 
     5.8 

   21.2 
   36.7 

Gross profit................................................................................      67.7 

    66.6 

   63.3 

Selling, general and administrative expenses ...................................  
    28.8 
Research and development costs .....................................................        6.5 
Income from operations .............................................................      32.4 
Interest income ...............................................................................        2.1 

    29.8 
      6.8 
    30.0 
      1.8 

   27.9 
     7.8 
   27.6 
     1.0 

Income before provision for income taxes ..................................  
    34.5 
Provision for income taxes ..............................................................      13.3 
Net income ................................................................................  

    21.1%* 

    31.8 
    12.2 
    19.6% 

   28.6 
   10.5 
   18.1% 

* does not add due to rounding 

 29 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Comparison of Fiscal Years Ended March 31, 2007 and March 31, 2006 

For the year ended March 31, 2007, our net income was $33.2 million or $1.24 per share on a basic and $1.21 per 
share on a fully diluted basis.  In comparison, we earned $23.3 million or $0.88 per share on a basic and $0.85 on a 
fully diluted basis in the  year ended March 31, 2006.  The increase in net income for the  year ended March 31, 
2007 was achieved primarily through the following: 

a 31.8% increase in consolidated revenue;  
a 35.5% increase in NextGen Division revenue which accounted for 89.4% of consolidated revenue; and 
an increase in our consolidated gross profit margin from 66.6% to 67.7%. 

Revenue.  Revenue for the year ended March 31, 2007 increased 31.8% to $157.2 million from $119.3 million for 
the year ended March 31, 2006. NextGen Division revenue increased 35.5% from $103.7 million to approximately 
$140.6 million in the period, while QSI Division revenue increased by 6.7% during the period from $15.5 million 
to $16.6 million.   

Revenue is divided 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.  The majority of the revenue in the 
system  sales  category  is  related  to  the  sale  of  software.    Revenue  in  the  maintenance,  EDI  and  other  services 
category  includes,  maintenance, EDI,  follow  on  training and  implementation  services,  annual  third  party  license 
fees and other revenue. 

System  Sales.    Company-wide  sales  of  systems  for  the  year  ended  March  31,  2007  increased  22.4%  to  $81.0 
million from $66.2 million in the prior year.   

Our increase in revenue from sales of systems was principally the result of a 21.7% increase in category revenue at 
our NextGen Division whose sales in this category grew from $63.8 million during the year ended March 31, 2006 
to  $77.7  million  during  the  year  ended  March  31,  2007.    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 $3.4 million in the year ended March 31, 
2007 from $2.4 million in the year ended March 31, 2006.    

 30 

 
 
 
 
 
 
 
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) 

Software 

Hardware, 
Third Party 
Software and 
Supplies 

Implementation and 
Training Services 

Total 
System Sales 

Year ended 
  March 31, 2007 
$      355 
QSI Division ................................................................................... 
   62,957 
NextGen Division............................................................................ 
$ 63,312 
Consolidated ................................................................................... 

$   2,356 
     3,203 
$   5,559 

$         655 
      11,522 
$    12,177 

Year ended 
  March 31, 2006 
$      984 
QSI Division ................................................................................... 
   48,847 
NextGen Division............................................................................ 
$ 49,831 
Consolidated ................................................................................... 

$   1,013 
     4,094 
$   5,107 

$         411 
      10,882 
$    11,293 

  $    3,366 
    77,682 
  $  81,048 

  $    2,408 
    63,823 
  $  66,231 

NextGen Division software revenue increased 28.9% between the year ended March 31, 2006 and the year ended 
March 31, 2007.  The Division’s software revenue accounted for 81.0% of divisional system sales revenue during 
the year ended March 31, 2007, an increase from 76.5% in the prior year period.   

Sales  of  additional  licenses  to  existing  customers  grew  to  $23.3  million  during  the  year  ended  March  31,  2007 
compared  to  $9.7  million  during  the  prior  year  as  a  result  of  both  an  increasing  number  of  customers  who  are 
expanding their  use  of  our  software  in  their  practices  and are  purchasing additional  licenses.    Software revenue 
from VARs totaled approximately $13.6 million during the year ended March 31, 2007 compared to $7.0 million 
in the prior year.  The increase in VAR revenue was affected 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 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 NextGen Division’s performance in this area.   

During the year ended March 31, 2007, 4.1% of the NextGen Division’s system sales revenue was represented by 
hardware  and  third  party  software  compared  to  6.4%  in  the  prior  year.    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  years.    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 NextGen 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 5.9% in the  year ended March 31, 2007 
compared to the year ended March 31, 2006.  The growth in implementation and training revenue is the result of 
increases in the amount of implementation and training services rendered to our new customers.  Implementation 
and training revenue at the NextGen Division decreased its share of divisional system sales revenue to 14.8% in 
the twelve months ended March 31, 2007 from 17.0% in the twelve months ended March 31, 2006.  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.     In order to achieve continued increased revenue in this 

 31 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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  NextGen emr  and 
NextGenepm software products in fiscal years 2007 and 2006, 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 $1.0 million in the year ended March 31, 2007 
compared  to  the  year  ended  March  31,  2006  due  primarily  to  increases  in  hardware,  third  party  software  and 
implementation revenue.  We do not presently  foresee any  material changes in the business environment for the 
QSI Division with respect to the constrained environment that has been in place for the past several years.   

Maintenance, EDI and Other.  Company-wide revenue from maintenance, EDI, and other services grew 43.5% to 
$76.1  million  for  the  year  ended  March  31,  2007  from  $53.1  million  for  the  year  ended  March  31,  2006.  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,  2007  grew  44.2%  to  $34.9  million  from  $24.2  million in  the  prior  year,  while  EDI revenue  grew  45.9%  to 
$12.5 million for the year ended March 31, 2007 compared to $8.6 million in the prior year.   Other revenue for the 
NextGen  Division,  which  consists  primarily  of  third  party  license  renewals,  time  and  materials  billings,  travel 
reimbursements, and other revenue grew 116.8% to $15.5 million for the year ended March 31, 2007 compared to 
$7.2 million a year ago.  The increase was due primarily to purchases of additional training and other services by 
existing NextGen customers.  QSI Division maintenance revenue increased 2.0% to $7.1 million for the year ended 
March  31,  2007  compared  to  $6.9  million  in  the  prior  year  while  divisional  EDI  revenue  declined  by 
approximately 3.1% to $4.5 million for the year ended March 31, 2007 compared to $4.7 million in the prior year.  
Other revenue  for  the  QSI  Division  grew  6.0%  to  $1.6 million  for  the  year  ended  March  31,  2007  compared to 
$1.5 million a year ago. 

The following table details maintenance, EDI and other revenue by category for the years ended March 31, 2007 
and 2006: 

Other 

Total 

$     1,615 
15,505 
$   17,120 

$  13,225 
62,892 
$  76,117 

$    1,524 
7,152 
$    8,676 

$  13,136 
39,920 
$  53,056 

Maintenance 

(in thousands) 
Year ended 
  March 31, 2007 
QSI Division ................................................................................... 
NextGen Division............................................................................ 
Consolidated ................................................................................... 

$     4,529 
12,520 
$   17,049 

$    7,081 
34,867 
$  41,948 

EDI 

Year ended 
  March 31, 2006 
QSI Division ................................................................................... 
NextGen Division............................................................................ 
Consolidated ................................................................................... 

$    4,673 
8,583 
$   13,256 

$    6,939 
24,185 
$  31,124 

 32 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The following table provides the number of billing sites which were receiving maintenance services as of the last 
business  day  of  the  year  ended  March  31,  2007  and  2006  respectively,  as  well  as  the  number  of  billing  sites 
receiving EDI services during the last month of each respective period at each division of our 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 

Maintenance 

EDI 

QSI 
  Maintenance 

EDI 

  Maintenance 

EDI 

Consolidated 

March 31, 2006..… 
Billing sites 
added……………... 
Billing sites 
removed…………... 
March 31, 2007…... 

831 

178 

(27) 
982 

567 

232 

(30) 
769 

275 

4 

(22) 
257 

189 

11 

(27) 
173 

1,106 

182 

(49) 
1,239 

756 

243 

(57) 
942 

Cost of revenue.  Cost of revenue for the year ended March 31, 2007 increased 27.5% to $50.8 million from $39.8 
million for the year ended March 31, 2006, while the cost of revenue as a percentage of net revenue declined to 
32.3% from 33.4%.  Our consolidated gross profit is affected 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  affected  by  the  higher  margin 
revenues of the NextGen Division, which increased its share of total company revenue to 89.4% from 87.0% in the 
prior year.  

 33 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The following table details revenue and cost of revenue on a consolidated and divisional basis for the years ended 
March 31, 2007 and 2006: 

(in thousands) 
QSI Division 
Revenue.......... 
Cost of revenue.. 
Gross profit..... 

NextGen Division 
Revenue.......... 
Cost of revenue.. 
Gross profit..... 

Consolidated 
Revenue.......... 
Cost of revenue.. 
Gross profit..... 

2007 

$     16,589 
       7,847 
$      8,742 

Year ended March 31, 
% 

2006 

     100.0% 
      47.3 
      52.7% 

$     15,544 
       7,765 
$       7,779 

% 

     100.0% 
      50.0 
      50.0% 

$    140,576 
      42,937 
$     97,639 

     100.0% 
      30.5 
      69.5% 

$   103,743 
      32,063 
$     71,680 

     100.0% 
      30.9 
      69.1% 

$    157,165 
      50,784 
$    106,381 

     100.0% 
      32.3 
      67.7% 

$   119,287 
      39,828 
$     79,459 

     100.0% 
      33.4  
      66.6% 

Gross profit margins at the NextGen Division for the year ended March 31, 2007 increased to 69.5% from 69.1% 
primarily  due  to  a  decrease  in  the  proportionate  level  of  hardware  and  third  party  software  content  included  in 
revenue.   The QSI Division’s gross profit margin increased to 52.7% from 50.0% between the years ended March 
31, 2007 and 2006 primarily due to 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: 

Hardware, 
Third Party 
Software  

Payroll and 
Related 
Benefits 

  Outside Services, 
Amortization of 
Software 
Development 
Costs and Other 

Total 
Cost of 
Revenue 

Gross 
Profit 

Year ended 
March 31,2007 
10.0% 
QSI Division ..................................................................................  
3.1 
NextGen Division ...........................................................................  
3.8% 
Consolidated ..................................................................................  

17.3% 
11.9 
12.4% 

20.0% 
15.5 
16.1% 

Year ended  
March 31,2006 
9.8% 
QSI Division ..................................................................................  
4.6 
NextGen Division ...........................................................................  
5.3% 
Consolidated ..................................................................................  

19.1% 
11.8 
12.7% 

21.1% 
14.5 
15.4% 

47.3% 
30.5 
32.3% 

50.0% 
30.9 
33.4% 

52.7% 
69.5 
67.7% 

50.0% 
69.1 
66.6% 

During  the  year  ended  March  31,  2007,  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 continued a previously identified trend and did not result from any change in emphasis on 
our  part.    The  number  of  customers  who  purchase  hardware  and  third  party  software  and  the  dollar  amount  of 

 34 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
      
       
 
 
 
 
 
 
 
 
 
 
 
 
 
      
       
 
 
 
      
       
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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  12.4%  of 
consolidated revenue for the year ended March 31, 2007 compared to 12.7% during the prior year ended March 31, 
2006.    The  absolute  level  of  consolidated  payroll  and  benefit  expenses  grew  from  $15.2  million  in  the  twelve 
months ended March 31, 2006 to $19.6 million in the twelve months ended March 31, 2007, an increase of 29% or 
$4.4  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.  The adoption of SFAS 123R 
in fiscal year 2007 added approximately $0.5 million in compensation to consolidated cost of revenue. 

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. 

―Other‖,  which  consists  of  outside  service  costs,  amortization  of  software  development  costs  and  other  costs, 
increased to 16.1% of revenue during the year ended March 31, 2007 from 15.4% during the year ended March 31, 
2006.   

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 match more closely those of the NextGen Division.    

As a result of the foregoing events and activities, our gross profit increased for the  year period ending March 31, 
2007 versus the prior year. 

Selling, General and Administrative Expenses.  Selling, general and administrative expenses for the year ended 
March  31,  2007  increased  27.5%  to  $45.3  million  as  compared  to  $35.6  million  for  the  year  ended  March  31, 
2006.  The increase resulted primarily from increases of $5.1 million in compensation expense and benefit expense 
in  the  NextGen  Division,  $0.9  million  in  commission  expense  in  the  NextGen  Division,  $1.9  million  in  other 
general  and  administrative  expenses  primarily  in  the  NextGen  Division  and  $1.8  million  in  increased  corporate 
expenses.      Approximately  $1.4  million  of  the  increase  in  year  over  year  corporate  expenses  was  salaries  and 
related benefits.   

The  adoption  of  SFAS  123R  in  fiscal  year  2007  added  approximately  $2.5  million  in  compensation  expense  to 
consolidated selling, general and administrative expenses and is included in the aforementioned amounts.   

Selling,  general  and  administrative  expenses  as  a  percentage  of  revenue  decreased  to  28.9%  in  the  fiscal  year 
ended March 31, 2007 from 29.8% in the fiscal period ended March 31, 2006 due to revenue growing at a faster 
rate than selling, general and administrative expenses.  

