UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-K

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, DC 20549

FORM 10 - K


þ

(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, 2011
or

o

For the fiscal year ended March 31, 2009

or

o

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: 001-12537
QUALITY SYSTEMS, INC.
(Exact name of registrant as specified in its charter)

Commission File Number: 001-12537

QUALITY SYSTEMS, INC.

(Exact name of registrant as specified in its charter)


California

95-2888568

 

California
(State or other jurisdiction of incorporation

or organization)

95-2888568
(IRS employer identification no.Employer Identification No.)

or organization)


18111 Von Karman Avenue, Suite 600,700, Irvine, California 92612


(Address of principal executive offices)


(949) 255-2600

 

92612
(Registrant’s telephone number, including area code)

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

Zip Code)
(949) 255-2600
(Registrant’s telephone number, including area code)
Securities registered pursuant to Section 12(b) of the Act:

Common Stock, $0.01 Par Value

NASDAQ Global Select Market

 

Title of each class

Name of each exchange on which registered

Common Stock, $0.01 Par Value

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

NASDAQ Global Select Market

None

Title of each class

Securities registered pursuant to Section 12(g) of the Act:None
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.
Yeso Noxþ

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

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15 (d)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.
Yesxþ Noo

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).
Yesþ Noo     No o

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K (§ 229.405 of this chapter) 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

o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the

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definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check one):

Large accelerated
filerxþ

Accelerated
Filer         filero

Non-accelerated Filer     filero
(Do not check if a smaller
reporting company)

Smaller reporting
companyo

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

The aggregate market value of the voting stock held by non-affiliates of the Registrant as of September 30, 2008: $783,989,0002010: $1,276,253,000 (based on the closing sales price of the Registrant’s common stock as reported on the NASDAQ Global Select Market on that date of $42.26$66.31 per share).*

The Registrant has no non-voting common equity.

          Indicate the

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

28,504,868

(Class)

(Outstanding at May 22, 2009)

          * For purposes of this Annual Report on Form 10-K, 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 moreshares of the Registrant’s common stock are deemed to be affiliates for purposesas of this Report.

May 23, 2011 was 29,179,390 shares.

*     For purposes of this Annual Report on Form 10-K, 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.
DOCUMENTS INCORPORATED BY REFERENCE

The following documents (or parts thereof) are incorporated by
reference into

Portions of the following parts of this Form 10-K:

Proxy Statement for the 2009 Annual Meeting2011 annual meeting of Shareholders —
shareholders are incorporated by reference into Part III Items 10, 11, 12, 13 and 14.III.

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QUALITY SYSTEMS, INC.

TABLE OF CONTENTS
2011 ANNUAL REPORT ON FORM 10-K

For the Fiscal Year Ended March 31, 2009

INDEX

Item

Page

Page

PART I
 

 

3

Part I

11

Item 1.

Business

4

Item 1A.

Risk Factors

11

Unresolved Staff Comments

22

20

Properties

22

20

Legal Proceedings

22

20

Submission of Matters to a Vote of Security Holders

22

21

PartPART II


Market for Registrant’s Common Stock,Equity, Related ShareholderStockholder Matters and Issuer Purchases of Equity Securities

23

21

Selected Financial Data

25

23

Management’s Discussion and Analysis of Financial Condition and Results of Operations

26

24

Quantitative and Qualitative Disclosures Aboutabout Market RiskRisks

50

46

Financial Statements and Supplementary Data

51

46

Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

51

46

Controls and Procedures

51

46

Other Information

52

46

PartPART III


Directors, Executive Officers and Corporate Governance

52

47

Executive Compensation

52

47

Security Ownership of Certain Beneficial Owners and Management and Related ShareholderStockholder Matters

52

47

Certain Relationships and Related Transactions, and Director Independence

52

47

Principal Accountant Fees and Services

52

47

PartPART IV


Exhibits and Financial Statement Schedules

53

48

58

53
EX-21
EX-23.1
EX-23.2
EX-31.1
EX-31.2
EX-32.1
EX-101 INSTANCE DOCUMENT
EX-101 SCHEMA DOCUMENT
EX-101 CALCULATION LINKBASE DOCUMENT
EX-101 LABELS LINKBASE DOCUMENT
EX-101 PRESENTATION LINKBASE DOCUMENT
EX-101 DEFINITION LINKBASE DOCUMENT


2


CAUTIONARY STATEMENT

Statements made in this Annual Report on Form 10-K (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.

PART I

ITEM 1.

BUSINESS

Company Overview

Quality Systems, Inc., and its wholly-owned subsidiaries operates as four business divisions and is comprised ofof: (i) the QSI Dental Division; (ii) the NextGen Division, (“QSI Division”), a wholly-owned subsidiary,which consists of NextGen Healthcare Information Systems, Inc.(“NextGen”); (iii) the Inpatient Solutions Division, which consists of NextGen Inpatient Solutions, LLC (“NextGen Division”IS” f/k/a Sphere) and Opus Healthcare Solutions, LLC (“Opus”),; (iv) the Practice Solutions Division, which consists of Lackland Acquisition II, LLC dba Healthcare Strategic Initiatives (“HSI”) and Practice Management Partners, Inc. (“PMP”) and (v) Quality Systems India Healthcare Private Limited (“QSIH”) (collectively, the “Company”, “we”, “our”, or “us”). The Company develops and markets healthcare information systems that automate certain aspects of medicalphysician, inpatient and dental practices, networks of practices such as physician hospital organizations (“PHOs”) and management service organizations (“MSOs”), ambulatory care centers, community health centers, Federal Qualified Health Centers (“FQHC”) and medical and dental schools. The Company also provides inpatient electronic health records (“EHR”) and financial solutions for community hospitals as well as revenue cycle management (“RCM”) services through itsthe Practice Solutions division of NextGen. Operationally, HSI and PMP are considered and administered as part of the NextGen Division.

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

QSI Dental Division, NextGen Division, Inpatient Solutions Division and Practice Solutions Division.

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

Divisions.

The QSI Division, co-located with our Corporate Headquarters in Irvine, California, currently focuses on developing, marketingDental 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 UNIX based medical practice management software product.

The NextGen Division, with headquarters in Horsham, Pennsylvania, and significant locations in Atlanta, Georgia, St. Louis, Missouri and Hunt Valley, Maryland, focuses principally on developing and marketing products and services for medical practices.



Both divisionsDivisions 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. Itcapabilities, and 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 divisionsthe QSI Dental and NextGen Divisions develop and market software that automates theautomate patient record. Adoption rates for this software, commonly referred to as clinical software, are relatively low.records in both a practice and hospital setting. Therefore, we are typically competing to replace paper-based patient record alternatives as opposed to replacing previously purchased systems.

With the acquisition of NextGen IS in 2009, the Inpatient Solutions Division entered the market for financial information systems for small hospitals. Therefore, since 2009, the Inpatient Solutions Division has also been developing and marketing an equivalent practice management software product for the small hospital market, which performs administrative functions required for operating a small hospital.
In January 2011, QSIH was formed to function as the Company’s India-based captive to offshore technology application development and business processing services.

3

Electronic Data Interchange (“EDI”)/connectivity products


We continue to pursue product and service enhancement initiatives within each Division. The majority of such expenditures are intendedcurrently targeted to automatethe NextGen Division product line and client base.
The following table breaks down our reported segment revenue and segment revenue growth by division for the fiscal years ended March 31, 2011, 2010 and 2009:
                         
  Segment Revenue Breakdown Segment Revenue Growth
  Fiscal Year Ended March 31, Fiscal Year Ended March 31,
  2011 2010 2009 2011 2010 2009
QSI Dental Division  5.7%  5.9%  6.5%  16.6%  8.1%  (1.2)%
NextGen Division  75.3%  78.3%  83.0%  16.5%  12.1%  19.6%
Inpatient Solutions Division (1)  5.1%  1.0%  0.0%  519.1%  N/A   N/A 
Practice Solutions Division (2)  13.9%  14.8%  10.5%  13.7%  67.5%  N/A 
                         
Consolidated  100.0%  100.0%  100.0%  21.1%  18.9%  31.6%
                         
(1)Inpatient Solutions Division consists of two acquisitions, Opus and NextGen IS, acquired in February 2010 and August 2009, respectively.
(2)Practice Solutions Division consists of two acquisitions, HSI and PMP, acquired in May 2008 and October 2008, respectively.
QSI Dental Business Unit.The QSI Dental Business, co-located with our corporate headquarters in Irvine, California, currently focuses on developing, marketing and supporting software suites sold to dental organizations located throughout the US. In addition, the Business Unit supports a growing number of manual, often paper-based or telephony intensive communications between patients and/or providers and/or payors. Twoorganizations utilizing its Software as a Service (“SaaS”) model-based NextDDS™ financial and clinical software and certain number of medical clients that utilize 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 utilizingDivision’s UNIX®-based medical practice management software from one of our divisions.

The NextGen Division also offers RCM services under the Practice Solutions name. Services provided through the Practice Solutions/RCM unit consist primarily of billing and collections services for medical practices. The Practice Solutions unit utilizes NextGen Enterprise Practice Management software to a significant extent.

product.

The QSI Division’sDental Business Unit’s practice management software suite utilizes a UNIX® operating system. Its Clinical Product Suite (“CPS”) utilizes athe Windows NT operating system and can be fully integrated with the practice management software offered from each division.of our Business Units. 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 divisionBusiness Unit develops, markets and manages our Dental EDI/connectivity applications. Theapplications including our QSInet Application Service Provider (“ASP/Internet”ASP”).
In July 2009, we licensed source code that allows us to deliver hosted, Web-based SaaS model practice management and clinical software solutions to the dental industry. This new software solution (“NextDDS™”) offering is also developedbeing marketed primarily to the multi-location dental group practice market in which the Business Unit has historically been a dominant player. NextDDS™ brings the QSI Dental Business Unit to the forefront of the emergence of Internet-based applications and marketed bycloud computing and represents a significant growth opportunity for the Business Unit to sell both to its existing client base as well as new clients.
NextGen Division.

OurThe NextGen Division, developswith headquarters in Horsham, Pennsylvania and sells proprietary electronic medical records softwaresignificant locations in Atlanta, Georgia and practice management systems underAustin, Texas, provides integrated clinical, financial and connectivity solutions for ambulatory and dental provider organizations.

The NextGen Division’s major product categories include the NextGen ambulatory product name. Major product categories of the NextGen suite include Electronic Health Records (“NextGenehr”), 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 (“NextMD.com”), NextGen Express, a version of NextGenehr designed for small practices and NextGen Community Health Solution (“NextGenchs”). Beginning in the fiscal year ended March 31, 2008, theConnectivity.
The NextGen Division began offering optional Ambulatory product suite streamlines patient care with standardized, real-time clinical and administrative workflows within a physician’s practice, and consists of:
NextGen Electronic Health Records (“NextGenehr”) to ensure complete, accurate documentation to manage patient care electronically and to improve clinical processes and patient outcomes with electronic charting at the point of care;
NextGen Practice Management (“NextGenpm”) to automate business processes, from front-end scheduling to back-end collections and financial and administrative processes for increased performance and efficiencies;
NextGen Dashboard, which allows providers to view patient data in a visually rich graphical format. Using bar charts, pie charts, gauges and more, the system displays information at the practice or single provider level;
NextGen Mobile improves patient care through anytime, anywhere access of patient data. In addition, Mobile has the capability to increase revenue by easily capturing charges at the point of care resulting in potential reduction of medical liability through better documentation of out-of-office actions; and
NextGen NextPen is a revolutionary digital pen that quickly captures data into NextGen Ambulatory EHR. NextPen captures structured data and graphic drawings as part of the patient record without scanning or transcription. This technology requires no learning curve for adoption.

4


NextGen Hosting Solutions to new and existing customers. Community Connectivity consists of:
NextGen Health Information Exchange (“HIE”), formerly Community Health Solution, to exchange patient data securely with community healthcare organizations;
NextGen Patient Portal (“NextMD.com”) to communicate with patients online and import information directly into NextGenehr; and
NextGen Health Quality Measures (“HQM”) to allow seamless quality measurement and reporting for practice and physician performance initiatives.
The NextGen Division 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

Services provided by the NextGen Division product line and client base.

Inclusive of divisional maintenance, EDI and RCM revenue, the NextGen Division accounted for approximately 93.5% of our revenue for fiscal year 2009 compared to 91.4% in fiscal year 2008. Inclusive of divisional maintenance and EDI revenue, the QSI Division accounted for approximately 6.5% and 8.6% of revenue in fiscal year 2009 and 2008, respectively. The NextGen Division’s revenue grew 34.7% and 21.3% in fiscal year 2009 and 2008, respectively, while the QSI Division’s revenue decreased by 1.2% and decreased by 3.3% in fiscal year 2009 and 2008, respectively, over the prior year.

include:

EDI services that are intended to automate the entire patient statement process, reducing labor and printing costs associated with producing statements in house. 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.

On December 11, 2007, the Company announced the formal public launch of NextGen EDI works with the most innovative clearinghouses to transform electronic claims submissions into payments;

Hosting services that allow practices seeking the benefits of IT automation but not the maintenance of in-house hardware and networking;
NextGuard — Data Protection services that provide an off-site, data archiving, restoration and disaster recovery preparedness solution for practices to protect clinical and financial data;
Consulting services, such as strategic governance models and operational transformation, technical consulting such as data conversions or interface development, that also allow practices to build custom add-on features; Physician Consulting Resources, services that allow practices to consult with the NextGen Division’s physician team; and eHealth consulting services that assist in connecting communities of practice for data sharing.
Practice Solutions a business division devoted toDivision.The Practice Solutions Division, with locations in St. Louis, Missouri and Hunt Valley, Maryland, focuses primarily on providing physician practices with cost effective



RCM services.services, primarily billing and collection services for medical practices. This divisionDivision combines a web-delivered Software as a Service, orWeb-delivered SaaS model and the NextGenepmpm software platform to execute its service offerings. Clients may also deployExecution of the plan to transition our client base onto the NextGenehr as part of their platform is under execution. The Practice Solutions implementation.

Division provides technology solutions and consulting services to cover the full spectrum of providers’ revenue cycle needs from patient access through claims denials.

Practice Solutions Division revenue growth in fiscal years 2011, 2010 and 2009 was positively impacted by the acquisitions of HSI and PMP in May 2008 and October 2008, respectively. Growth subsequent to fiscal year 2009 was created primarily by cross selling RCM services to NextGen clients.
On May 20, 2008, we acquired St. Louis-based HSI, a full-service healthcare RCM company. HSI operates under the umbrella of NextGenthe Company’s Practice Solutions.Solutions Division. Founded in 1996, HSI currently provides RCM services to providers including health systems, hospitals and physicians in private practice with an in-house team consisting of more than 200 employees including specialists in medical billing, coding and compliance, payor credentialing and information technology. We intend to cross sell both software and RCM services to the acquired customer base of HSI and NextGen.

On October 28, 2008, we acquired Maryland-based PMP, a full-service healthcare RCM company. This acquisition is also part of our growth strategy for NextGenour Practice Solutions.Solutions Division. a full-service healthcare RCM company. Similar to HSI, PMP operates under the umbrella of NextGenthe Company’s Practice Solutions.Solutions Division. Founded in 2001, PMP provides physician billing and technology management services to healthcare providers, primarily in the Mid-Atlantic region. We intend
Inpatient Solutions Division.The Inpatient Solutions Division, with its primary location in Austin, Texas, provides integrated clinical, financial and connectivity solutions for rural and community hospitals.
On August 12, 2009, we acquired NextGen IS, a provider of financial information systems to cross sell boththe small hospital inpatient market. This acquisition, along with our acquisition of Opus, is part of our strategy to expand into the small hospital market and to add new clients by taking advantage of cross-selling opportunities between the ambulatory and inpatient markets.

5


On February 10, 2010, we acquired Opus, a provider of clinical information systems to the small hospital inpatient market. Founded in 1987 and headquartered in Austin, Texas, Opus delivers Web-based clinical solutions to hospital systems and integrated health networks nationwide. This acquisition complements and will be integrated with the assets and operations of NextGen IS. Both companies are established developers of software and RCM services for the inpatient market and will operate under the Company’s Inpatient Solutions Division.
The Inpatient Solutions Division products that deliver secure, highly adaptable and easy to the acquired customer base of PMPuse applications to patient centered hospitals and NextGen.

health systems consist of:

NextGen Clinicals, which resides on an advanced truly active web 2.0 platform — and is designed to initiate widespread work efficiency and communication, reduce errors and time-to-chart, and improve care; and
NextGen Financials, which is a financial and administrative system that helps hospitals significantly improve the smart operations and financial and regulatory management of their facilities.
Industry Background

The turbulence in the worldwide economy has impacted almost all industries. While healthcare is not immune to economic cycles, we believe it is more resilient than most segments of the economy. The impact of the current economic conditions on our existing and prospective clients has been mixed. We continue to see organizations that are doing fairly well operationally,operationally; however, some organizations with a large dependency on Medicaid populations are being impacted by the challenging financial condition of the many state governments in whose jurisdictions they conduct business. A positive factor for U.S. healthcare is the fact that the Obama administrationAdministration is pursuing broad healthcare reform aimed at improving issues surrounding healthcare. The American Recovery and Reinvestment Act (ARRA)(“ARRA”), which became law on February 17, 2009, includes more than $20 billion to help healthcare organizations modernize operations through the acquisition of health care information technology. WhileThe Certification Commission for Health Information Technology (“CCHIT®”), a non-profit organization recognized by the Office of the National Coordinator for Health Information Technology as an approved Authorized Testing and Certification Body, announced that our EHR solution was certified as a Complete EHR and 2011/2012 compliant during the quarter ended September 30, 2010, which comes off the heels of the Stage 1 Meaningful Use definition criteria under the ARRA that was announced in July 2010. With the lifting of the many Meaningful Use definition uncertainties, which has impacted software revenue, we believe we are unsure of the immediate impact from the ARRA, the long-term potential could be significant.

well positioned to aid physicians and hospitals with their EHR decisions as they prepare to make incentive-based purchases.

Moreover, 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. 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, disparate systems, 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 providing software and services to medicalphysician practices, dental practices, hospitals, health centers, other healthcare providers and dental practices.to expand service offerings to include the payor market and consumer market segments. Among the key elements of this strategy are:

Continued

Continue development and enhancement of select software solutions in target markets;

Continued

Continue investments in our infrastructure including, but not limited to, product development, sales, marketing, implementation, consulting and support;

Continued

Continue investment in product development, which includes developing a new integrated inpatient and outpatient, web-based software platform;
Continue efforts to make infrastructure investments within an overall context of maintaining reasonable expense discipline;

6


Addition of new customersclients through maintaining and expanding sales, marketing and product development activities; and

Expanding

Expand our relationship with existing customersclients through delivery of innovative new and complementary products and services.

services; and
Continue our gold standard commitment of service in support of our client satisfaction programs.

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

Products

and Services

In response to the growing need for more comprehensive, cost-effective healthcare information solutions for physician andmedical practices, dental practices, hospitals, health centers and other healthcare providers, our systems and services 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 clinical and clinical informationfinancial operations. Leveraging more than 30 years of experience in the healthcare information services industry, we believe we continue to add value by providing our clients with sophisticated, full-featured software systems along with comprehensive systems implementation, training, consultation, maintenance and support services. Any single transaction may or may not include software, hardware or services.

NextGen Ambulatory 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.

We offer both standard licenses and SaaS arrangements in our software offerings; although to date, SaaS arrangements have represented less than 5% of our arrangements.

NextGenpm is the NextGen Division’s practice management offering. NextGenpm has been developed with a functional graphical user interface (“GUI”) certified for use with Windows 2000 and Windows XP operating systems. The product leverages a relational database (Microsoft SQL Server) with support on both 32 and 64 bit enterprise servers. NextGenpmis a scalable, multi-module solution that 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 NextGenpm product is a highly configurable, cost-effective proven solution that enables the effective management of both single and multi-practice settings.
NextGen Ambulatory Clinical Systems.The NextGen Division 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 NextGenehr, including services rendered, clinical documentation and diagnoses used for billing purposes. We believe that we currently provide a comprehensive information management solution for the medical marketplace.
NextGenehr was developed with client-server architecture, 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. NextGenehr maintains data using industry standard relational database engines such as Microsoft SQL Server or Oracle. The system is scalable from one to thousands of workstations. NextGenehr 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.
NextGenehr 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.
QSI Division’sDental Division Practice Management and Clinical Systems.In fiscal year 2010, we began selling a hosted SaaS practice management and clinical software solutions to the dental industry. The software solution is marketed primarily to the multi-location dental group practice market for which the Division has historically been a dominate player. This new software solution brings the QSI Dental Division to the forefront of the emergence of internet based applications and cloud computing and represents a significant growth opportunity for us to sell both to our existing client base as well as new clients.
In addition to the SaaS practice management offering, the QSI Dental Division also sells a character-based practice management system is available in both dental and medical versions and primarily usesusing the IBM RS6000 central processing unit and IBM’S AIX version of the UNIX operating system as a platform for our application software, enabling a wide range of flexible and functional systems.platform. 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.

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NextGenepm is


In addition to the NextGen Division’s practice management offering. NextGenepm has been developed with a functionally graphical user interface certified for use with Windows 2000 and Windows XP operating systems. The product leverages a relational database (Microsoft SQL Server) with support on both 32 and 64 bit enterprise servers. NextGenepm is a scalable, multi-module solution that includes a master patient index, enterprise-wide appointment scheduling with referral tracking,SaaS clinical support, and centralized or decentralized patient financial management based on either a managed care or fee-for-service model. The NextGenepm product is a highly configurable, cost-effective proven solution that enables the effective management of both single and multi-practice settings.

We also offer a practice management solution for dental practices and an electronic health records and practice management system for medical practices through the Internet (software as a service). These products are marketed under the QSINet and NextGenweb trade names, respectively.

Clinical Systems. Ouroffering, our dental charting software system, the Clinical Product Suite (CPS),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;

including electronic charting of dental procedures, treatment plans, existing conditions, periodontal charting via light-pen, voice-activation, or keyboard entry for full periodontal examinations and PSR scoring. In addition, digital imaging of X-ray and intra-oral camera images, computer-based patient education modules are 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, supported by document and image scanning for digital storage and linkage to the electronic patient record.


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

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

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

Full access to patient information, treatment plans, and insurance plans via a fully integrated interface with our dental practice management product; and

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

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

CPS incorporates Windows-based client-server technology consisting of one or more file servers together with any combination of one or more desktop, laptop, or pen-based PC workstations. The file server(s) used in connection with CPS utilize(s) Windows 2000 or Windows 2003 operating system and the hardware is typically an Intel-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 customerclient or by us for resale to the customer.

NextGen provides

Inpatient Solutions.Inpatient solutions includes both clinical softwareand financial applications to provide value based solutions for rural and community hospitals to improve patient safety, automate order entry and facilitate real-time communication of patient information throughout the hospital. Inpatient solutions are highly scalable, secure and easy to use with a Web 2.0 based clinical component that leverages full “cloud computing” capabilities.
Revenue Cycle Management Services.Our Practice Solutions Division offers RCM services to physicians. Our RCM service automates and manages billing-related functions for physician practices to help manage reimbursement quickly and efficiently. RCM services generally include:
Electronic claims submission service that submits Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) compliant insurance claims electronically to insurance payors;
Electronic remittance and payment posting service that uses NextGen Document Management system to link an image of each explanation of benefit (“EOB”) to the corresponding encounter at the time of payment posting to minimizes the need for storage of paper EOBs; and
Accounts receivable follow-up methodology that allows practices to establish parameters, adjustment rules and standards for account elevation.
Electronic Data Interchange.We make available EDI capabilities and connectivity services to our clients. The EDI/connectivity capabilities encompass direct interfaces between our products and external third party systems, as well as transaction-based services. EDI products are complementaryintended to and are integrated with, our medical practice management offerings and interface with manyautomate 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 payers 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 leading practice managementelements in our EDI/connectivity product line. In general, EDI services are only sold to those accounts utilizing software systems onfrom either 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 byQSI Dental or NextGenehr, including services rendered and diagnoses used for billing purposes. We believe that we currently provide a comprehensive information management solution for the medical marketplace.

NextGenehr 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. NextGenehr maintains data using industry standard relational database engines such as Microsoft SQL Server or Oracle. The system is scalable from one to thousands of workstations.

NextGenehr stores and maintains clinical data including:

Divisions. Services include:

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

Data captured using user-customizable input “templates”;

Electronic patient statement processing, appointment reminder cards and calls, recall cards, patient letters and other correspondence;

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

Electronic insurance eligibility verification; and

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.

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

NextGenehr 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 NextGenehr designed for small practices.

Community Connectivity.The NextGen Division also markets NextGenchs. NextGenchs facilitates HIE to facilitate 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 NextGenehs system, another compatible EMRelectronic medical records system, or no EMR,electronic medical records system, together with hospitals, payors, labs and other entities. The product is designed to facilitate a Regional Health Information Organization or RHIO.(“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, currencyaccuracy 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.

NextGen also markets RCM services through our Practice Solutions unit. 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.

Revenue Cycle Management Services. Our NextGen Practice Solutions unit offers RCM services to physicians. On May 20, 2008, we acquired HSI, a full-service healthcare RCM company servicing the RCM needs of physician groups and a variety of other healthcare clients. HSI has historically and primarily focused on assisting its clients in increasing the accuracy and speed of client billing and collections activities. On October 28, 2008, we acquired PMP, a full-service healthcare RCM company. Founded in 2001, PMP provides physician billing and technology management services to healthcare providers, primarily in the Mid-Atlantic region.

Internet Applications. Our NextGen Division maintains an Internet-based patient health portal, NextMD.com.NextGen Patient Portal. NextMD.com is athe URL for our 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.com, integrating a number of these features with physicians’ existing systems.

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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, 2009, 20082011, 2010 and 2007.

2009.

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 customerclient 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,clients, implementation of such arrangements has, from time to time, resulted in the purchase of additional software capacity by the distributor, as well as new software purchases made by the distributor’s customers should such customers decide to perform the practice management functions in-house.

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



MSOs, PHOs 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 10% or more of our net revenue during the fiscal years ended March 31, 2009, 20082011, 2010 or 2007.

Customer2009.

Client Service and Support

We believe our success is attributable in part to our customerclient 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. CustomersClients 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 customerclient 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.

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

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 and pace. The service allows users to track the status of courses taken.

At present, our training facilities are located in (i) Horsham, Pennsylvania, (ii) Atlanta, Georgia, (iii) Dallas, Texas and (iv) Irvine, California.


Competition

Competition

The markets for healthcare information systems and services are intensely competitive. The industry is highly fragmented and includes numerous competitors, none of which we believe dominates these markets. Our principal existing competitors in the healthcare information systems and services market include: General Electric,eClinicalWorks, GE Healthcare (“GE”), Allscripts Healthcare Solutions, Inc. (“Allscripts”), EPIC, McKesson and other competitors.

Our recent entry into the small hospital market has introduced new competitors, including Computer Programs and Systems, Inc., Healthland and Healthcare Management Systems, Inc..
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 customerclient support and our extensive experience in the industry.

The revenue cycle management market is also intensely competitive as other healthcare information systems companies, such as GE, McKesson and Allscripts, are also in the market of selling both practice management and electronic health records software and medical billing and collection services.
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 2009, 20082011, 2010 and 2007,2009, we expended approximately $19.7$32.5 million, $17.4$24.5 million and $15.2$19.7 million, respectively, on research and development activities, including capitalized software amounts of $5.9$10.7 million, $6.0$7.9 million and $5.0$5.9 million, respectively. In addition, a portion of our product enhancements have resulted from software development work performed under contracts with our clients.

OTHER INFORMATION

Employees

As of March 31, 2009,2011, we employed approximately 1,2631,579 persons, of which 1,2511,537 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.

Intellectual Property

To protect our intellectual property, we enter into confidentiality agreements and invention assignment agreements with our employees with whom such controls are relevant. Certain qualified employees enter into additional agreements that permit them access under certain circumstances, to software matters that are both confidential and more strictly controlled. In addition, we include intellectual property protective provisions in many of our customerclient contracts.