As  previously  disclosed  in  our  Form  10-Q  for  the  quarter  ended  December  31,  2006,  we  received  written 
notification from the Commission stating that the Commission initiated an investigation of trading activity in our 
securities.   While making clear that the investigation did not mean the Commission had concluded there has been 
a violation of law, the Commission sought documents and records concerning our Chief Financial Officer.  To the 
best of our knowledge, the Commission's investigation is ongoing and is not an investigation of our company.  We 
intend to continue to fully cooperate with the Commission.  

After  we  received  the  Commission’s  notification,  our  Audit  Committee,  assisted  by  independent  outside  legal 
counsel, conducted an investigation of certain trading activity in our securities with particular focus on trading in 

 35 

advance of our third quarter 2006 earnings release.  Based on the information available to the investigators and the 
results  of  the  investigation, the  Audit  Committee  has  concluded  that  it  does  not  appear that  our  Chief  Financial 
Officer  engaged  in  improper  insider  trading  or  tipping  in  connection  with  that  trading  activity.   The  legal  and 
professional  service  expenses  associated  with  the  investigation  was  in  excess  of  $0.01  per  share  for  the  March 
quarter. The Audit Committee's investigation was concluded during the quarter ended June 30, 2007. 

We anticipate increased expenditures for trade shows, advertising and staff additions 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  effect  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 years ended March 31, 2007 and 2006 
were $10.2 million and $8.1 million, respectively.  The increase in research and development costs was primarily 
due to increased investment in the NextGen product line.  Additionally, the adoption of SFAS 123R in fiscal year 
2007  added  approximately  $0.8  million  in  compensation  expense  to  research  and  development  costs  net  of 
amounts  capitalized  as  software  development.    Additions  to  capitalized  software  costs  offset  research  and 
development costs.  For the year ended March 31, 2007, $5.0 million was added to capitalized software costs while 
$3.3  million  was  capitalized  during  the  year  ended  March  31,  2006.    Research  and  development  costs  as  a 
percentage of net revenue decreased to 6.5% from 6.8% primarily due to revenue growing at a faster rate than the 
increase in research and development costs.  Research and development costs are expected to continue at or above 
current levels. 

Interest  Income.    Interest  income  for  the  year  ended  March  31,  2007  increased  56.8%  to  approximately  $3.3 
million  compared  with  $2.1  million  in  the  year  ended  March  31,  2006.    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 year ended March 31, 2007.  During the fourth quarter of fiscal 
year  2007,  we  paid  a  dividend  of  $27.1  million,  which  reduced  the  amount  of  funds  available  for  investment 
during  this  period.    During  the  fourth  quarter  of  fiscal  year  2006,  we  paid  a  dividend  of  approximately  $23.4 
million, which reduced the amount of funds available for investment during such period. 

Provision  for  Income  Taxes.      The  provision  for  income  taxes  for  the  year  ended  March  31,  2007  was 
approximately $21.0 million as compared to approximately $14.6 million for the prior year. The effective tax rates 
for fiscal 2007 and 2006 were 38.7% and 38.5%, respectively.  The provision for income taxes for the years ended 
March 31, 2007 and 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.   The 
effective rate for the year ended March 31, 2007 also includes an increase in benefit from the qualified production 
activities deduction, which was mostly offset by non-deductible option expense related to incentive stock options.   

During  the  year  ended  March  31,  2007  and  2006,  we  claimed  research  and  development  tax  credits  of 
approximately $0.8 million in both years.  The Company also claimed the qualified production activities deduction 
under Section 199 of the Internal Revenue Code, of approximately $1.5 million and $0.8 million during the years 
ended  March  31,  2007  and  2006,  respectively.   Research  and  development  credits  and  the  qualified  production 
activities  income  deduction  taken  by  us  involve  certain  assumptions  and  judgments  regarding  qualification  of 
expenses under the relevant tax code provision.  

 36 

 
 
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: 

34.1% increase in consolidated revenue;  
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.   

Revenue is divided 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.  The majority of the revenue in the 
system  sales  category  is  related  to  the  sale  of  software.    Revenue  in  the  maintenance,  EDI  and  other  services 
category  includes,  maintenance, EDI,  follow  on  training and  implementation  services,  annual  third  party  license 
fees and other revenue.   

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. 

 37 

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

Hardware, 
Third Party 
Software and 
Supplies 

Software 

(in thousands) 
Year ended 
  March 31, 2006 
QSI Division ................................................................................... 
NextGen Division............................................................................ 
Consolidated ................................................................................... 

$        984 
  48,847 
$   49,831 

$    1,013 
    4,094 
$    5,107 

Year ended 
  March 31, 2005 
QSI Division ................................................................................... 
NextGen Division............................................................................ 
Consolidated ................................................................................... 

$        889 
  33,230 
$   34,119 

$       743 
    4,810 
$    5,553 

Implementation 
and Training 
Services 

Total 
System Sales 

$        411 
   10,882 
$   11,293 

$     2,408 
   63,823 
$   66,231 

$       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  NextGen  Division’s  software  revenue  accounted  for  76.5%  of 
divisional system sales revenue during the year ended March 31, 2006, an increase from 71.3% in the prior year.   

Software revenue from VARs totaled approximately $7.0 million during the year ended March 31, 2006 compared 
to  $2.7  million in  the  prior  year.   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 NextGen Division’s performance in this area.   

During the year 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 prior year.  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 
years.  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  NextGen  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 27.3% in the  year ended March 31, 2006 
compared to the year 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 year ended March 31, 2006 from 18.3% in the year 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  year 
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 

 38 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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  NextGen emr  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 year ended March 31, 2006 
compared to the year ended March 31, 2005 due primarily to increases in all three categories.   

Maintenance, EDI and Other.  Company-wide revenue from maintenance, EDI, and other services grew 31.2% to 
$53.1  million  for  the  year  ended  March  31,  2006  from  $40.4  million  for  the  year  ended  March  31,  2005.  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 prior year, while EDI revenue grew 53.0% to $8.6 
million  for  the  year  ended  March  31,  2006  compared  to  $5.6  million  in  the  prior  year.      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  for the  year  ended  March  31,  2006  compared  to  $3.5 million  a  year  ago.   QSI  Division 
maintenance revenue declined 4.7% to $6.9 million for the year ended March 31, 2006 compared to $7.3 million in 
the  prior  year  while  divisional  EDI revenue  declined  by  approximately  4.2%  to  $4.7  million  for  the  year  ended 
March 31, 2006 compared to $4.9 million in the prior year.  Other revenue for the QSI Division grew 19.7% to 
$1.5 million in the year ended March 31, 2006 compared to $1.3 million in the prior year. 

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

Other 

Total  

$   1,524 
      7,152 
$   8,676 

$  13,136 
   39,920 
$  53,056 

$   1,273 
      3,512 
$   4,785 

$  13,429 
   27,004 
$  40,433 

Maintenance 

(in thousands) 
Year ended 
  March 31, 2006 
QSI Division ................................................................................... 
NextGen Division............................................................................ 
Consolidated ................................................................................... 

$    6,939 
   24,185 
$  31,124 

$    4,673 
    8,583 
$  13,256 

EDI 

Year ended 
  March 31, 2005 
QSI Division ................................................................................... 
NextGen Division............................................................................ 
Consolidated ................................................................................... 

$    7,279 
   17,881 
$  25,160 

$    4,877 
    5,611 
$  10,488 

 39 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 our 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 

Maintenance 

EDI 

QSI 
  Maintenance 

Consolidated 

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  prior  year.    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.  

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

(in thousands) 
QSI Division 
Revenue......................... 
Cost of revenue............. 
Gross profit………....... 

NextGen Division 
Revenue......................... 
Cost of revenue............. 
Gross profit.................... 

Consolidated 
Revenue......................... 
Cost of revenue............. 
Gross profit.................... 

2006 

% 

2005 

% 

Year ended March 31, 

$    15,544 
        7,765 
$      7,779 

    100.0% 
     50.0 
      50.0% 

$   15,367 
        7,665 
$     7,702 

  100.0% 
   49.9 
   50.1% 

$  103,743 
     32,063 
$    71,680 

    100.0% 
     30.9 
     69.1% 

$  119,287 
     39,828 
$    79,459 

    100.0% 
     33.4  
     66.6% 

$   73,594 
     25,004 
$   48,590 

$   88,961 
     33,669 
$   56,292 

  100.0% 
   34.0 
   66.0% 

  100.0% 
   36.7  
   63.3% 

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.    

 40 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 

Year ended  
March 31,2006 
   9.8% 
QSI Division ..................................................................................  
   4.6 
NextGen Division ...........................................................................  
   5.3% 
Consolidated ..................................................................................  

  19.1% 
  11.8 
  12.7% 

   21.1% 
   14.5 
   15.4% 

Year ended  
March 31,2005 
   6.1% 
QSI Division ..................................................................................  
   6.8 
NextGen Division ...........................................................................  
   6.7% 
Consolidated ..................................................................................  

  17.8% 
  12.6 
  13.5% 

   26.0% 
   14.6 
   16.5% 

  50.0%        
  30.9 
  33.4% 

 50.0% 
 69.1 
 66.6% 

  49.9% 
  34.0 
  36.7% 

 50.1% 
 66.0 
 63.3% 

During  the  year  ended  March  31,  2006,  hardware  and  third  party  software  constituted  a  smaller  portion  of 
consolidated revenue compared to the prior year, 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  year  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.   

As  a  result  of  the  foregoing  events  and  activities,  our  gross  profit  for  our  company  and  the  NextGen  Division 
increased for the year ended March 31, 2006 versus the prior year and the QSI Division remained fairly consistent 
for the year ended March 31, 2006 versus the prior year. 

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.  

 41 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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.   

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, we paid a dividend of approximately $23.4 million, which reduced the amount of funds available 
for investment during such 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  prior year. 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 differed from the combined statutory rates primarily due to the impact of varying state income tax 
rates and the impact of research and development tax credits.  The provision for income taxes for the year ended 
March 31, 2006 differed 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, 
we  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 our 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. 

 42 

 
 
Liquidity and Capital Resources 

The  following  table  presents  selected  financial  statistics  and  information  for  each  of  the  years  ended  March 31, 
2007, 2006 and 2005: 

(in thousands) 
Cash and cash equivalents............... 

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

Year ended March 31, 
2006 

2007 

2005 

$   60,028 

$   57,225 

$   51,157 

$     2,803 

$     6,068 

$      (238) 

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

$   33,232 

$   23,322 

$   16,109 

Net cash provided by operating activities 

$   29,570 

$   30,678 

$   21,631 

Number of days of sales outstanding..... 

    129 

    115 

    119 

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. 

The following table summarizes our statement of cash flows for the years ended March 31, 2007, 2006 and 2005: 

2007 

Year ended March 31, 
2006 

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

$ 33,232 
   8,977 
     167 
   3,532 
 (20,760) 
   4,422 
$ 29,570 

$23,322 
  4,140 
  4,831 
 10,439 
(12,484) 
    430 
$30,678 

2005 

$16,109 
  6,930 
  2,680 
  8,214 
(13,879) 
  1,577 
$21,631 

Net  Income.  As  referenced  in  the  above  table,  net  income  makes  up  the  majority  of  our  cash  generated  from 
operations  for  the  years  ended  March  31,  2007,  2006  and  2005.    Our  NextGen  Division’s  contribution  to  net 
income has increased each year due to that division’s operating income increasing more quickly than our 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  increased  by 
approximately  $3.4  million  between  the  years  ended  March  31,  2007  and  March  31,  2006.    The  change  is 
primarily  related to  a  $3.9 million increase  in  stock  option expenses  related  to  our  adoption  of  SFAS  123R  and 
increases in depreciation, amortization of  capitalized software costs and provision for bad debts  offset  by  a $1.6 
million deferred income tax benefit.     

Tax Benefits From Stock Options. Although the value of stock options exercised by employees grew in the year 
ended March 31, 2007, our adoption of SFAS 123R required excess tax benefits of $2.5 million be reclassed to 
financing  activities,  resulting  in  a  net  decrease  of  approximately  $4.7  million  of  tax  benefit  in  the  year  ended 
March 31, 2007. 

 43 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 $3.5 million for the year ended March 31, 2007 versus growth 
of  $10.4  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 $20.8 million, $12.5 million and $13.9 million 
for  the  years  ended  March 31,  2007,  2006  and  2005,  respectively.    The  increase  in  accounts  receivable  in  the 
periods is due to the following factors: 

  NextGen Division revenue grew 35.5%, 41.0% and 35.2% for the years ended March 31, 2007, 2006 and 

2005, respectively;   

  As of March 31, 2007, one customer represented approximately 12.5% of total gross accounts receivable, 

which customer has longer than average contractual payment terms;   

  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  $6.4  million 
and $4.4 million for the years ended March 31, 2007 and 2006, respectively; and 

  The NextGen Division constituted a larger percentage of our receivables at March 31, 2007 compared to 
March  31,  2006.    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 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. 

The turnover of accounts receivable measured in terms of days sales outstanding (DSO) fluctuated during the year 
and  increased  from  115  days  to  129  days  during  the  year  ended  March  31,  2007  primarily  due  to  the  above 
mentioned factors.   

If  amounts  included  in  both  accounts  receivable  and  deferred  revenue  were  netted,  our  turnover  of  accounts 
receivable expressed as DSO would be 81 days as of March 31, 2007 and 70 days as of March 31, 2006.  Provided 
turnover of accounts receivable, deferred revenue, and profitability remain consistent with the year ended March 
31, 2007, we anticipate being able to continue to generate cash from operations during fiscal 2008 primarily from 
our net income.    

Net cash used in investing activities for the year ended March 31, 2007 was $8.3 million and consisted of additions 
to equipment and improvements and capitalized software.  

Net  cash  used  in  financing  activities  for  the  year  ended  March  31,  2007  was  $18.5  million  and  consisted  of  a 
dividend  paid  to  shareholders  of  $27.1  million  offset  by  $6.1  million  of  proceeds  from  the  exercise  of  stock 
options.  We recorded a reduction in income tax liability of $2.5 million related to excess tax deductions received 
from employee stock option exercises.  The benefit was recorded as additional paid in capital.   

At March 31, 2007, we had cash and cash equivalents of $60.0 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.  

In January 2007, our Board of Directors adopted a policy whereby we intend to pay a regular quarterly dividend of 
$0.25 per share on our outstanding common stock commencing with conclusion of our first fiscal quarter of 2008 
(June  30,  2007)  and  continuing  each  fiscal  quarter  thereafter,  subject  to  further  review  and  approval  as  well  as 
establishment  of  record  and  distribution  dates  by  our  Board  of  Directors  prior  to  the  declaration  of  each  such 
quarterly  dividend.    On  May  31,  2007,  the  Board  declared  a  quarterly  cash  dividend  of  $0.25  per  share  on  our 
outstanding  shares  of  common  stock,  payable  to  shareholders  of  record  as  of  June  15,  2007  with an anticipated 

 44 

 
distribution date of July 5, 2007.  We anticipate that future quarterly dividends, if and when declared by the Board 
pursuant to this policy,  would likely be distributable on or about the fifth day of each of the months of October, 
January, April and July. 

Contractual  Obligations.  The  following  table  summarizes  our  significant  contractual  obligations  at  March 31, 
2007, and the effect that such obligations are expected to have on our liquidity and cash in future periods:  

(in thousands) 

Contractual Obligations – Non-cancelable lease obligations 
Year Ending March 31, 
2008 
2009 
2010 
2011 
2012 and beyond 

 ........................................................................................................................................  
$        2,701 
 ........................................................................................................................................  
         2,413 
 ........................................................................................................................................  
         2,417 
 ........................................................................................................................................  
         2,469 
 ........................................................................................................................................  
           927 

$       10,927 

New Accounting Pronouncements  
In  February  2007,  the  Financial  Standards  Accounting  Board  (FASB)  issued  SFAS  No. 159,  ―The  Fair  Value 
Option for Financial Assets and Financial Liabilities - including an amendment of SFAS No. 115‖, which applies 
to all entities with available-for-sale and trading securities. This Statement permits entities to choose to measure 
many financial instruments and certain other items at fair value. The objective is to improve financial reporting by 
providing  entities  with  the  opportunity  to  mitigate  volatility  in  reported  earnings  caused  by  measuring  related 
assets and liabilities differently  without having to apply complex hedge accounting provisions. This Statement is 
effective as of the beginning of an entity’s first fiscal year that begins after November 15, 2007. Early adoption is 
permitted as of the beginning of a fiscal year that begins on or before November 15, 2007, provided the entity also 
elects to apply the provisions of FASB Statement No. 157, ―Fair Value Measurements‖. We plan to adopt SFAS 
No. 159  effective  April 1,  2008  and  are  in  the  process  of  determining  the  effect,  if  any;  the  adoption  of  SFAS 
No. 159 will have on our consolidated financial statements. 

In  September 2006,  the  FASB  issued  Statement  of  Financial  Accounting  Standards  No. 157,  ―Fair  Value 
Measurements‖ (SFAS 157), which defines fair value, establishes a framework for measuring fair value in GAAP, 
and  expands  disclosures  about  fair  value  measurements.    SFAS  157  does  not  require  any  new  fair  value 
measurements,  but  provides  guidance  on  how  to  measure  fair  value  by  providing  a  fair  value hierarchy  used  to 
classify  the  source  of  the  information. This  statement  is  effective  for  fiscal  years  beginning  after  November  15, 
2007. We are currently evaluating the impact, if any, that adoption of this standard will have on our consolidated 
financials statements.   

In  September  2006,  the  Securities  and  Exchange  Commission  (SEC)  issued  Staff  Accounting  Bulletin  No.  108 
(SAB  108)  to  clarify  consideration  of  the  effects  of  prior  year  errors  when  quantifying  misstatements  in  current 
year  financial  statements  for  the  purpose  of  quantifying  materiality.    SAB  108  requires  issuers  to  quantify 
misstatements using both the ―rollover‖ and ―iron curtain‖ approaches and requires an adjustment to the current 
year financial statements in the event that after the application of either approach and consideration of all relevant 
quantitative and qualitative  factors, a misstatement is determined to be material.  SAB 108 is effective  for fiscal 
years  ended  after  November  15,  2006.    The  adoption  of  SAB  108  did  not  have  a  material  effect  on  our 
consolidated financial statements.   

In  June  2006,  the  FASB  issued  Interpretation  No.  48,  ―Accounting  for  Uncertainty  in  Income  Taxes,‖  (FIN  48) 
which  defines  the  threshold  for  recognizing  the  benefits  of  tax  return  positions  in  the  financial  statements  as 
―more-likely-than-not‖ to  be  sustained  by  the  taxing  authority.   A  tax  position that meets  the  ―more-likely-than-
not‖  criterion  shall  be  measured at  the  largest  amount  of  benefit  that  is  more  than  50%  likely  of  being  realized 
upon ultimate settlement.  FIN 48 applies to all tax positions accounted for under SFAS No. 109, ―Accounting for 
Income  Taxes.‖  FIN  48  is  effective  for  fiscal  years  beginning  after  December  15,  2006.  Upon  adoption,  the 

 45 

 
 
 
 
 
 
 
 
financial statements will be adjusted to reflect only those tax positions that are more-likely-than-not to be sustained 
as of the adoption date. Any adjustment will be recorded directly to our beginning retained earnings balance in the 
period  of  adoption  and  reported  as  a  change  in  accounting  principle.  We  are  currently  analyzing  the  effects  of 
adopting  FIN  48  on  April  1,  2007  but  do not  currently  believe  the  adoption  will have  a  material  impact  on  our 
consolidated financial statements. 

In June 2006, the FASB ratified a consensus opinion reached by the Emerging Issues Task Force (EITF) on EITF 
Issue  06-3,  ―How  Taxes  Collected  from  Customers  and  Remitted  to  Governmental  Authorities  Should  Be 
Presented  in  the  Income  Statement  (That  Is,  Gross  versus  Net  Presentation).‖  The  guidance  in EITF  Issue  06-3 
requires disclosure in interim and annual financial statements of the amount of taxes on a gross basis, if significant, 
that  are  assessed  by  a  governmental  authority  that  are  imposed  on  and  concurrent  with  a  specific  revenue 
producing  transaction  between  a  seller  and  customer  such  as  sales,  use,  value  added,  and  some  excise  taxes. 
Additionally, the income statement presentation (gross or net) of such taxes is an accounting policy decision that 
must  be  disclosed.  The  consensus  in  EITF  Issue  06-3  is  effective  for  interim  and  annual  reporting  periods 
beginning  after  December 15,  2006.    The  adoption  of  EITF  Issue  06-3  did  not  have  a  material  effect  on  our 
consolidated financial statements as we have historically presented sales excluding all taxes. 

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 

Our Chief  Executive  Officer  and  Chief  Financial  Officer  (our  principal  executive  officer  and  principal  financial 
officer,  respectively)  have  concluded,  based  on  their  evaluation  as  of  March  31,  2007,  that  the  design  and 
operation of our ―disclosure controls and procedures‖ (as defined in Rule 13a-15(e) under the Exchange Act) are 
effective to ensure that information required to be disclosed by us in the reports filed or submitted by us under the 
Exchange  Act  is  recorded,  processed,  summarized  and  reported,  within  the  time  periods  specified  in  the 
Commission’s rules and forms, including to ensure that information required to be disclosed by us in the reports 
we  file  or  submit  under the  Exchange  Act is accumulated and  communicated  to  our  management,  including  our 
Chief Executive Officer and Chief Financial Officer, as appropriate to allow timely decisions regarding whether or 
not disclosure is required. 

 46 

 
 
 
 
 
 
Changes in Internal Control over Financial Reporting 

During the quarter ended March 31, 2007, there were no changes in our ―internal control over financial reporting‖ 
(as  defined in  Rule  13a-15(f)  under the  Exchange  Act) that have  materially  affected,  or are reasonably  likely  to 
materially affect, our internal control over financial reporting.  

Management’s Report on Internal Control over Financial Reporting 

Our management is responsible for establishing and maintaining adequate internal control over financial reporting. 
Under the supervision and with the participation of our management, including our principal executive officer and 
principal financial officer, we conducted an evaluation of the effectiveness of  our 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, our management concluded 
that our internal control over financial reporting was effective as of March 31, 2007.  

Our internal control over financial reporting is supported by written policies and procedures, that: 

(1) 

(2)  

pertain  to  the  maintenance  of  records  that,  in  reasonable  detail,  accurately  and  fairly  reflect  the 
transactions and dispositions of our assets;  

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 our company are being made only in accordance with authorizations of our management and directors; 
and  

(3) 

provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or 
disposition of our 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.  

Our independent registered  public  accounting  firm has  audited  management's  assessment  of  the  effectiveness  of 
our internal control over financial reporting as of March 31, 2007 as stated in their report that is included herein.  

ITEM 9B. 

OTHER INFORMATION  

None. 

 47 

 
Part III 

ITEM 10.  DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE 

The information required by Item 10 is incorporated herein by reference from our definitive proxy statement for 
our 2007 annual shareholders' meeting to be filed with the Commission. 

ITEM 11.  EXECUTIVE COMPENSATION 

The information required by Item 11 is incorporated herein by reference from our definitive proxy statement for 
our 2007 annual shareholders' meeting to be filed with the Commission. 

ITEM 12.  SECURITY  OWNERSHIP  OF  CERTAIN  BENEFICIAL  OWNERS  AND  MANAGEMENT 
AND RELATED STOCKHOLDER MATTERS 

The information required by Item 12 is incorporated herein by reference from our definitive proxy statement for 
our 2007 annual shareholders' meeting to be filed with the Commission. 

ITEM 13.  CERTAIN  RELATIONSHIPS  AND  RELATED  TRANSACTIONS,  AND  DIRECTOR 
INDEPENDENCE 

The information required by Item 13 is incorporated herein by reference from our definitive proxy statement for 
our 2007 annual shareholders' meeting to be filed with the Commission. 

ITEM 14.  PRINCIPAL ACCOUNTANT FEES AND SERVICES 

The information required by Item 14 is incorporated herein by reference from our definitive proxy statement for 
our 2007 annual shareholders' meeting to be filed with the Commission. 

 48 

 
 
 
 
 
 
 
 
 
 
ITEM 15. 

EXHIBITS AND FINANCIAL STATEMENT SCHEDULES  

(a) 

(1) 

Index to Financial Statements: 

PART IV 

Page 

  Report of Independent Registered Public Accounting Firm ........................................................ 55 

  Report of Independent Registered Public Accounting Firm on Internal Control Over Financial 

Reporting .................................................................................................................................. 56 

  Consolidated Balance Sheets  

March 31, 2007 and March 31, 2006 ......................................................................................... 57 

  Consolidated Statements of Income — Years Ended 

March 31, 2007, March 31, 2006 and March 31, 2005 ............................................................... 58 

  Consolidated Statements of Shareholders’ Equity — Years Ended 

March 31, 2007, March 31, 2006 and March 31, 2005 ............................................................... 59 

  Consolidated Statements of Cash Flows — Years Ended 

March 31, 2007, March 31, 2006 and March 31, 2005 ............................................................... 60 

  Notes to Consolidated Financial Statements ............................................................................... 61 

(2)  The following financial statement schedule for the years ended March 31, 2007, March 31, 2006 and 
2005, read in conjunction with the financial statements of Quality Systems, Inc., is filed as part of 
this Annual Report on Form 10-K. 

 

Schedule II — Valuation and Qualifying Accounts .................................................................... 80 

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. 

 49 

 
 
 
 
 
 
 
Exhibit 
Number 

INDEX TO EXHIBITS 

Description 

3.1 

3.2 

3.3 

3.4 

3.5 

3.6 

3.7 

10.1* 

10.2* 

10.3* 

10.4* 

Restated Articles of Incorporation of Quality Systems, Inc. filed with the Secretary of State 
of California on September 8, 1989, are hereby incorporated by reference to Exhibit 3.1 to 
the  registrant’s  Registration  Statement  on  Form  S-1  (Registration  No.  333-00161)  filed 
January 11, 1996. 

Certificate  of  Amendment  to  Articles  of  Incorporation  of  Quality  Systems,  Inc.  filed  with 
the  Secretary  of  State  of  California  effective  March  4,  2005,  is  hereby  incorporated  by 
reference  to  Exhibit  3.1.1  of  the  registrant’s  Annual  Report  on  Form  10-K  for  the  year 
ended March 31, 2005. 