Available Information

Our Internet Web site address iswww.qsii.com. We make our periodic and current reports, together with amendments to these reports, available on our Internet Web site, free of charge, as soon as reasonably practicable after such material is electronically filed with, or furnished to, the Commission. You may access such filings under the “Investor Relations” button on our Web site. Members of the public may also read and copy any materials we file with, or furnish to, the Commission at the Commission’s Public Reference Room at 100 F Street, NE, Washington, DC 20549. To obtain information on the operation of the Public Reference Room, please call the SEC at 1-800-SEC-0330. The Commission maintains an Internet site atwww.sec.gov that contains the reports, proxy statements and other information that we file electronically with the Commission. The information on our Internet Web site is not incorporated by reference into this Report or any other report or information we file with the Commission.

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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 increasing involvement of the federal government in our industry. In February, 2009, President Obama signed the American Recovery and Reinvestment Act which allocates over $20 billion dollarsRisks Related to healthcare IT over the next several years. The ARRA includes significant financial incentives to healthcare providers who can demonstrate meaningful use of certified

Our Business


EHR technology beginning in 2011. While the Company expects the ARRA to create significant opportunities for sales of NextGenehr over the next several years, the lack of a final definition of “meaningful use” as well as other details we believe has negatively impacted sales cycles in the March, 2009 quarter. While the Federal government has set a deadline of December 31, 2009 to publish final rules, there can be no assurance that the slowdown in sales cycles resulting from such uncertainty will not continue into the fiscal year, 2010 or beyond.

The effects of the recent global economic crisis may impact our business, operating results or financial condition. The recent global economic crisis has caused a general tightening in the credit markets, lower levels of liquidity, increases in the rates of default and bankruptcy and extreme volatility in credit, equity and fixed income markets. These macroeconomic developments could negatively affect our business, operating results or financial condition in a number of ways. For example, current or potential customersclients may be unable to fund software purchases, which could cause them to delay, decrease or cancel purchases of our products and services or to not pay us or to delay paying us for previously purchased products and services. Our clients may cease business operations or conduct business on a greatly reduced basis. Finally, our investment portfolio which includes auction rate securities, is generally subject to general credit, liquidity, counterparty, market and interest rate risks that may be exacerbated by the recent global financial crisis. If the banking system or the fixed income, credit or equity markets continue to deteriorate or remain volatile, our investment portfolio may be impacted and the values and liquidity of our investments could be adversely affected as well.

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 years. 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.

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 us 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 unpredictabilityMany of our quarterly operating results may causecompetitors have greater resources than we do. In order to compete successfully, we must keep pace with our competitors in anticipating and responding to the price ofrapid changes involving the industry in which we operate, or 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;

accounting policies concerning the timing of the recognition of revenue;

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, their decision concerning 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 ourbusiness, results of operations are not necessarily meaningful and should notfinancial condition may be relied upon as indicationsadversely affected.The software market generally is characterized by rapid technological change, changing client needs, frequent new product introductions and evolving industry standards. The introduction of future performance. Further,products incorporating new technologies and the emergence of new industry standards could render 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 98-9existing products obsolete and Staff Accounting Bulletin (SAB) 104. SAB 104 summarizes the Commission staff’s views in applying generally accepted accounting principles to revenue recognition in financial statements.

unmarketable. There can be no assurance that applicationwe will be successful in developing and subsequent interpretationsmarketing 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 client 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 targeted software products. There can be no assurance that we will successfully develop these pronouncements will not further modify our revenue recognition policies,new software products or that these products will operate successfully, or that any such modifications would notdevelopment, 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 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 clients. These third parties could raise their prices and/or be acquired by competitors of ours, 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.

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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. During fiscal year 2009, we acquired HSI and PMP, both of which are full-service healthcare RCM companies servicing physician groups and other healthcare clients. During fiscal year 2010, we acquired Opus and NextGen IS, both of which are developers of software and services for the inpatient market. The specific risks we may encounter in these types of transactions include but are not limited to the following:
potentially dilutive issuances of our securities, the incurrence of debt and contingent liabilities and amortization expenses related to intangible assets with indefinite useful lives, which could adversely affect our results of operations and financial condition;
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 fully or effectively integrating any acquired technologies or software products into our current products and technologies, where we may not receive the intended benefits of an acquisition;
difficulty in predicting and responding to issues related to product transition such as development, distribution and client 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 clients 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 entering geographic and business markets in which we have no or limited prior experience;
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 financial condition and results of operations.
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. Equity incentives may be dilutive to our per share financial performance. Failure to provide such types of incentive compensation could jeopardize our recruitment and retention capabilities.
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 clients, our vendors and us to accurately forecast and plan future business activities, and they could cause constrained spending on our products and services and/or delay and lengthen sales cycles.
We are implementing a new company-wide enterprise resource planning (“ERP”) system. The implementation process is complex and involves a number of risks that may adversely affect our business and results of operations.We are currently replacing our multiple legacy business systems at different sites with a new company-wide, integrated ERP system to handle various business, operating results reportedand financial processes. The new system will enhance a variety of important functions, such as order entry, invoicing, accounts receivable, accounts payable, financial consolidation, and internal and external financial and management reporting matters.

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ERP implementations are complex and time-consuming projects that involve substantial expenditures on system hardware and software and implementation activities that often continue for several years. Such an integrated, wide-scale implementation is extremely complex and requires transformation of business and financial processes in order to reap the benefits of the ERP system. Significant efforts are required for requirements identification, functional design, process documentation, data conversion, user training and post implementation support. Problems in any particular quarterof these areas could result in operational issues including delayed billing and accounting errors and other operational issues. System delays or year.

Duemalfunctioning could also disrupt our ability to alltimely and accurately process and report results of our operations, financial position and cash flows, which could impact our ability to timely complete important business processes such as the evaluation of its internal controls and attestation activities pursuant to Section 404 of the foregoing factors, itSarbanes-Oxley Act of 2002.

Until the new ERP system is possiblefully implemented, we expect to incur additional selling, general and administrative expenses and capital expenditures to implement and test the system, and there can be no assurance that our operatingother issues relating to the ERP system will not occur or be identified. Our business and results of operations may be belowadversely affected if it experiences operating problems and/or cost overruns during the expectationsERP implementation process or if the ERP system and the associated process changes, do not function as expected or give rise to the expected benefits.
We own a captive facility, located in India and we are subject to regulatory, economic, social and political uncertainties in India.We are subject to several risks associated with having a portion of publicour assets and operations located in India. Many US companies have benefited from many policies of the Government of India and the Indian state governments in the states in which we operate, which are designed to promote foreign investment generally and the business process services industry in particular, including significant tax incentives, relaxation of regulatory restrictions, liberalized import and export duties and preferential rules on foreign investment and repatriation. There is no assurance that such policies will continue. Various factors, such as changes in the current federal government, could trigger significant changes in India’s economic liberalization and deregulation policies and disrupt business and economic conditions in India generally and our business in particular. In addition, our financial performance and the market analysts and investors. In such event, the price of our common stock would likelyshares may be adversely affected.

The failure of auction rate securitiesaffected by general economic conditions and economic and fiscal policy in India, including changes in exchange rates and controls, interest rates and taxation policies, as well as social stability and political, economic or diplomatic developments affecting India in the future. In particular, India has experienced significant economic growth over the last several years, but faces major challenges in sustaining that growth in the years ahead. These challenges include the need for substantial infrastructure development and improving access to sell at their reset dates could impact the liquidity of the investment and could negatively impact the carrying value of the investment. Our investments include auction rate securities (“ARS”). ARS are securities that are structured with short-term interest rate reset dates of generally less than ninety days but with longer contractual maturities that range, for our holdings, from nine to 28 years. At the end of each reset period, investors can typically sell at auction or continue to hold the securities at par. These securities are subject to fluctuations in interest rate depending on the supply and demand at each auction. Through March 31, 2009, auctions held for the Company’s ARS with a total aggregate value of approximately $8.1 million failed. As of March 31, 2009, we were holding a total of approximately $7.4 million, net of unrealized loss, in ARS. While these debt securities are all highly-rated investments, generally with AAA/Aaa ratings, continued failure to sell at their reset dates could impact the liquidity of the investment which in turn could negatively impact our liquidity position.

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;

activities by one or more of our major shareholders concerning our policies and operations;

changes occurring in the markets in general;

macroeconomic conditions, both nationally and internationally; 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 unrelatededucation. Our ability to the operating performance of particular companies. These broad marketrecruit, train and industry fluctuations mayretain qualified employees, develop and operate our captive facility could be 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 costsaffected if India does not successfully meet these challenges.

Risks Related to Our Products and divert management’s attention and resources.

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.Service Two of our directors and principal shareholders beneficially owned an aggregate of approximately 34.2% of the outstanding shares of our common stock at March 31, 2009. California law and 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 34.2% of the outstanding shares of our common stock at March 31, 2009 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 fiscal year 2009, one of the principal shareholders, Ahmed Hussein, proposed a different slate of directors than what the Company proposed to shareholders. The Company spent approximately $1.5 million to defend the Company’s slate. In addition, such influence by one or both of these shareholders could have the effect of discouraging others from attempting to purchase us, implement a change over our Board and management, 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, or the launch of our competitors, 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 customerclient 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.In April, 2009 we announced a new subscription based Softwaresoftware as a service delivery model which includes monthly subscription pricing. This model is designed for smaller practices to quickly access the NextGenehr or NextGenepmpm products at a modest monthly per provider price. We currently derive substantially all of our systems revenue from traditional software license, implementation and training fees, as well as the resale of computer hardware. Today, the majority of our customersclients pay an initial license fee for the use of our products, in addition to a periodic maintenance fee. While the intent of the new subscription based delivery model is to further penetrate the smaller practice market, there can be no assurance that this delivery model will not become increasingly popular with both small and large customers.clients. If the marketplace increasingly demands subscription pricing, we may be forced to further adjust our sales, marketing and pricing strategies accordingly, by offering a higher percentage of our

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

If our security measures are breached or fail and unauthorized access is obtained to a client’s data, our services may be perceived as not being secure, clients may curtail or stop using our services, and we may incur significant liabilities.Our services involve the storage and transmission of clients’ proprietary information and protected health information of patients. Because of the sensitivity of this information, security features of our software are very important. If our security measures are breached or fail as a result of third-party action, employee error, malfeasance, insufficiency, defective design, or otherwise, someone may be able to obtain unauthorized access to client or patient data. As a result, our reputation could be damaged, our business may suffer, and we could face damages for contract breach, penalties for violation of applicable laws or regulations and significant costs for remediation and remediation efforts to prevent future occurrences. We rely upon our clients as users of our system for key activities to promote security of the system and the data within it, such as administration of client-side access credentialing and control of client-side display of data. On occasion, our clients have failed to perform these activities. Failure of clients to perform these activities may result in claims against us that this reliance was misplaced, which could expose us to significant expense and harm to our reputation. Because techniques used to obtain unauthorized access or to sabotage systems change frequently and generally are not recognized until launched against a target, we may be unable to anticipate these techniques or to implement adequate preventive measures. If an actual or perceived breach of our security occurs, the market perception of the effectiveness of our security measures could be harmed and we could lose sales and clients. In addition, our clients may authorize or enable third parties to access their client data or the data of their patients on our systems. Because we do not control such access, we cannot ensure the complete propriety of that access or integrity or security of such data in our systems.
Failure by our clients to obtain proper permissions and waivers may result in claims against us or may limit or prevent our use of data, which could harm our business.We require our clients to provide necessary notices and to obtain necessary permissions and waivers for use and disclosure of the information that we receive, and we require contractual assurances from them that they have done so and will do so. If they do not obtain necessary permissions and waivers, then our use and disclosure of information that we receive from them or on their behalf may be limited or prohibited by state or federal privacy laws or other laws. This could impair our functions, processes and databases that reflect, contain, or are based upon such data and may prevent use of such data. In addition, this could interfere with or prevent creation or use of rules and analyses or limit other data-driven activities that benefit us. Moreover, we may be subject to claims or liability for use or disclosure of information by reason of lack of valid notice, permission or waiver. These claims or liabilities could subject us to unexpected costs and adversely affect our operating results.
We may engageface 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 future acquisitions, which may be expensiveour processing centers and time consumingother facilities. A breach of security in any of these facilities could damage our reputation and fromresult in damages being assessed against us. In addition, the other systems with which we may not realize anticipated benefits.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 clients 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 acquire additional businesses, technologiesnot be able to stop unauthorized attempts to gain access to or disrupt the transmission of communications by our clients. Anyone who is able to circumvent our security measures could misappropriate confidential user information or interrupt our, or our clients’, operations. In addition, our EDI and productsInternet 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 clients causing them to seek out other vendors and/or damage our reputation in the market, making it difficult to obtain new clients.
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 Web site. 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 we determine that these additional businesses, technologiesthe 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 products are likelyavailability of the Internet to serveus for transmittal of our strategic goals. On May 20, 2008, we acquired HSI, Internet-based services. In addition, difficulties, outages

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and on October 28, 2008, we acquired PMP, both are full-service healthcare RCM companies servicing physician groupsdelays by Internet service providers, online service providers and other healthcare clients. The specific risks weWeb site operators may encounterobstruct or diminish access to our Web site by our clients resulting in these typesa loss of transactions include but are not limitedpotential or existing users of our services.
Our products may be subject to the following:

potentially dilutive issuances of our securities, the incurrence of debt and contingent liabilities and amortization expenses related to intangible assets,product liability legal claims, which could adversely affect our results of operations and financial condition;

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 financial condition andbusiness, results of operations.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 concerning patients, their medication, treatment and health status, generally, could result in claims against us which could materially and adversely impact our financial performance, industry reputation and ability to market new system sales. 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 clients and partners;
state laws regulating healthcare professionals;
Medicaid laws;
the HIPAA and related rules proposed by the Health Care Financing Administration; and
Health Care Financing Administration standards for Internet transmission of health data.
HIPAA 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 revenue 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.
Risks Related to Regulation
We face increasing involvement of the federal government in our industry, which may give rise to uncertain and unwarranted expectations concerning the benefits we are to receive from government funding and programs.In February 2009, President Obama signed the American Recovery and Reinvestment Act (“ARRA”), which allocates over $20 billion dollars to healthcare IT over the next several years. The provision of the legislation that addresses health information technology specifically is known as the Health Information Technology for Economic and Clinical Health Act (“HITECH Act”). Under the provisions of HITECH Act, the ARRA includes significant financial incentives to healthcare providers who can demonstrate meaningful use of certified EHR technology beginning in 2011. While the Company expects the ARRA to create

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significant opportunities for sales of NextGenehr over the next several years, we are unsure of the immediate impact from the ARRA and the long-term potential could be significant.
In order for our customers to qualify for incentives related to EHR use, our products must meet various requirements for product certification under the regulations and must enable our customers to achieve “meaningful use,” as such term is currently defined under the July 28, 2010 Final Rule adopted by the Centers for Medicare & Medicaid Services, U.S. Department of Health and Human Services (“CMS”), and under any future regulations and guidance that CMS may release related to the incentive program. The CMS Final Rule provides for a phased approach to implementation of the meaningful use standards, with Stage 1 set forth in the final rule and Stages 2 and 3 reserved for future rulemaking based upon the experiences with Stage 1. Also, a final rule has been implemented by the Office of National Coordinator, U.S. Department of Health and Human Services, to adopt an initial set of standards, implementation specifications, and certification criteria to enhance the use of health information technology and support its meaningful use. Given that CMS will release future regulations related to electronic health records, our ability to achieve product certification by CCHIT® and other regulatory bodies, and the length, if any, of additional related development and other efforts required to meet meaningful use standards could materially impact our ability to compete and to maximize our market opportunity.
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 customersclients and our ability to obtain new customers.clients. 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 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.

If we are deemed to infringe on the proprietary rights of third parties,we could incur unanticipated expense and be prevented from providing ourproducts and services.We are and may continue to be subject to intellectual property infringement claims as the number of our competitors grows and our applications’ functionality is viewed as similar or overlapping with competitive products. We do not believe that we have infringed or are infringing on any proprietary rights of third parties. However, claims are occasionally asserted against us, and we cannot assure you that infringement claims will not be asserted against us in the future. Also, we cannot assure you that any such claims will be unsuccessful. We could incur substantial costs and diversion of management resources defending any infringement claims even if we are ultimately successful in the defense of such matters. Furthermore, a party making a claim against us could secure a judgment awarding substantial damages, as well as injunctive or other equitable relief that could effectively block our ability to provide products or services. In addition, we cannot assure you that licenses for any intellectual property of third parties that might be required for our products or services will be available on commercially reasonable terms, or at all.

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.

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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 Web site. 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 Web site operators may obstruct or diminish access to our Web site by our customers resulting in a loss of potential or existing users of our services.

Our failure to manage growth could harm 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. Equity incentives may be dilutive to our per share financial performance. 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 concerning patients, their medication, treatment, and health status, generally, could result in claims against us which could materially and adversely impact our financial performance, industry reputation and ability to market new system sales. 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.

HIPAA 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.



InRecently enacted public laws reforming the past,U.S. healthcare system may have an impact on our business. The Patient Protection and Affordable Care Act (H.R. 3590; Public Law 111-148) (“PPACA”) and The Health Care and Education Reconciliation Act of 2010 (H.R. 4872) (the “Reconciliation Act”), which amends the PPACA (collectively the “Health Reform Laws”), were signed into law in March 2010. The Health Reform Laws contain various provisions which may impact us and our customers. Some of these provisions may have a positive impact, by expanding the use of electronic health records in certain federal programs, for example, while others, such as reductions in reimbursement for certain types of providers, may have a negative impact due to fewer available resources. Increases in fraud and abuse penalties may also adversely affect participants in the health care sector, including us.

Various legislators have announced that they intend to examine further 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.system. 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 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

Developments of additional federal and state regulations and policies have the potential to positively or negatively affect our business.

In addition, our

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.

We may be subject to false or fraudulent claim laws.There are numerous federal and state laws that forbid submission of false information or the failure to disclose information in connection with submission and payment of physician claims for reimbursement. In some cases, these laws also forbid abuse of existing systems for such submission and payment. Any failure of our RCM services to comply with these laws and regulations could result in substantial liability including, but not limited to, criminal liability, could adversely affect demand for our services and could force us to expend significant capital, research and development and other resources to address the failure. Errors by us or our systems with respect to entry, formatting, preparation or transmission of claim information may be determined or alleged to be in violation of these laws and regulations. Determination by a court or regulatory agency that our services violate these laws could subject us to civil or criminal penalties, invalidate all or portions of some of our client contracts, require us to change or terminate some portions of our business, require us to refund portions of our services fees, cause us to be disqualified from serving clients doing business with government payors and have an adverse effect on our business.

In most cases where we are permitted to do so, we calculate charges for our RCM services based on a percentage of the collections that our clients receive as a result of our services. To the extent that violations or liability for violations of these laws and regulations require intent, it may be alleged that this percentage calculation provides us or our employees with incentive to commit or overlook fraud or abuse in connection with submission and payment of reimbursement claims. The U.S. Centers for Medicare and Medicaid Services has stated that it is concerned that percentage-based billing services may encourage billing companies to commit or to overlook fraudulent or abusive practices.

A portion of our business involves billing of Medicare claims on behalf of its clients. In an effort to combat fraudulent Medicare claims, the federal government offers rewards for reporting of Medicare fraud which could encourage others to subject us to a charge of fraudulent claims, including charges that are ultimately proven to be without merit.

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.

17


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, we believe 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 ourFailure to maintain effective internal controls are identified by us or our independent registered public accountants, 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 registered public accountants pursuant toaccordance with Section 404 of the Sarbanes-Oxley Act of 2002 could have an adverse effect on our business, and our per share price may be adversely affected.Pursuant to Section 404 of the price atSarbanes-Oxley Act of 2002 (“Section 404”) and the rules and regulations promulgated by the SEC to implement Section 404, we are required to include in our Form 10-K a report by our management regarding the effectiveness of our internal control over financial reporting. The report includes, among other things, an assessment of the effectiveness of our internal control over financial reporting. The assessment must include disclosure of any material weakness in our internal control over financial reporting identified by management.
As part of the ongoing evaluation being undertaken by management and our independent registered public accountants pursuant to Section 404, our internal control over financial reporting was effective as of March 31, 2011. However, if we fail to maintain an effective system of disclosure controls or internal controls over financial reporting, we may discover material weaknesses that we would then be required to disclose. Any material weaknesses identified in our internal controls could have an adverse effect on our business. We may not be able to accurately or timely report on our financial results, and we might be subject to investigation by regulatory authorities. This could result in a loss of investor confidence in the accuracy and completeness of our financial reports, which may have an adverse effect on our stock trades.

price.

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.

Risks Related to Ownership of Our Common Stock
Continuing worldwide politicalThe 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 economic uncertainties mayperiod 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;
accounting policies concerning the timing of the recognition of revenue;
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. The last several years have been periodically marked by concerns including butprofitability.

18


Clients often defer systems purchases until our quarter end, so quarterly results generally cannot be predicted and frequently are not limitedknown until after the quarter has concluded.
Our sales are dependent upon clients’ initial decisions to inflation, decreased consumer confidence, the lingering effects of international conflicts, energy costsreplace or substantially modify their existing information systems, and terrorist and military activities. These conditions can make it extremely difficult for our customers, our vendors and us to accurately forecast and plan future business activities, and they could cause constrained spending on oursubsequently, their decision concerning which products and services and/or delayto purchase. These are major decisions for healthcare providers and, lengthenaccordingly, the sales cycles.

Our future policy concerning stock splits is uncertain. While we effectedcycle for our systems can vary significantly and typically ranges from six to twenty four months from initial contact to contract execution/shipment.

Because a 2:1 splitsignificant percentage of our stockexpenses are relatively fixed, a variation in March 2005the timing of systems sales, implementations and installations can cause significant variations in operating results from quarter to quarter. As a second 2:1 stock splitresult, we believe that interim period-to-period comparisons of our results of operations are not necessarily meaningful and should not be relied upon as indications of future performance. Further, our historical operating results are not necessarily indicative of future performance for any particular period.
We currently recognize revenue pursuant to Financial Accounting Standards Board (“FASB”) Accounting Standards Codification (“ASC”) Topic 985-605,Software, Revenue Recognition, or ASC 985-605. ASC 985-605 summarizes the FASB’s views in March 2006, thereapplying generally accepted accounting principles to revenue recognition in financial statements.
There can be no assurance that another stock splitapplication and subsequent interpretations of these pronouncements will occurnot 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 future. Unfulfilledforegoing factors, it is possible that our operating results may be below the expectations to the contrary could adversely affectof public market analysts and investors. In such event, the price of our stock.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;
activities by one or more of our major shareholders concerning our policies and operations;
changes occurring in the markets in general;
macroeconomic conditions, both nationally and internationally; 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.
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 33.4% of the outstanding shares of our common stock at March 31, 2011. California law and 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 of Directors. 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 33.4% of the outstanding shares of our common stock at March 31, 2011 will each have sufficient votes to assure themselves of one or more seats on our Board of Directors. 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 fiscal year 2009, one of the principal shareholders, Ahmed Hussein, proposed a different slate of directors than what the Company proposed to shareholders. The Company spent approximately $1.5 million to defend the Company’s slate. In addition, such influence by one or both of these shareholders could have the effect of discouraging others from attempting to purchase us or to implement a change over our Board of Directors, which could result in a reduction of the market price offered for our common stock in such an event.

19


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 our Board of Directors has declared a quarterly cash dividend ranging from $0.25 to its most recent level of $0.30$0.35 per share on our outstanding shares of common stock, each quarter thereafter. We anticipate that future quarterly dividends, if and when declared by our Board of Directors 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 or to pay it at historic rates. Further, our Board of Directors may decide not to pay 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

ITEM 1B. UNRESOLVED STAFF COMMENTS
None.

ITEM 2.

PROPERTIES

ITEM 2. PROPERTIES
Our principal administrative, accounting,corporate headquarters, QSI Dental Division operations and NextGen Division training operations are located in Irvine, California, under a lease for 24,000 square feet that commenced in October 2007. This lease expires in May 2013.

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.California. 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.

As a result of our acquisition of HSI on May 20, 2008,March 31, 2011, we lease an aggregate of approximately 46,400321,000 square feet for our HSI operations in St. Louis, Missouri under leases that expire in November 2010.

As a result of our acquisition of PMP on October 28, 2008, we lease approximately 40,500 square feet for our PMP operations in Hunt Valley, Maryland under various leases which will expire in July 2010.

space with expiration dates, excluding options, ranging from month-to-month to September 2016, as follows:

ITEM 3.

LEGAL PROCEEDINGS

Square Feet
QSI Dental Division
Irvine, California — Corporate Headquarters34,800
NextGen Division
Horsham, Pennsylvania98,000
Atlanta, Georgia35,000
Inpatient Solutions Division
Austin, Texas39,000
Irvine, California4,200
Practice Solutions Division
St. Louis, Missouri67,000
Hunt Valley, Maryland33,000
Other U.S. locations10,000
Total leased properties321,000

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 materially and 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

We have experienced legal claims by parties asserting that we have infringed their intellectual property rights. We believe that these claims are without merit and intend to a votedefend against them vigorously; however, we could incur substantial costs and diversion of security holders duringmanagement resources defending any infringement claim, even if we are ultimately successful in the fourth quarterdefense of fiscal year 2009.such matter. Litigation is inherently uncertain and always difficult to predict. We refer you to the discussion of infringement and litigation risks in our “Item 1A. Risk Factors” section of this Report.

20




ITEM 4. (REMOVED AND RESERVED)
PART II

ITEM 5. MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND ISSUER PURCHASES OF EQUITY SECURITIES
ITEM 5.

MARKET FOR REGISTRANT’S COMMON STOCK, RELATED SHAREHOLDER 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

 

Low

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

June 30, 2007

 

$

42.44

 

$

36.96

 

September 30, 2007

 

$

45.35

 

$

32.37

 

December 31, 2007

 

$

38.99

 

$

26.08

 

March 31, 2008

 

$

36.30

 

$

26.90

 

June 30, 2008

 

$

35.97

 

$

29.00

 

September 30, 2008

 

$

47.94

 

$

27.34

 

December 31, 2008

 

$

44.98

 

$

25.70

 

March 31, 2009

 

$

48.46

 

$

34.26

 

Market:

         
  High Low
Three Months Ended        
June 30, 2009 $62.00  $43.44 
September 30, 2009 $64.16  $50.87 
December 31, 2009 $65.98  $57.63 
March 31, 2010 $68.59  $51.30 
June 30, 2010 $68.89  $53.86 
September 30, 2010 $67.27  $52.90 
December 31, 2010 $71.81  $58.35 
March 31, 2011 $83.68  $69.33 
At May 22, 2009,23, 2011, there were approximately 10378 holders of record of our common stock.

Dividends

On May 27, 2009, our Board approved a quarterly cash dividend of $0.30 per share on our outstanding shares of common stock, payable to shareholders of record as of June 12, 2009 with an expected distribution date on or about July 6, 2009.

On January 28, 2009, our Board approved a quarterly cash dividend of $0.30 per share on our outstanding shares of common stock, payable to shareholders of record as of March 11, 2009 with a distribution date on or about April 3, 2009.

On October 30, 2008, our Board approved a quarterly cash dividend of $0.30 per share on our outstanding shares of common stock, payable to shareholders of record as of December 15, 2008 with a distribution date on or about January 5, 2009.

On August 4, 2008, our Board approved a quarterly cash dividend of $0.30 per share on our outstanding shares of common stock, payable to shareholders of record as of September 15, 2008 with a distribution date on or about October 1, 2008.

On May 29, 2008, our Board approved 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, 2008 with a distribution date on or about July 2, 2008.

On January 30, 2008, our Board approved a quarterly cash dividend of $0.25 per share on our outstanding shares of common stock, payable to shareholders of record as of March 14, 2008 and was distributed to shareholders on or about April 7, 2008.

On October 25, 2007, our Board approved a quarterly cash dividend of $0.25 per share on our outstanding shares of common stock, payable to shareholders of record as of December 14, 2007 and was distributed to shareholders on or about January 7, 2008.

On July 31, 2007, our Board approved a quarterly cash dividend of $0.25 per share on our outstanding shares of common stock, payable to shareholders of record as of September 14, 2007 and was distributed to shareholders on or about October 5, 2007.

On May 31, 2007, our 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 and was distributed to shareholders on July 5, 2007.

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



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,Common Stock, subject to further Board review and approval and establishment of record and distribution dates by our Board of Directors prior to the declaration of each such quarterly dividend. In August 2008, ourOur Board of Directors increased the quarterly dividend to $0.30 per share.share in August 2008 and to $0.35 per share in January 2011. We anticipate that future quarterly dividends, if and when declared by our Board of Directors 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.

On May 25, 2011, the Board of Directors approved a quarterly cash dividend of $0.35 per share on the Company’s outstanding shares of Common Stock, payable to shareholders of record as of June 17, 2011 with an expected distribution date on or about July 5, 2011.
Our Board of Directors declared the following dividends during the periods presented:
         
      Per Share 
Declaration Date Record Date Payment Date Dividend 
May 26, 2010 June 17, 2010 July 6, 2010 $0.30 
July 28, 2010 September 17, 2010 October 5, 2010  0.30 
October 25, 2010 December 17, 2010 January 5, 2011  0.30 
January 26, 2011 March 17, 2011 April 5, 2011  0.35 
        
         
Fiscal year 2011     $1.25 
        
         
May 27, 2009 June 12, 2009 July 6, 2009 $0.30 
July 23, 2009 September 25, 2009 October 5, 2009  0.30 
October 28, 2009 December 23, 2009 January 5, 2010  0.30 
January 27, 2010 March 23, 2010 April 5, 2010  0.30 
        
         
Fiscal year 2010     $1.20 
        
         
May 29, 2008 June 15, 2008 July 2, 2008 $0.25 
August 4, 2008 September 15, 2008 October 1, 2008  0.30 
October 30, 2008 December 15, 2008 January 5, 2009  0.30 
January 28, 2009 March 11, 2009 April 3, 2009  0.30 
        
         
Fiscal year 2009     $1.15 
        

21


Payment of future dividends, if any, will be at the discretion of our Board of Directors 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 NASDAQ Composite Index and the NASDAQ Computer & Data Processing Services Stock Index over the five-year period ended March 31, 20092011 assuming $100 was invested on March 31, 20042006 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

*

* $100

$100 invested on 3/31/042006 in stock or index, including reinvestment of dividends.

Fiscal year ending March 31.

The last trade price of our common stock on each of March 31, 2005, 2006, 2007, 2008, 2009, 2010 and 20092011 was published by NASDAQ and, accordingly for the periods ended March 31, 2005, 2006, 2007, 2008, 2009, 2010 and 20092011, 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.

22




ITEM 6.

SELECTED FINANCIAL DATA

ITEM 6. SELECTED FINANCIAL DATA
The following selected financial data with respect to our Consolidated Statementsconsolidated statements of Incomeincome data for each of the five years in the period ended March 31, 20092011 and the Consolidated Balance Sheetconsolidated balance sheets data as of the end of each such fiscal year are derived from our audited consolidated financial statements. The following information should be read in conjunction with our Consolidated Financial Statementsconsolidated 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.

Consolidated Financial Data (In Thousands, Except for Share Data)
(In thousands, except per share data)
                     
  Fiscal Year Ended March 31, 
  2011  2010  2009  2008  2007 
Statements of Income Data:                    
Revenue $353,363  $291,811  $245,515  $186,500  $157,165 
Cost of revenue  127,482   110,807   88,890   62,501   50,784 
                
                     
Gross profit  225,881   181,004   156,625   123,999   106,381 
                     
Selling, general and administrative  108,310   86,951   69,410   53,260   45,337 
Research and development costs  21,797   16,546   13,777   11,350   10,166 
Amortization of acquired intangible assets  1,682   1,783   1,035       
                
                     
Income from operations  94,092   75,724   72,403   59,389   50,878 
                     
Interest income  263   226   1,203   2,661   3,306 
Other income (expense), net  61   268   (279)  953    
                
                     
Income before provision for income taxes  94,416   76,218   73,327   63,003   54,184 
Provision for income taxes  32,810   27,839   27,208   22,925   20,952 
                
                     
Net income $61,606  $48,379  $46,119  $40,078  $33,232 
                
                     
Basic net income per share $2.13  $1.69  $1.65  $1.47  $1.24 
Diluted net income per share $2.12  $1.68  $1.62  $1.44  $1.21 
                     
Basic weighted average shares outstanding  28,947   28,635   28,031   27,298   26,882 
Diluted weighted average shares outstanding  29,118   28,796   28,396   27,770   27,550 
                     
Dividends declared per common share $1.25  $1.20  $1.15  $1.00  $1.00 
                     
  March 31,  March 31,  March 31,  March 31,  March 31, 
  2011  2010  2009  2008  2007 
Balance Sheet Data:                    
Cash and cash equivalents $116,617  $84,611  $70,180  $59,046  $60,028 
Working capital $145,758  $118,935  $98,980  $79,932  $76,616 
Total assets $378,686  $310,180  $242,101  $187,908  $150,681 
Total liabilities $154,016  $121,891  $86,534  $74,203  $59,435 
Total shareholders’ equity $224,670  $188,289  $155,567  $113,705  $91,246 

23

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year ended March 31,

 

    

 

 

2009

 

2008

 

2007

 

2006

 

2005

 

 

 

          

 

 

 

 

 

 

 

 

 

 

 

 

Statements of Income Data:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Revenue

 

$

245,515

 

$

186,500

 

$

157,165

 

$

119,287

 

$

88,961

 

Cost of revenue

 

 

88,890

 

 

62,501

 

 

50,784

 

 

39,828

 

 

32,669

 

 

 

              

 

Gross profit

 

 

156,625

 

 

123,999

 

 

106,381

 

 

79,459

 

 

56,292

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Selling, general and administrative expenses

 

 

70,445

 

 

53,260

 

 

45,337

 

 

35,554

 

 

24,776

 

Research and development costs

 

 

13,777

 

 

11,350

 

 

10,166

 

 

8,087

 

 

6,903

 

 

 

              

 

Income from operations

 

 

72,403

 

 

59,389

 

 

50,878

 

 

35,818

 

 

24,613

 

Interest income

 

 

1,203

 

 

2,661

 

 

3,306

 

 

2,108

 

 

876

 

Other income (expense)

 

 

(279

)

 

953

 

 

 

 

 

 

 

 

 

              

 

Income before provision for income taxes

 

 

73,327

 

 

63,003

 

 

54,184

 

 

37,926

 

 

25,489

 

Provision for income taxes

 

 

27,208

 

 

22,925

 

 

20,952

 

 

14,604

 

 

9,380

 

 

 

              

 

Net income

 

$

46,119

 

$

40,078

 

$

33,232

 

$

23,322

 

$

16,109

 

 

 

              

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic net income per share

 

$

1.65

 

$

1.47

 

$

1.24

 

$

0.88

 

$

0.63

 

Diluted net income per share

 

$

1.62

 

$

1.44

 

$

1.21

 

$

0.85

 

$

0.61

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic weighted average shares outstanding

 

 

28,031

 

 

27,298

 

 

26,882

 

 

26,413

 

 

25,744

 

Diluted weighted average shares outstanding

 

 

28,396

 

 

27,770

 

 

27,550

 

 

27,356

 

 

26,406

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Balance Sheet Data (at end of year):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

70,180

 

$

59,046

 

$

60,028

 

$

57,255

 

$

51,157

 

Working capital

 

$

98,980

 

$

79,932

 

$

76,616

 

$

61,724

 

$

55,111

 

Total assets

 

$

242,101

 

$

187,908

 

$

150,681

 

$

122,247

 

$

99,442

 

Total liabilities

 

$

86,534

 

$

74,203

 

$

59,435

 

$

49,838

 

$

36,711

 

Total shareholders’ equity

 

$

155,567

 

$

113,705

 

$

91,246

 

$

72,409

 

$

62,731

 




Item 7.

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

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 management’s discussion and analysis of financial condition and results of operations or (“MD&A,&A”), 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 capitalizedbetter-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 theany risks that may be described in “Item 1A. Risk Factors” as set forth above,herein, as well as in our other public disclosures and filings with the Commission.

Overview

This MD&A is provided as a supplement to the Consolidated Financial Statementsconsolidated financial statements and notes thereto included elsewhere in this Annual Report on Form 10-K (this “Report”) in order to enhance your understanding of our results of operations and financial condition and the following discussion should be read in conjunction with, and is qualified in its entirety by, the Consolidated Financial Statementsconsolidated 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.

Our MD&A is organized as follows:

Management Overview.This section provides a general description of our Company and operating segments, a discussion as to how we derive our revenue, background information on certain trends and developments affecting our Company, a summary of our acquisition transactions and a discussion on management’s strategy for driving revenue growth.

Critical Accounting Policies and Estimates.This section discusses those accounting policies that are considered important to the evaluation and reporting of our financial condition and results of operations, and whose application requires us to exercise subjective or complex judgments in making estimates and assumptions. In addition, all of our significant accounting policies, including our critical accounting policies, are summarized in Note 2, “Summary of Significant Accounting Policies,” of our notes to the Consolidated Financial Statementsconsolidated financial statements included elsewhere in this Report.

Company Overview.This section provides a more detailed description of our Company, operating segments, products and services offered.
Overview of Results of Operations and Results of Operations by Operating Divisions.These sections provide our analysis and outlook for the significant line items on our consolidated statements of operations,income, as well as other information that we deem meaningful to understand our results of operations on both a consolidated basis and an operating division basis.

Liquidity and Capital Resources.This section provides an analysis of our liquidity and cash flows and discussions of our contractual obligations and commitments as of March 31, 2009.

2011.

RecentNew Accounting Pronouncements.This section provides a summary of the most recent authoritative accounting standards and guidance that have either been recently adopted by our Company or may be adopted in the future.

24


Management Overview

Our Company

Quality Systems, Inc. and its wholly-owned subsidiaries operates as four business divisions and is comprised ofof: (i) the QSI Dental Division, (ii) the NextGen Division, HSI(iii) the Inpatient Solutions Division, (iv) the Practice Solutions and PMP.(v) Quality Systems India Healthcare Private Limited (“QSIH”). Operationally, Lackland Acquisition II, LLC dba Healthcare Strategic Initiatives (“HSI”) and Practice Management Partners, Inc. (“PMP”) comprise the Practice Solutions Division while Opus Healthcare Solutions, LLC (“Opus”) and NextGen Inpatient Solutions, LLC (“NextGen IS” f/k/a Sphere) operate under the Inpatient Solutions Division. We primarily derive revenue by developing and marketing healthcare information systems that automate certain aspects of medical and dental practices, networks of practices such as PHOsphysician hospital organizations (“PHOs”) and MSOs,management service organizations (“MSOs”), ambulatory care centers, community health centers and medical and dental schools. We alsoschools along with comprehensive systems implementation, maintenance and support and add on complementary services such as revenue cycle management (“RCM”) and electronic data interchange (“EDI”). Our systems and services provide RCM servicesour 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 Practice Solutions divisionproprietary software in combination with third-party hardware and software solutions, our products enable the integration of NextGen which consists primarilya variety of billingadministrative and collection services for medical practices.

The turbulence in the worldwide economy has impacted almost all industries. While healthcare is not immune to economic cycles, we believe it is more resilient than most segments of the economy. The impact of the current economic conditions on our existing and prospective clients has been mixed. We continue to see organizations that are doing fairly well operationally, however, some organizations with a large dependency on Medicaid populations are being impacted by the challenging financial condition of the many state governments in whose



jurisdictions they conduct business. A positive factor for U.S. healthcare is the fact that the Obama administration is pursuing broad healthcare reform aimed at improving issues surrounding healthcare. The ARRA, which became law on February 17, 2009, includes more than $20 billion to help healthcare organizations modernize operations through the acquisition of health careclinical information technology. While we are unsure of the immediate impact from the ARRA, the long-term potential could be significant.

operations.

On May 20, 2008, we acquired HSI, a full-service healthcare RCM company. HSI operates under the umbrella of NextGenour Practice Solutions.Solutions Division. Founded in 1996, HSI currently provides RCM services to providers including health systems, hospitals and physicians in private practice with an in-house team consisting of more than 200 employees including specialists in medical billing, coding and compliance, payor credentialing and information technology.

On October 28, 2008, we acquired PMP, a full-service healthcare RCM company. This acquisition is also part of our growth strategy for NextGenour Practice Solutions.Solutions Division. Similar to HSI, PMP operates under the umbrella of NextGenour Practice Solutions.Solutions Division. Founded in 2001, PMP provides physician billing and technology management services to healthcare providers, primarily in the Mid-Atlantic region.

On August 12, 2009, we acquired NextGen IS, a provider of financial information systems to the small hospital inpatient market. This acquisition, along with our acquisition of Opus, is part of our strategy to expand into the small hospital market and to add new clients by taking advantage of cross-selling opportunities between the ambulatory and inpatient markets.
On February 10, 2010, we acquired Opus, a provider of clinical information systems to the small hospital inpatient market. Founded in 1987 and headquartered in Austin, Texas, Opus delivers Web-based clinical solutions to hospital systems and integrated health networks nationwide. This acquisition complements and will be integrated with the assets and operations of NextGen IS. Both companies are established developers of software and services for the inpatient market and will operate under the Inpatient Solutions Division.
In January 2011, QSIH was formed to function as the Company’s India-based captive to offshore technology application development and business processing services.
Our strategy is, at present, to focus on providing software and services to medical and dental practices. The key elements of this strategy are to continue development and enhancement of select software solutions in target markets, to continue investments in our infrastructure including but not limited to product development, sales, marketing, implementation and support, to continue efforts to make infrastructure investments within an overall context of maintaining reasonable expense discipline, to add new customersclients through maintaining and expanding sales, marketing and product development activities and to expand our relationship with existing customersclients through delivery of newadd-on and complementary products and services.

services and continuing our gold-standard commitment of service in support of our client satisfaction programs.

Critical Accounting Policies and Estimates

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(including but not limited to those related to revenue recognition, valuation of marketable securities, ARS put option rights, uncollectible accounts receivable, intangible assets, software development cost, intangible assets and income taxesself-insurance accruals) 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.

25


We believe revenue recognition, valuationthat the significant accounting policies, as described in Note 2 of marketable securitiesour consolidated financial statements, “Summary of Significant Accounting Policies” should be read in conjunction with management’s discussion and ARS put option rights,analysis of financial condition and results of operations. We believe the allowance for doubtful accounts, capitalized software costs, share-based compensation, income taxes and business combinations are amongfollowing table depicts 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 system sales 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, or VARs. We also generate revenue from sales of hardware and third party software, implementation, training, software customization, EDI, post-contract support (maintenance) and other services, including RCM 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 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. We have

statements:


established VSOE for the related undelivered elements based on the bell-shaped curve method. Maintenance VSOE for our largest customers is based on stated renewal rates only if the rate is determined to be substantive and falls within our customary pricing practices.

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 system sales contract amount upon contract execution, except for maintenance which is billed separately. 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:

Revenue Recognition
Judgments and Uncertainties

We generate revenue from the sale of licensing rights to use our software products sold directly to end-users and value-added resellers, or VARs. We also generate revenue from sales of hardware and third party software, implementation, training, software customization, EDI, post-contract support (maintenance) and other services, including RCM services, performed for clients who license our products.

Revenue from implementation and training services is recognized as the corresponding services are performed. Maintenance revenue is recognized ratably over the contractual maintenance period. RCM revenue is derived from services fees, which include amounts charged for ongoing billing and other related services and are generally billed to the client as a percentage of total collections. We do not recognize revenue for services fees until these collections are made as the services fees are not fixed or determinable until such time.
A typical system contract contains multiple elements of the above items. FASB ASC Topic 985-605-25,Software, Revenue Recognition, Multiple Elements,or ASC 985-605-25, 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 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. We have established VSOE for the related undelivered elements based on the bell-shaped curve method. Maintenance VSOE for our largest clients is based on stated renewal rates only if the rate is determined to be substantive and falls within our customary pricing practices.

When evidence of fair value exists for the undelivered elements only, the residual method, provided for under ASC 985-605, 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 system sales contract amount upon contract execution, except for maintenance which is billed separately. 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 or 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; and


§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 andor 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 SOP 81-1 “Accounting for Performance of Construction-Type and Certain Production-Type Contracts.”

Pursuant to SOP 81-1, we use the percentage of completion method provided all of the following conditions exist:

The contract includes provisions

Effect if Actual Results Differ from Assumptions
Although we believe that clearly specifyour approach to estimates and judgments as described herein is reasonable, actual results could differ and we may be exposed to increases or decreases in revenue that could be material.

26


Allowance for Doubtful Accounts
Judgments and Uncertainties
We maintain allowances for doubtful accounts for estimated losses resulting from the enforceable rights regarding goodsinability of our clients to make required payments. We perform credit evaluations of our clients 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 clients were to deteriorate resulting in an impairment of their ability to make payments, additional allowances would be required.

Effect if Actual Results Differ from Assumptions

Although we believe that our approach to estimates and judgments as described herein is reasonable, actual results could differ and we may be exposed to increases or servicesdecreases in required reserves that could be material.
Software Development Costs
Judgments and Uncertainties
Development costs incurred in the research and development of new software products and enhancements to existing software products for external use are expensed as incurred until technological feasibility has been established. After technological feasibility is established, any additional external software development costs are capitalized in accordance with FASB ASC Topic 985-20,Software, Costs of Computer Software to be providedSold, Leased or Marketed, or ASC 985-20. Such capitalized costs are amortized on a straight-line basis over the estimated economic life of the related product, which is typically three years.
We perform an annual review of the estimated economic life and received by the parties,recoverability of such capitalized software costs. If a determination is made that capitalized amounts are not recoverable based on the considerationestimated cash flows to be exchanged,generated from the applicable software, any remaining capitalized amounts are written off.

Effect if Actual Results Differ from Assumptions

Although we believe that our approach to estimates and judgments as described herein is reasonable, actual results could differ and we may be exposed to increases or decreases in revenue that could be material.
Goodwill
Judgments and Uncertainties
Goodwill is related to NextGen and the mannerHSI, PMP, NextGen IS and termsOpus acquisitions, which closed on May 20, 2008, October 28, 2008, August 12, 2009 and February 10, 2010, respectively.In accordance with FASB ASC Topic 350-20,Intangibles — Goodwill and Other, Goodwill, or ASC 350-20, we test goodwill for impairment annually at the end of settlement;

our first fiscal quarter, referred to as the annual test date, and have determined that there was no impairment to our goodwill as of June 30, 2010. We will also test for impairment between annual test dates if an event occurs or circumstances change that would indicate the carrying amount may be impaired. Impairment testing for goodwill is performed at a reporting-unit level, which is defined as an operating segment or one level below and operating segment (referred to as a component). A component of an operating segment is a reporting unit if the component constitutes a business for which discrete financial information is available and segment management regularly reviews the operating results of that component.

We have determined that NextGen, HSI and PMP each qualify as a separate reporting unit while NextGen IS and Opus are aggregated as one reporting unit at which goodwill impairment testing is performed.

Effect if Actual Results Differ from Assumptions

We have not made any material changes in the accounting methodology we use to assess impairment loss during the past three fiscal years. The customer cancarrying values of goodwill at March 31, 2011 and 2010 were $46.7 million and $46.2 million, respectively. An impairment loss would generally be expected to satisfy its obligations underrecognized when the contract;

carrying amount of the reporting unit’s net assets exceeds the estimated fair value of the reporting unit. As of March 31, 2011 and 2010, we have not identified any events or circumstances that would require an interim goodwill impairment test.

We cando not believe there is a reasonable likelihood that there will 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 consolidated 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.

Product returns are estimated in accordance with Statement of Financial Accounting Standards (“SFAS”) No. 48, “Revenue Recognition When Right of Return Exists”. 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 nota material change in the eventfuture estimates or assumptions we use to test for impairment losses on goodwill and other intangible assets. However, if actual results are not consistent with our estimates or assumptions, we may be exposed to an impairment charge that could be material.

27


Business Combinations — Purchase Price Allocations

During the last three fiscal years, we completed three significant acquisitions:

In February 2010, we acquired Opus for $20.6 million.

In October 2008, we acquired PMP for $19.7 million, including transaction costs.

In May 2008, we acquired HSI for $15.6 million, including transaction costs.
Judgments and Uncertainties

In accordance with business combination accounting under FASB ASC Topic 805,Business Combinations, or ASC 805, we allocate the purchase price of theft or damageacquired businesses to the product;

The customer hastangible and intangible assets acquired and liabilities assumed based on estimated fair values. Our purchase price allocation methodology contains uncertainties because it requires management to make assumptions and to apply judgment to estimate the fair value of acquired assets and liabilities. Management estimates the fair value of assets and liabilities based upon quoted market prices, the carrying value of the acquired assets and widely accepted valuation techniques, including discounted cash flows and market multiple analyses. Unanticipated events or circumstances may occur which could affect the accuracy of our fair value estimates, including assumptions regarding industry economic substance;

The amount of returns can be reasonably estimated;factors and

business strategies.

Effect if Actual Results Differ from Assumptions

We do not have significant obligationsbelieve there is a reasonable likelihood that there will be a material change in the future estimates or assumptions we use to complete the purchase price allocation and estimate the fair value of acquired assets and liabilities. However, if actual results are not consistent with our estimates or assumptions, we may be exposed to losses or gains that could be material.

Intangible Assets
Judgments and Uncertainties
Intangible assets consist of capitalized software costs, customer relationships, trade names and certain intellectual property. Intangible assets related to customer relationships, trade names and software technology arose in connection with the acquisition of HSI, PMP, NextGen IS and Opus.These intangible assets were recorded at fair value and are stated net of accumulated amortization. Intangible assets are amortized over their remaining estimated useful lives, ranging from 3 to 9 years. Our amortization policy for future performanceintangible assets is based on the principles in order to bring about resaleFASB ASC Topic 350-30,Intangibles — Goodwill and Other, General Intangibles Other than Goodwill, or ASC 350-30, which requires that the amortization of intangible assets reflect the pattern that the economic benefits of the product byintangible assets are consumed.

Effect if Actual Results Differ from Assumptions

Although we believe that our approach to estimates and judgments as described herein is reasonable, actual results could differ and we may be exposed to decreases in 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.

Revenue related to sales arrangements which include the right to use software stored on the Company’s hardware are accounted for under the Emerging Issues Task Force Issue (“EITF”) No. 00-3 “Application of AICPA Statement of Position 97-2 to arrangements that include the right to use software stored on another entity’s hardware”. EITF No. 00-3 requires that for software licenses and related implementation services to continue to fall under SOP No. 97-2, the customer must have the contractual right to take possession of the software without incurring a significant penalty and it must be feasible for the customer to either host the software themselves or through another third party. If an arrangement is not deemed to be accounted for under SOP 97-2, the entire arrangement is accounted for as a service contract in accordance with EITF Issue No. 00-21 “Revenue Arrangements with Multiple Deliverables”. In that instance, the entire arrangement would be recognized as the hosting services are being performed.

RCM revenue is derived from services fees, which include amounts charged for ongoing billing and other related services and are generally billed to the customer as a percentage of total collections. We do not recognize revenue for services fees until these collections are made as the services fees are not fixed and determinable until such time.

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, RCM 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, RCM and other services category includes, maintenance, EDI, RCM, follow on training and implementation services, annual third party license fees, hosting services and other revenue.

Valuation of marketable securities and ARS put option rights. Marketable securities are recorded at fair value, based on quoted market rates or on valuation analysis when appropriate. The cost of marketable securities sold is based upon the specific identification method. In addition, the Company classifies marketable securities as current or non-current based upon whether such assets are reasonably expected to be realized in cash or sold or consumed during the normal operating cycle of the business. Realized gains or losses and other-than-temporary declines in the fair value of marketable securities are determined on a specific identification basis and reported in interest and other income, net, as incurred.

The fair value of our marketable securities has been estimated by management based on certain assumptions of what market participants would use in pricing the asset in a current transaction, or level 3 - unobservable inputs in accordance with SFAS 157 (see Note 4 of our Notes to the Consolidated Financial Statements: “Fair Value Measurements”). Management used a model to estimate the fair value of these securities that included certain level 2 inputs as well as assumptions, including a liquidity discount, based on management’s judgment, which are highly subjective and therefore considered level 3 inputs in the fair value hierarchy. The estimate of the fair value of the marketable securities could change based on market conditions.



Our ARS are managed by UBS Financial Services Inc. (“UBS”). On November 13, 2008, we entered into an Auction Rate Security Rights Agreement (the Rights Agreement) with UBS, whereby we accepted UBS’ offer to purchase our ARS investments at any time during the period of June 30, 2010 through July 2, 2012. As a result we had obtained an asset, ARS put option rights, whereby we have a right to “put” the ARS back to UBS. We expect to exercise our ARS put option rights and put our ARS back to UBS on June 30, 2010, the earliest date allowable under the Rights Agreement.

As we will be permitted to put the ARS back to UBS at par value, we have accounted for the ARS put option rights as a separate asset that was initially measured and will continue to be measured at its fair value. We are required to assess the fair value of these two individual assets and to record corresponding changes in fair value in each reporting period through the Consolidated Statements of Operations until the ARS put option rights are exercised and the ARS are redeemed or sold. Since the ARS put option rights represent the right to sell the securities back to UBS at par, we will be required to periodically assess the economic ability of UBS to meet that obligation in assessing the fair value of the ARS put options rights.

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 SFAS 86, “Accounting for the Costs of Computer Software to be Sold, Leased or Otherwise Marketed.” 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.

Share-Based Compensation. We apply the provisions of SFAS 123R, “Share-Based Payment,” 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 requires us to estimate the fair value of share-based payment awards on the date of grant using an option-pricing model. During fiscal year 2009, we estimate the expected term of the option using historical exercise experience. Prior to fiscal year 2009 we used the simplified method to estimate 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. The expected dividend yield is the average dividend rate during a period equal to the expected term of the option. Those inputs are then entered into the Black Scholes model to determine the estimated fair value. 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.

Research and Development Tax Credits. Management’s treatment of research and development tax credits represented a significant estimate which affected the effective income tax rate for us for the years ended March 31, 2009, 2008 and 2007. Research and development credits taken by us involve certain assumptions and judgments regarding qualified expenses under Internal Revenue Code (“IRC”) Section 41. These credits are subject to examination by the federal and state taxing authorities.

During each of the years ended March 31, 2009, 2008 and 2007, we recognized approximately $1.0 million, $0.8 million and $0.8 million in credits, respectively, related to research and development. We expect to capture this benefit on our federal tax returns.

Qualified Production Activities Deduction. Management’s treatment of this deduction represented an estimate that affected the effective income tax rate for us for the years ended



March 31, 2009, 2008 and 2007. The deduction taken by us involved certain assumptions and judgments regarding the allocation of indirect expenses as prescribed under IRC Section 199.

During the years ended March 31, 2009, 2008 and 2007, we recognized approximately $2.7 million, $3.1 million and $1.5 million, respectively, in deductions related to the qualified production activities deduction (“QPAD”) under IRC. The QPAD calculation was determined using interim guidance provided by proposed Internal Revenue Service regulations and notices. We expect to capture this benefit on our tax returns.

Business Combinations. In accordance with business combination accounting under SFAS No. 141,Business Combinations,” we allocate the purchase price of acquired businesses to the tangible and intangible assets acquired and liabilities assumed based on estimated fair values. Such allocations require management to make significant estimates and assumptions, especially with respect to intangible assets acquired. Management’s estimates of fair value are based upon assumptions believed to be reasonable. These estimates are based on information obtained from management of the acquired companies and are inherently uncertain. Critical estimates in valuing certain of the intangible assets include, but are not limited to:

fair value of our intangible assets, resulting in impairment charges that could be material.

future expected cash flows from acquired businesses; and

Share-Based Compensation

Judgments and Uncertainties

Our stock-based compensation plans consist of stock options and restricted stock units. See Note 9 of our consolidated financial statements for a complete discussion of our stock-based compensation programs.We apply the acquired company’s brandprovisions of FASB ASC Topic 718,Compensation — Stock Compensation,or ASC 718, which requires the measurement and market position.

recognition of compensation expense for all share-based payment awards made to employees and directors based on estimated fair values. ASC 718 requires us to estimate the fair value of share-based payment awards on the date of grant using an option-pricing model. Expected term is estimated using historical exercise experience. Volatility is estimated by using the weighted-average historical volatility of our common stock, which 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. The expected dividend yield is the average dividend rate during a period equal to the expected term of the option. Those inputs are then entered into the Black Scholes model to determine the estimated fair value. 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 our consolidated statements of income.