Certificate  of  Amendment  to  Articles  of  Incorporation  of  Quality  Systems,  Inc.  filed  with 
the  Secretary  of  State  of  California  effective  October  6,  2005  is  hereby  incorporated  by 
reference to Exhibit 3.01 of the registrant’s Current Report on Form 8-K filed October 11, 
2005. 

Certificate  of  Amendment  to  Articles  of  Incorporation  of  Quality  Systems,  Inc.  filed  with 
the  Secretary  of  State  of  California  effective  March  3,  2006  is  hereby  incorporated  by 
reference to Exhibit 3.1 of the registrant’s Current Report on Form 8-K filed March 6, 2006. 

Amended and Restated Bylaws of Quality Systems, Inc., as amended and restated effective 
May 25, 2005, are hereby incorporated by reference to Exhibit 3.6 of the registrant’s Annual 
Report on Form 10-K for the year ended March 31, 2005.  

Certificate  of  Amendment  of  Bylaws  of  the  Company  effective  September  20,  2006  is 
hereby incorporated by reference to Exhibit 3.1 to the registrant’s Current Report on Form 
8-K filed September 25, 2006. 

Amended Exhibit A to Amended and Restated Bylaws, adopted by the registrant’s Board of 
Directors  on  May  31,  2007,  is  hereby  incorporated  by  reference  to  Exhibit  3.1  of  the 
registrant’s Current Report on Form 8-K filed June 5, 2007. 

Amended  and  Restated  1998  Stock  Option  Plan  is  hereby  incorporated  by  reference  to 
Exhibit  10.10.1  of  the  registrant’s  Annual  Report  on  Form  10-K  for  the  year  ended 
March 31, 2005. 

Form of Incentive Stock Option Agreement for Amended and Restated 1998 Stock Option 
Plan is hereby incorporated by reference to Exhibit 10.1 to the registrant’s Quarterly Report 
on Form 10-Q for the quarter ended September 30, 2004. 

Form  of  Non-Qualified  Stock  Option  Agreement  for  Amended  and  Restated  1998  Stock 
Option Plan is hereby incorporated by reference to Exhibit 10.2 to the registrant’s Quarterly 
Report on Form 10-Q for the quarter ended September 20, 2004. 

2005 Stock Option and Incentive Plan are incorporated by reference to Exhibit 10.01 to the 
registrant’s Current Report on Form 8-K filed October 5, 2005. 

 50 

 
Exhibit 
Number 

10.5* 

10.6* 

10.7* 

10.8* 

10.9* 

10.10* 

10.11 

10.12 

10.13 

10.14 

10.15 

10.16 

10.17 

Description 

Form  of  Nonqualified  Stock  Option  Agreement  for  2005  Stock  Incentive  Plan  is 
incorporated  by  reference  to  Exhibit  10.2  to  the  registrant’s  Current  Report  on  Form  8-K 
filed June 5, 2007. 

Form  of  Incentive  Stock  Option  Agreement  for  2005  Stock  Incentive  Plan is  incorporated 
by  reference  to  Exhibit  10.3  to  the  registrant’s  Current  Report  on  Form  8-K  filed  June 5, 
2007. 

1993 Deferred Compensation Plan is hereby incorporated by reference to Exhibit 10.5 to the 
registrant’s Annual Report on Form 10-KSB for the year ended March 31, 1994.  

1998 Employee Stock Contribution Plan is hereby incorporated by reference to Exhibit 4.1 
to the registrant’s Registration Statement on Form S-8 (Registration No. 333-63131). 

Employment  Agreement  dated  July  20,  2000  between  Quality  Systems,  Inc.  and  Lou 
Silverman is hereby incorporated by reference to Exhibit 10.18 to the registrant’s Quarterly 
Report on Form 10-Q for the quarter ended September 30, 2000. 

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

Lease  Agreement  between  Company  and  Tower  Place,  L.P.  dated  November  15,  2000, 
commencing February 5, 2001 is hereby incorporated by reference to Exhibit 10.14 to the 
registrant’s Annual Report on Form 10-K for the year ended March 31, 2001.  

Fourth Amendment to lease agreement between the Company and Tower Place, L.P. dated 
September 22, 2005 is incorporated by reference to Exhibit 10.24 to the registrant’s Annual 
Report on Form 10-K for the year ended March 31, 2006. 

Fifth  Amendment  to  lease  agreement  between  the  Company  and  Tower  Place,  L.P.  dated 
January 31, 2007.** 

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

Lease  Agreement  between  the  Company  and  HUB  Properties  LLC  dated  May  8,  2002  is 
hereby incorporated by reference to Exhibit 10.18 to the registrant’s Annual Report on Form 
10-K for the year ended March 31, 2003. 

Second Amendment to Office Lease agreement between the Company and HUB Properties 
LLC  dated  February  14,  2006  is  incorporated  by  reference  to  Exhibit  10.25  to  the 
registrant’s Annual Report on Form 10-K for the year ended March 31, 2006. 

Amended  and  Restated  Second  Amendment  to  Office  Lease  agreement  between  the 
Company and HUB Properties LLC dated May 31, 2006.** 

 51 

Exhibit 
Number 

10.18 

Description 

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 the registrant’s Annual Report on Form 10-K for the year ended 
March 31, 2005. 

10.19 

Lease  agreement  between  the  Company  and  Von  Karman  Michelson  Corporation  dated 
September  6,  2005  is  incorporated  by  reference  to  Exhibit 10.23 to  the  registrant’s  Annual 
Report on Form 10-K for the year ended March 31, 2006. 

10.20 

Office lease between the Company and SLTS Grand Avenue, L.P. dated May 3, 2006.** 

10.21* 

10.22* 

10.23* 

10.24 

10.25* 

10.26* 

21 

23 

31.1 

31.2 

32.1 

Board  Service  Agreement  between  the  Company  and  Lou  Silverman  is  incorporated  by 
reference  to  Exhibit  10.2.1  to  the  registrant’s  Current  Report  of  Form  8-K,  dated  May  31, 
2005. 

Board  Service  Agreement  between  the  Company  and  Patrick  Cline  is  incorporated  by 
reference  to  Exhibit  10.2.1  to  the  registrant’s  Current  Report  of  Form  8-K  dated  May  31, 
2005. 

Director  Compensation  Program  approved  May  25,  2006  is  incorporated  by  reference  to 
Exhibit 10.1 to the registrant’s Current Report on Form 8-K filed May 30, 2006. 

Settlement Agreement dated as of August 8, 2006 between the registrant and Ahmed Hussein 
is incorporated by reference to Exhibit 10.1 to the registrant’s Current Report on Form 8-K 
filed August 9, 2006. 

Description of Compensation Program for Named Executive Officers for Fiscal Year Ended 
March 31, 2008.** 

Description of Compensation Program for Named Executive Officers for Fiscal Year Ending 
March 31, 2007. ** 

List  of  subsidiaries  is  incorporated  by  reference  to  Exhibit  21  to  the  registrant’s  Annual 
Report on Form 10-K for the year ended March 31, 2006 filed June 13, 2006. 

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

Certification  of  Principal  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  Principal  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.  ** 

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

 52 

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant 

has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized. 

SIGNATURES 

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

Date: June 8, 2007 

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

Pursuant to the requirement of the Securities Exchange Act of 1934, this Report has been signed by the 

following persons on our behalf in the capacities and on the dates indicated. 

Signature 

Title 

Date 

/s/ Sheldon Razin 

Sheldon Razin 

/s/ Louis E. Silverman 

Louis E. Silverman 

/s/ Paul A. Holt 

Paul A. Holt 

/s/ Patrick B. Cline 

Patrick B. Cline 

/s/ Ibrahim Fawzy 

Ibrahim Fawzy 

/s/ Edwin Hoffman 

Edwin Hoffman 

Chairman of the Board and Director 

May 31, 2007 

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

May 31, 2007 

Chief Financial Officer (Principal Financial Officer) 
and Secretary 

May 31, 2007 

President, NextGen Healthcare Information Systems 
Division, and Director 

May 31, 2007 

Director 

Director 

 53 

May 31, 2007 

May 31, 2007 

 
 
 
 
 
 
 
 
 
 
 
 
Signature 

Title 

Date 

Ahmed Hussein 

Director 

 /s/ Vincent J. Love 

Vincent J. Love 

/s/ Russell Pflueger 

Russell Pflueger 

/s/ Steven T. Plochocki 

Steven T. Plochocki 

Director 

Director 

Director 

May 31, 2007 

May 31, 2007 

May 31, 2007 

 54 

 
 
 
 
 
 
 
 
 
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, 2007 and 
2006, and the related consolidated statements of income, shareholders’ equity, and cash flows for each of the three 
years  in  the  period  ended  March 31,  2007.    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 
financial position of Quality Systems, Inc. as of March 31, 2007 and 2006 and the results of its operations and its 
cash flows for each of the three years in the period ended March 31, 2007 in conformity with accounting principles 
generally accepted in the United States of America. 

As discussed in Note 2 to the Consolidated Financial Statements, the Company changed its method of accounting 
for  share-based  compensation  as  a  result  of  adopting  Statement  of  Financial  Accounting  Standards  No.  123R, 
―Share-Based Payment‖, effective April 1, 2006.   

Our audit was conducted for the purpose of forming an opinion on the basic financial statements taken 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 
taken 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,  2007,  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  7,  2007,  expressed  an 
unqualified opinion thereon. 

/s/ GRANT THORNTON LLP  

Irvine, California 
June 7, 2007 

 55 

 
 
 
 
 
 
 
 
  
 
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, 2007, based on criteria established in Internal Control – Integrated 
Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).  Quality 
Systems, Inc.’s management is responsible for maintaining effective internal control over financial reporting and 
for its assessment of the effectiveness of internal control over financial reporting.  Our responsibility is to express 
an  opinion  on  management's  assessment  and  an  opinion  on  the  effectiveness  of  the  Company's  internal  control 
over financial reporting based on our audit. 

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

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

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

In  our  opinion,  management's  assessment  that  Quality  Systems,  Inc.  maintained  effective  internal  control  over 
financial reporting as of March 31, 2007, is fairly stated, in all material respects, based on criteria established in 
Internal Control – Integrated Framework issued by COSO.  Also, in our opinion, Quality Systems, Inc. maintained, 
in all material respects, effective internal control over financial reporting as of March 31, 2007, based on criteria 
established in Internal Control – Integrated Framework issued by COSO.   

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, 2007 and 2006, and the 
related consolidated statements of income, shareholders’ equity, and cash flows for each of the three years in the 
period  ended  March  31,  2007,  and  our  report  dated  June 7,  2007  expressed  an  unqualified  opinion  on  those 
financial statements. 

/s/ GRANT THORNTON LLP  
Irvine, California 
June 7, 2007 

 56 

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

March 31, 2007 

March 31, 2006 

ASSETS 
Current assets: 
  Cash and cash equivalents......................................... 
  Accounts receivable, net............................................ 
Inventories, net.......................................................... 
Income tax receivable................................................ 
  Net current deferred tax assets.................................. 
  Other current assets................................................... 
          Total current assets.......................................... 

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

LIABILITIES AND SHAREHOLDERS' EQUITY 

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

Deferred revenue, net of current.................................... 
Deferred compensation.................................................. 
          Total liabilities................................................ 

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

$    60,028 
     63,945 
      1,175 
         -- 
      3,443 
      4,507 
    133,098 

      5,029 
      6,982 
      1,180 
      1,840 
      2,552 
$   150,681 

$      5,246 
     38,774 
      6,521 
        315 
      5,626 
     56,482 

      674 
      2,279 
     59,435 

$    57,225 
     44,665 
        561 
      1,195 
      1,824 
      2,912 
    108,382 

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

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

      1,494 
      1,686 
     49,838 

Shareholders’ equity: 
  Common stock, $0.01 par value; authorized 50,000 shares; issued 
and outstanding 27,123 and 26,711 shares at March 31, 2007 
and March 31, 2006, respectively...................... 
  Additional paid-in capital........................................ 
  Retained earnings..................................................... 
  Deferred compensation............................................ 
          Total shareholders' equity............................... 
          Total liabilities and shareholders’ equity........ 

        271 
     65,666 
     25,309 
         -- 
     91,246 
$   150,681  

        267 
     53,675 
     19,151 
       (684) 
     72,409 
$   122,247 

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

 57 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
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......................................................... 
 Electronic data interchange services (EDI)…….. 
 Other services...................................................... 
Maintenance, EDI and other services................... 

  March 31, 2007 

  March 31, 2006 

  March 31, 2005 

Fiscal Year Ended 

$     68,871 
      12,177 
      81,048 

      41,948 
      17,049 
      17,120 
      76,117 

$   54,938 
    11,293 
    66,231 

    31,124 
    13,256 
     8,676 
    53,056 

$   39,672 
     8,856 
    48,528 

    25,160  
    10,488 
     4,785 
    40,433 

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

     157,165 

   119,287 

    88,961 

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

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

       8,453 
       8,535 
      16,988 

      11,834 
      12,181 
       9,781 

      33,796 
      50,784 

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

     106,381 

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

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

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

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

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

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

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

      45,337 
      10,166 
      55,503 

      50,878 

       3,306 

      54,184 
      20,952 

$    33,232 

$       1.24 
$       1.21 

      26,882 
      27,550 

     8,148 
     8,088 
    16,236 

     9,330 
     8,569 
     5,693 

    23,592 
    39,828 

    79,459 

    35,554 
     8,087 
    43,641 

    35,818 

     2,108 

    37,926 
    14,604 

$  23,322 

$     0.88 
$     0.85 

    26,413 
    27,356 

     7,525 
     6,300 
    13,825 

     6,931 
     6,724 
     5,189 

    18,844 
    32,669 

    56,292 

    24,776 
     6,903 
    31,679 

    24,613 

       876 

    25,489 
     9,380 

$  16,109  

$     0.63  
$     0.61  

    25,744 
    26,406 

Dividends declared per common share 

$       1.00 

$    0.875 

$     0.75 

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

 58 

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

Common Stock 

   262 
     5 

  26,222 
     489 

    -- 
    -- 
    -- 
    -- 

Amount 
$  254 
     8 

      -- 
      -- 
      -- 
      -- 

Shares 
  25,300 
     922 

APIC 
$39,544 
Balance, March 31, 2004 
  2,144 
Exercise of stock options ..............................................................  
Tax benefit resulting from 
  2,680 
exercise of stock options...............................................................  
     -- 
Stock based compensation ............................................................  
     -- 
Dividends paid .............................................................................  
     -- 
Net income...................................................................................  
 44,368 
Balance, March 31, 2005 
  4,476 
Exercise of stock options ..............................................................  
Tax benefit resulting from 
  4,831 
exercise of stock options...............................................................  
     -- 
Stock based compensation ............................................................  
     -- 
Dividends paid .............................................................................  
     -- 
Net income...................................................................................  
Balance, March 31, 2006 
 53,675 
Reclass of deferred 
compensation upon adoption of 
   (684) 
SFAS 123R ..................................................................................  
  6,058 
Exercise of stock options ..............................................................  
Tax benefit resulting from 
  2,694 
exercise of stock options...............................................................  
  3,923 
Stock based compensation ............................................................  
     -- 
Dividends paid .............................................................................  
     -- 
Net income...................................................................................  
$65,666 
Balance, March 31, 2007 

      -- 
      -- 
      -- 
      -- 

      -- 
      -- 
      -- 
      -- 

    -- 
    -- 
    -- 
    -- 

    -- 
    -- 
    -- 
    -- 

      -- 
     412 

    -- 
     4 

  27,123 

  26,711 

$   271 

   267 

Retained 
Earnings 
$  22,750 
       -- 

Deferred  
Compensation 
$     (1,543) 
          -- 

Total 
Shareholders’ 
Equity 
$      61,005 
        2,152 

       -- 
       -- 
  (19,646) 
   16,109 

   19,213 
       -- 

       -- 
       -- 
  (23,384) 
   23,322 

   19,151 

          -- 
         431 
          -- 
          -- 

      (1,112) 
          -- 

          -- 
         428 
          -- 
          -- 

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

       62,731 
        4,481 

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

        (684) 

       72,409 

       -- 
       -- 

         684 
          -- 

           -- 
        6,062 

       -- 
       -- 
  (27,074) 
   33,232 

$  25,309 

          -- 
          -- 
          -- 
          -- 

        2,694 
        3,923 
      (27,074) 
       33,232 

$         -- 

$      91,246 

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

 59 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 share-based compensation......................... 
  Tax benefit from exercise of stock options………... 
  Excess tax benefit from share-based 
  compensation.............................................................. 
  Deferred income taxes, net......................................... 
Changes 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 flows from investing activities: 
  Additions to capitalized software costs.................... 
  Additions to equipment and improvements.............. 
    Net cash used in investing activities....................... 

Cash flows from financing activities: 
  Dividends paid.......................................................... 
  Excess tax benefit from share-based 
  compensation............................................................ 
  Proceeds from the exercise of stock options……... 
    Net cash used in financing activities……….….... 

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

  March 31, 2007 

Fiscal Year Ended 
  March 31, 2006 

  March 31, 2005 

$     33,232 

$    23,322 

$   16,109 

       1,950 
       3,231 
       1,480 
          35 
       3,923 
       2,694 

      (2,527) 
      (1,642) 

     (20,760) 
        (649) 
       1,195 
      (1,595) 
        (594) 
       2,312 
       3,532 
       1,031 
         315 
       1,814 
         593 
      29,570 

      (5,042) 
      (3,240) 
      (8,282) 

      1,368 
      2,460 
      1,181 
        179 
        428 
      4,831 

         -- 
     (1,476) 

    (12,484) 
        220 
     (1,180) 
     (1,235) 
       (354) 
        650 
     10,439 
      2,054 
         -- 
       (209) 
        484 
     30,678 

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

     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) 

     (27,074) 

    (23,384) 

   (19,646) 

       2,527 
       6,062 
     (18,485) 

         -- 
      4,481 
    (18,903) 

        -- 
     2,152 
   (17,494) 

       2,803 

      6,068 

      (238) 

Cash and cash equivalents, beginning of year……. 

      57,225 

     51,157 

    51,395 

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

$     60,028 

$    57,225 

$   51,157 

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

$     18,360 

$    11,022 

$    4,541  

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

 60 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
       
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
 
        
 
     
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
         
     
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
 
     
 
    
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
QUALITY SYSTEMS, INC. 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 
MARCH 31, 2007 and 2006 
(IN THOUSANDS, EXCEPT PER SHARE DATA) 

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 planning, drug formularies, electronic patient records, dental charting and letter generation. In addition to 
providing  fully  integrated  solutions,  the  Company  offers  its  clients  comprehensive  hardware  and  software 
maintenance and support services, system training services and Electronic Data Interchange (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.    On  February  2,  2005,  the  Board  of  Directors  declared  a  2-for-1  stock  split  with 
respect to the Company’s outstanding shares of common stock.  The stock split record date was March 4, 2005 and 
the stock began trading post split on March 28, 2005.   

References  to  share  and  per  share  data  contained  in  the  consolidated  financial  statements  and  notes  to  the 
consolidated financial statements have been retroactively adjusted to reflect the stock splits.   

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 the  consolidated financial statement sections are in thousands, except share and 
per share data, unless otherwise specified.   

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

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

 61 

 
 
 
 
 
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,  among  other  things,  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 
collections risk is high, the cash basis method is used to recognize revenue.  If the fee is not fixed or determinable, 
then the revenue recognized in each period (subject to application of other revenue recognition criteria) will be the 
lesser of the aggregate of amounts due and payable or the amount of the arrangement fee that would have  been 
recognized  if  the  fees  were  being  recognized  using  the  residual  method.  Fees  which  are  considered  fixed  or 
determinable at the inception of the Company’s arrangements must include the following characteristics: 

  The fee must be negotiated at the outset of an arrangement, and generally be based on the specific volume 
of products to be delivered without being subject to change based on variable pricing mechanisms such as 
the number of units copied or distributed or the expected number of users. 

  Payment terms must not be considered extended.  If a significant portion of the fee is due more than 12 
months  after  delivery  or  after  the  expiration  of  the  license,  the  fee  is  presumed  not  fixed  and 
determinable. 

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; 
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.   

 62 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Individual product returns are estimated in accordance with Statement of Financial Accounting Standards No. 48, 
―Revenue Recognition When Right of Return Exists‖ (SFAS 48).  The Company also ensures that the other criteria 
in SFAS 48 have been met prior to recognition of revenue:  

the price is fixed or determinable;  
the customer is obligated to pay and there are no contingencies surrounding the obligation or the payment;  
the customer’s obligation would not change in the event of theft or damage to the product;  
the customer has economic substance;  
the amount of returns can be reasonably estimated; and  
the Company does not have significant obligations for future performance in order to bring about resale of 
the product by the customer. 

The Company has historically offered short-term rights of return in certain sales arrangements. If the Company is 
able  to  estimate  returns  for  these  types  of  arrangements,  revenue  is  recognized  and  these  arrangements  are 
recorded in the consolidated financial statements.  If the Company is unable to estimate returns for these types of 
arrangements, revenue is not recognized in the consolidated financial statements until the rights of return expire. 

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 5100.50, 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. 

Revenue is divided 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.  The majority of the revenue in the 
system  sales  category  is  related  to  the  sale  of  software.    Revenue  in  the  maintenance,  EDI  and  other  services 
category  includes  maintenance,  EDI,  follow  on  training  and  implementation  services,  annual  third  party  license 
fees and other revenue.   

Cash and cash equivalents.  Cash and cash equivalents generally consist of cash, money market funds and short-
term U.S. Treasury securities with original 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 relatively low market risk.  The average maturity of the investments owned by the 
money market fund is approximately two months. 

Allowance for doubtful accounts. The Company provides  credit terms typically ranging from thirty days to less 
than twelve months for most system and maintenance contract sales and generally does not require collateral. The 
Company performs 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 the Company’s historical experience of bad debt expense and the aging of the Company’s 
accounts receivable balances net of deferred revenues 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  period.    Undelivered  maintenance  and  services  are  included  on  the 
accompanying Consolidated Balance Sheets in deferred revenue (see also Note 5).   

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. 

 63 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 the 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. If 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, 
2006  (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, 2007.   

Income Taxes.  Income taxes are provided for the tax effects of transactions reported in the consolidated 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  if  management 
determines that it is more likely than not that the deferred assets will not be realized. 

Advertising  Costs.    Advertising  costs  are  charged  to  operations  as  incurred.  The  Company  does  not  have  any 
direct-response  advertising.  Advertising  costs,  which  includes  trade  shows  and  conventions,  were  approximately 
$2,159, $1,915 and $1,251 for the years ended March 31, 2007, 2006 and 2005, 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 when earned.  

 64 

 
 
 
 
 
 
 
 
 
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 data) 
Net income................................................................ 
Basic net income per common share: 
Weighted average of common shares outstanding.... 
Basic net income per common share......................... 

2007 

Year Ended March 31, 
2006 

2005 

$   33,232 

$   23,322 

$   16,109 

   26,882 
$       1.24 

 26,413 
$       0.88 

25,744 
$       0.63 

Net income................................................................ 
Diluted net income per common share: 
 Weighted average of common shares outstanding.... 
 Effect of potentially dilutive securities (options)….. 
 Weighted average of common  shares outstanding- 
  diluted...................................................................... 
Diluted net income per common share....................... 

$   33,232 

$   23,322 

$   16,109 

   26,882 
      668 

   27,550 
$      1.21 

 26,413 
    943 

 27,356 
$      0.85 

25,744 
   662 

26,406 
$      0.61 

The computation of diluted net income per share does not include 92,500 and 124,000 options for the years ended 
March 31, 2007 and 2006, respectively, because their inclusion would have an anti-dilutive effect on earnings per 
share.  No options were omitted from the computation of diluted net income per share for the year ended March 
31, 2005. 

Share-Based Compensation 

On  April 1, 2006,  the  Company  adopted  Statement  of  Financial  Accounting  Standards  No.  123R,  ―Share-Based 
Payment‖ (SFAS 123R) which requires  the measurement and recognition of compensation expense for all share-
based payment awards made to employees and directors based on estimated fair values.  SFAS 123R supersedes 
the  Company’s  previous  accounting under  Accounting  Principles  Board  Opinion  No.  25,  ―Accounting  for  Stock 
Issued  to  Employees‖  (APB  25).    In  March  2005,  the  Securities  and  Exchange  Commission  issued  Staff 
Accounting Bulletin No. 107 (SAB 107) relating to SFAS 123R.  The Company has applied the provisions of SAB 
107 in its adoption of SFAS 123R. 

The  Company  adopted  SFAS  123R  using  the  modified  prospective  transition  method,  which  requires  the 
application of the accounting standard as of April 1, 2006, the first day of the Company’s fiscal year 2007.  The 
Company’s  Consolidated  Statement  of  Income  for  the  year  ended  March  31,  2007  reflects  the  impact  of  SFAS 
123R.    In  accordance  with  the  modified  prospective  transition  method,  the  Company’s  Consolidated  Financial 
Statements  for  prior  periods  have  not  been  restated  to  reflect,  and  do  not  include,  the  impact  of  SFAS  123R.  
Share-based compensation expense recognized under SFAS 123R for the year ended March 31, 2007 was $3,923, 
which consisted of stock-based compensation expense related to employee and director stock options.  The $3,923 
includes  $430  expensed  under  APB  25  for  ―in the  money‖  options  issued  prior  to  the  adoption  of  SFAS  123R. 
Excess tax benefits from share based  compensation are presented as cash outflows  from  operating activities and 
cash  inflows  from  financing  activities.    The  Company  has  elected  to  adopt  the  alternative  transition  method 
provided in FASB Staff Position No. SFAS 123R-3 (FSP 123(R)-3) for calculating the tax effects of share-based 
compensation pursuant to SFAS 123R. The alternative transition method includes a simplified method to establish 
the  beginning  balance  of  the  additional  paid-in  capital  (APIC  pool)  related  to  the  tax  effects  of  employee  and 
director stock-based compensation, and to determine the subsequent impact on the APIC pool and the consolidated 

 65 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
statement of cash flows of the tax effects of employee and director share-based awards that are outstanding upon 
adoption of SFAS 123R. 

The impact of adopting SFAS 123R had the following cumulative effects:  

(in thousands) 
Change in income before income 
taxes...................................................................................... 
Change in net income............................................................ 
Change in cash flow from operations.................................... 
Change in cash flow from financing..................................... 
Change in basic earnings per share....................................... 
Change in diluted earnings per share.................................... 