On May 26, 2010, the Board of Directors approved its fiscal year 2011 equity incentive program for certain employees to be awarded options to purchase the Company’s common stock. Under the program, executives are eligible to receive options based on meeting certain target increases in earnings per share performance and revenue growth during fiscal year 2011. Non-executive employees also are eligible to receive options based on satisfying certain management established criteria and recommendations of senior management. Compensation expense associated with the performance based awards under the Company’s 2011 incentive plan are initially based on the number of options expected to vest after assessing the probability that certain performance criteria will be met. Cumulative adjustments are recorded quarterly to reflect subsequent changes in the estimated outcome of performance-related conditions.

Unanticipated events and circumstances may occur which may affect the accuracy or validity of such assumptions, estimates or actual results and we will continue to evaluate events and circumstances on an ongoing basis.28


Share-Based Compensation (continued)
Effect if Actual Results Differ from Assumptions
We do not believe there is a reasonable likelihood there will be a material change in the future estimates or assumptions we use to determine stock-based compensation expense. However, if actual results are not consistent with our estimates or assumptions, we may be exposed to changes in stock-based compensation expense that could be material.
Self-Insured Liabilities
Judgments and Uncertainties
Effective January 1, 2010, we became self-insured with respect to healthcare claims, subject to stop-loss limits. We accrue for estimated self-insurance costs and uninsured exposures based on claims filed and an estimate of claims incurred but not reported as of each balance sheet date. However, it is possible that recorded accruals may not be adequate to cover the future payment of claims. Adjustments, if any, to estimated accruals resulting from ultimate claim payments will be reflected in earnings during the periods in which such adjustments are determined.Our self-insured liabilities contain uncertainties because management is required to make assumptions and to apply judgment to estimate the ultimate cost to settle reported claims and claims incurred but not reported at the balance sheet date.

Effect if Actual Results Differ from Assumptions

We do not believe there is a reasonable likelihood that there will be a material change in the estimates or assumptions we use to calculate our self-insured liabilities. However, if actual results are not consistent with our estimates or assumptions, we may be exposed to losses or gains that could be material.

29


Overview of Our Results

§

Our totalConsolidated revenue increased 31.6%21.1% and income from operations grew 21.9% on aby 24.3% in the year ended March 31, 2011 as compared to the prior year period. Revenue was positively impacted by growth in recurring revenue, including maintenance, EDI and RCM revenue, which grew 23.4%, 17.1% and 22.9%, respectively and accounted for 55.5% of total consolidated basisrevenue for the year ended March 31, 2009. This performance2011. In the same period a year ago, recurring revenue represented 55.1% of total consolidated revenue. Revenue was drivenalso positively impacted by growth in our NextGen Division, offset by decreasessales of systems, which increased 19.6% in revenue and operating income in our QSI Division and higher corporate expenses.

Our year over year growth in revenue and operating income during the year ended March 31, 20092011 as compared to the prior year period.

§The increase in income from operations was partially attributable to the HSI and PMP acquisitions. HSI and PMP generated $15.6 million of revenue for the period May 21, 2008 to March 31, 2009 and $8.6 million of revenue for the period October 29, 2008 to March 31, 2009, respectively.

Operating income was positively impacted by an increase in revenue offset by a shift in revenue mix with an increased share of hardware, EDI, and RCM revenue resulting in a decline in our gross profit margin. We also experiencedby: (a) higher selling, general and administrative expenses. Higher selling, general and administrative expenses, were impacted negatively by approximately $1.5 million of expenses incurred in conjunction with the proxy contest involving our election of directors at our 2008 Annual Shareholder’s Meeting and higher than usual legal expenses,which was primarily as a result of our contested proxy electionincreased headcount expenses and certain legal mattersselling-related expenses at the NextGen Division, (b) increased research and development costs, (c) higher corporate-related expenses, (d) amortization of the software technology intangible asset related to intellectual property infringement claimsthe Opus acquisition that is included in cost of sales, and (e) additional expenses related to a fair value adjustment to the contingent consideration liability related to the acquisitions of Opus and NextGen Division.

IS.

§

We do not believe the revenue mix changes noted above represent a change in the overall purchasing environment. On top of the potential benefits from the recently enacted ARRA, we have benefited and hope to continue to benefit from the increased demands on healthcare providers for greater efficiency and lower costs, financial incentives from the ARRA to physicians who adopt electronic health records, as well as increased adoption rates for electronic medicalhealth records and other technology in the healthcare arena.

§

While the Company expectswe expect to benefit from the increasing demands for greater efficiency as well as government support for increased adoption of electronic medicalhealth records, the current economic environment, combined with unpredictability of the federal government’s plans to promote increased adoption of electronic medical records, negatively impacted the Company’s fourth quarter results and makes the near term achievement of such benefits and, ultimately, their impact on system sales, uncertain.

NextGen Division

§

NextGen Division

NextGen Division revenue increased 34.7%16.5% in the year ended March 31, 20092011 and divisional operating income from operations(excluding unallocated corporate expenses) increased 25.9% from19.4% as compared to the prior year period.

§Recurring revenue, which consists of maintenance and EDI revenue, increased 17.7% to $130.0 million and accounted for 48.8% of total NextGen Division revenue for the year ended March 31, 2008. Organic2011. In the same period a year ago, recurring revenue and operating income growth in theof $110.4 million represented 48.3% of total NextGen Division not including acquisitions was 20.5% and 21.3% for the years ended March 31, 2009 and 2008, respectively.

The Divisions’ year over year growth in revenue and operating income for the Company during the year ended March 31, 2009 was partially attributable to the HSI and PMP acquisitions.

HSI contributed $15.6 million to NextGen’s revenue from the date of its acquisition on May 20, 2008 to March 31, 2009. HSI’s operating income added $0.7 million to NextGen’s operating income during the year ended March 31, 2009.

revenue.


§

PMP contributed $8.6 million to NextGen’s revenue from the date of its acquisition on October 28, 2008 to March 31, 2009. PMP’s operating income added $2.5 million to NextGen’s operating income during the year ended March 31, 2009.

During the year ended March 31, 2009,2011, we added staffing resources to mostand increased our investment in research and development in anticipation of our client-interfacing departments, and intend to continue doing so in future periods. Such divisional headcount additions caused selling, general and administrative expenses to increase.

growth from the ARRA. Our goals include taking maximum advantage of future benefits related to the ARRA and continuing to further enhance and expand the marketing and sales of our existing products, including continued efforts to maintain our status as a qualified vendor under the ARRA, integrating our inpatient and ambulatory software products, developing new products for targeted markets, continuing to add new customers,clients, selling additional software and services to existing customers,clients, expanding penetration of connectivity and other services to new and existing customers,clients, and capitalizing on growth and cross selling opportunities within the Practice Solutions arena.

Division and the Inpatient Solutions Division.

§

The NextGen Division’s growth is attributed to a strong brand name and reputation within a growing marketplace for electronic health records and investments in sales and marketing activities, including new marketing campaigns, trade show attendance and other expanded advertising and marketing expenditures. We have also benefited from winning numerous industry awards for the NextGen Division’s flagship NextGenehr and NextGenpm software products and more recently in 2010 for its NextGen HIE product. Further, the increasing acceptance of electronic records technology in the healthcare industry continues to provide growth opportunities.
QSI Dental Division

§

QSI Division

QSIDental Division revenue decreased 1.2%increased 16.6% in the year ended March 31, 20092011 and Divisionaldivisional operating loss decreased 7.6%income (excluding unallocated corporate expenses) fromincreased 35.0% as compared to the prior year period.

§An increase of 65.2% in system sales revenue during the year ended March 31, 2008. Divisional revenue and operating income performance for2011 as compared to the Division, while below fiscalprior year 2008 levels, were within the Division’s historical performance range.

A drop in annual revenue, slight changes in the Division’s sales mix in favor of lower margin hardware and EDI products, and an increase in selling, general and administrative expenses wereperiod was the chief contributorscontributor to the operating income decline.

results. The QSI Dental Division has benefited from system sales to Federally Qualified Healthcare Centers (“FQHCs”), which are typically sold jointly with the NextGen Division.

§

The QSI Dental Division is well-positioned to sell to the FQHCs market and intends to continue leveraging the NextGen Division’s sales force to sell its dental electronic medical records software to practices that provide both medical and dental services, such as FQHCs, which are receiving grants as part of the ARRA.

§

Our goalsgoal for the QSI Dental Division include maximizingis to maximize profit performance given the constraints represented by a relatively weak purchasing environment in the dental group practice market. market while taking advantage of opportunities with the new NextDDS™ product.
Practice Solutions Division
§Practice Solutions Division revenue increased 13.7% in the year ended March 31, 2011 and divisional operating income (excluding unallocated corporate expenses) increased 83.0% as compared to the prior year period.
§The QSI division also intendsPractice Solutions Division benefited from organic growth achieved through cross selling RCM services to leverageexisting NextGen Division clients and well as new clients added during the 2011 fiscal year.
§Gross margin of $14.1 million in the year ended March 31, 2011 was negatively impacted by initial startup costs and other costs related to achieving higher production volume from a new business.
§Operating income as a percentage of revenue increased to approximately 8.7% of revenue in the year ended March 31, 2011 versus 5.4% of revenue in the prior year period primarily as a result of higher RCM revenue, offset by increased costs related to transitioning to the NextGen sales force to sell its dental EMR software to practices that provide both medical and dental servicesplatform, such as Federal Qualified Health Centers.

training of staff and initial set up as mentioned above.

30




Inpatient Solutions Division
§Inpatient Solutions Division revenue in the year ended March 31, 2011 was $17.9 million as compared to $2.9 million in the prior year period. This Division consists of two acquisitions, Opus and NextGen IS, acquired in February 2010 and August 2009, respectively.
The following table sets forth for the periods indicated the percentage of net revenue represented by each item in our consolidated statements of income.income (certain percentages below may not sum due to rounding):
             
  Fiscal Year Ended March 31,
(Unaudited) 2011 2010 2009
Revenues:            
Software, hardware and supplies  30.1%  30.8%  34.8%
Implementation and training services  5.1   4.9   5.4 
             
             
System sales  35.2   35.7   40.2 
             
Maintenance  31.1   30.6   29.7 
Electronic data interchange services  11.6   12.0   12.0 
Revenue cycle management and related services  12.8   12.6   8.7 
Other services  9.3   9.2   9.3 
             
             
Maintenance, EDI, RCM and other services  64.8   64.3   59.8 
             
             
Total revenues  100.0   100.0   100.0 
             
             
Cost of revenue:            
Software, hardware and supplies  5.6   4.2   5.4 
Implementation and training services  4.2   4.1   4.2 
             
             
Total cost of system sales  9.8   8.3   9.6 
             
Maintenance  3.7   4.6   4.8 
Electronic data interchange services  7.8   8.7   8.7 
Revenue cycle management and related services  9.6   9.5   6.0 
Other services  5.2   7.0   7.1 
             
             
Total cost of maintenance, EDI, RCM and other services  26.2   29.7   26.6 
             
Total cost of revenue  36.1   38.0   36.2 
             
             
Gross profit  63.9   62.0   63.8 
             
Operating expenses:            
Selling, general and administrative  30.7   29.8   28.3 
Research and development costs  6.2   5.7   5.6 
Amortization of acquired intangible assets  0.5   0.6   0.4 
             
             
Total operating expenses  37.3   36.1   34.3 
             
Income from operations  26.6   25.9   29.5 
             
Interest income  0.1   0.1   0.5 
Other income (expense), net  0.0   0.1   (0.1)
             
             
Income before provision for income taxes  26.7   26.1   29.9 
Provision for income taxes  9.3   9.5   11.1 
             
             
Net income  17.4%  16.6%  18.8%
             

31

 

 

 

 

 

 

 

 

 

 

 

(Unaudited)

 

Year Ended March 31,

 

 

 

 

 

 

 

2009

 

2008

 

2007

 

 

 

 

 

 

 

 

 

Revenues:

 

 

 

 

 

 

 

 

 

 

Software, hardware and supplies

 

 

34.8

%

 

40.9

%

 

43.8

%

Implementation and training services

 

 

5.4

 

 

7.2

 

 

7.8

 

 

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

System sales

 

 

40.2

 

 

48.1

 

 

51.6

 

 

 

 

 

 

 

 

 

 

 

 

Maintenance

 

 

29.7

 

 

30.3

 

 

26.7

 

Electronic data interchange services

 

 

12.0

 

 

12.0

 

 

10.8

 

Revenue cycle management

 

 

8.7

 

 

0.5

 

 

0.3

 

Other services

 

 

9.3

 

 

9.1

 

 

10.6

 

 

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

Maintenance, EDI, RCM and other services

 

 

59.8

*

 

51.9

 

 

48.4

 

 

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

Total revenue

 

 

100.0

 

 

100.0

 

 

100.0

 

 

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

Cost of revenue:

 

 

 

 

 

 

 

 

 

 

Software, hardware and supplies

 

 

5.4

 

 

5.8

 

 

5.4

 

Implementation and training services

 

 

4.2

 

 

5.5

 

 

5.5

 

 

 

  

 

  

 

  

 

Total cost of system sales

 

 

9.6

 

 

11.3

 

 

10.9

 

 

 

 

 

 

 

 

 

 

 

 

Maintenance

 

 

4.8

 

 

6.7

 

 

7.5

 

Electronic data interchange services

 

 

8.7

 

 

8.5

 

 

7.7

 

Revenue cycle management

 

 

6.0

 

 

0.3

 

 

0.2

 

Other services

 

 

7.1

 

 

6.7

 

 

6.0

 

 

 

  

 

  

 

  

 

Total cost of maintenance, EDI, RCM and other services

 

 

26.6

 

 

22.2

 

 

21.4

 

 

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

Total cost of revenue

 

 

36.2

 

 

33.5

 

 

32.3

 

 

 

  

 

  

 

  

 

Gross profit

 

 

63.8

*

 

66.5

 

 

67.7

 

 

 

  

 

  

 

  

 

Operating expenses:

 

 

 

 

 

 

 

 

 

 

Selling, general and administrative

 

 

28.7

 

 

28.6

 

 

28.8

 

Research and development

 

 

5.6

 

 

6.1

 

 

6.5

 

 

 

  

 

  

 

  

 

Income from operations

 

 

29.5

*

 

31.8

 

 

32.4

 

 

 

  

 

  

 

  

 

Interest income

 

 

0.5

 

 

1.4

 

 

2.1

 

Other income (expense)

 

 

(0.1

)

 

0.5

 

 

0.0

 

 

 

  

 

  

 

  

 

Income before provision for income taxes

 

 

29.9

*

 

33.7

 

 

34.5

 

Provision for income taxes

 

 

11.1

 

 

12.3

 

 

13.3

 

 

 

  

 

  

 

  

 

Net income

 

 

18.8

%*

 

21.4

%

 

21.1

%*

 

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

* does not foot due to rounding

 

 

 

 

 

 

 

 

 

 




Comparison of the Fiscal Years Ended March 31, 20092011 and March 31, 2008

For2010

During fiscal year 2010, we strengthened our position in the hospital market with the acquisitions of Opus on February 10, 2010 and NextGen IS on August 12, 2009. The results of operations for the Opus and NextGen IS acquisitions as reported in our Annual Report on Form 10-K for the year ended March 31, 2009, our2010 were included with the NextGen Division. During fiscal year 2011, as a result of certain organization changes, the composition of the Company’s NextGen Division was revised to exclude Opus and NextGen IS, both of which are now aggregated in the Company’s Inpatient Solutions Division. The Company now operates four reportable segments (not including Corporate), comprised of the NextGen Division, the Inpatient Solutions Division, the QSI Dental Division and the Practice Solutions Division.
For the purposes of the comparison of the fiscal years ended March 31, 2011 and March 31, 2010 in this MD&A, the segment results in the tables therein for the year ended March 31, 2010 are re-casted to present four reportable segments. However, since NextGen IS had no material operations during fiscal year 2010 and Opus was acquired at the end of fiscal year 2010, a comparative analysis of the results of the Inpatient Solutions Division is not deemed meaningful and is not presented therein.
Net Income. The Company’s net income for the year ended March 31, 2011 was $46.1$61.6 million, or $1.65$2.13 per share on a basic and $1.62$2.12 per share on a fully diluted basis. In comparison, we earned $40.1$48.4 million, or $1.47$1.69 per share on a basic and $1.44$1.68 per share on a fully diluted basis infor the year ended March 31, 2008.2010. The increase in net income for the year ended March 31, 20092011 was achieved primarily throughattributed to the following:

a 31.6%21.1% increase in consolidated revenue, including $21.4an increase in revenues of $37.8 million in RCM revenue from our recently acquired entities;

NextGen Division, $15.0 million from our Inpatient Solutions Division and $5.9 million from our Practice Solutions Division;

a 34.7%16.5% increase in NextGen Division revenue, which accounted for 93.5%75.4% of consolidated revenue;

a shift in

an increase of recurring revenue, mix with increasedincluding RCM, maintenance and EDI and RCM revenue, resulting in a decline in our gross profit margin;

which accounted for 55.5% of total consolidated revenue;

offset by an increase in selling, general and administrative expenses as a percentage of revenue related to higher than usual legal expenses, primarily as a result of certain legal matters related to intellectual property infringement claims in the NextGen Division and a proxy contest;research and

a decrease in interest income primarily due a greater proportion of funds invested in short-term U.S Treasuries and tax free money market accounts which returned significantly lower interest rates as compared to the prior year.

development costs.

Revenue.Revenue for the year ended March 31, 20092011 increased 31.6%21.1% to $245.5$353.4 million from $186.5$291.8 million for the year ended March 31, 2008.2010. NextGen Division revenue increased 34.7%16.5% to $229.7$266.5 million from $170.5$228.7 million in the year ended March 31, 2008,2010 while QSI Dental Division revenue decreased by 1.2%increased 16.6% to $20.0 million from $17.1 million and Practice Solutions Division revenue increased 13.7% during that same period to $15.9$49.0 million from $16.0$43.1 million. NextGen revenue is inclusive of approximately $15.6 million in revenue from HSI and $8.6 million in revenue from PMP, our two recent RCM acquisitions.

We divide revenue into two categories, “system sales” and “maintenance, EDI, RCM 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 our software systems. The majority of the revenue in the system sales category is related to the sale of software. Revenue in the maintenance, EDI, RCM and other services category includes maintenance, EDI, RCM, follow-on training and implementation services, annual third party license fees, hosting and other revenue. Maintenance revenue includes amounts initially deferred in conjunction with new customer arrangements and subsequently amortized and billings to existing customers.

System Sales.Revenue earned from Company-wide sales of systems for the year ended March 31, 20092011 increased 10.0%19.6% to $98.8$124.5 million from $89.8$104.1 million in the prior year.

year period.

Our increase in revenue from sales of systems was principally the result of a 9.9%12.6% increase in category revenue at our NextGen Division, whose sales in this category grew from $87.1to $108.9 million during the year ended March 31, 2008 to $95.72011 from $96.7 million during the same prior year ended March 31, 2009.period. This increase was driven by higher sales of NextGenehr and NextGenepm software to both new and existing clients, as well as increases in sales of hardware third partyand third-party software and supplies and implementation and training services.

Systems sales revenue in the QSI Division increased to approximately $3.0 million in the year ended March 31, 2009 from $2.6 million in the year ended March 31, 2008.

services revenue.


The following table breaks down our reported system sales into software, hardware, third partythird-party software, supplies and implementation and training services components by division:on a consolidated and divisional basis for the years ended March 31, 2011 and 2010 (in thousands):

                 
      Hardware, Third  Implementation    
      Party Software  and Training  Total System 
  Software  and Supplies  Services  Sales 
Fiscal Year Ended March 31, 2011                
QSI Dental Division $3,239  $2,190  $1,066  $6,495 
NextGen Division  84,812   8,979   15,097   108,888 
Inpatient Solutions Division  6,187   612   1,482   8,281 
Practice Solutions Division  473   22   370   865 
             
                 
Consolidated $94,711  $11,803  $18,015  $124,529 
             
                 
Fiscal Year Ended March 31, 2010                
QSI Dental Division $1,699  $1,409  $825  $3,933 
NextGen Division  78,703   4,931   13,058   96,692 
Inpatient Solutions Division  1,129   13   226   1,368 
Practice Solutions Division  1,877      267   2,144 
             
                 
Consolidated $83,408  $6,353  $14,376  $104,137 
             

32

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Software

 

Hardware, Third
Party Software
and Supplies

 

Implementation
and Training
Services

 

Total System
Sales

 

 

 

       

 

Year ended March 31, 2009

 

 

 

 

 

 

 

 

 

 

 

 

 

QSI Division

 

$

915

 

$

1,171

 

$

938

 

$

3,024

 

NextGen Division

 

 

76,525

 

 

6,775

 

 

12,437

 

 

95,737

 

 

 

  

 

  

 

  

 

  

 

Consolidated

 

$

77,440

 

$

7,946

 

$

13,375

 

$

98,761

 

 

 

  

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year ended March 31, 2008

 

 

 

 

 

 

 

 

 

 

 

 

 

QSI Division

 

$

360

 

$

1,134

 

$

1,154

 

$

2,648

 

NextGen Division

 

 

69,276

 

 

5,593

 

 

12,252

 

 

87,121

 

 

 

  

 

  

 

  

 

  

 

Consolidated

 

$

69,636

 

$

6,727

 

$

13,406

 

$

89,769

 

 

 

  

 

  

 

  

 

  

 


NextGen Division software license revenue increased 10.5% between7.8% in the year ended March 31, 2008 and2011 versus the year ended March 31, 2009.same period last year. The Division’s software revenue accounted for 79.9%77.9% of divisional system sales revenue during the year ended March 31, 2009,2011, compared to 79.5%81.4% during the same period a year ago. The September 2010 announcement that NextGenehr became CCHIT® certified along with the finalization of the Stage 1 Meaningful Use definition criteria under the ARRA in July 2010 positively impacted the growth in software license revenue during the year ended March 31, 2008.2011. Software license revenue growth continues to be an area of primary emphasis for the NextGen Division.

During the year ended March 31, 2009, 7.1%2011, 8.2% of NextGen’sthe NextGen Division’s system sales revenue was represented by hardware and third partythird-party software compared to 6.4%5.1% during thesame period a year ended March 31, 2008.ago. The number of customersclients who purchase hardware and third partythird-party software and the dollar amount of hardware and third partythird-party software revenue fluctuates each quarter depending on the needs of customers.clients. The inclusion of hardware and third partythird-party software in the Division’s sales arrangements is typically at the request of the customer and is not a priority focus for us.

our clients.

Implementation and training revenue related to system sales at the NextGen Division increased 1.5%15.6% in the year ended March 31, 20092011 compared to the prior year ended March 31, 2008.period. The amount of implementation and training services revenue is dependent on several factors, including timing of customerclient 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, 20092011 versus 2008the same prior year period in order to accommodate the increased amount of implementation services sold in conjunction with increased software sales. In order to achieve growth in this area, additional staffing increases and additional training facilities 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 a revamped NextGen.com Web site, new NextGen logo, new marketing campaigns, trade show attendance, and other expanded advertising and marketing expenditures. We have also benefited from winning numerous industry awards for the NextGen Division’s flagship NextGenehr and NextGenepm software products and the apparent increasing acceptance of electronic medical records technology in the healthcare industry.

For the QSI Dental Division, total system sales increased 14.2%$2.6 million, or 65.1%, to $6.5 million in the year ended March 31, 20092011 as compared to $3.9 million in the prior year period. Systems sales in the QSI Dental Division were positively impacted by greater joint sales of dental and medical software to FQHCs. In addition, the Division began selling the SaaS based NextDDS™ product during fiscal year 2010.
For the Practice Solutions Division, total system sales decreased by 59.7% in the year ended March 31, 2008. We do not presently foresee any material changes2011 as compared to the prior year period. Systems sales revenue within the Practice Solutions Division is composed of sales to existing RCM clients only and can fluctuate given the size of the current client base of the Practice Solutions Division.
For the Inpatient Solutions Division, total systems sales increased $6.9 million because only two months of revenue was recorded in the business environmentyear ended March 31, 2010 for Opus, which was acquired in February 2010, as compared to a full year of revenue for the Division with respect to the weak purchasing environment in the dental group practice market that has existed for the past several years.

year ended March 31, 2011.

Maintenance, EDI, Revenue Cycle ManagementRCM and Other Services.For the year ended March 31, 2009,2011, Company-wide revenue from maintenance, EDI, RCM and other services grew 51.7%21.9% to $146.8$228.8 million from $96.7$187.7 million forin the prior year ended March 31, 2008.period. The increase in this category resulted fromis primarily due to an increase in maintenance, EDI RCM and other services revenue from the NextGen Division and RCM revenue from the Practice Solutions Division.
Total NextGen Division maintenance revenue for the year ended March 31, 20092011 grew 33.3%16.7% to $65.7$93.9 million from $49.3$80.5 million for the same prior year period while NextGen Division EDI revenue grew 20.4% to $36.1 million compared to $30.0 million in the prior year while EDI revenue grew 38.4% to $24.8 million compared to $17.9 million in the prior year. RCM grew to $21.4 million primarily as a result of the HSI and PMP acquisitions.period. Other services revenue for the NextGen Division, which consists primarily of third partythird-party annual software license renewals, consulting servicesfollow-on training hours and hosting services, increased 43.9%28.0% to $22.0$27.6 million in the year ended March 31, 2011 from $15.3$21.6 million ain the same prior year ago.period. QSI



Dental Division maintenance, EDI and other revenue decreased 4.2% to $12.8 million for the year ended March 31, 20092011 increased $0.3 million to $13.5 million compared to $13.4$13.2 million for the same prior year period. For the year ended March 31, 2011, RCM revenue grew $8.4 million to $45.1 million compared to $36.7 million in the prior year.

year period primarily as a result of increases in RCM revenue to new and existing clients.

The following table details maintenance, EDI, RCM and other services revenue by category on a consolidated and divisional basis for the years ended March 31, 20092011 and 2008:2010 (in thousands):
                     
  Maintenance  EDI  RCM  Other  Total 
Fiscal Year Ended March 31, 2011                    
QSI Dental Division $7,329  $4,891  $  $1,251  $13,471 
NextGen Division  93,890   36,131      27,637   157,658 
Inpatient Solutions Division  8,642         975   9,617 
Practice Solutions Division  158      45,065   2,865   48,088 
                
                     
Consolidated $110,019  $41,022  $45,065  $32,728  $228,834 
                
                  ��  
Fiscal Year Ended March 31, 2010                    
QSI Dental Division $7,217  $5,038  $  $940  $13,195 
NextGen Division  80,451   29,997      21,589   132,037 
Inpatient Solutions Division  1,416         108   1,524 
Practice Solutions Division  108      36,665   4,145   40,918 
                
                     
Consolidated $89,192  $35,035  $36,665  $26,782  $187,674 
                

33

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Maintenance

 

EDI

 

Revenue Cycle
Management

 

Other

 

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year ended March 31, 2009

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

QSI Division

 

$

7,167

 

$

4,766

 

$

 

$

894

 

$

12,827

 

NextGen Division

 

 

65,695

 

 

24,756

 

 

21,431

 

 

22,045

 

 

133,927

 

 

 

  

 

  

 

  

 

  

 

  

 

Consolidated

 

$

72,862

 

$

29,522

 

$

21,431

 

$

22,939

 

$

146,754

 

 

 

  

 

  

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year ended March 31, 2008

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

QSI Division

 

$

7,186

 

$

4,564

 

$

 

$

1,639

 

$

13,389

 

NextGen Division

 

 

49,269

 

 

17,886

 

 

871

 

 

15,316

 

 

83,342

 

 

 

  

 

  

 

  

 

  

 

  

 

Consolidated

 

$

56,455

 

$

22,450

 

$

871

 

$

16,955

 

$

96,731

 

 

 

  

 

  

 

  

 

  

 

  

 


Maintenance revenue for the NextGen Division increased by $13.4 million for the year ended March 31, 2011 as compared to the same prior year period. The growth in maintenance revenue for the NextGen Division has comeis a result of an $11.5 million increase in net additional licenses from new customersclients and existing clients and approximately $1.9 million related to a recent price increase that have been added eachbecame effective during the quarter existing customers who have purchased additional licenses, and our relative success in retaining existing maintenance customers. NextGen’sended September 30, 2010.
The NextGen Division’s EDI revenue growth has come from new customersclients and from further penetration of the Division’s existing customer base. Theclient base while the growth in RCM is a result of the HSI and PMP acquisitions and future growth is expectedrevenue has come from new clients that have been acquired from cross selling opportunities betweenwith the customer bases.NextGen Division client base. We intend to continue to promote maintenance, EDI and RCM services to both new and existing customers.