Year Ended 
March 31, 2007 

$     3,493 

$     2,752 
$   (2,527) 
$     2,527 
$       0.10 
$       0.10 

SFAS  123R  requires  companies  to  estimate  the  fair  value  of  share-based  payment  awards  on  the  date  of  grant 
using  an  option-pricing  model.    The  value  of  the  portion  of  the  award  that  is  ultimately  expected  to  vest  is 
recognized  ratably  as  expense  over  the  requisite  service  period  in  the  Company’s  Consolidated  Statement  of 
Income.    Prior  to  the  adoption  of  SFAS  123R,  the  Company  applied  the  intrinsic-value-based  method  of 
accounting  prescribed  by  APB  25  to  account  for  its  fixed-plan  stock  options.  Under this  method,  compensation 
expense was recorded on the date of grant only if the current market price of the underlying stock exceeded the 
exercise price. As previously allowed under SFAS 123, the Company only adopted the disclosure requirements of 
SFAS  123,  which  established  a  fair-value-based  method  of  accounting  for  share-based  employee  compensation 
plans.  The  following  is  a  reconciliation  of  reported  net  earnings  to  adjusted  net  earnings  had  the  Company 
recorded compensation expense based on the fair value at the grant date for its stock options under SFAS 123 for 
the years ended March 31, 2006 and 2005.  

(in thousands except per share data) 
Reported net earnings....................................................... 
Add: Option compensation expense, net of tax. .............. 
Less: Share-based compensation expense determined 
under fair value-based method for all 
awards............................................................................... 
Pro forma net earnings....................................................... 

Basic earnings per share: 
Reported.......................................................................... 
Pro forma......................................................................... 

Diluted earnings per share: 
Reported......................................................................... 
Pro forma........................................................................ 

Year Ended 
March 31, 2006 

Year Ended 
March 31, 2005 

$   23,322  
262 

 (3,280) 

$  16,109 
272 

 (1,483) 

$  20,304 

$  14,898 

$      0.88 
$      0.77 

$      0.85 
$      0.74 

$      0.63 
$      0.58 

$      0.61 
$      0.56 

In arriving at the stock-based compensation expense reported in the table above, the Company utilized the Black-
Scholes valuation model for estimating fair value with the following assumptions: expected life – 48 - 57 months 
from the date of the grant; stock volatility  – 47.7 - 57.0%, risk free interest rate of 3.0  - 3.7% and no dividends 
during  the  expected  term.    For  stock  options  issued  subsequent  to  March  31,  2006,  the  Company  used  the 
simplified method for estimating expected term, which derives a term equal to the midpoint between the vesting 
period  and  the  contractual  term  as  allowed  by  SAB  107.    Prior  to  using  the  simplified  method,  the  Company 
estimated  the  expected  life  of  an  option.    The  Company  estimates  volatility  by  using  the  weighted  average 
historical  volatility  of  the  Company’s  common  stock  which  the  Company  believes  approximates  expected 

 66 

  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
volatility.  The risk free rate is the implied yield available on the U.S Treasury zero-coupon issues with remaining 
terms equal to the expected life input to the Black-Scholes model.  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  time  when the  February  11, 
2005  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  of  such  options.    Therefore,  management  believes  that  using  a  zero 
dividend rate in the valuation of the stock options granted during fiscal years 2006 and 2005 was appropriate.  The 
above  pro  forma  disclosure  was  not  presented  for  the  year  ended  March  31,  2007  because  stock-based 
compensation has been accounted under SFAS 123R for this period.  

The  historical  pro  forma  impact  of  applying  the  fair  value  method  prescribed  by  SFAS  123  may  not  be 
representative of the impact that may be expected in the future due to changes resulting from additional grants in 
future  years  and  changes  in  assumptions  such  as  volatility,  interest rates  and  expected  life  used  to  estimate  fair 
value of the grants in future years. 

The  following  table  shows  total  stock-based  employee  compensation  expense  included  in  the  Consolidated 
Statement of Income for year ended March 31, 2007. 

(in thousands) 
Costs and expenses: 
  Cost of revenue........................................................................................ 
  Research and development....................................................................... 
  Selling, general and administrative.......................................................... 
Total stock based compensation ............................................................... 
Amounts capitalized in software development costs................................. 
Amounts charged against earnings, before income tax 
benefit.......................................................................................................  
Amount of related income tax benefit recognized in 
earnings..................................................................................................... 

Year Ended 
March 31, 2007 

$       524 
870 
2,529 
$    3,923 
$       (38) 
$    3,885 

$       910 

Use of Estimates.  The preparation of consolidated financial statements in conformity with accounting principles 
generally  accepted  in  the  United  States  of  America  (GAAP)  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 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 February 2007, the Financial Standards Accounting Board (FASB) issued 
SFAS No. 159, ―The Fair Value Option for Financial Assets and Financial Liabilities—including an amendment of 
SFAS No. 115‖, which applies to all entities with available-for-sale and trading securities. This Statement permits 
entities to choose to measure many financial instruments and certain other items at fair value. The objective is to 
improve  financial reporting  by  providing  entities  with  the opportunity  to  mitigate  volatility  in reported  earnings 
caused  by measuring related assets and liabilities differently  without having to apply  complex hedge accounting 
provisions.  This  Statement  is  effective  as  of  the  beginning  of  an  entity’s  first  fiscal  year  that  begins  after 
November 15,  2007.  Early  adoption  is  permitted  as  of  the  beginning  of  a  fiscal  year  that  begins  on  or  before 
November 15,  2007,  provided  the  entity  also  elects  to  apply  the  provisions  of  FASB  Statement  No. 157,  ―Fair 

 67 

 
 
 
 
 
 
Value  Measurements‖. The  Company  plans  to  adopt  SFAS  159  effective  April 1,  2008  and  is  in the  process  of 
determining the effect, if any; the adoption of SFAS 159 will have on its consolidated financial statements. 

In  September 2006,  the  FASB  issued  Statement  of  Financial  Accounting  Standards  No. 157,  ―Fair  Value 
Measurements‖ (SFAS 157), which defines fair value, establishes a framework for measuring fair value in GAAP, 
and  expands  disclosures  about  fair  value  measurements.    SFAS  157  does  not  require  any  new  fair  value 
measurements,  but  provides  guidance  on  how  to  measure  fair  value  by  providing  a  fair  value hierarchy  used  to 
classify  the  source  of  the  information. This  statement  is  effective  for  fiscal  years  beginning  after  November  15, 
2007.  The  Company  is  currently  evaluating  the  impact,  if  any;  the  adoption  of  this  standard  will  have  on  its 
consolidated financial statements.   

In  September  2006,  the  Securities  and  Exchange  Commission  (SEC)  issued  Staff  Accounting  Bulletin  no.  108 
(SAB  108)  to  clarify  consideration  of  the  effects  of  prior  year  errors  when  quantifying  misstatements  in  current 
year  financial  statements  for  the  purpose  of  quantifying  materiality.    SAB  108  requires  issuers  to  quantify 
misstatements using both the ―rollover‖ and ―iron curtain‖ approaches and requires an adjustment to the current 
year financial statements in the event that after the application of either approach and consideration of all relevant 
quantitative and qualitative  factors, a misstatement is determined to be material.  SAB 108 is effective  for fiscal 
years ending after November 15, 2006.  The adoption of SAB 108 did not have a material effect on the Company’s 
consolidated financial statements.   

In  June  2006, the  FASB  issued  Financial Interpretation  No.  48,  ―Accounting  for  Uncertainty  in  Income  Taxes,‖ 
(FIN 48) which defines the threshold for recognizing the benefits of tax return positions in the financial statements 
as ―more-likely-than-not‖ to be sustained by the taxing authority.  A tax position that meets the ―more-likely-than-
not‖  criterion  shall  be  measured at  the  largest  amount  of  benefit  that  is  more  than  50%  likely  of  being  realized 
upon ultimate settlement.  FIN 48 applies to all tax positions accounted for under SFAS No. 109, ―Accounting for 
Income  Taxes.‖  FIN  48  is  effective  for  fiscal  years  beginning  after  December  15,  2006.  Upon  adoption,  the 
consolidated financial statements will be adjusted to reflect only those tax positions that are more-likely-than-not 
to  be  sustained  as  of  the  adoption  date.  Any  adjustment  will  be  recorded  directly  to  the  Company’s  beginning 
retained earnings balance in the period of adoption and reported as a change in accounting principle. The Company 
is currently analyzing the effects of adopting FIN 48 on April 1, 2007, but does not currently believe the adoption 
will have a material impact on the Company’s consolidated financial statements when adopted. 

In June 2006, the FASB ratified a consensus opinion reached by the Emerging Issues Task Force (EITF) on EITF 
Issue  06-3,  ―How  Taxes  Collected  from  Customers  and  Remitted  to  Governmental  Authorities  Should  Be 
Presented  in  the  Income  Statement  (That  Is,  Gross  versus  Net  Presentation).‖  The  guidance  in EITF  Issue  06-3 
requires disclosure in interim and annual financial statements of the amount of taxes on a gross basis, if significant, 
that  are  assessed  by  a  governmental  authority  that  are  imposed  on  and  concurrent  with  a  specific  revenue 
producing  transaction  between  a  seller  and  customer  such  as  sales,  use,  value  added,  and  some  excise  taxes. 
Additionally, the income statement presentation (gross or net) of such taxes is an accounting policy decision that 
must  be  disclosed.  The  consensus  in  EITF  Issue  06-3  is  effective  for  interim  and  annual  reporting  periods 
beginning  after  December 15,  2006.  The  adoption  of  EITF  Issue  06-3  did  not  have  a  significant  effect  on  the 
Company’s consolidated financial statements as the Company has historically presented sales excluding all taxes. 

 68 

 
 
 
 
3. Intangible Assets – Capitalized Software Costs   

As of March 31, 2007 and 2006, the Company had the following amounts related to intangible assets with definite 
lives: 

(in thousands) 
Gross carrying amount................................................. 
Accumulated amortization........................................... 

March 31, 2007 

  March 31, 2006 

$     21,626 
     (14,644) 

$    16,584 
    (11,413) 

Net capitalized software development......................... 

$      6,982  

$     5,171 

Aggregate amortization expense during the year.......... 

$      3,231 

$     2,460 

Activity related to net capitalized software costs for the year ended March 31, 2007 and 2006 is as follows: 

Beginning of the period............................................... 
Capitalization............................................................... 
Amortization................................................................ 
End of the period......................................................... 

March 31, 2007 
$      5,171 
5,042 
 (3,231) 
$      6,982 

  March 31, 2006 

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

The following table represents the remaining estimated amortization of intangible assets with determinable lives as 
of March 31, 2007: 

For the year ended March 31,  
2008................................................................................. 
2009................................................................................. 
2010................................................................................. 
Total................................................................................ 

$     3,484 
2,376 
1,122 
$     6,982 

4. Cash and Cash Equivalents  

At March 31, 2007 and 2006, the Company had cash and cash equivalents of $60,028 and $57,225, 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......................................................... 

$    3,306 

$    2,108 

$    876 

2007 

Year Ended March 31, 
2006 

 2005 

 69 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
5. Composition of Certain Financial Statement Captions 

Accounts receivable include amounts related to maintenance and services which were billed but not yet rendered 
as of the end of the year.  Undelivered maintenance and services are included on the accompanying Consolidated 
Balance Sheets as part of the deferred revenue balance.   

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

March 31, 2007 

  March 31, 2006 

$     42,574 

$    29,832 

      23,809 
      66,383 

     17,389 
     47,221 

Allowance for doubtful accounts.................................................... 

      (2,438) 

     (2,556) 

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

 $    63,945 

 $   44,665 

Inventories are summarized as follows: 

March 31, 2007 

  March 31, 2006 

Computer systems and components, net of reserve for 
 obsolescence of $324 and $304, respectively......................... 
Miscellaneous parts and supplies.............................................. 

$      1,147 
          28 

 $      539 
         22 

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

$      1,175 

 $      561 

Equipment and improvements are summarized as follows: 

March 31, 2007 

  March 31, 2006 

Computer and electronic test equipment.................................. 
Fixtures and furniture............................................................... 
Leasehold improvements.......................................................... 

Accumulated depreciation and amortization............................ 
Equipment and improvements, net........................................... 

$      9,801 
       2,845 
         929    
      13,575  
      (8,546) 
$      5,029 

 $    7,501 
      2,237 
        597 
     10,335 
     (6,596) 
 $    3,739 

Accrued compensation and related benefits are summarized as follows: 

March 31, 2007 

  March 31, 2006 

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

$     4,158 
      2,363 

 $    3,714 
      1,776 

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

$     6,521 

 $    5,490 

 70 

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

March 31, 2007 

  March 31, 2006 

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

$    10,241 
     26,465 
      2,742 

 $    7,838 
     23,792  
      4,286 

Deferred Revenue................................................................... 

$    39,448 

 $   35,916 

Other current liabilities are summarized as follows: 

March 31, 2007 

  March 31, 2006 

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

$       805 
        767 
        703 
        652 
        613 
        463 
        425 
      1,198 

$       575 
        519 
        624 
        360 
        470 
         -- 
        224 
      1,040 

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

$     5,626 

$     3,812 

6. Income Taxes 

During the years ended March 31, 2007 and 2006, the Company claimed research and development tax credits of 
$787  and  $821,  respectively.   The  Company  also  claimed  the  qualified  production  activities  deduction  under 
Section 199 of the Internal Revenue Code, for $1,457 and $840 during the years ended March 31, 2007 and 2006, 
respectively.     The  research  and  development  credits  and  the  qualified  production  activities  income  deduction 
taken by the Company involve certain assumptions and judgments regarding qualification of  expenses under the 
relevant tax code provisions.  