The following table providesclients. Growth in other services revenue is primarily due to increases in third-party annual software licenses, consulting services and hosting services revenue.

For the numberInpatient Solutions Division, maintenance revenue increased $7.2 million because only two months of billing sites which were receiving maintenance services as of the last business day ofrevenue was recorded in the year ended March 31, 2009 and 2008 respectively,2010 for Opus, which was acquired in February 2010, as well as the numbercompared to a full year of billing sites receiving EDI services during the last month of each respective period at each division of the Company. The table presents summary information only and includes billing entities added and removedrevenue for any reason. Note also that a single client may include one or multiple billing sites, and changes in billing protocols for certain clients can cause period to period changes in the number of billing sites. During the year ended March 31, 2009, a higher than usual fluctuation in the billing sites removed resulted primarily from a change in classification for billing sites.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NextGen

 

QSI

 

Consolidated

 

 

 

 

 

 

 

 

 

 

 

Maintenance

 

EDI

 

Maintenance

 

EDI

 

Maintenance

 

EDI

 

 

 

   

 

   

 

   

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

March 31, 2008

 

 

1,129

 

 

993

 

 

251

 

 

165

 

 

1,380

 

 

1,158

 

Billing sites added

 

 

246

 

 

533

 

 

14

 

 

39

 

 

260

 

 

572

 

Billing sites removed

 

 

(15

)

 

(258

)

 

(14

)

 

(44

)

 

(29

)

 

(302

)

 

 

  

 

  

 

  

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

March 31, 2009

 

 

1,360

 

 

1,268

 

 

251

 

 

160

 

 

1,611

 

 

1,428

 

 

 

  

 

  

 

  

 

  

 

  

 

  

 

2011.

Cost of Revenue.Cost of revenue for the year ended March 31, 20092011 increased 42.2%15.0% to $88.9$127.5 million from $62.5$110.8 million forin the prior year ended March 31, 2008period and the cost of revenue as a percentage of revenue increaseddecreased to 36.2%36.1% from 33.5%38.0% due to the fact that the rate of growth in cost of revenue grew fasterslower than the aggregate revenue growth rate for the Company.



The following table details revenue and cost of revenue on a consolidated and divisional basis for the years ended March 31, 20092011 and 2008:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year Ended March 31,

 

 

 

 

 

 

 

2009

 

%

 

2008

 

%

 

 

 

 

 

 

 

 

 

 

 

QSI Division

 

 

 

 

 

 

 

 

 

 

 

 

 

Revenue

 

$

15,852

 

 

100.0

%

$

16,037

 

 

100.0

%

Cost of revenue

 

 

7,582

 

 

47.8

%

 

7,545

 

 

47.0

%

 

 

  

 

  

 

  

 

  

 

Gross profit

 

$

8,270

 

 

52.2

%

$

8,492

 

 

53.0

%

 

 

  

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NextGen Division

 

 

 

 

 

 

 

 

 

 

 

 

 

Revenue

 

$

229,663

 

 

100.0

%

$

170,463

 

 

100.0

%

Cost of revenue

 

 

81,308

 

 

35.4

%

 

54,956

 

 

32.2

%

 

 

  

 

  

 

  

 

  

 

Gross profit

 

$

148,355

 

 

64.6

%

$

115,507

 

 

67.8

%

 

 

  

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Consolidated

 

 

 

 

 

 

 

 

 

 

 

 

 

Revenue

 

$

245,515

 

 

100.0

%

$

186,500

 

 

100.0

%

Cost of revenue

 

 

88,890

 

 

36.2

%

 

62,501

 

 

33.5

%

 

 

  

 

  

 

  

 

  

 

Gross profit

 

$

156,625

 

 

63.8

%

$

123,999

 

 

66.5

%

 

 

  

 

  

 

  

 

  

 

2010 (in thousands):

                 
  Fiscal Year Ended March 31, 
  2011  %  2010  % 
QSI Dental Division                
Revenue $19,966   100.0% $17,128   100.0%
Cost of revenue  9,034   45.2%  7,788   45.5%
             
                 
Gross profit $10,932   54.8% $9,340   54.5%
             
                 
NextGen Division                
Revenue $266,546   100.0% $228,730   100.0%
Cost of revenue  78,496   29.4%  73,122   32.0%
             
                 
Gross profit $188,050   70.6% $155,608   68.0%
             
                 
Inpatient Solutions Division                
Revenue $17,898   100.0% $2,891   100.0%
Cost of revenue  4,671   26.1%  412   14.3%
             
                 
Gross profit $13,227   73.9% $2,479   85.7%
             
                 
Practice Solutions Division                
Revenue $48,953   100.0% $43,062   100.0%
Cost of revenue  34,896   71.3%  29,485   68.5%
             
                 
Gross profit $14,057   28.7% $13,577   31.5%
             
                 
Unallocated cost of revenue (1) $385   N/A  $   N/A 
 
Consolidated                
Revenue $353,363   100.0% $291,811   100.0%
Cost of revenue  127,482   36.1%  110,807   38.0%
             
                 
Gross profit $225,881   63.9% $181,004   62.0%
             
(1)Relates to the amortization of software technology intangible assets acquired from the purchases of NextGen IS and Opus.
Gross profit margins at the QSI Dental Division for the year ended March 31, 2011 increased slightly to 54.8% from 54.5% for the prior year period. Gross profit margins at the NextGen Division for the year ended March 31, 20092011 increased to 70.6% compared to 68.0% for the prior year period due to strong software sales and an increase in maintenance revenue, which yields higher margins than other services, along with improvements in EDI margins. Gross margin in the Practice Solutions Division decreased to 64.6% from 67.8% from the year ended March 31, 2008. Gross profit margins at the QSI Division28.7% for the year ended March 31, 2009 decreased2011 as compared to 52.2% from 53.0% 31.5%for the prior year period because of higher outsourcing costs in connection with delivering RCM services in the year ended March 31, 2008.2011 as compared to the same period a year ago.

34


The following table details the individual components of cost of revenue and gross profit as a percentage of total revenue on a consolidated and divisional basis for the years ended March 31, 20092011 and 2008.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hardware,
Third Party
Software

 

Payroll and
related
Benefits

 

EDI

 

Other

 

Total
Cost of
Revenue

 

Gross
Profit

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year ended March 31, 2009

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

QSI Division

 

7.6

%

 

19.8

%

 

17.1

%

 

3.3

%

 

47.8

%

 

52.2

%

 

NextGen Division

 

3.5

%

 

14.8

%

 

7.8

%

 

9.3

%

 

35.4

%

 

64.6

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Consolidated

 

3.7

%

 

15.1

%

 

8.4

%

 

9.0

%

 

36.2

%

 

63.8

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year ended March 31, 2008

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

QSI Division

 

8.0

%

 

19.1

%

 

15.7

%

 

4.2

%

 

47.0

%

 

53.0

%

 

NextGen Division

 

3.8

%

 

11.2

%

 

7.5

%

 

9.7

%

 

32.2

%

 

67.8

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Consolidated

 

4.2

%

 

11.8

%

 

8.2

%

 

9.3

%

 

33.5

%

 

66.5

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The increase in our consolidated cost of revenue as a percentage of revenue between the year ended March 31, 2009 and the year ended March 31, 2008 is primarily attributable to an increase in RCM revenue, which carries higher payroll and related benefits as a percentage of revenue and higher EDI costs in both divisions, offset by a decrease in hardware and third party software, and other expense as a percentage of revenue. Other expense, which consists of outside service costs, amortization of software development costs and other costs, decreased to 9.0% of total revenue during the year ended March 31, 2009 from 9.3% of total revenue during the year ended March 31, 2008.

2010:

                         
  Hardware, Payroll and            
  Third Party Related         Total Cost  
  Software Benefits EDI Other of Revenue Gross Profit
Fiscal Year Ended March 31, 2011                        
QSI Dental Division  8.7%  17.7%  11.6%  7.2%  45.2%  54.8%
NextGen Division  2.9%  11.8%  8.1%  6.6%  29.4%  70.6%
Inpatient Solutions Division  5.4%  16.7%  0.0%  4.0%  26.1%  73.9%
Practice Solutions Division  0.0%  43.8%  0.5%  27.0%  71.3%  28.7%
                         
                         
Consolidated  3.0%  16.8%  6.9%  9.4%  36.1%  63.9%
                         
                         
Fiscal Year Ended March 31, 2010                        
QSI Dental Division  8.5%  13.8%  16.0%  7.2%  45.5%  54.5%
NextGen Division  2.5%  13.4%  9.6%  6.5%  32.0%  68.0%
Inpatient Solutions Division  3.1%  0.0%  0.0%  11.2%  14.3%  85.7%
Practice Solutions Division  0.5%  43.6%  1.1%  23.3%  68.5%  31.5%
                         
                         
Consolidated  2.5%  17.7%  8.7%  9.1%  38.0%  62.0%
                         
During the year ended March 31, 2009,2011, hardware and third partythird-party software constituted a smallerhigher portion of consolidated cost of revenue compared to the prior year period in the NextGen Division. The number of customersclients who purchase hardware and third partythird-party software and the dollar amount of hardware and third partythird-party software purchased fluctuates each quarter depending on the needs of the customers and is not a priority focus for us.

our clients.


Our payroll and benefits expense associated with delivering our products and services increaseddecreased to 15.1%16.8% of consolidated revenue in the year ended March 31, 20092011 compared to 11.8%17.7% during the year ended March 31, 2008 primarily due to the acquisition of HSI and PMP which as service businesses have an inherently higher percentage of payroll costs as a percentage of revenue.same period last year. The absolute level of consolidated payroll and benefit expenses grew from $22.1$51.8 million in the year ended March 31, 20082010 to $37.1$59.3 million in the year ended March 31, 2009,2011, an increase of 67.9%14.7%, or approximately $15.0$7.5 million. Of the $15.0$7.5 million increase, approximately $4.8$2.7 million was a result of the HSI acquisitionincrease is related to the Practice Solutions Division because RCM is a service business, which inherently has higher percentage of payroll costs as a percentage of revenue. Increases of $1.2 million in the QSI Dental Division and $3.9$0.7 million was a result ofin the PMP acquisition. In addition, relatedNextGen Division for the year ended March 31, 2011 are primarily due to headcount additions and increased headcount and payroll and benefits expense associated with delivering products and services inservices. For the NextGenInpatient Solutions Division, increased by $6.1 million in the year ended March 31, 2009 to $25.1 million from $19.0 million in the year ended March 31, 2008. Payrollpayroll and benefits expense associated with delivering our products and services increased $2.9 million because fiscal year 2010 included only two months of payroll and benefits expenses for Opus, which was acquired in the QSI Division remained consistent at $3.1 million inFebruary 2010, as compared to a full year of expenses for the year ended March 31, 2009 and 2008, respectively.2011. The applicationamount of SFAS 123R added approximately $0.2 million and $0.5 million inshare-based compensation expense toincluded in cost of revenue in thewas $0.3 million and $0.1 million for years ended March 31, 20092011 and 2008,2010, respectively.

Other expense, which primarily consists of third-party annual license, hosting costs and outsourcing costs, increased to 9.4% of total revenue during the year ended March 31, 2011 as compared to 9.1% for the same period a year ago. Contributing to this increase was higher outsources costs in delivering RCM services offset by better profit margins achieved in our hosting and annual licenses revenues that are included in other services.
As a result of the foregoing events and activities, the gross profit percentage for the Company and both our divisions decreasedincreased to 63.9% for the year ended March 31, 20092011 versus 62.0% for the prior year.

year period.

We anticipate continued additions to headcount in the NextGen Divisionall of our Divisions in areas related to delivering products and services in future periods, but due to the uncertainties in the timing of our sales arrangements, our sales mix, the acquisition and training of qualified personnel and other issues, we cannot accurately predict if related headcount expense as a percentage of revenue will increase or decrease in the future.

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

Selling, General and Administrative Expenses.Selling, general and administrative expenses for the year ended March 31, 20092011 increased 32.3%24.6% to $70.4$108.3 million as compared to $53.3$87.0 million for the prior year ended March 31, 2008.period. The increase in these expenses resulted from a:

primarily from:

$2.718.7 million increase in legalsalaries and related benefit expenses primarily as a result of headcount additions;

$4.6 million increase due to a full year of selling and administrative expenses from Opus, which was acquired in February 2010;
$3.2 million increase in sales commissions primarily related to the NextGen Division;

$1.71.4 million increase in compensation expense inprimarily due to fair value adjustments to the contingent consideration liability related to the acquisitions of Opus and NextGen Division;

IS; offset by

$1.21.6 million increasedecrease in legal and outside services and consulting services in the NextGen Division;

expenses;

$0.92.1 million increasenet decrease in advertising, in the NextGen Division;

tradeshows and travel related expenses; and

$6.72.8 million increasenet decrease in other selling general and administrative expenses in the NextGen Division; and

$3.9 million increase in corporate related expenses.

Approximately $1.5 million of the year over year increase in corporate related35


Share-based compensation expense was related to expenses associated with the proxy contest which occurred in conjunction with the 2008 Annual Shareholders’ Meeting. Amortization of identifiable intangibles related to the HSI and PMP acquisitions of approximately $1.0$3.3 million and an increase in corporate salaries and related benefits of $0.7$1.9 million also contributed to the year over year corporate increase.

The application of SFAS 123R added approximately $1.5 million and $2.5 million in compensation expense to selling, general and administrative expenses for the yearyears ended March 31, 20092011 and 2008,2010, respectively, and is included in the aforementioned amounts. Selling, general and administrative expenses as a percentage of revenue increased slightly from 28.6%29.8% in the year ended March 31, 20082010 to 28.7%30.7% in the year ended March 31, 2009.

2011.

We do not anticipate increasedsignificant increases in expenditures for trade shows, advertising and the employment of additional sales and administrative staff at the NextGen Division.Division until additional revenue growth is achieved. We also anticipate future increases in corporate expenditures being made in a wide range of areas including professional services.services and investment in a companywide enterprise resource planning (“ERP”) system. While we expect selling, general and administrative expenses to increase on an absolute basis, we cannot accurately predict the impact these additional expenditures will have on selling, general and administrative expenses as a percentage of revenue.

Research and Development Costs.Research and development costs for the years ended March 31, 20092011 and 20082010 were $13.8$21.8 million and $11.4$16.5 million, respectively. The increases in research and development expenses were due in part to increased investment in the NextGen Division product line. Additionally, the application of SFAS 123R in fiscal year 2009 and 2008The Opus acquisition added approximately $0.2 million and $0.8$1.4 million in research and development expenses during the yearsyear ended March 31, 2009 and 2008, respectively, in



compensation expense to research and development costs net of amounts capitalized as software development in those fiscal years.2011. Additions to capitalized software costs offset increases in research and development costs. For the year ended March 31, 2009, $5.9 million was added2011, our additions to capitalized software costs while $6.0increased to $10.7 million wascompared to $7.9 million capitalized during the same prior year ended March 31, 2008.period as we continue to enhance our software to meet the Meaningful Use definitions under the ARRA. Research and development costs as a percentage of revenue decreasedincreased to 5.6%6.2% in the year ended March 31, 20092011 from 6.1% in5.7% for the same prior year ended March 31, 2008.period. Research and development expenses are expected to continue at or above current dollar levels.

levels as the Company is developing a new integrated inpatient and outpatient, web-based software platform. Share-based compensation expense included in research and development costs, net of amounts capitalized as software development, was $0.2 million and $0.1 million for years ended March 31, 2011 and 2010, respectively.

Amortization of Acquired Intangible Assets.Amortization in operating expense related to acquired intangible assets for the years ended March 31, 2011 and 2010 were $1.7 million and $1.8 million, respectively.
Interest and Other Income. InterestTotal interest and other income for the yearyears ended March 31, 2009 decreased to $1.22011 and 2010 were $0.3 million compared to $2.7and $0.5 million, in the year ended March 31, 2008respectively. Interest and other income consist primarily due to:

a lower amount of investments held in ARS when compared to the prior year;

larger amounts invested in money market accounts which earned significantly lower interest rates as compared to the prior year; and

overall comparatively lower amounts of funds available for investment during the year due to payments of $8.2 million and $17.0 million, respectively, for the Company’s acquisitions of HSI and PMP and increased quarterly dividend payments.

of dividends and interest earned on our investments.

Our investment policy is determined by our Board.Board of Directors. We currently maintain our cash in very liquid short term assets including tax exempt and taxable money market funds and short-term U.S. Treasuries. We owned approximately $7.4 million in ARS asTreasury securities with maturities of March 31, 2009, which are illiquid due to90 days or less at the auction failure in the ARS market.time of purchase. Our Board of Directors continues to review alternate uses for our cash including, but not limited to, payment of a special dividend, initiation of a stock buy backbuyback program, an expansion of our investment policy to include investments with longer maturities of greater than 90 days, orand other items. Additionally, it is possible that we will utilize some or all of our cash to fund acquisitions or other similar business activities. Any or all of these programs could significantly impact our investment income in future periods.

Other Income (Expense). Other income (expense) for the year ended March 31, 2009 consists of gains and losses in fair value recorded on our ARS investments as well as on our ARS Put Option Rights. We recognized a pre-tax unrealized loss on our ARS of approximately $0.7 million. At the same time, we estimated the fair value of our ARS Put Option Rights at approximately $0.4 million.

Included in other income for the year ended March 31, 2008 was approximately $1.0 million, resulting from a gain on life insurance proceeds due to the passing of Gregory Flynn, Executive Vice President and General Manager of the QSI Division. Mr. Flynn participated in our deferred compensation plan which is funded through the purchase of life insurance policies with the Company named as beneficiary. There was no gain or loss recorded on investment securities during the year ended March 31, 2008.

Provision for Income Taxes. The provision for income taxes for the year ended March 31, 2009 was approximately $27.2 million as compared to approximately $22.9 million for the prior year. The effective tax rates for fiscal 2009 and 2008 were 37.1% and 36.4%, respectively. The provision for income taxes for the years ended March 31, 20092011 and 2008 differs from the combined statutory rates primarily due to the impact of varying state income2010 were $32.8 million and $27.8 million, respectively. The effective tax rates researchwere 34.8% and development tax credits,36.5% for the qualified production activities deduction,years ended March 31, 2011 and exclusions for company-owned life insurance proceeds and tax-exempt interest income.2010, respectively. The change in the effective rate for the year ended March 31, 2009 includes an increase in2011 decreased as compared to the benefitprior year period primarily due to increased benefits from research and development credits, which was mostly offset by a decrease inthe qualified production activities deduction and an increaseresearch and development credits and fluctuations in the state incomeeffective tax expense.

rate.

During the year ended March 31, 20092011 and 2008,2010, we claimedrecognized research and development tax credits of approximately $1.0 million and $0.8$0.7 million, respectively. The Company also claimed the qualified production activities deduction under Section 199 of the IRCInternal Revenue Code (“IRC”) of approximately $2.7$8.1 million and $3.1$4.1 million during the years ended March 31, 20092011 and 2008,2010, respectively. Research and development credits and the qualified production activities income deduction takencalculated by us involve certain assumptions and judgments regarding qualification of expenses under the relevant tax code provision.

36


Comparison of the Fiscal Years Ended March 31, 20082010 and March 31, 2007

2009

Prior to fiscal year 2010, the Company had no material operations in the inpatient solutions area. For the purposes of the comparison of the fiscal years ended March 31, 2010 and March 31, 2009 in this MD&A, the segment results in the tables and comparative analysis therein for the year ended March 31, 2008, our2010 are not re-casted to reflect the change in reportable segments established during fiscal year 2011. Refer to the comparison of fiscal years ended March 31, 2011 and March 31, 2010 in this MD&A for re-casted reportable segment results for the year ended March 31, 2010.
Net Income. The Company’s net income for the year ended March 31, 2010 was $40.1$48.4 million or $1.47$1.69 per share on a basic and $1.44$1.68 per share on a fully diluted basis. In comparison, we earned $33.2$46.1 million or $1.24$1.65 per share on a basic and $1.21$1.62 per share on a fully diluted basis infor the year ended March 31, 2007.2009. The increase in net income for the year ended March 31, 20082010 was achieved primarily throughattributed to the following:

a 18.7%

an 18.9% increase in consolidated revenue;



revenue, including an increase of $27.7 million in revenue from our NextGen Division and an increase of $17.4 million in revenue from our Practice Solutions Division;

a 21.3%13.6% increase in NextGen Division revenue, which accounted for 91.4%79.4% of consolidated revenue; and

approximately $1.0 million gain on life insurance proceeds the Company recorded, which was

an increase of recurring revenue, including RCM, maintenance and EDI revenue, offset by additional compensation expensea decline in our gross profit margin due primarily to both a shift in revenue mix with increased RCM revenue and lower gross margins related to RCM revenue;
an increase in selling, general and administrative expenses as a percentage of approximately $0.2 million. The additional compensation expense was recordedrevenue related to higher selling and corporate expenses; and
a decrease in Selling, General and Administrative Expenses andinterest income primarily due significantly lower interest rates, as compared to the insurance proceeds were recorded as Other Incomeprior year, on money market accounts in the Consolidated Statementwhich we invest a majority of Income.

our cash.

The above increases to net income were offset by a decline in gross profit margin resulting from a greater proportion of revenue being derived from hardware and EDI revenue which have relatively lower gross margin percentages. The gross profit margin declined to 66.5% in the year ended March 31, 2008 versus 67.7% in the prior year period.

Revenue.Revenue for the year ended March 31, 20082010 increased 18.7%18.9% to $186.5$291.8 million from $157.2$245.5 million for the year ended March 31, 2007.2009. NextGen Division revenue increased 21.3%13.6% to $231.6 million from $140.6 million to approximately $170.5$204.0 million in the periodyear ended March 31, 2008,2009 while QSI Dental Division revenue decreased by 3.3%increased 8.1% during that same period to $17.1 million from $16.6$15.9 million and Practice Solutions Division revenue increased 67.5% during that same period to $16.0$43.1 million from $25.7 million.

We divide Practice Solutions Division revenue into two categories, “system sales”was impacted positively in fiscal year 2010 as a result of including a full year of results versus approximately ten and “maintenance, EDI, RCMfive months of results for HSI and other services”. RevenuePMP, respectively, in the system sales category includes software license fees, third party hardware and software, and implementation and training services related to purchase of our software systems. The majority of the revenue in the system sales category is related to the sale of software. Revenue in the maintenance, EDI, RCM and other services category includes maintenance, EDI, RCM, follow-on training and implementation services, annual third party license fees, hosting and other revenue. Maintenance revenue includes amounts initially deferred in conjunction with new customer arrangements and subsequently amortized and billings to existing customers.

fiscal year 2009.

System Sales.Revenue earned from Company-wide sales of systems for the year ended March 31, 20082010 increased 10.8%5.4% to $89.8$104.1 million from $81.0$98.8 million in the prior year.

year period.

Our increase in revenue from sales of systems was principally the result of a 12.2%5.1% increase in category revenue at our NextGen Division, whose sales in this category grew from $77.7to $98.1 million during the year ended March 31, 2007 to $87.12010 from $93.3 million during the same prior year ended March 31, 2008.period. This increase was driven primarily by higher sales of NextGenehrambulatory practice management and NextGenepmhealth records software to both new and existing clients, as well as an increaseincreases in the delivery ofrevenue related to implementation services offset by a decline in the sale of related hardware, third party software and supplies.

Systems sales revenue in the QSI Division decreased to approximately $2.6 million in the year ended March 31, 2008 from $3.4 million in the year ended March 31, 2007.

training services.

The following table breaks down our reported system sales into software, hardware, third partythird-party software, supplies and implementation and training services components by division:on a consolidated and divisional basis for the years ended March 31, 2010 and 2009 (in thousands):
                 
      Hardware, Third  Implementation    
      Party Software  and Training  Total System 
  Software  and Supplies  Services  Sales 
Fiscal Year Ended March 31, 2010                
QSI Dental Division $1,699  $1,409  $825  $3,933 
NextGen Division  79,832   4,944   13,284   98,060 
Practice Solutions Division  1,877      267   2,144 
             
                 
Consolidated $83,408  $6,353  $14,376  $104,137 
             
                 
Fiscal Year Ended March 31, 2009                
QSI Dental Division $915  $1,171  $938  $3,024 
NextGen Division  74,128   6,775   12,437   93,340 
Practice Solutions Division  2,397         2,397 
             
                 
Consolidated $77,440  $7,946  $13,375  $98,761 
             

37

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Software

 

Hardware, Third
Party Software
and Supplies

 

Implementation
and Training
Services

 

Total System
Sales

 

 

 

       

 

Year ended March 31, 2008

 

 

 

 

 

 

 

 

 

 

 

 

 

QSI Division

 

$

360

 

$

1,134

 

$

1,154

 

$

2,648

 

NextGen Division

 

 

69,276

 

 

5,593

 

 

12,252

 

 

87,121

 

 

 

  

 

  

 

  

 

  

 

Consolidated

 

$

69,636

 

$

6,727

 

$

13,406

 

$

89,769

 

 

 

  

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year ended March 31, 2007

 

 

 

 

 

 

 

 

 

 

 

 

 

QSI Division

 

$

355

 

$

2,356

 

$

655

 

$

3,366

 

NextGen Division

 

 

62,957

 

 

3,203

 

 

11,522

 

 

77,682

 

 

 

  

 

  

 

  

 

  

 

Consolidated

 

$

63,312

 

$

5,559

 

$

12,177

 

$

81,048

 

 

 

  

 

  

 

  

 

  

 


NextGen Division software license revenue increased 10.0% between7.7% in the year ended March 31, 2007 and2010 versus the year ended March 31, 2008.same period last year. The Division’s software revenue accounted for 79.5%81.4% of Divisionaldivisional system sales revenue during the year ended March 31, 2008,2010, compared to 79.4% during the same period a decrease from 81.0%year ago. Software license revenue continues to be an area of primary emphasis for the NextGen Division. The Opus acquisition, which closed in February 2010, contributed approximately $0.9 million to the priorNextGen Division’s software license revenue during the year period.

ended March 31, 2010.


During the year ended March 31, 2008, 6.4%2010, 5.0% of the NextGen Division’s system sales revenue was represented by hardware and third partythird-party software compared to 4.1% in the prior year.7.3% during same period a year ago. The number of customersclients who purchase hardware and third partythird-party software and the dollar amount of hardware and third partythird-party software revenue fluctuates each quarter and year depending on the needs of customers.clients. The inclusion of hardware and third partythird-party software in the Division’s sales arrangements is typically at the request of the customer and is not a priority focus for us.

our clients.

Implementation and training revenue related to system sales at the NextGen Division increased 6.3%6.8% in the year ended March 31, 20082010 compared to the prior year ended March 31, 2007. 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 14.0% in the year ended March 31, 2008 from 14.8% in the year ended March 31, 2007.period. The amount of implementation and training services revenue in any given quarter is dependent on several factors, including timing of customerclient 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, 20082010 versus 2007the same prior year period in order to accommodate the increased amount of implementation services sold in conjunction with increased software sales. In order to achieve growth in this area, additional staffing increases and additional training facilities 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 NextGenehr and NextGenepm software products and the apparent increasing acceptance of electronic medical records technology in the healthcare industry.

For the QSI Dental Division, total system sales decreased by approximately $0.7increased $0.9 million, or 30.1%, to $3.9 million in the year ended March 31, 20082010 as compared to $3.0 million in the prior year period. Systems sales in the QSI Dental Division were positively impacted by greater joint sales of dental and medical software to FQHCs. In addition, the Division began selling the SaaS based NextDDS™ product during the year ended March 31, 2007. We do not presently foresee any material changes2010.
For the Practice Solutions Division, total system sales decreased $0.3 million, or 10.6%, to $2.1 million in the business environment foryear ended March 31, 2010 as compared to $2.4 million in the QSIprior year period. Systems sales revenue within the Practice Solutions Division with respectis composed of sales to existing RCM clients only and can fluctuate given the constrained environment that has been in place forsize of the past several years.

current client base of the Practice Solutions Division.

Maintenance, EDI, Revenue Cycle ManagementRCM and Other Services.Services.For the year ended March 31, 2010, Company-wide revenue from maintenance, EDI, RCM and other services grew 27.1%27.9% to $96.7$187.7 million forfrom $146.8 million in the prior year ended March 31, 2008 from $76.1 million for the year ended March 31, 2007.period. The increase in this category resulted principally from an increase in maintenance and EDI and to a lesser extentis primarily due to an increase in RCMmaintenance, EDI and other services revenue generated from the NextGen Division’s client base.Division and RCM revenue from the Practice Solutions Division. Total NextGen Division maintenance revenue for the year ended March 31, 20082010 grew 41.3%24.9% to $49.3$81.9 million from $34.9$65.6 million for the same prior year period while NextGen Division EDI revenue grew 21.2% to $30.0 million compared to $24.8 million in the prior year while EDI revenue grew 42.9% to $17.9 million for the year ended March 31, 2008 compared to $12.5 million in the prior year.period. Other services revenue excluding RCM, for the NextGen Division, which consists primarily of third partythird-party annual software license renewals, timefollow-on training hours, consulting services and materials billings, travel reimbursements, and otherhosting services, grew 3.5%increased 6.9% to $16.1$21.7 million forin the year ended March 31, 2008 compared to $15.52010 from $20.3 million ain the same prior year ago. QSI Division maintenance revenue increased 1.5% to $7.2 million forperiod. For the year ended March 31, 20072010, RCM revenue grew $15.3 million to $36.7 million compared to $7.1$21.4 million in the prior year while divisionalperiod. QSI Dental Division maintenance, EDI and other revenue increased by approximately 1.0%2.9% to $4.6$13.2 million forin the year ended March 31, 20082010 as compared to $4.5$12.8 million in the prior year. Other revenue for the QSI Division was essentially flat for the year ended March 31, 2008 compared to a year ago.

period.


The following table details maintenance, EDI, RCM and other services revenue by category on a consolidated and divisional basis for the years ended March 31, 20082010 and 2007:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Maintenance

 

EDI

 

Revenue Cycle
Management

 

Other

 

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

Year ended March 31, 2008

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

QSI Division

 

$

7,186

 

$

4,564

 

$

 

$

1,639

 

$

13,389

 

NextGen Division

 

 

49,269

 

 

17,886

 

 

871

 

 

15,316

 

 

83,342

 

 

 

  

 

  

 

  

 

  

 

  

 

Consolidated

 

$

56,455

 

$

22,450

 

$

871

 

$

16,955

 

$

96,731

 

 

 

  

 

  

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year ended March 31, 2007

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

QSI Division

 

$

7,081

 

$

4,529

 

$

 

$

1,615

 

$

13,225

 

NextGen Division

 

 

34,867

 

 

12,520

 

 

534

 

 

14,971

 

 

62,892

 

 

 

  

 

  

 

  

 

  

 

  

 

Consolidated

 

$

41,948

 

$

17,049

 

$

534

 

$

16,586

 

$

76,117

 

 

 

  

 

  

 

  

 

  

 

  

 

The following table provides2009 (in thousands):

                     
  Maintenance  EDI  RCM  Other  Total 
Fiscal Year Ended March 31, 2010                    
QSI Dental Division $7,217  $5,038  $  $940  $13,195 
NextGen Division  81,867   29,997      21,697   133,561 
Practice Solutions Division  108      36,665   4,145   40,918 
                
                     
Consolidated $89,192  $35,035  $36,665  $26,782  $187,674 
                
                     
Fiscal Year Ended March 31, 2009                    
QSI Dental Division $7,167  $4,766  $  $894  $12,827 
NextGen Division  65,559   24,756      20,299   110,614 
Practice Solutions Division  136      21,431   1,746   23,313 
                
                     
Consolidated $72,862  $29,522  $21,431  $22,939  $146,754 
                
Maintenance revenue for the number of billing sites which were receiving maintenance services as of the last business day ofNextGen Division increased by $16.3 million for the year ended March 31, 20082010 as compared to the same prior year period. The growth in maintenance revenue is a result of a $15.1 million increase in net additional licenses from new clients and 2007 respectively, as well asexisting clients and $1.2 million in maintenance revenue related to the numberOpus acquisition.

38


The NextGen Division’s EDI revenue growth has come from new clients and from further penetration of billing sites receivingthe Division’s existing client base while the growth in RCM revenue has come from new clients that have been acquired from cross selling opportunities with the NextGen Division client base. We intend to continue to promote maintenance, EDI and RCM services during the last month of each respective period at each division of our company. The table presents summary information onlyto both new and includes billing entities addedexisting clients. Growth in other services revenue is primarily due to increases in third-party annual software licenses, consulting services and removed for any reason. Note also that a single client may include one or multiple billing sites.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NextGen

 

QSI

 

Consolidated

 

 

 

 

 

 

 

 

 

 

 

Maintenance

 

EDI

 

Maintenance

 

EDI

 

Maintenance

 

EDI

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

March 31, 2007

 

982

 

769

 

257

 

173

 

1,239

 

942

 

Billing sites added

 

194

 

289

 

9

 

29

 

203

 

318

 

Billing sites removed

 

(47

)

(65

)

(15

)

(37

)

(62

)

(102

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

March 31, 2008

 

1,129

 

993

 

251

 

165

 

1,380

 

1,158

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

hosting services revenue.

Cost of revenue.Revenue.Cost of revenue for the year ended March 31, 20082010 increased 23.1%24.7% to $62.5$110.8 million from $50.8$88.9 million forin the prior year ended March 31, 2007, whileperiod and the cost of revenue as a percentage of net revenue increased to 33.5%38.0% from 32.3%. 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 related36.2% due to the fact that the rate of growth in cost of delivering our products and services. Consolidated gross profitrevenue grew faster than the aggregate revenue growth rate for fiscal year 2008 was impacted by the decline in gross profit percentage at the NextGen Division, offset by a slight increase in gross profit percentage at the QSI Division.

Company.


The following table details revenue and cost of revenue on a consolidated and divisional basis for the years ended March 31, 20082010 and 2007:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year Ended March 31,

 

 

 

 

 

 

 

2008

 

%

 

2007

 

%

 

 

 

 

 

 

 

 

 

 

 

QSI Division

 

 

 

 

 

 

 

 

 

 

 

 

 

Revenue

 

$

16,037

 

 

100.0

%

$

16,589

 

 

100.0

%

Cost of revenue

 

 

7,545

 

 

47.0

%

 

7,847

 

 

47.3

%

 

 

  

 

  

 

  

 

  

 

Gross profit

 

$

8,492

 

 

53.0

%

$

8,742

 

 

52.7

%

 

 

  

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NextGen Division

 

 

 

 

 

 

 

 

 

 

 

 

 

Revenue

 

$

170,463

 

 

100.0

%

$

140,576

 

 

100.0

%

Cost of revenue

 

 

54,956

 

 

32.2

%

 

42,937

 

 

30.5

%

 

 

  

 

  

 

  

 

  

 

Gross profit

 

$

115,507

 

 

67.8

%

$

97,639

 

 

69.5

%

 

 

  

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Consolidated

 

 

 

 

 

 

 

 

 

 

 

 

 

Revenue

 

$

186,500

 

 

100.0

%

$

157,165

 

 

100.0

%

Cost of revenue

 

 

62,501

 

 

33.5

%

 

50,784

 

 

32.3

%

 

 

  

 

  

 

  

 

  

 

Gross profit

 

$

123,999

 

 

66.5

%

$

106,381

 

 

67.7

%

 

 

  

 

  

 

  

 

  

 

2009 (in thousands):

                 
  Fiscal Year Ended March 31, 
  2010  %  2009  % 
QSI Dental Division                
Revenue $17,128   100.0% $15,851   100.0%
Cost of revenue  7,788   45.5%  7,582   47.8%
             
                 
Gross profit $9,340   54.5% $8,269   52.2%
             
                 
NextGen Division                
Revenue $231,621   100.0% $203,954   100.0%
Cost of revenue  73,534   31.7%  65,311   32.0%
             
                 
Gross profit $158,087   68.3% $138,643   68.0%
             
                 
Practice Solutions Division                
Revenue $43,062   100.0% $25,710   100.0%
Cost of revenue  29,485   68.5%  15,997   62.2%
             
                 
Gross profit $13,577   31.5% $9,713   37.8%
             
                 
Consolidated                
Revenue $291,811   100.0% $245,515   100.0%
Cost of revenue  110,807   38.0%  88,890   36.2%
             
                 
Gross profit $181,004   62.0% $156,625   63.8%
             
Gross profit margins at the QSI Dental Division for the year ended March 31, 2010 increased to 54.5% from 52.2% for the prior year period primarily as a result of lower payroll and related benefits in system sales during the year ended March 31, 2010 as compared to the same period a year ago. Gross profit margins at the NextGen Division for the year ended March 31, 2008 decreased2010 increased slightly to 67.8%68.3% from 69.5%68.0% for the prior year period primarily due to an increaseas a result of a lower amount of hardware revenue. Gross margin in the proportionate levelPractice Solutions Division declined as a result of hardware and third partya smaller proportion of software contentrevenue included in revenue. The QSI Division’s gross profit margin increasedrevenue versus the prior year as well as costs related to 53.0% from 52.7% betweentransitioning to the years ended March 31, 2008NextGen platform and 2007 primarily due to a decrease in the level of hardware and third party software content included in revenue.other ramp-up costs.

39


The following table details the individual components of cost of revenue and gross profit as a percentage of total revenue on a consolidated and divisional basis for the years ended March 31, 2010 and 2009:
                         
  Hardware, Payroll and            
  Third Party Related         Total Cost  
  Software Benefits EDI Other of Revenue Gross Profit
Fiscal Year Ended March 31, 2010                        
QSI Dental Division  8.5%  13.8%  16.0%  7.2%  45.5%  54.5%
NextGen Division  2.5%  13.4%  9.6%  6.2%  31.7%  68.3%
Practice Solutions Division  0.5%  43.6%  1.1%  23.3%  68.5%  31.5%
                         
                         
Consolidated  2.5%  17.7%  8.7%  9.1%  38.0%  62.0%
                         
                         
Fiscal Year Ended March 31, 2009                        
QSI Dental Division  7.6%  19.8%  17.1%  3.3%  47.8%  52.2%
NextGen Division  3.9%  11.0%  9.1%  8.0%  32.0%  68.0%
Practice Solutions Division  0.2%  45.0%  0.0%  17.0%  62.2%  37.8%
                         
                         
Consolidated  3.7%  15.1%  8.4%  9.0%  36.2%  63.8%
                         
The increase in our entire Companyconsolidated cost of revenue as a percentage of revenue between the year ended March 31, 2010 and our two divisions:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hardware,
Third Party
Software

 

Payroll and
related
Benefits

 

EDI

 

Other

 

Total
Cost of
Revenue

 

Gross
Profit

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year ended March 31, 2008

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

QSI Division

 

8.0

%

 

19.1

%

 

 

15.7

%

4.2

%

 

47.0

%

 

53.0

%

 

NextGen Division

 

3.8

%

 

11.2

%

 

 

7.5

%

9.7

%

 

32.2

%

 

67.8

%

 

 

 

 

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

 

Consolidated

 

4.2

%

 

11.8

%

 

 

8.2

%

9.3

%

 

33.5

%

 

66.5

%

 

 

 

 

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year ended March 31, 2007

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

QSI Division

 

10.0

%

 

17.3

%

 

 

15.1

%

4.9

%

 

47.3

%

 

52.7

%

 

NextGen Division

 

3.1

%

 

11.9

%

 

 

6.4

%

9.1

%

 

30.5

%

 

69.5

%

 

 

 

 

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

 

Consolidated

 

3.8

%

 

12.4

%

 

 

7.4

%

8.7

%

 

32.3

%

 

67.7

%

 

 

 

 

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

 

the prior year period is primarily attributable to an increase in RCM revenue, which carries higher payroll and related benefits as a percentage of revenue and higher consolidated EDI costs, offset by a decrease in hardware and third party software as a percentage of revenue. Other expense, which primarily consists of third-party annual license and hosting costs, increased slightly to 9.1% of total revenue during the year ended March 31, 2010 as compared to 9.0% for the same period a year ago.

During the year ended March 31, 2008,2010, hardware and third partythird-party software constituted a largersmaller portion of consolidated cost of revenue compared to the prior year period.period in the NextGen Division. The number of customersclients who purchase hardware and third partythird-party software and the dollar amount of hardware and third partythird-party software purchased fluctuates each quarter depending on the needs of the customers and is not a priority focus for us.

our clients.

Our payroll and benefits expense associated with delivering our products and services decreasedincreased to 11.8%17.7% of consolidated revenue forin the year ended March 31, 20082010 compared to 12.4%15.1% during the priorsame period last year ended March 31, 2007. primarily due to inclusion of a full year of HSI and PMP transactions in fiscal year 2010 versus a partial period in fiscal year 2009. RCM is a service business, which inherently has higher percentage of payroll costs as a percentage of revenue.
The absolute level of consolidated payroll and benefit expenses grew from $19.6$37.1 million in the year ended March 31, 20072009 to $22.1$51.8 million in the year ended March 31, 2008,2010, an increase of 13%39.4% or $2.5approximately $14.6 million. Of the $14.6 million primarily dueincrease, approximately $7.2 million of the increase is related to additionsthe Practice Solutions Division, which included a full year of HSI and PMP expenses during fiscal year 2010 versus approximately ten and five months of respective expense in fiscal year 2009. For the NextGen Division, a decrease of approximately $8.2 million was related to relateddecreased headcount and payroll and benefits expense associated with delivering products and services in the NextGen Division.services. Payroll and benefits expense associated with delivering products and services in the QSI Dental Division increased on a percentage of revenue basis. The



application of SFAS 123R in fiscal year 2008 and 2007 added approximately $0.5decreased $0.7 million from $3.1 million in compensation to consolidated cost of revenue in both fiscal years.

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, hosting service costs and other service costs, increased to 17.5% of revenue during the year ended March 31, 2008 from 16.1% during2009 to $2.4 million in the year ended March 31, 2007.

Should the NextGen Division continue2010 primarily due to representheadcount additions. The amount of share-based compensation expense included in cost of revenue was $0.1 million and $0.2 million for years ended March 31, 2010 and 2009, respectively.

As a major and or increasing share of our revenue, our consolidated gross margin percentages should move in concert with thoseresult of the NextGen Division.

foregoing events and activities, the gross profit percentage for the Company decreased to 62.0% for the year ended March 31, 2010 versus 63.8% for the prior year period.

Selling, General and Administrative Expenses.Selling, general and administrative expenses for the year ended March 31, 20082010 increased 17.5%25.3% to $53.3$87.0 million as compared to $45.3$69.4 million for the prior year period. The increase in these expenses resulted primarily from:
$9.9 million increase in salaries and related expenses in the NextGen Division primarily as a result of headcount additions;
$2.5 million increase in marketing and trade shows in the NextGen Division;
$1.5 million increase from the acquisition of NextGen IS and Opus;
$3.3 million increase in corporate related expenses, primarily as a result of headcount additions and
$0.4 million increase in other selling and administrative expenses.
Share-based compensation expense was approximately $1.9 million and $1.5 million for the years ended March 31, 2007. The increase2010 and 2009, respectively, and is included in the amount of such expenses resulted primarily from increases of $3.6 million in salaries, commissions, and related benefits in the NextGen Division, $1.7 million in selling related expenses in the NextGen Division, $1.0 million in travel related costs in the NextGen Division, $0.8 million in other general expenses in the NextGen Division and $0.9 million in increased corporate related expenses. The increase in corporate expenses was primarily composed of salaries and related benefits.aforementioned amounts. Selling, general and administrative expenses as a percentage of revenue decreasedincreased from 28.9%28.3% in the year ended March 31, 20072009 to 28.6%29.8% in the year ended March 31, 2008 due in to the fact that revenue grew faster than selling, general and administrative expense for the Company.2010.

40

The application of SFAS 123R in fiscal year 2008 and 2007 added approximately $2.5 million in compensation expense to consolidated selling, general and administrative expenses and is included in the aforementioned amounts.


We anticipate increased expenditures for trade shows, advertising and the employment of additional sales and administrative staff at the NextGen Division. We also anticipate future increases in corporate expenditures being made in areas including but not limited to staffing and professional services. While we expect selling, general and administrative expenses to increase on an absolute basis, we cannot accurately predict the impact these additional expenditures will have on selling, general, and administrative expenses as a percentage of revenue.

Research and Development Costs.Research and development costs for the years ended March 31, 20082010 and 20072009 were $11.4$16.5 million and $10.2$13.8 million, respectively. The increaseincreases in research and development costs was primarilyexpenses were due in part to increased investment in the NextGen Division product line. Additionally,Additions to capitalized software costs offset increases in research and development costs. For the applicationyear ended March 31, 2010, our additions to capitalized software increased to $7.9 million compared to $5.9 million capitalized during the same prior year period. Research and development costs as a percentage of SFAS 123Rrevenue increased to 5.7% in fiscalthe year 2008 and 2007 added approximately $0.8 million in both periods, inended March 31, 2010 from 5.6% for the same prior year period. Share-based compensation expense toincluded in research and development costs, net of amounts capitalized as software development, in those fiscal years. Additions to capitalized software costs offset researchwas $0.1 million and development costs. For the year$0.2 million for years ended March 31, 2008, $6.0 million was added2010 and 2009, respectively.
Amortization of Acquired Intangible Assets.Amortization in operating expense related to capitalized software costs while $5.0 million was capitalized duringacquired intangible assets for the yearyears ended March 31, 2007. Research2010 and development costs as a percentage of net revenue decreased to 6.1%2009 were $1.8 million and $1.0 million, respectively. The increase in the year ended March 31, 2008 from 6.5% in the year ended March 31, 2007amortization expense is primarily due to revenue growing at a faster rate than the increase in researchaddition of customer relationships and development costs. Researchsoftware technology intangible assets, which were acquired through the acquisitions of Opus and development costs are expected to continue at or above current levels.

NextGen IS during fiscal year 2010.

Interest Income.Interest income for the year ended March 31, 20082010 decreased to $2.7$0.2 million compared to $3.3$1.2 million in the prior year period primarily due to significantly lower interest rates received on the Company’s cash investments, which are primarily in institutional money market accounts. Short term interest rates were at historic lows for most of the year ended March 31, 2007. Interest income in the year ended March 31, 2008 decreased primarily due to (i) a greater proportion of funds invested in tax favored ARS which offer lower interest rates but higher after-tax yields compared to money market or short term U.S. Treasuries, and (ii) comparatively lower short term interest rates in the year ended March 31, 2008 versus 2007.

2010.


Our investment policy is determined by our Board. We currently maintain our cash in very liquid short term assets including money market funds, 30-60 day treasury bills as well as ARS.

Other Income.Income (Expense).Other income (expense) for the year ended March 31, 2008 was approximately $1.0 million. There was no other income2010 consists of gains and losses in fair value recorded for the year ended March 31, 2007.on our auction rate securities (“ARS”) investments as well as on our ARS put option rights. We recorded aan overall gain on life insurance proceeds as a resultour ARS and ARS put option rights of the passing of Gregory Flynn, Executive Vice President and General Manager of the QSI Division. Mr. Flynn participated in our deferred compensation plan which is funded through the purchase of life insurance policies with the Company named as beneficiary.

approximately $0.3 million.

Provision for Income Taxes.The provision for income taxes for the yearyears ended March 31, 2008 was approximately $22.92010 and 2009 were $27.8 million as compared to approximately $21.0and $27.2 million, for the prior year.respectively. The effective tax rates were 36.5% and 37.1% for fiscal 2008the years ended March 31, 2010 and 2007 were 36.4% and 38.7%,2009, respectively. The provision for income taxes for the years ended March 31, 20082010 and 20072009 differs from the combined statutory rates primarily due to the impact of varying state income tax rates, research and development tax credits, the qualified production activities deduction and exclusions for company-ownedCompany-owned life insurance proceeds and tax-exempt interest income. The change in the effective rate for the year ended March 31, 2008 also2010 includes an increase in the benefit from the qualified production activities deduction which was mostly offset by non-deductible option expense related to incentive stock options.

and a decrease in the state income tax expense.

During the year ended March 31, 20082010 and 2007,2009, we claimedrecognized research and development tax credits of approximately $0.8$0.7 million in both years. Weand $1.0 million, respectively. The Company also claimed the qualified production activities deduction under Section 199 of the IRC of approximately $3.1$4.1 million and $1.5$2.7 million during the years ended March 31, 20082010 and 2007,2009, respectively. Research and development credits and the qualified production activities income deduction takencalculated by us involve certain assumptions and judgments regarding qualification of expenses under the relevant tax code provision.

41


Liquidity and Capital Resources

The following table presents selected financial statistics and information for each of the years ended March 31, 2011, 2010 and 2009 2008 and 2007:

 

 

 

 

 

 

 

 

 

 

 

 

 

Year Ended March 31,

 

 

 

 

 

 

 

2009

 

2008

 

2007

 

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

70,180

 

$

59,046

 

$

60,028

 

 

 

 

 

 

 

 

 

 

 

 

Net increase (decrease) in cash and cash equivalents

 

$

11,134

 

$

(982

)

$

2,803

 

 

 

 

 

 

 

 

 

 

 

 

Net income

 

$

46,119

 

$

40,078

 

$

33,232

 

 

 

 

 

 

 

 

 

 

 

 

Net cash provided by operations during the year

 

$

48,712

 

$

43,599

 

$

29,570

 

 

 

 

 

 

 

 

 

 

 

 

Number of days of sales outstanding

 

 

125

 

 

136

 

 

129

 

(dollar amounts in thousands):

             
  Fiscal Year Ended March 31,
  2011 2010 2009
Cash and cash equivalents $116,617  $84,611  $70,180 
Net increase in cash and cash equivalents $32,006  $14,431  $11,134 
Net income $61,606  $48,379  $46,119 
Net cash provided by operating activities $70,064  $55,220  $48,712 
Number of days of sales outstanding  131   125   125 
Cash FlowFlows from Operating Activities

Cash provided by operations has historically been our primary source of cash and has primarily been driven by our net income and secondarily byplus adjustments to add back non-cash expenses, including depreciation, amortization of intangibles and capitalized software and other intangible assets,costs, provisions for bad debts and inventory obsolescence, share-based compensation and stock option expenses.

deferred taxes.


The following table summarizes our statementconsolidated statements of cash flows for the years ended March 31, 2011, 2010 and 2009 2008 and 2007:

 

 

 

 

 

 

 

 

 

 

 

 

 

Year Ended March 31,

 

 

 

 

 

 

 

2009

 

2008

 

2007

 

 

 

 

 

 

 

 

 

Net income

 

$

46,119

 

$

40,078

 

$

33,232

 

 

 

 

 

 

 

 

 

 

 

 

Non-cash expenses

 

 

17,719

 

 

11,299

 

 

8,977

 

 

 

 

 

 

 

 

 

 

 

 

Gain on life insurance proceeds, net

 

 

 

 

(755

)

 

 

 

 

 

 

 

 

 

 

 

 

 

Tax benefit from exercise of stock options, net

 

 

1

 

 

65

 

 

167

 

 

 

 

 

 

 

 

 

 

 

 

Change in deferred revenue

 

 

3,130

 

 

5,447

 

 

3,532

 

 

 

 

 

 

 

 

 

 

 

 

Change in accounts receivable

 

 

(11,369

)

 

(13,811

)

 

(20,760

)

 

 

 

 

 

 

 

 

 

 

 

Change in other assets and liabilities

 

 

(6,888

)

 

1,276

 

 

4,422

 

 

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

Net cash provided by operating activities

 

$

48,712

 

$

43,599

 

$

29,570

 

 

 

  

 

  

 

  

 

(in thousands):

             
  Fiscal Year Ended March 31, 
  2011  2010  2009 
Net income $61,606  $48,379  $46,119 
Non-cash expenses  17,978   16,152   17,720 
Change in deferred revenue  13,211   12,528   3,130 
Change in accounts receivable  (36,094)  (18,944)  (11,369)
Change in other assets and liabilities  13,363   (2,895)  (6,888)
          
Net cash provided by operating activities $70,064  $55,220  $48,712 
          
Net Income.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, 2009, 20082011, 2010 and 2007. Our2009. The NextGen Division’s contribution to net income has increased each year due to that division’sDivision’s operating income increasing more quickly than our Company as a whole.

Non-Cash Expenses.Non-cash expenses include depreciation, amortization of intangibles and capitalized software costs, provisions for bad debts, inventory obsolescence, stock option expenses,share-based compensation and deferred taxes. Total non-cash expenses were $17.7$18.0 million, $11.3$16.2 million and $9.0$17.7 million for the years ended March 31, 2011, 2010 and 2009, 2008 and 2007, respectively.
The change$1.8 million increase in non-cash expenses for the year ended March 31, 20092011 as compared to the prior year period is primarily related to increases of approximately $1.0$0.6 million in depreciation, $1.2 million of amortization of capitalized software costs, $1.0$1.5 million of amortization of other intangibles, due to the HSI and PMP acquisitions, $1.0$0.3 million in the allowance for bad debt expense and $4.7$1.7 million in deferred taxes,share-based compensation, offset by a $3.4 million decrease of $1.8in deferred income tax benefit.
The $1.5 million decrease in share-based compensation.

Tax Benefits From Stock Options. Althoughnon-cash expenses for the value of stock options exercised by employees grew inyear ended March 31, 2010 as compared to the yearsyear ended March 31, 2009 March 31, 2008is primarily related to decreases of approximately $5.2 million in deferred income tax benefit and 2007, our application$0.1 million in loss on the disposal of SFAS 123R required excess tax benefitsequipment and improvements, offset by increases of $3.4approximately $0.8 million $1.3in depreciation, $0.8 million of amortization of capitalized software costs, $0.7 million of amortization of other intangibles, $1.4 million in bad debt expense and $2.5$0.1 million respectively, to be reclassed to financing activities, resulting in a net decrease in the years ended March 31, 2009, 2008 and 2007.

share-based compensation.

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 grewincreased by approximately $3.1$13.2 million for the year ended March 31, 20092011 versus growthan increase of $5.4$12.5 million and $3.5$3.1 million in the years ended March 31, 2010 and 2009, respectively, resulting in increases to cash from operations as compared to the prior year periods.

42


Accounts Receivable.Accounts receivable grew by approximately $36.1 million, $18.9 million and $11.4 million for the years ended March 31, 20082011, 2010 and 2007, resulting in increases to cash provided by operating activities for the respective periods.

Accounts Receivable. Accounts receivable grew by approximately $11.4 million, $13.8 million and $20.8 million for the years ended March 31, 2009, 2008 and 2007, respectively. The increase in accounts receivable in the periods is due to the following factors:

NextGen Division revenue grew 34.7%16.5%, 21.3%12.2% and 35.5%19.6% for the years ended March 31, 2011, 2010 and 2009, 2008 and 2007, respectively;

The NextGen

Inpatient Division constituted a larger percentage of our receivables atrevenue grew to $17.9 million for the year ended March 31, 20092011 as compared to $2.9 million for the prior year period primarily because only two months of revenue was recorded in the year ended March 31, 2008. Turnover2010 for Opus, which was acquired in February 2010, as compared to a full year of accounts receivable inrevenue for the NextGen Division, not including HSI and PMP, slowed partly due to payment terms offered by the Division;

year ended March 31, 2011;

Turnover of accounts receivable is alsogenerally slower thanin the QSINextGen Division due to the fact that the majority of the QSI Division’s revenue is derived from maintenance and EDI services which typically have shorter payment terms than systems sales related revenue have longer payment terms, generally up to one year, which historically have accounted for a major portion of NextGen Division sales;

and

The HSI and PMP acquisitions added approximately $4.5 million of accounts receivable as of March 31, 2009; and

We experienced an increase in the volume of undelivered services billed in advance by the NextGen Division, which were unpaid as of the end of each period and included in accounts receivable. This resulted in an increase in both deferred revenue and accounts receivable



of approximately $1.2$16.6 million, $4.9$9.5 million and $6.4$1.2 million for the years ended March 31, 2011, 2010 and 2009, 2008 and 2007, respectively.

The turnover of accounts receivable measured in terms of days sales outstanding (DSO) fluctuated during the year and decreased to(“DSO”) increased from 125 days from 136to 131 days during the year ended March 31, 20092011 as compared to the prior year period. The increase in DSO is primarily due to an increase in RCM revenue, which has a faster turnover of accounts receivable compared to system sales, and the above mentioned factors.

factors mentioned.