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

(in thousands) 
Current: 
   Federal taxes................................................................. 
   State taxes..................................................................... 
     Total............................................................................ 
Deferred: 
   Federal taxes................................................................. 
   State taxes..................................................................... 
     Total............................................................................ 

2007 

Year Ended March 31, 
2006 

 2005 

$  18,106 
    4,488 
   22,594  

   (1,347) 
     (295) 
   (1,642) 

$  12,824 
    3,256 
   16,080  

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

$   5,365 
    1,438 
    6,803  

    2,040 
      537 
    2,577 

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

$  20,952 

$  14,604 

$   9,380 

 71 

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

2007 

Year Ended March 31, 
2006 

 2005 

(in thousands) 
Federal income tax statutory rate....................................... 

     35.0% 

     35.0% 

     35.0% 

Increase (decrease) resulting from: 
   State income taxes........................................................... 
   Research & development tax credits.............................. 
   Qualified production activities income deduction…....... 
   Other............................................................................... 

      5.0 
     (1.7) 
     (0.9) 
      1.3 

      5.0 
     (2.3) 
     (0.8) 
      1.6 

      4.6 
     (4.3) 
       -- 
      1.5 

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

     38.7% 

     38.5% 

     36.8% 

The net deferred tax assets in the accompanying Consolidated Balance Sheets consist of the following: 

March 31, 2007 

  March 31, 2006 

Deferred tax assets: 
   Deferred revenue and allowance for doubtful accounts......... 
   Inventory valuation................................................................ 
   Purchased in-process research and development................... 
   Intangible assets................................................................. 
   Accrued compensation and benefits..................................... 
   Deferred compensation....................................................... 
   State income taxes.............................................................. 
   Compensatory stock option expense.................................... 
   Other................................................................................. 
      Total deferred tax assets................................................... 

Deferred tax liabilities: 
   Accelerated depreciation..................................................... 
   Capitalized software............................................................ 
   Prepaid expense.................................................................. 
   Other................................................................................. 
      Total deferred tax liabilities.............................................. 
      Deferred tax assets, net.................................................... 

$     4,528 
        206  
      1,490 
        100 
        917 
        975 
         55 
        707 
        387 
      9,365 

       (387) 
     (2,955) 
     (1,400) 
         -- 
     (4,742) 
$     4,623 

$    3,336 
        198 
      1,797 
        126 
        606 
        745 
        176 
        134 
        193 
      7,311 

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

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  

The Company has a 401(k) plan available to substantially all of its employees. Participating employees may defer 
up to the Internal Revenue Service limit based on the Internal Revenue 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 amount of the Company match is discretionary and subject to change.  The retirement plans 
may be amended or discontinued at the discretion of the Board of Directors. Contributions of $250, $202 and $162 
were  made  by  the  Company  to  the  401(k)  plan  for  the  fiscal  years  ended  March  31,  2007,  2006  and  2005, 
respectively. 

 72 

   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The Company has a deferred compensation plan (the Deferral Plan) for the benefit of those officers and employees 
who  qualify  for inclusion.  Participating  employees  may  defer  between  5%  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,  and  the  amount  of  the  Company  match  is  discretionary  and  subject  to 
change.  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.  
Deferred compensation liability was $2,279 and $1,686 at March 31, 2007 and 2006, respectively.  To offset this 
liability,  the  Company  has  purchased  life  insurance  policies  on  some  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 Company intends to hold 
the life insurance policy until the death of the plan participant.  The net cash surrender value of the life insurance 
policies for deferred compensation was $2,276 and $1,653 at March 31, 2007 and 2006, respectively.  The values 
of the life insurance policies and the related Company obligation are included on the accompanying Consolidated 
Balance Sheets in long-term other assets and long-term deferred compensation, respectively.  The Company made 
contributions of $29, $25 and $13 to the Deferral Plan for each of the fiscal years ended March 31, 2007, 2006 and 
2005, respectively. 

The Company has a voluntary employee stock contribution plan for the benefit of full-time employees.  The plan is 
designed to allow certain 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 $10, $14 and $6 were made 
by the Company for the fiscal years ended March 31, 2007, 2006 and 2005, respectively. 

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  were  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, and options under the 
1998 Plan expire no later than ten years from the grant date. Options granted will generally become exercisable in 
accordance with the terms of the agreement pursuant to which they  were granted.  Certain other option grants to 
directors became exercisable three months from the date of grant.  Upon an acquisition of the Company by merger 
or asset sale, each outstanding option may be subject to accelerated vesting under certain circumstances. The 1998 
Plan terminates on December 31, 2007, unless sooner terminated by the Board. At March 31, 2007, 58,300 shares 
were  available  for  future  grant  under  the  1998  Plan.    As  of  March  31,  2007,  there  were  1,461,950  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, 
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 
share-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, and expire awards under the 2005 Plan no later than ten  years from the grant date. Options 
granted will generally become exercisable in accordance with the terms of the agreement, pursuant to which they 
were  granted.    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, 2007,  2,400,000  shares  were  available  for  future  grant  under the 
2005 Plan.  As of March 31, 2007, there were no outstanding options related to this Plan. 

 73 

 
On September 20, 2006, the Board of Directors granted a total of 35,000 options under the Company’s 1998 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 grant ($39.81 per share).  The options vest in four equal annual installments beginning September 20, 2007 and 
expire on September 20, 2013.   

On August 11, 2006, the Board of Directors granted a total of 40,000 options under the Company’s 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 ($37.09 per share).  The options vest in four equal annual installments beginning August 11, 2007 and 
expire on August 11, 2011.   

On July 25, 2006, the Board of Directors approved a performance-based equity incentive program for employees 
to  be  awarded  options  to  purchase  the  Company’s  common  stock  based  on  meeting  certain  target  increases  in 
earnings per share performance and revenue growth during fiscal year 2007.  The options shall be issued pursuant 
to one of the Company’s shareholder approved option plans, have an exercise price equal to the closing price of 
the Company’s shares on the date of grant, a term of five years, vest in four equal installments commencing one 
year  following  the  date  of  grant.    The  maximum  number  of  options  originally  available  under  the  performance 
based  equity  incentive  program  plan  was  115,000.    On  January  29,  2007,  a  committee  comprised  of  all  the 
independent directors of the Board of Directors modified the Company’s previously approved performance based 
equity  incentive  program  for  employees.    Modifications  to  the  program  included  an  increase  in  the  maximum 
number of options available under the program from 115,000 to 290,000 and revisions to certain revenue targets.  
Compensation  expense  of  $425  for  these  options  was  recorded  in  the  year  ended  March  31,  2007.    A  total  of 
159,500 options will be granted during the quarter ended June 30, 2007 based on the achievement of certain fiscal 
2007  revenue  and  earnings  per  share  performance  targets  included  in  the  fiscal  year  2007  equity  incentive 
program.    

On October 5, 2005, the Board of Directors  granted a total of  124,000  stock   options  under  the  Company's  
1998 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.  

On  August  8,  2005,  the  Board  of  Directors  granted  19,000  options  under  the  Company’s  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 
($32.445 per share).  The options vest in four equal annual installments beginning August 8, 2006 and expire on 
August 8, 2012.   

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.   

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.   

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.   

 74 

 
 
 
 
 
 
 
 
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.     

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 to be amortized evenly 
over the next four years ending October 2007.  Compensation expense of approximately $430, $428 and $421 was 
recognized in the fiscal years ended March 31, 2007, 2006 and 2005 relative to this option grant.  

A summary of stock option transactions during the years ended March 31, 2007, 2006 and 2005 is as follows: 

Outstanding, April 1, 2004................. 
Granted............................................... 
Exercised............................................ 
Forfeited/Canceled............................. 
Outstanding, March 31, 2005………. 

Granted.............................................. 
Exercised............................................ 
Forfeited/Canceled............................. 
Outstanding, March 31, 2006………. 

Granted.............................................. 
Exercised............................................ 
Forfeited/Canceled............................. 
Outstanding, March 31, 2007………. 
Exercisable, March 31, 2007….……. 
Vested and expected to vest, March 
31, 2007.........................................…. 

  Weighted 
-Average 
Exercise 
Price 
$     2.63 
$   16.23 
$     2.29 
$     2.03 
$   13.89 

$   33.85 
$     9.20 
$   12.37 
$   16.78 

$   38.36 
$   14.74 
$     3.25 
$   18.46 
$   20.32 

Number of 
Shares 
1,322,348 
1,774,900 
(920,556) 
(7,248) 
2,169,444 

143,000 
(486,772) 
(27,300) 
1,798,372 

75,000 
(411,414) 
(8) 
1,461,950 
520,650 

1,450,466 

$   18.47 

Weighted 
Average 
Remaining 
Contractual Life 

(in thousands) 
Aggregate 
Intrinsic Value 

$    16,447 

$    11,169 

$    10,393 

$    31,489 
$    10,245 

$    31,230 

5.35 
3.27 
  -- 
4.00 
4.39 

4.01 

The Company continues to utilize the Black-Scholes valuation model for estimating the fair value of share-based 
compensation after the adoption of SFAS 123R with the following assumptions:  

Year Ended 
March 31, 2007 

Expected life.................................................................. 
Expected volatility......................................................... 
Expected dividends........................................................ 
Risk-free rate................................................................. 

3.75 - 4.75 years 
47.0% - 48.50% 
2.05% - 2.36% 
4.53% - 5.09% 

During the year ended March 31, 2007, 75,000 options were granted under the 1998 Plan.  The Company issues 
new shares to satisfy  option exercises.  Based on historical experience of  option cancellations, the Company has 
estimated an annualized forfeiture rate of 1.2% for employee options and 0.0% for director options.  The weighted 
average grant date fair value of stock options granted during the years ended March 31, 2007, 2006 and 2005 was 
$14.33, $15.23 and $7.16 per share, respectively.  The expected dividend yield is the average dividend rate during 
a period equal to the expected life of the option.   

 75 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Non-vested  stock  award  activity  including  awards  for  the  twelve  month  period  ended  March  31,  2007  is 
summarized as follows: 

Non-vested, April 1, 2006....................................... 
Granted.................................................................. 
Vested..................................................................... 
Forfeited/Canceled.................................................. 
Non-vested, March 31, 2007................................... 

Non-vested 
Number of Shares 
   1,327,075 
      75,000 
    (460,775) 
          -- 
     941,300 

Weighted 
-Average Grant Date 
Fair Value per Share 

$     7.34 
$   14.33 
$     7.34 
         -- 
$     7.89 

As of March 31, 2007, $5,889 of total unrecognized compensation costs related to stock options is expected to be 
recognized over a weighted average period of  3.79 years.  This amount does not include the cost of new options 
that may be granted in future periods nor any changes in the Company’s forfeiture percentage.  The total fair value 
of shares vested during the year ended March 31, 2007 was $2,309.   

9. Commitments and Contingencies 

Litigation.    The  Company  is  a  party  to  various  legal  proceedings  incidental  to  its  business,  none  of  which  are 
considered by management to be material. 

Rental  Commitments.    The  Company  leases  facilities  and  offices  under  irrevocable  operating  lease  agreements 
expiring at various dates through October 2011 with rent escalation clauses. Rent expense related to these leases is 
recognized on a straight-line basis over the lease terms.  Rent expense for the years ended March 31, 2007, 2006, 
and  2005  was  $2,329,  $1,634  and  $1,285,  respectively.    Rental  commitments  under  these  agreements  are  as 
follows:  

Year Ending March 31,  

2008 
2009 
2010 
2011 
2012 

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

$    2,701 
2,413 
2,417 
2,469 
927 

$   10,927 

Commitments  &  Guarantees.    Software  license  agreements  in  both  the  QSI  and  NextGen  Divisions  include  a 
performance  guarantee  that  the  Company’s  software  products  will  substantially  operate  as  described  in  the 
applicable program documentation for a period of 365 days after delivery. To date, the Company has not incurred 
any significant costs associated with these warranties and does not expect to incur significant warranty costs in the 
future.    Therefore,  no  accrual  has  been  made  for  potential  costs  associated  with  these  warranties.  Certain 
arrangements  also  include  performance  guarantees  related to  response  time, availability  for  operational  use,  and 
other  performance-related  guarantees.    Certain  arrangements  also  include  penalties  in  the  form  of  maintenance 
credits should the performance of the software fail to meet the performance guarantees.  To date, the Company has 
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. 

The Company has historically offered short-term rights of return in certain sales arrangements. If the Company is 
able  to  estimate  returns  for  these  types  of  arrangements,  revenue  is  recognized  and  these  arrangements  are 
recorded in the consolidated financial statements.  If the Company is unable to estimate returns for these types of 
arrangements, revenue is not recognized in the consolidated financial statements until the rights of return expire. 

 76 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The Company’s standard sales agreements in the NextGen Division contain an indemnification provision pursuant 
to which it shall indemnify, hold harmless, and 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 its software.   The QSI Division arrangements occasionally 
utilize this type of language as well.  As the Company has not incurred any significant costs to defend lawsuits or 
settle  claims  related  to  these  indemnification  agreements,  the  Company  believes  that  its  estimated  exposure  on 
these  agreements  is  currently  minimal.  Accordingly,  the  Company  has  no  liabilities  recorded  for  these 
indemnification obligations.  