If amounts included in both accounts receivable and deferred revenue were netted, ourthe turnover of accounts receivable expressed as DSO would be 8379 days as of March 31, 20092011 and 85 days as of March 31, 2008.2010. Provided turnover of accounts receivable, deferred revenue and profitability remain consistent with the 2011 fiscal year, ended March 31, 2009, we anticipate being able to continue to generategenerating cash from operations during fiscal 2010year 2012 primarily from our net income.

Other Assets and Liabilities.Cash flows from investing activities

operations benefited from increases in other liabilities and decreases in other assets. For the year ended March 31, 2011, the $13.4 million change in other assets and liabilities consists of a total increase in other liabilities of $14.9 million, offset by a decrease in other assets of $1.5 million. The $14.9 million increase in other liabilities consisted of a $1.1 million increase in contingent consideration related to the Opus and NextGen IS acquisitions, $3.3 million increase in accounts payable and $10.5 million increase in all other liabilities.

For the year ended March 31, 2010, the $2.9 million change in other assets and liabilities consisted of a total decrease in other liabilities of $3.3 million, offset by an increase in other assets of $0.4 million and for the year ended March 31, 2009, the $6.9 million change in other assets and liabilities consisted of a total decrease in other assets of $7.2 million, offset by an increase in other liabilities of $0.3 million.
Cash Flows from Investing Activities
Net cash used in investing activities for the years ended March 31, 2011, 2010 and 2009 2008 and 2007 was $19.4$10.6 million, $30.2$13.9 million and $8.3$19.4 million, respectively. The decrease inof net cash used in investing activities during the year ended March 31, 2011 as compared to the prior year period is primarily due to proceeds of $7.7 million received from the sale of our ARS investments, which was offset by net cash used of $1.1 million for the purchase of marketable securities and $17.2 million for net additions of equipment and improvements and capitalized software.
During the year ended March 31, 2010, $12.9 million of cash was used for net additions of equipment and improvements and capitalized software $3.0 million was paid for contingent consideration related to the acquisition of PMP and $0.6 million was paid for the acquisition of Opus and NextGen IS. Net cash used for the year ended March 31, 2009 is mainly due to2010 was offset by $2.0 million cash acquired from the fact that we did not make any additional investments inpurchase of Opus and $0.4 million proceeds from the sale of marketable securities in fiscal year 2009, but rather sold marketable securities for proceeds of approximately $14.8 million. Whereas for the year ended March 31, 2008, we had, net of proceeds received, investments in marketable securities of $22.8 million. Other net cash outflows duringsecurities.
During the year ended March 31, 2009, include our$25.2 million was paid for the acquisitions of HSI and PMP and $9.1 million of approximately $8.2 million and $17.0 million, respectively, as well ascash was used for net additions toof equipment and improvements and capitalized software, costs.

offset by $14.8 million proceeds from the sale of marketable securities.

Cash flowsFlows from financing activities

Financing Activities

Net cash used in financing activities for the nine years ended March 31, 2011, 2010 and 2009 was $27.5 million, $26.8 million and $18.1 million, respectively. During the year ended March 31, 2009 was $18.12011, we received proceeds of $5.7 million and consisted of a dividend paid to shareholders of approximately $30.8 million offset by $12.5 million of proceeds from the exercise of stock options. options and paid $34.7 million in dividends to shareholders compared to proceeds of $5.9 million from the exercise of stock options and payment of $34.3 million in dividends to shareholders during the year ended March 31, 2010 and proceeds of $12.5 million from the exercise of stock options, payment of $30.8 million in dividends to shareholders, and $3.3 million in loan repayments during the year ended March 31, 2009.
We recorded a reduction in incomeour tax liabilitybenefit from share-based compensation of $1.5 million, $1.6 million and $3.4 million during the years ended March 31, 2011, 2010 and 2009, respectively, related to excess tax deductions received from employee stock option exercises. The benefit was recorded as additional paid in capital.

43


Cash and cash equivalentsCash Equivalents and marketable securities

Marketable Securities

At March 31, 2009,2011, we had cash and cash equivalents of $70.2 million and marketable securities of $7.4$116.6 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 currentalso intend to expend some of these funds related to the implementation of a company-wide enterprise resource planning (“ERP”) system. We believe the ERP will greatly enhance and streamline our operational processes and provide a common technology platform to support future growth opportunities. We anticipate capital commitments.

expenditures will increase in fiscal year 2012 and will be funded from cash on hand and cash flows from operations.

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 establishment of record and distribution dates by our Board of Directors prior to the declaration of each such quarterly dividend. In August 2008, ourOur Board of Directors increased the quarterly dividend to $0.30 per share.share in August 2008 and to $0.35 per share in January 2011. We anticipate that future quarterly dividends, if and when declared by our Board of Directors 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.

On May 27, 2009, our25, 2011, the Board of Directors approved a quarterly cash dividend of $0.30$0.35 per share on ourthe Company’s outstanding shares of common stock, payable to shareholders of record as of June 12, 200917, 2011 with an expected distribution date on or about July 6, 2009.

On January 28, 2009, our5, 2011.

Our Board approved a quarterly cash dividend of $0.30 per share on our outstanding shares of common stock, payable to shareholders of record as of March 11, 2009 with a distribution date on or about April 3, 2009.

On October 30, 2008, our Board approved a quarterly cash dividend of $0.30 per share on our outstanding shares of common stock, payable to shareholders of record as of December 15, 2008 with a distribution date on or about January 5, 2009.

On October 28, 2008, we acquired PMP. The purchase price consisted of approximately $19.7 million, plus up to $3.0 million in incentives tied to future performance. The $19.7 million



consisted of approximately $17.0 million in cash and $2.75 million in shares of our common stock.

On August 4, 2008, our Board approved a quarterly cash dividend of $0.30 per share on our outstanding shares of common stock, payable to shareholders of record as of September 15, 2008 with a distribution date on or about October 1, 2008.

On May 29, 2008, our Board approved 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, 2008 with a distribution date on or about July 2, 2008.

On May 20, 2008, we acquired HSI. The purchase price consisted of approximately $15.6 million, plus up to approximately $1.7 million in incentives tied to future performance. The $15.6 million consisted of cash and shares of common stock.

On January 30, 2008, our Board approved a quarterly cash dividend of $0.25 per share on our outstanding shares of common stock, payable to shareholders of record as of March 14, 2008 and was distributed to shareholders on or about April 7, 2008.

On October 25, 2007, our Board approved a quarterly cash dividend of $0.25 per share on our outstanding shares of common stock, payable to shareholders of record as of December 14, 2007 and was distributed to shareholders on or about January 7, 2008.

On July 31, 2007, our Board approved a quarterly cash dividend of $0.25 per share on our outstanding shares of common stock, payable to shareholders of record as of September 14, 2007 and was distributed to shareholders on or about October 5, 2007.

On May 31, 2007, our BoardDirectors 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 and was distributed to shareholders on July 5, 2007.

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

following dividends during the periods presented:

         
      Per Share 
Declaration Date Record Date Payment Date Dividend 
May 26, 2010 June 17, 2010 July 6, 2010 $0.30 
July 28, 2010 September 17, 2010 October 5, 2010  0.30 
October 25, 2010 December 17, 2010 January 5, 2011  0.30 
January 26, 2011 March 17, 2011 April 5, 2011  0.35 
        
         
Fiscal year 2011     $1.25 
        
         
May 27, 2009 June 12, 2009 July 6, 2009 $0.30 
July 23, 2009 September 25, 2009 October 5, 2009  0.30 
October 28, 2009 December 23, 2009 January 5, 2010  0.30 
January 27, 2010 March 23, 2010 April 5, 2010  0.30 
        
         
Fiscal year 2010     $1.20 
        
         
May 29, 2008 June 15, 2008 July 2, 2008 $0.25 
August 4, 2008 September 15, 2008 October 1, 2008  0.30 
October 30, 2008 December 15, 2008 January 5, 2009  0.30 
January 28, 2009 March 11, 2009 April 3, 2009  0.30 
        
         
Fiscal year 2009     $1.15 
        
Management believes that its cash and cash equivalents on hand at March 31, 2009,2011, together with its marketable securities and cash flows from operations, if any, will be sufficient to meet its working capital and capital expenditure requirements as well as any dividends to be paid in the ordinary course of business for the balanceremainder of fiscal 2010.

year 2012.

Contractual Obligations.Obligations
The following table summarizes our significant contractual obligations, all of which relate to operating leases, at March 31, 2009,2011 and the effect that such obligations are expected to have on our liquidity and cash in future periods:
     
Year ended March 31,    
2012 $5,137 
2013  5,475 
2014  5,424 
2015  5,008 
2016 and beyond  5,697 
    
  $26,741 
    

44

Non-cancelable lease obligations


 

 

 

 

 

Year Ending March 31,

 

 

 

 

2010

 

$

4,475

 

2011

 

 

4,311

 

2012

 

 

2,439

 

2013

 

 

985

 

2014

 

 

135

 

 

 

  

 

 

 

$

12,345

 

 

 

  

 

Recent

New Accounting Pronouncements

On April 9, 2009, the FASB issued three FSPs intended

Refer to provide additional application guidance and enhanced disclosures regarding fair value measurements and other-than-temporary impairmentsNote 2, “Summary of securities.

FSP FAS 157-4, “Determining Fair Value When the Volume and LevelSignificant Accounting Policies,” of Activity for the Asset or Liability Have Significantly Decreased and Identifying Transactions That Are Not Orderly,” provides guidelines for making fair value measurements more consistent with the principles presented in FASB Statement No. 157, “Fair Value Measurements.” FSP FAS 157-4 must be applied prospectively and retrospective application is not permitted. FSP FAS 157-4 is effective for interim and annual periods ending after June 15, 2009, with early adoption



permitted for periods ending after March 15, 2009. An entity early adopting FSP FAS 157-4 must also early adopt FSP FAS 115-2 and FAS 124-2.

FSP FAS 115-2 and FAS 124-2. “Recognition and Presentation of Other-Than-Temporary Impairments,” provides additional guidance designedour notes to create greater clarity and consistency in accounting for and presenting impairment losses on debt securities. FSP FAS 115-2 and FAS 124-2 is effective for interim and annual periods ending after June 15, 2009, with early adoption permitted for periods ending after March 15, 2009. An entity may early adopt this FSP only if it also elects to early adopt FSP FAS 157-4.

FSP FAS 107-1 and APB 28-1, “Interim Disclosures about Fair Value of Financial Instruments,” enhances consistency in financial reporting by increasing the frequency of fair value disclosures. FSP 107-1 and APB 28-1 is effective for interim periods ending after June 15, 2009, with early adoption permitted for periods ending after March 15, 2009. However, an entity may early adopt these interim fair value disclosure requirements only if it also elects to early adopt FSP FAS 157-4 and FSP FAS 115-2 and FAS 124-2.

We are currently evaluating the impact, if any, that the adoption of these FSPs will have on our consolidated financial statements.

On April 1, 2009, the FASB issued FASB Staff Position (FSP) FAS 141(R)-1, “Accounting for Assets Acquired and Liabilities Assumedstatements included elsewhere in a Business Combination That Arise from Contingencies.” The FSP amends the guidance in FASB Statement No. 141 (Revised 2007), “Business Combinations,” to: (i) require that assets acquired and liabilities assumed in a business combination that arise from contingencies be recognized at fair value if fair value can be reasonably estimated. If fair value of such an asset or liability cannot be reasonably estimated, the asset or liability would generally be recognized in accordance with FASB Statement No. 5, “Accounting for Contingencies,” and FASB Interpretation No. 14, “Reasonable Estimation of the Amount of a Loss;” (ii) eliminate the requirement to disclose an estimate of the range of outcomes of recognized contingencies at the acquisition date. For unrecognized contingencies, the FASB decided to require that entities include only the disclosures required by Statement No. 5 and that those disclosures be included in the business combination footnote; and (iii) require that contingent consideration arrangements of an acquiree assumed by the acquirer in a business combination be treated as contingent consideration of the acquirer and should be initially and subsequently measured at fair value in accordance with Statement No. 141R. This FSP is effective for assets or liabilities arising from contingencies in business combinations for which the acquisition date is on or after the beginning of the first annual reporting period beginning on or after December 15, 2008.

In November 2008, the FASB ratified Emerging Issues Task Force (EITF) Issue No. 08-6, “Equity Method Investment Accounting Considerations” or EITF 08-6. EITF 08-6 clarifies the accounting for certain transactions and impairment considerations involving equity method investments. EITF 08-6 is effective for fiscal years beginning after December 15, 2008, with early adoption prohibited. We do not currently have any investments that are accounted for under the equity method and therefore EITF 08-6 will not have a significant impact on our consolidated financial statements.

In November 2008, the FASB ratified EITF Issue No. 08-7, “Accounting for Defensive Intangible Assets” or EITF 08-7. EITF 08-7 clarifies the accounting for certain separately identifiable intangible assets which an acquirer does not intend to actively use but intends to hold to prevent its competitors from obtaining access to them. EITF 08-7 requires an acquirer in a business combination to accountthis Report for a defensive intangible asset as a separate unitdiscussion of new accounting which should be amortized to expense over the period the asset diminishes in value. EITF 08-7 is effective for fiscal years beginning after December 15, 2008, with early adoption prohibited. We are currently in the process of evaluating the impact the new EITF will have on our consolidated financial statements.standards.

45

In October 2008, the FASB issued FSP SFAS No. 157-3, “Determining the Fair Value of a Financial Asset When The Market for That Asset Is Not Active,” or FSP 157-3, to clarify the application of the provisions of SFAS 157 in an inactive market and how an entity would determine fair value in an inactive market. FSP 157-3 was effective upon issuance. We have considered the FSP in our determination of estimated fair values of our ARS for fiscal year 2009.


In June 2008, the FASB issued FSP No. EITF 03-6-1, “Determining Whether Instruments Granted in Share-Based Payment Transactions Are Participating Securities.” FSP No. EITF 03-6-1 concluded that unvested share-based payment awards that contain nonforfeitable rights to dividends or dividend equivalents (whether paid or unpaid) are participating securities and shall be



included in the computation of basic earnings per share (“EPS”) pursuant to the two-class method. This FSP becomes effective on April 1, 2009. Early adoption of the FSP is not permitted; however, it will apply retrospectively to EPS data for all periods presented in the financial statements or in financial data. We do not currently anticipate that this FSP will have a material impact on our EPS data in fiscal year 2010 or on EPS for any prior periods presented in the financial data upon adoption.

In May 2008, the FASB issued SFAS 162 “The Hierarchy of Generally Accepted Accounting Principles.” SFAS 162 defines the order in which accounting principles that are generally accepted should be followed. SFAS 162 is effective 60 days following the Commission’s approval of the Public Company Accounting Oversight Board (“PCAOB”) amendments to AU Section 411 “The Meaning of Present Fairly in Conformity with Generally Accepted Accounting Principles.” We do not expect the adoption of SFAS 162 to have a material impact on our consolidated financial statements.

In April 2008, the FASB finalized Staff Position (FSP) No. 142-3, “Determination of the Useful Life of Intangible Assets.” The position amends the factors that should be considered in developing renewal or extension assumptions used to determine the useful life of a recognized intangible asset under FASB SFAS No. 142, “Goodwill and Other Intangible Assets.” The position applies to intangible assets that are acquired individually or with a group of other assets and both intangible assets acquired in business combinations and asset acquisitions. FSP 142-3 is effective for fiscal years beginning after December 15, 2008, and interim periods within those fiscal years. Management is currently evaluating the impact of the pending adoption of FSP 142-3 on the consolidated financial statements.

In December 2007, the FASB issued SFAS 141 (Revised 2007) “Business Combinations.” SFAS 141(R) retains the fundamental requirements of the original pronouncement requiring that the purchase method be used for all business combinations. SFAS 141(R) defines the acquirer as the entity that obtains control of one or more businesses in the business combination, establishes the acquisition date as the date that the acquirer achieves control and requires the acquirer to recognize the assets acquired, liabilities assumed and any noncontrolling interest at their fair values as of the acquisition date. In addition, SFAS 141(R) requires expensing of acquisition-related and restructure-related costs, remeasurement of earn out provisions at fair value, measurement of equity securities issued for purchase at the date of close of the transaction and non-expensing of in-process research and development related intangibles. SFAS 141(R) applies prospectively to business combinations for which the acquisition date is on or after the beginning of the first annual reporting period beginning on or after December 15, 2008. An entity may not apply it before that date. This pronouncement will be applied by us when it becomes effective and when or if the we effectuate a business combination post adoption, otherwise there is no impact on our consolidated financial statements.

ITEM 7A.

QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISKS

We currently maintain investmentsour cash in very liquid short term assets including tax exempt municipal ARS which are classified as current and non-current marketabletaxable money market funds and short-term U.S. Treasury securities onwith maturities of 90 days or less at the Company’s Consolidated Balance Sheets. A small portiontime of our portfolio is invested in closed-end funds which invest in tax exempt municipal ARS. At March 31, 2009, we had approximately $7.4 million of ARS on our Consolidated Balance Sheets. The ARS are rated by one or more national rating agencies and have contractual terms of up to 30 years, but generally have interest rate reset dates that occur every 7, 28 or 35 days.

Despite the underlying long-term maturity of ARS, such securities were priced and subsequently traded as short-term investments because of the interest rate reset feature. If there are insufficient buyers, the auction is said to “fail” and the holders are unable to liquidate the investments through auction. A failed auction does not result in a default of the debt instrument. The securities will continue to accrue interest and be auctioned until the auction succeeds, the issuer calls the securities, or the securities mature. In February 2008, we began to experience failed auctions on our ARS and auction rate preferred securities. To determine their estimated fair values at March 31, 2009, factors including credit quality, the likelihood of redemption, and yields or spreads of fixed rate municipal bonds or other trading instruments issued by the same or comparable issuers were considered. Based on our ability to access our cash and other short-term investments, our expected operating cash flows, and our other sources of cash, we do not anticipate the current lack of liquidity on these investments to have a material impact on our financial condition or results of operation.

purchase.


ITEM 8.

FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

Our Consolidated Financial Statementsconsolidated 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.

CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE

None.

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, 2009,2011, that the design and operation of our “disclosure controls and procedures” (as defined in Rule 13a-15(e) and 15d-15(e) under the Exchange Act)Act of 1934, as amended) are effective to provide reasonable assurance that information required to be disclosed by us in the reports filed or submitted by us under the Security Exchange Act of 1934, as amended, 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.

Changes in Internal Control over Financial Reporting

During the quarter ended March 31, 2009, 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 as defined in Rule 13a-15(f) under the Exchange Act. UnderInternal control over financial reporting is a process designed by, or under the supervision and with the participation of our management, including our principal executive officer and principal financial officer, we conducted an evaluationto provide reasonable assurance regarding the reliability of the effectiveness of our internal control over financial reporting based onand the framework set forthpreparation of financial statements for external purposes 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, 2009.

accordance with generally accepted accounting principles.

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

(1)

(1)

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

(2)

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

(3)

(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 our financial statements.

Because of its inherent limitations, in allinternal control systems, no matter how well designed, no evaluation of controls can provide absolute assurance that all control issues within the Company have beenover financial reporting may not prevent or will be detected.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

Management of the Company has auditedassessed the effectiveness of ourthe Company’s internal control over financial reporting as of March 31, 20092011 in making our assessment of internal control over financial reporting, management used the criteria set forth inInternal Control — Integrated Frameworkissued by the Committee of Sponsoring Organizations of the Treadway Commission. Based on our evaluation, our management concluded that our internal control over financial reporting was effective as of March 31, 2011.
The effectiveness of the Company’s internal control over financial reporting as of March 31, 2011 has been audited by PricewaterhouseCoopers LLP, an independent registered public accounting firm, as stated in their report which appears herein.
Changes in Internal Control over Financial Reporting
During the quarter ended March 31, 2011, there were no changes in our “internal control over financial reporting” (as defined in Rule 13a-15(f) under the Exchange Act) that is included herein.

have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.


ITEM 9B.

OTHER INFORMATION

None.

We have experienced legal claims by parties asserting that we have infringed their intellectual property rights. We believe that these claims are without merit and intend to defend them vigorously; however, we could incur substantial costs and diversion of management resources defending any infringement claim – even if we are ultimately successful in the defense of such matter. Litigation is inherently uncertain and always difficult to predict. We refer you to the discussion of infringement and litigation risks in our Risk Factors section of this Report.46


Part
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 20092011 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 20092011 Annual Shareholders’ Meeting to be filed with the Commission.

ITEM 12.

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

The information required by Item 12 is incorporated herein by reference from our definitive proxy statement for our 20092011 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 20092011 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 20092011 Annual Shareholders’ Meeting to be filed with the Commission.

47




PART IV

ITEM 15. EXHIBITS AND FINANCIAL STATEMENT SCHEDULES

ITEM 15.

EXHIBITS AND FINANCIAL STATEMENT SCHEDULES


Page

(a)

(1)

Index to Financial Statements:

Page

 

60

54

Report of Independent Registered Public Accounting Firm

61

62

55

63

56

64

57

65

58

67

60

(2)

The following supplementary financial statement schedule of Quality Systems, Inc., required to be included in Item 15(a)(2) on Form 10-K is filed as part of this Report.

Annual Report on Form 10-K (this “Report”).

92

84

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 consolidated financial statementsConsolidated 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.



INDEX TO EXHIBITS

Exhibit
Number

Description

 

 

85

48


INDEX TO EXHIBITS

3.1

Exhibit

Number

Description
3.1Restated 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.

3.2

3.2

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.

3.3

3.3

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.

3.4

3.4

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.

3.5

3.5

Amended and Restated Bylaws of Quality Systems, Inc., effective October 30, 2008, are hereby incorporated by reference to Exhibit 3.1 of the registrant’s Current Report on Form 8-K filed October 31, 2008.

10.1

*

10.1

*

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.

10.2

*

10.2

*

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.

10.3

*

10.3

*

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 10Q for the quarter ended September 20, 2004.

10.4

*

10.4

*

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

10.5

*

10.5

*

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.

10.6

*

10.6

*

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.

10.7

*

10.7

*

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.

10.8

*

10.8

*

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).



Exhibit
Number

Description

 

 

10.9

*

10.9

*

EmploymentForm of Second Amended and Restated Indemnification Agreement dated July 20, 2000 between Quality Systems, Inc.for directors and Lou Silvermanexecutive officers is hereby incorporated by reference to Exhibit 10.18 to10.3 of the registrant’s QuarterlyCurrent Report on Form 10-Q for the quarter ended September 30, 2000.

8-K filed on February 2, 2010.

10.10

*

10.10

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.

10.11

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.

10.12

10.11

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.

49


Exhibit

10.13

Number

Description

10.12Fifth Amendment to lease agreement between the Company and Tower Place, L.P. dated January 31, 2007 is incorporated by reference to Exhibit 10.13 to the registrant’s Annual Report on Form 10-K for the year ended March 31, 2007.

10.14

10.13

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.

10.15

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.

10.16

10.14

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.

10.17

10.15

Amended and Restated Second Amendment to Office Lease agreement between the Company and HUB Properties LLC dated May 31, 2006 is incorporated by reference to Exhibit 10.17 to the registrant’s Annual Report on Form 10-K for the year ended March 31, 2007.

10.18

10.16

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

10.17

Office lease between the Company and SLTS Grand Avenue, L.P. dated May 3, 2006 is incorporated by reference to Exhibit 10.20 to the registrant’s Annual Report on Form 10-K for the year ended March 31, 2007.

10.21

*

10.18

*

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

10.22

*

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



Exhibit
Number

Description

 

 

10.19

*

10.23

*

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.

February 2, 2010.

10.24

10.20

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.

10.25

*

10.21

*

Description of Compensation Program for Named Executive Officers for Fiscal Year Ended March 31, 20082010 is incorporated by reference to Exhibit 10.2510.1 to the registrant’s AnnualCurrent Report on Form 10-K for the year ended March 31, 2007.

8-K filed June 1, 2009.

10.26

*

10.22

Description of Compensation Program for Named Executive Officers for Fiscal Year Ending March 31, 2007 is incorporated by reference to Exhibit 10.26 to the registrant’s Annual Report on Form 10-K for the year ended March 31, 2007.

10.27

Agreement and Plan of Merger dated May 16, 2008 by and among Quality Systems, Inc., Bud Merger Sub, LLC and Lackland Acquisition II, LLC, is incorporated by reference to Exhibit 10.27 to the registrant’s Annual Report on Form 10-K for the year ended March 31, 2008.

10.28

10.23

Office lease between the Company and Lakeshore Towers Limited Partnership Phase II, a California limited partnership, dated October 18, 2007, is incorporated by reference to Exhibit 10.28 to the registrant’s Annual Report on Form 10-K for the year ended March 31, 2008.

10.29

10.24

Standard Service Center Lease Agreement between the Lincoln National Life Insurance Company and Lackland Acquisition II, LLC, dated November 28, 2001, is incorporated by reference to Exhibit 10.29 to the registrant’s Annual Report on Form 10-K for the year ended March 31, 2008.

10.30

10.25

First Amendment to Standard Service Center Lease Agreement between the Lincoln National Life Insurance Company and Lackland Acquisition II, LLC, dated August 17, 2005, is incorporated by reference to Exhibit 10.30 to the registrant’s Annual Report on Form 10-K for the year ended March 31, 2008.

10.31

10.26

Standard Service Center Lease Agreement between the Lincoln National Life Insurance Company and InfoNow Solutions of St. Louis, LLC, dated November 28, 2001, is incorporated by reference to Exhibit 10.31 to the registrant’s Annual Report on Form 10-K for the year ended March 31, 2008.

10.32

10.27

Second Amendment to Service Center Lease Agreement between the TM Properties, LLC, successor to the Lincoln National Life Insurance Company and Lackland Acquisition II, LLC, dated August 17, 2005, is incorporated by reference to Exhibit 10.32 to the registrant’s Annual Report on Form 10-K for the year ended March 31, 2008.

50


Exhibit

10.33

Number

Description

10.28Assignment of Lease between InfoNow Solutions of St. Louis, Lackland Acquisition II, LLC and TM Properties, LLC dated August 17, 2005, is incorporated by reference to Exhibit 10.33 to the registrant’s Annual Report on Form 10-K for the year ended March 31, 2008.

10.34

10.29

Agreement and Plan of Merger dated October 15, 2008 by and among (i) Quality Systems, Inc. (ii) NextGen Healthcare Information Systems, Inc. (iii) Ruth Merger Sub, Inc. (iv) Practice Management Partners, Inc. and (v) certain shareholders set forth therein, is incorporated by reference to Exhibit 10.1 to the registrant’s Quarterly Report on Form 10-Q for the quarter ended December 31, 2008.



Exhibit
Number

Description

 

 

10.30

10.35

First Amendment to Lease Agreement between Hill Management Services, Inc. and Practice Management Partners, Inc., dated January 15, 2008, is incorporated by reference to Exhibit 10.2 to the registrant’s Quarterly Report on Form 10-Q for the quarter ended December 31, 2008.

10.36

10.31

First Amendment to Sublease Agreement between RehabCare Group, Inc. and Practice Management Partners Inc., dated January 15 2008, is incorporated by reference to Exhibit 10.3 to the registrant’s Quarterly Report on Form 10-Q for the quarter ended December 31, 2008.

10.37

10.32

Third Amendment to Lease Agreement between Pinecrest LLC and Practice Management Partners, Inc., dated April 30, 2007, is incorporated by reference to Exhibit 10.4 to the registrant’s Quarterly Report on Form 10-Q for the quarter ended December 31, 2008.

10.38

*

10.33

*

Employment Agreement dated August 11, 2008 between Quality Systems, Inc., and Steven Plochocki, is incorporated by reference to Exhibit 10.1 to the registrant’s Current Report on Form 8-K filed on August 12, 2008.

10.34*Outside Directors Amended and Restated Restricted Stock Agreement is incorporated by reference to Exhibit 10.2 to the Company’s Current Report on Form 8-K filed February 9, 2010.
10.35*Employment Offer and Terms of Employment dated September 17, 2009, between Quality Systems, Inc. and Philip N. Kaplan, is incorporated by reference to Exhibit 10.1 to the registrant’s Current Report on Form 8-K filed on September 21,

2009.