From time to time, the Company offers future purchase discounts on its products and services as part of its sales 
arrangements.    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. 

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

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  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 the Company’s ―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 the Company’s two divisions.   

The QSI Division, co-located with the Company’s 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 UNIXa 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. 

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-

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

 77 

 
 
 
 
 
 
                                                   
related expenses, are not allocated to the individual segments by management. Management evaluates performance 
based on stand-alone segment operating income.  Because the Company does not evaluate performance based on 
return on assets at the operating segment level, assets are not tracked internally  by segment. Therefore, segment 
asset information is not presented.   

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

QSI 
Division 

$ 16,589 
   4,391 

NextGen 
Division 

$ 140,576 
   56,317 

Unallocated 
Corporate 
Expenses 

Consolidated 

$            -- 
(9,830) 

$   157,165 
     50,878 

  15,544 
   3,610 

  103,743 
   40,245 

   -- 
(8,037) 

    119,287 
     35,818 

  15,367 
$   4,162 

   73,594 
$  25,904 

         -- 
$   (5,453) 

     88,961 
$    24,613 

2007 
Revenue.......................................... 
Operating income (loss)................. 

2006 
Revenue......................................... 
Operating income (loss)................ 

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

12. Customer Concentration 

One customer represented approximately 12.5% of total gross accounts receivable as of March 31, 2007.  No 
customer represented more than 10% of gross accounts receivable as of March 31, 2006. 

13.  Subsequent Events 

On May 31, 2007, the Board of Directors approved a performance-based equity incentive program for employees 
to  be  awarded  options  to  purchase  the  Company’s  common  stock  based  on  meeting  certain  target  increases  in 
earnings per share performance and revenue growth during fiscal year 2008.  If earned, the options shall be issued 
pursuant to one of the Company’s shareholder approved option plans, have an exercise price equal to the closing 
price  of  the  Company’s  shares  on  the  date  of  grant,  a  term  of  five  years,  vest  in  four  equal  installments 
commencing  one  year  following  the  date  of  grant.    The  maximum  number  of  options  available  under  the 
performance-based equity incentive program plan is 310,000. 

On May 31, 2007, the Board declared a quarterly cash dividend of $0.25 per share on the Company’s outstanding 
shares  of  common  stock,  payable  to  shareholders  of  record  as  of  June  15,  2007  with an  anticipated  distribution 
date of July 5, 2007. The Company anticipates that future quarterly dividends, if and when declared by the Board 
pursuant to this policy,  would likely be distributable on or about the fifth day of each of the months of October, 
January, April and July. 

14.  Selected Quarterly Operating Results (unaudited) 
The  following table  presents  quarterly  unaudited  consolidated  financial  information  for  the  eight  quarters  in  the 
period  ended  March  31,  2007.    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.  

 78 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
COMPARISON BY QUARTER 

(in thousands) 
Revenue: 
Software, Hardware and 
  Supplies…………….……….. 
Implementation and 
  Training…………………..…. 
  Total System Sales……….…. 
Maintenance…………….….… 
EDI……………………….….. 
Other Services……………..…. 
  Total Maintenance, 
   EDI and Other 
  Services…………………...… 
  Total Revenue…………..…... 
Cost of Revenue: 
Software, Hardware and 
  Supplies…………………..…. 
Implementation and 
  Training…………………..…. 
Total Cost of System 
  Sales……………….……....... 
Maintenance………………….. 
EDI………………………….... 
Other Services……………..…. 
  Total Cost of 
  Maintenance, EDI 
   and Other Services……...….. 
  Total Cost of 
  Revenue………………….…. 

6/30/05 

9/30/05 

12/31/05 

3/31/06 

6/30/06 

9/30/06 

12/31/06 

3/31/07 

Quarter Ended (Unaudited) 

$12,973 

$13,661 

$10,835 

$17,469 

$15,029 

$16,737 

$16,088 

$21,017 

  2,490 
 15,463 
  7,311 
  3,102 
  1,552 

  3,031 
 16,692 
  7,360 
  3,174 
  2,316 

  2,615 
13,450 
 7,733 
 3,310 
 2,259 

  3,157 
 20,626 
  8,720 
  3,670 
  2,549 

  2,954 
 17,983 
  9,399 
  3,977 
  4,715 

  2,848 
19,585 
 9,639 
 4,066 
 4,169 

  2,885 
18,973 
11,069 
 4,290 
 4,164 

  3,490 
 24,507 
 11,841 
 4,716 
 4,072 

 11,965 
 27,428 

 12,850 
 29,542 

13,302 
26,752 

 14,939 
 35,565 

 18,091 
 36,074 

17,874 
37,459 

19,523 
38,496 

20,629 
45,136 

  2,456 

  1,907 

 1,659 

  2,126 

  1,689 

 1,723 

 1,798 

 3,243 

  1,824 

  1,942 

 1,975 

  2,347 

  1,963 

 2,154 

 2,169 

 2,249 

  4,280 
  2,257 
  2,062 
  1,152 

  3,849 
  2,236 
  2,125 
  1,401 

 3,634 
 2,024 
 2,216 
 1,529 

  4,473 
  2,812 
  2,158 
  1,620 

  3,652 
  3,137 
  2,780 
  1,888 

 3,877 
 2,792 
 2,926 
 2,238 

 3,967 
 3,058 
 3,144 
 2,528 

 5,492 
 2,847 
 3,331 
 3,127 

  5,471 

  5,762 

 5,769 

  6,590 

  7,805 

 7,956 

 8,730 

 9,305 

  9,751 

  9,611 

 9,403 

 11,063 

 11,457 

11,833 

 12,697 

14,797 

Gross Profit………………...… 

 17,677 

 19,931 

17,349 

 24,502 

 24,617 

25,626 

25,799 

30,339 

Selling, General and 
  Administrative…………..….. 
Research and 
  Development……….…….… 
Income from Operations…..… 
Interest Income…………….... 
Income Before 
  Provision for Income 
  Taxes………………….…… 
Provision for Income 
  Taxes…………..…………... 
Net Income………………….. 

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

  8,032 

  8,920 

 8,016 

 10,586 

 10,200 

9,994 

10,593 

14,550 

  1,741 
  7,904 
    341 

  1,977 
  9,034 
    460 

 2,208 
 7,125 
   594 

  2,161 
 11,755 
    713 

  2,318 
 12,099 
    667 

 2,591 
13,041 
   819 

 2,601 
12,605 
   935 

 2,656 
13,133 
   885 

  8,245 

  9,494 

 7,719 

 12,468 

 12,766 

13,860 

13,540 

14,018 

  3,170 
$ 5,075 

  3,700 
$ 5,794 

 2,904 
$ 4,815 

  4,830 
$ 7,638 

  5,097 
$ 7,669 

 5,523 
$ 8,337 

4,819 
$ 8,721 

 5,513 
$ 8,505 

$  0.19 

$  0.22 

$  0.18 

$  0.29 

$  0.29 

$  0.31 

$  0.32 

$  0.31 

$  0.19 

$  0.21 

$  0.18 

$  0.28 

$  0.28 

$  0.30 

$  0.32 

$  0.31 

 26,224 

 26,298 

26,490 

 26,642 

 26,714 

26,802 

26,966 

27,049 

 26,950 

 27,128 

27,372 

 27,432 

 27,232 

27,380 

27,507 

27,600 

*   Will not add to annual EPS due to rounding 

 79 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Schedule II 

ALLOWANCE FOR DOUBTFUL ACCOUNTS 
(in thousands) 

For the Year Ended 

Balance at 
Beginning of 
Year 

Additions Charged 
to Costs and 
Expenses 

Deductions 

Balance at End 
of Year 

March 31, 2007 ........................................................  
$   2,556 
$   1,837 
March 31, 2006 ........................................................  
$   1,293 
March 31, 2005 ........................................................  

$    1,480 
$    1,181 
$       797 

$ (1,598) 
$    (462) 
$    (253) 

$   2,438 
$   2,556 
$   1,837 

ALLOWANCE FOR INVENTORY OBSOLESCENSE 
(in thousands) 

For the Year Ended 

Balance at 
Beginning 
of Year 

Additions Charged 
to Costs and 
Expenses 

Deductions 

Balance at End 
of Year 

March 31, 2007 ........................................................  
$     304 
March 31, 2006 ........................................................  
$     146 
$     207 
March 31, 2005 ........................................................  

$        35 
$      179 
$      160 

$     (15) 
$     (21) 
$   (221) 

$     324 
$     304 
$     146 

 80 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
EXHIBIT 
NUMBER 

10.13 

10.17 

INDEX TO EXHIBITS ATTACHED TO THIS REPORT 

DESCRIPTION 

Fifth Amendment to lease agreement between the Company and Tower Place, L.P. dated 
January 31, 2007. 

Amended  and  Restated  Second  Amendment  to  Office  Lease  agreement  between  the 
Company and HUB Properties LLC dated May 31, 2006. 

10.20 

Office lease between the Company and SLTS Grand Avenue, L.P. dated May 3, 2006. 

10.25 

10.26 

Description  of  Compensation  Program  for  Named  Executive  Officers  for  Fiscal  Year 
Ended March 31, 2008. 

Description  of  Compensation  Program  for  Named  Executive  Officers  for  Fiscal  Year 
Ended March 31, 2007. 

23 

Consent of Independent Registered Public Accounting Firm – Grant Thornton LLP 

31.1 

31.2 

32.1 

Certification of Principal 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 Principal 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.   

 81 

 
 
 
 
 
 
 
 
 
 
EXHIBIT 23 

CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM 

We  have  issued  reports  dated  June  7,  2007,  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, 2007.  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 7, 2007 

 82 

 
 
 
 
 
 
 
 
EXHIBIT 31.1 

CERTIFICATION OF PRINCIPAL 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 

I, Louis E. 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, 2007 

By: /s/ LOUIS E. SILVERMAN 

Louis E. Silverman, 
Chief Executive Officer 
(Principal Executive Officer) 

 83 

 
 
 
 
 
 
 
 
 
 
 
 
 
EXHIBIT 31.2 

CERTIFICATION OF PRINCIPAL 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 

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, 2007 

By: /s/ PAUL A. HOLT 
Paul A. Holt, 

Chief Financial Officer 
Principal Financial Officer) 

 84 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 year 
ended March 31, 2007 (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, 2007 

By: /s/ LOUIS E. SILVERMAN____ 

Louis E. Silverman 
Chief Executive Officer (principal executive officer) 

Dated: June 8, 2007 

By: /s/ PAUL A. HOLT 

Paul A. Holt 
Chief Financial Officer (principal financial officer) 

 85 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
»  corporate information

C O RP O R ATE   P RO FILE   Quality Systems, Inc. and its NextGen Healthcare Information Systems subsidiary 

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

connectivity applications for 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.

LEG A L  C O UNSEL

Rutan & Tucker, LLP
Costa Mesa, California

IND EPEND EN T   AUD IT O RS

Grant Thornton LLP
Irvine, California

IN V E S T O R   REL ATI O NS   C O NSULTA N T S

CCG Investor Relations
Los Angeles, California

310.477.9800

F O RM  10 - K

A copy of the Company’s Annual Report on Form  

10-K, as filed with the Securities and Exchange 

Commission, is available on the Company’s website  

at www.qsii.com or by contacting the Company at  

our Company Headquarters.

D IREC T O RS   O F  THE   C O M PA N Y

Sheldon Razin
Chairman 

Patrick Cline
President, NextGen Healthcare Information Systems

Ibrahim Fawzy
Director

Edward Hoffman
Director

Ahmed Hussein
Director

Vincent Love
Managing Partner, Kramer, Love & Cutler, LLP

Russell Pflueger
Director

Steven Plochocki
Chief Executive Officer, Omniflight

Louis Silverman
President & Chief Executive Officer,

Quality Systems, Inc.

O F FI CERS  O F   T HE   C O M PA N Y

Louis Silverman
President & Chief Executive Officer

Patrick Cline
President, NextGen Healthcare Information Systems

Greg Flynn
Executive Vice President & General Manager,  
QSI Division

Paul Holt
Chief Financial Officer

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C O RP O R AT E / Q SI  D IVISI O N   HE A D Q UA R T ERS  
C O RP O R AT E / Q SI  D IVISI O N   HE A D Q UA R T ERS  

18191 Von Karman Avenue, Suite 450  
18191 Von Karman Avenue, Suite 450  

Irvine, California 92612  
Irvine, California 92612  

949.255.2600
949.255.2600

www.qsii.com
www.qsii.com

NE X T G EN  D IVISI O N  LO C ATI O NS
NE X T G EN  D IVISI O N  LO C ATI O NS

795 Horsham Road  
795 Horsham Road  

Horsham, Pennsylvania 19044  
Horsham, Pennsylvania 19044  

215.657.7010
215.657.7010

3340 Peachtree Road NE, Suite 2700 
3340 Peachtree Road NE, Suite 2700 

Atlanta, Georgia 30326  
Atlanta, Georgia 30326  

404.467.1500
404.467.1500

286 Grand Avenue
286 Grand Avenue

Southlake, Texas 76092
Southlake, Texas 76092

www.nextgen.com
www.nextgen.com