10.36Agreement and Plan of Merger dated February 10, 2010, by and among Quality Systems, Inc., OHS Merger Sub, Inc., Opus Healthcare Solutions, Inc., and the Shareholders of Opus Healthcare Solutions, Inc.
10.37Sixth Amendment to Lease Agreement between the Company and Tower Place, L.P. dated April 1, 2010.
10.38Third Amendment to Office Lease agreement between the Company and HUB Properties LLC dated January 1, 2010.
10.39Fourth Amendment to Office Lease agreement between the Company and HUB Properties LLC dated March 17, 2010.
10.40Third Amendment to Service Center Lease Agreement between the TM Properties, LLC, successor to the Lincoln National Life Insurance Company and Lackland Acquisition II, LLC, dated March 15, 2010.
10.41Second Amendment to Lease Agreement between Hill Management Services, Inc. and Practice Management Partners, Inc., dated November 1, 2009.
10.42Modification of Lease #1 between Olen Commercial Realty Corp. and NXG Acute Care LLC, dated October 13, 2009.
10.43Lease between Olen Commercial Realty Corp. and NXG Acurate Care LLC, dated October 1, 2009.
10.44Sublease Agreement between Centex Homes and Opus Healthcare Solutions, Inc., dated February __, 2009.
21**List of subsidiaries **

subsidiaries.

   23

23.1

**

Consent of Independent Registered Public Accounting Firm — PricewaterhouseCoopers LLP.
23.2**Consent of Independent Registered Public Accounting Firm — Grant Thornton LLP **LLP.

51


Exhibit

31.1

Number

Description

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 **

2002.

31.2

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 **

2002.

32.1

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. **


 

101.INS**

*

XBRL Instance
101.SCH***XBRL Taxonomy Extension Schema
101.CAL***XBRL Taxonomy Extension Calculation
101.LAB***XBRL Taxonomy Extension Label
101.PRE***XBRL Taxonomy Extension Presentation
*This exhibit is a management contract or a compensatory plan or arrangement.

**

Filed herewith.

***XBRL information is furnished and not filed or a part of a registration statement or prospectus for purposes of section 11 or 12 of the Securities and Exchange Act of 1933, as amended, is deemed not filed for purposes of section 18 of the Securities and Exchange Act of 1934, as amended, and otherwise is not subject to liability under these section.

52




SIGNATURES

     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.

By: /s/ Steven Plochocki

 

By:  /s/ Steven T. Plochocki

President and

Steven T. Plochocki 
Chief Executive Officer

(Principal Executive Officer) 

Date: May 29, 2009

By:  /s/ Paul A. Holt  
Paul A. Holt 
Chief Financial Officer (Principal Accounting Officer) 

Date: May 27, 2011
     KNOW ALL PERSONS BY THESE PRESENTS, that each of the persons whose signature appears below hereby constitutes and appoints Steven T. Plochocki 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

May 27, 2009

 

Sheldon Razin

Chairman of the Board and Director

/s/ Steven Plochocki

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

May 27, 2009

2011
 

/s/ Steven T. Plochocki

Steven T. Plochocki

Chief Executive Officer (Principal Executive Officer) and Director 

May 27, 2011

/s/ Paul A. Holt

Paul A. Holt

Chief Financial Officer (Principal
Financial Accounting Officer) and Secretary

Executive Vice President

May 27, 2009

2011
 

Paul A. Holt

/s/ Patrick B. Cline

Patrick B. Cline

President NextGen Healthcare Information
Systems Division,and Chief Strategy Officer and Director

May 27, 2009

2011
 

Patrick B. Cline

/s/ Murray Brennan

Craig Barbarosh
Craig Barbarosh

Director 

May 27, 2009

2011
 

/s/ Murray Brennan

Murray Brennan

Director

/s/ George Bristol

May 27, 2009

2011
 

/s/ George Bristol

George Bristol

Director

/s/

May 27, 2011
 

Ahmed Hussein

Director

/s/ Philip Kaplan

May 27, 2009

 

Philip Kaplan

/s/ Russell Pflueger
Russell Pflueger

Director



Signature

Title

Date

May 27, 2011
 

 

 

/s/ Vincent Love

Maureen Spivack
Maureen Spivack

 

Director 

Vincent J. Love

Director

May 27, 2009

/s/ Russell Pflueger

Russell Pflueger

Director

May 27, 2009

2011

53




REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the Board of Directors and Shareholders
Quality Systems, Inc.

We have audited the accompanying consolidated balance sheets of Quality Systems, Inc.,

In our opinion, the consolidated financial statements listed in the index appearing under Item 15(a)(1), present fairly, in all material respects, the financial position of Quality Systems, Inc. and its subsidiaries at March 31, 2011 and 2010, and the results of their operations and their cash flows for each of the two years in the period ended March 31, 2011 in conformity with accounting principles generally accepted in the United States of America. In addition, in our opinion, the financial statement schedule in the index appearing under Item 15(a)(2),presents fairly, in all material respects, the information set forth therein when read in conjunction with the related consolidated financial statements. Also in our opinion, the Company maintained, in all material respects, effective internal control over financial reporting as of March 31, 2011, based on criteria established inInternal Control — Integrated Frameworkissued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). The Company’s management is responsible for these financial statements and financial statement schedule, for maintaining effective internal control over financial reporting and for its assessment of the effectiveness of internal control over financial reporting, included in Management’s Report on Internal Control over Financial Reporting appearing under Item 9A. Our responsibility is to express opinions on these financial statement, the financial statement schedules, and on the Company’s internal control over financial reporting based on our integrated audit. 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 audits to obtain reasonable assurance about whether the financial statements are free of material misstatement and whether effective internal control over financial reporting was maintained in all material respects. Our audits of the financial statements included examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements, assessing the accounting principles used and significant estimates made by management, and evaluating the overall financial statement presentation. Our audit of internal control over financial reporting included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, and testing and evaluating the design and operating effectiveness of internal control based on the assessed risk. Our audits also included performing such other procedures as we considered necessary in the circumstances. We believe that our audits provide a reasonable basis for our opinions.
We also have audited the adjustments to the financial statements for the year ended March 31, 2009 to retrospectively apply the change in reportable segments as described in Note 14. In our opinion, such adjustments are appropriate and 2008,have been properly applied. We were not engaged to audit, review, or apply any procedures to financial statements for the year ended March 31, 2009 of the Company other than with respect to the adjustments and, accordingly, we do not express an opinion or any other form of assurance on the financial statements for the year ended March 31, 2009 taken as a whole.
A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the relatedpreparation 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 (i) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (ii) 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 (iii) 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.
/s/ PricewaterhouseCoopers LLP
Orange County, California
May 27, 2011

54


REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
Board of Directors
Quality Systems, Inc.
We have audited, before the effects of the adjustments to retrospectively apply the change in operating segment information described in Note 14, the consolidated statements of income, shareholders’ equity, and cash flows for each of the three yearsyear ended March 31, 2009. Our audits2009 (the 2009 consolidated financial statements before the effects of the basicadjustments discussed in Note 14 are not presented herein). Our audit of these financial statements included the financial statement Schedule II listed in the index appearing under Item 15 (a)(2). These 2009 consolidated financial statements and financial statement schedule are the responsibility of the Company’s management. Our responsibility is to express an opinion on these consolidated financial statements and financial statement schedule based on our audits.

audit.

We conducted our auditsaudit 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 consolidated 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 provideaudit provides a reasonable basis for our opinion.

In our opinion, the 2009 consolidated financial statements referred to above, which are before the effects of the adjustments to retrospectively apply the change in operating segment information described in Note 14, present fairly, in all material respects, the financial positionresults of Quality Systems, Inc. as of March 31, 2009 and 2008 and the results of its’s operations and its cash flows for each of the three yearsyear ended March 31, 2009 in conformity with accounting principles generally accepted in the United States of America. Also in our opinion, the related financial statement Schedule II, when considered in relation to the basic consolidated financial statements taken as a whole, presents fairly, in all material respects, the information set forth therein.

We were not engaged to audit, review, or apply any procedures to the adjustments to retrospectively apply the change in operating segment information described in Note 14 and accordingly, we do not express an opinion or any other form of assurance about whether such adjustments are appropriate and have alsobeen properly applied. Those adjustments were audited in accordance with the standards of the Public Company Accounting Oversight Board (United States), Quality Systems, Inc.’s internal control over financial reporting as of March 31, 2009, based on criteria established in Internal Control – Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission and our report dated May 27, 2009, expressed an unqualified opinion.

other auditors.

/s/ GRANT THORNTONGrant Thornton LLP

Irvine, California
May 27, 2009

55



REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

Board of Directors and Shareholders
Quality Systems, Inc.


We have audited Quality Systems, Inc.’s internal control over financial reporting as of March 31, 2009, 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, included in the accompanying Quality Systems, Inc. Management’s Report on Internal Control Over Financial Reporting. Our responsibility is to express an opinion on Quality Systems, Inc.’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, assessing the risk that a material weakness exists, testing and evaluating the design and operating effectiveness of internal control based on the assessed risk, and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion.

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 consolidated 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, Quality Systems, Inc. maintained, in all material respects, effective internal control over financial reporting as of March 31, 2009, 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, 2009 and 2008, and the related consolidated statements of income, shareholders’ equity, and cash flows for each of the three years ended March 31, 2009, and our report dated May 27, 2009 expressed an unqualified opinion.

/s/ GRANT THORNTON LLP

Irvine, California
May 27, 2009



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

 

 

 

 

 

 

 

 

 

 

March 31,
2009

 

March 31,
2008

 

 

 

 

 

 

 

ASSETS

 

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

70,180

 

$

59,046

 

Restricted cash

 

 

1,303

 

 

 

Marketable securities

 

 

 

 

2,500

 

Accounts receivable, net

 

 

90,070

 

 

76,585

 

Inventories, net

 

 

1,125

 

 

1,024

 

Income tax receivable

 

 

5,605

 

 

 

Net current deferred tax assets

 

 

3,994

 

 

6,397

 

Other current assets

 

 

6,312

 

 

4,596

 

 

 

  

 

  

 

Total current assets

 

 

178,589

 

 

150,148

 

 

 

 

 

 

 

 

 

Marketable securities

 

 

7,395

 

 

20,124

 

Equipment and improvements, net

 

 

6,756

 

 

4,773

 

Capitalized software costs, net

 

 

9,552

 

 

8,852

 

Intangibles, net

 

 

8,403

 

 

 

Goodwill

 

 

28,731

 

 

1,840

 

Other assets

 

 

2,675

 

 

2,171

 

 

 

  

 

  

 

Total assets

 

$

242,101

 

$

187,908

 

 

 

  

 

  

 

 

 

 

 

 

 

 

 

LIABILITIES AND SHAREHOLDERS’ EQUITY

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

 

Accounts payable

 

$

5,097

 

$

4,685

 

Deferred revenue

 

 

47,584

 

 

44,389

 

Accrued compensation and related benefits

 

 

9,511

 

 

8,346

 

Income taxes payable

 

 

 

 

1,541

 

Dividends payable

 

 

8,529

 

 

6,861

 

Other current liabilities

 

 

8,888

 

 

4,394

 

 

 

  

 

  

 

Total current liabilities

 

 

79,609

 

 

70,216

 

 

 

 

 

 

 

 

 

Deferred revenue, net of current

 

 

521

 

 

506

 

Net deferred tax liabilities

 

 

4,566

 

 

1,575

 

Deferred compensation

 

 

1,838

 

 

1,906

 

 

 

  

 

  

 

Total liabilities

 

 

86,534

 

 

74,203

 

 

 

  

 

  

 

Commitments and contingencies

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shareholders’ equity:

 

 

 

 

 

 

 

Common stock

 

 

 

 

 

 

 

$0.01 par value; authorized 50,000 shares; issued and outstanding 28,447 and 27,448 shares at March 31, 2009 and March 31, 2008, respectively

 

 

284

 

 

274

 

Additional paid-in capital

 

 

103,524

 

 

75,556

 

Retained earnings

 

 

51,759

 

 

38,071

 

Accumulated other comprehensive loss, net of tax

 

 

 

 

(196

)

 

 

  

 

  

 

Total shareholders’ equity

 

 

155,567

 

 

113,705

 

 

 

  

 

  

 

Total liabilities and shareholders’ equity

 

$

242,101

 

$

187,908

 

 

 

  

 

  

 

In thousands, except per share data)

         
  March 31,  March 31, 
  2011  2010 
ASSETS        
Current assets:        
Cash and cash equivalents $116,617  $84,611 
Restricted cash  3,787   2,339 
Marketable securities  1,120   7,158 
Accounts receivable, net  139,772   107,458 
Inventories  1,933   1,340 
Income taxes receivable     2,953 
Deferred income taxes, net  10,397   5,678 
Other current assets  8,768   8,684 
       
         
Total current assets  282,394   220,221 
         
Equipment and improvements, net  12,599   8,432 
Capitalized software costs, net  15,150   11,546 
Intangibles, net  16,890   20,145 
Goodwill  46,721   46,189 
Other assets  4,932   3,647 
       
         
Total assets $378,686  $310,180 
       
         
LIABILITIES AND SHAREHOLDERS’ EQUITY        
Current liabilities:        
Accounts payable $6,686  $3,342 
Deferred revenue  76,695   64,109 
Accrued compensation and related benefits  10,247   8,951 
Income taxes payable  3,530    
Dividends payable  10,162   8,664 
Other current liabilities  29,316   16,220 
       
         
Total current liabilities  136,636   101,286 
         
Deferred revenue, net of current  1,099   474 
Deferred income taxes, net  11,384   10,859 
Deferred compensation  2,488   1,883 
Other noncurrent liabilities  2,409   7,389 
       
         
Total liabilities  154,016   121,891 
         
Commitments and contingencies (Note 13)        
         
Shareholders’ equity:        
Common stock        
$0.01 par value; authorized 50,000 shares; issued and outstanding 29,034 and 28,879 shares at March 31, 2011 and March 31, 2010, respectively  290   289 
Additional paid-in capital  133,259   122,271 
Retained earnings  91,121   65,729 
       
         
Total shareholders’ equity  224,670   188,289 
       
         
Total liabilities and shareholders’ equity $378,686  $310,180 
       
The accompanying notes to these consolidated financial statements are an integral part of these
consolidated financial statements.

56




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

 

 

 

 

 

 

 

 

 

 

 

 

 

Fiscal Year Ended

 

 

 

 

 

 

 

March 31,
2009

 

March 31,
2008

 

March 31,
2007

 

 

 

 

 

 

 

 

 

Revenues:

 

 

 

 

 

 

 

 

 

 

Software, hardware and supplies

 

$

85,386

 

$

76,363

 

$

68,871

 

Implementation and training services

 

 

13,375

 

 

13,406

 

 

12,177

 

 

 

  

 

  

 

  

 

System sales

 

 

98,761

 

 

89,769

 

 

81,048

 

 

 

 

 

 

 

 

 

 

 

 

Maintenance

 

 

72,862

 

 

56,455

 

 

41,948

 

Electronic data interchange services

 

 

29,522

 

 

22,450

 

 

17,049

 

Revenue cycle management and related services

 

 

21,431

 

 

871

 

 

534

 

Other services

 

 

22,939

 

 

16,955

 

 

16,586

 

 

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

Maintenance, EDI, RCM and other services

 

 

146,754

 

 

96,731

 

 

76,117

 

 

 

  

 

  

 

  

 

Total revenue

 

 

245,515

 

 

186,500

 

 

157,165

 

 

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

Cost of revenue:

 

 

 

 

 

 

 

 

 

 

Software, hardware and supplies

 

 

13,184

 

 

10,887

 

 

8,453

 

Implementation and training services

 

 

10,286

 

 

10,341

 

 

8,535

 

 

 

  

 

  

 

  

 

Total cost of system sales

 

 

23,470

 

 

21,228

 

 

16,988

 

 

 

 

 

 

 

 

 

 

 

 

Maintenance

 

 

11,859

 

 

12,446

 

 

11,834

 

Electronic data interchange services

 

 

21,374

 

 

15,776

 

 

12,181

 

Revenue cycle management and related services

 

 

14,674

 

 

558

 

 

341

 

Other services

 

 

17,513

 

 

12,493

 

 

9,440

 

 

 

  

 

  

 

  

 

Total cost of maintenance, EDI, RCM and other services

 

 

65,420

 

 

41,273

 

 

33,796

 

 

 

  

 

  

 

  

 

Total cost of revenue

 

 

88,890

 

 

62,501

 

 

50,784

 

 

 

  

 

  

 

  

 

Gross profit

 

 

156,625

 

 

123,999

 

 

106,381

 

 

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

Operating expenses:

 

 

 

 

 

 

 

 

 

 

Selling, general and administrative

 

 

70,445

 

 

53,260

 

 

45,337

 

Research and development costs

 

 

13,777

 

 

11,350

 

 

10,166

 

 

 

  

 

  

 

  

 

Total operating expenses

 

 

84,222

 

 

64,610

 

 

55,503

 

 

 

  

 

  

 

  

 

Income from operations

 

 

72,403

 

 

59,389

 

 

50,878

 

Interest income

 

 

1,203

 

 

2,661

 

 

3,306

 

Other (expense) income

 

 

(279

)

 

953

 

 

 

 

 

  

 

  

 

  

 

Income before provision for income taxes

 

 

73,327

 

 

63,003

 

 

54,184

 

Provision for income taxes

 

 

27,208

 

 

22,925

 

 

20,952

 

 

 

  

 

  

 

  

 

Net income

 

$

46,119

 

$

40,078

 

$

33,232

 

 

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

Net income per share:

 

 

 

 

 

 

 

 

 

 

Basic

 

$

1.65

 

$

1.47

 

$

1.24

 

Diluted

 

$

1.62

 

$

1.44

 

$

1.21

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average shares outstanding:

 

 

 

 

 

 

 

 

 

 

Basic

 

 

28,031

 

 

27,298

 

 

26,882

 

Diluted

 

 

28,396

 

 

27,770

 

 

27,550

 

Dividends declared per common share

 

$

1.15

 

$

1.00

 

$

1.00

 

In thousands, except per share data)

             
  Fiscal Year Ended March 31, 
  2011  2010  2009 
Revenues:            
Software, hardware and supplies $106,514  $89,761  $85,386 
Implementation and training services  18,015   14,376   13,375 
          
             
System sales  124,529   104,137   98,761 
             
Maintenance  110,019   89,192   72,862 
Electronic data interchange services  41,022   35,035   29,522 
Revenue cycle management and related services  45,065   36,665   21,431 
Other services  32,728   26,782   22,939 
          
             
Maintenance, EDI, RCM and other services  228,834   187,674   146,754 
          
             
Total revenues  353,363   291,811   245,515 
          
             
Cost of revenue:            
Software, hardware and supplies  19,779   12,115   13,184 
Implementation and training services  15,010   11,983   10,286 
          
             
Total cost of system sales  34,789   24,098   23,470 
             
Maintenance  12,948   13,339   11,859 
Electronic data interchange services  27,711   25,262   21,374 
Revenue cycle management and related services  33,815   27,715   14,674 
Other services  18,219   20,393   17,513 
          
             
Total cost of maintenance, EDI, RCM and other services  92,693   86,709   65,420 
          
             
Total cost of revenue  127,482   110,807   88,890 
          
             
Gross profit  225,881   181,004   156,625 
             
Operating expenses:            
Selling, general and administrative  108,310   86,951   69,410 
Research and development costs  21,797   16,546   13,777 
Amortization of acquired intangible assets  1,682   1,783   1,035 
          
             
Total operating expenses  131,789   105,280   84,222 
          
             
Income from operations  94,092   75,724   72,403 
             
Interest income  263   226   1,203 
Other income (expense), net  61   268   (279)
          
             
Income before provision for income taxes  94,416   76,218   73,327 
Provision for income taxes  32,810   27,839   27,208 
          
             
Net income $61,606  $48,379  $46,119 
          
             
Net income per share:            
Basic $2.13  $1.69  $1.65 
Diluted $2.12  $1.68  $1.62 
             
Weighted-average shares outstanding:            
Basic  28,947   28,635   28,031 
Diluted  29,118   28,796   28,396 
             
Dividends declared per common share $1.25  $1.20  $1.15 
The accompanying notes to these consolidated financial statements are an integral
part of these consolidated financial statements.

57




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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APIC

 

Retained
Earnings

 

Deferred
Compensation

 

Accumulated
Other
Comprehensive
Loss

 

Total
Shareholders’
Equity

 

 

 

Common Stock

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shares

 

Amount

 

 

 

 

 

 

 

 

                     

Balance, March 31, 2006

 

 

26,711

 

$

267

 

$

53,675

 

$

19,151

 

$

(684

)

$

 

$

72,409

 

Reclass of deferred compensation upon adoption of SFAS 123R

 

 

 

 

 

 

(684

)

 

 

 

684

 

 

 

 

 

Exercise of stock options

 

 

412

 

 

4

 

 

6,058

 

 

 

 

 

 

 

 

6,062

 

Tax benefit resulting from exercise of stock options

 

 

 

 

 

 

2,694

 

 

 

 

 

 

 

 

2,694

 

Stock based compensation

 

 

 

 

 

 

3,923

 

 

 

 

 

 

 

 

3,923

 

Dividends declared

 

 

 

 

 

 

 

 

(27,074

)

 

 

 

 

 

(27,074

)

Net income

 

 

 

 

 

 

 

 

33,232

 

 

 

 

 

 

33,232

 

 

 

                     

Balance, March 31, 2007

 

 

27,123

 

 

271

 

 

65,666

 

 

25,309

 

 

 

 

 

 

91,246

 

Exercise of stock options

 

 

325

 

 

3

 

 

4,757

 

 

 

 

 

 

 

 

4,760

 

Tax benefit resulting from exercise of stock options

 

 

 

 

 

 

1,376

 

 

 

 

 

 

 

 

1,376

 

Stock based compensation

 

 

 

 

 

 

3,757

 

 

 

 

 

 

 

 

3,757

 

Dividends declared

 

 

 

 

 

 

 

 

(27,316

)

 

 

 

 

 

(27,316

)

Net income

 

 

 

 

 

 

 

 

40,078

 

 

 

 

 

 

40,078

 

Unrealized loss on marketable securities, net of tax

 

 

 

 

 

 

 

 

 

 

 

 

(196

)

 

(196

)

 

 

                     

Balance, March 31, 2008

 

 

27,448

 

 

274

 

 

75,556

 

 

38,071

 

 

 

 

(196

)

 

113,705

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Exercise of stock options

 

 

697

 

 

7

 

 

12,512

 

 

 

 

 

 

 

 

12,519

 

Tax benefit resulting from exercise of stock options

 

 

 

 

 

 

3,382

 

 

 

 

 

 

 

 

3,382

 

Stock based compensation

 

 

 

 

 

 

1,977

 

 

 

 

 

 

 

 

1,977

 

Common stock issued for acquisitions

 

 

302

 

 

3

 

 

10,097

 

 

 

 

 

 

 

 

10,100

 

Dividends declared

 

 

 

 

 

 

 

 

(32,431

)

 

 

 

 

 

(32,431

)

Net income

 

 

 

 

 

 

 

 

46,119

 

 

 

 

 

 

46,119

 

Reclassification of unrealized loss on marketable securities, net of tax

 

 

 

 

 

 

 

 

 

 

 

 

196

 

 

196

 

 

 

                     

Balance, March 31, 2009

 

 

28,447

 

$

284

 

$

103,524

 

$

51,759

 

$

 

$

 

$

155,567

 

 

 

                     

In thousands)

                         
                  Accumulated    
          Additional      Other  Total 
  Common Stock  Paid-in  Retained  Comprehensive  Shareholders’ 
  Shares  Amount  Capital  Earnings  Loss  Equity 
Balance, March 31, 2008  27,448  $274  $75,556  $38,071  $(196) $113,705 
Exercise of stock options  697   7   12,512         12,519 
Tax benefit resulting from exercise of stock options        3,382         3,382 
Stock-based compensation        1,977         1,977 
Common stock issued for acquisitions  302   3   10,097         10,100 
Dividends declared           (32,431)     (32,431)
Net income           46,119      46,119 
Reclassification of unrealized loss on marketable securities, net of tax              196   196 
                   
Balance, March 31, 2009  28,447   284   103,524   51,759      155,567 
Exercise of stock options  238   3   5,852         5,855 
Tax benefit resulting from exercise of stock options        1,576         1,576 
Stock-based compensation        2,073         2,073 
Stock-based compensation related to acquisitions        433         433 
Common stock issued for acquisitions  194   2   8,813         8,815 
Dividends declared           (34,409)     (34,409)
Net income           48,379      48,379 
                   
Balance, March 31, 2010  28,879   289   122,271   65,729      188,289 
Exercise of stock options  155   1   5,716         5,717 
Tax benefit resulting from exercise of stock options        1,524         1,524 
Stock-based compensation        3,748         3,748 
Dividends declared           (36,214)     (36,214)
Net income           61,606      61,606 
                   
Balance, March 31, 2011  29,034  $290  $133,259  $91,121  $  $224,670 
                   
The accompanying notes to these consolidated financial statements are an integral
part of these consolidated financial statements.

58




QUALITY SYSTEMS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(IN THOUSANDS)In thousands)
             
  Fiscal Year Ended March 31, 
  2011  2010  2009 
Cash flows from operating activities:            
Net income $61,606  $48,379  $46,119 
Adjustments to reconcile net income to net cash provided by operating activities:            
Depreciation  4,304   3,663   2,911 
Amortization of capitalized software costs  7,091   5,927   5,163 
Amortization of other intangibles  3,255   1,783   1,034 
Provision for bad debts  3,780   3,465   2,089 
Provision (recovery) for inventory obsolescence  27   27   (13)
Share-based compensation  3,748   2,073   1,977 
Deferred income tax (benefit) expense  (4,194)  (786)  4,462 
Tax benefit associated with stock options  1,524   1,576   3,382 
Excess tax benefit from share-based compensation  (1,524)  (1,576)  (3,381)
Loss (gain) on disposal of equipment and improvements  (33)     96 
Changes in assets and liabilities, net of amounts acquired:            
Accounts receivable  (36,094)  (18,944)  (11,369)
Inventories  (620)  (238)  (88)
Income taxes receivable  2,953   3,875   (5,433)
Other current assets  (2,074)  (2,310)  (1,202)
Other assets  (1,817)  (894)  (448)
Accounts payable  3,344   (1,810)  (299)
Deferred revenue  13,211   12,528   3,130 
Accrued compensation and related benefits  1,296   (1,006)  136 
Income taxes payable  3,530   (1,404)  (1,541)
Other current liabilities  13,096   846   2,055 
Deferred compensation  605   46   (68)
Other noncurrent liabilities  (6,950)      
          
             
Net cash provided by operating activities  70,064   55,220   48,712 
          
             
Cash flows from investing activities:            
Additions to capitalized software costs  (10,695)  (7,921)  (5,863)
Additions to equipment and improvements  (6,804)  (4,935)  (3,218)
Proceeds from disposal of equipment and improvements  336       
Proceeds from sale of marketable securities  7,700   425   14,825 
Purchases of marketable securities  (1,120)      
Cash acquired from purchase of Opus     2,036    
Purchase of Opus     (250)   
Purchase of NextGen IS     (300)   
Purchase of PMP, including direct transaction costs        (16,950)
Purchase of HSI, including direct transaction costs        (8,241)
Payment of contingent consideration related to purchase of PMP     (3,000)   
          
             
Net cash used in investing activities  (10,583)  (13,945)  (19,447)
          
             
Cash flows from financing activities:            
Excess tax benefit from share-based compensation  1,524   1,576   3,381 
Proceeds from exercise of stock options  5,717   5,855   12,519 
Dividends paid  (34,716)  (34,275)  (30,763)
Loan repayment         (3,268)
          
             
Net cash used in financing activities  (27,475)  (26,844)  (18,131)
          
             
Net increase in cash and cash equivalents  32,006   14,431   11,134 
             
Cash and cash equivalents at beginning of period  84,611   70,180   59,046 
          
             
Cash and cash equivalents at end of period $116,617  $84,611  $70,180 
          

59

 

 

 

 

 

 

 

 

 

 

 

 

 

Fiscal Year Ended

 

 

 

 

 

 

 

March 31,
2009

 

March 31,
2008

 

March 31,
2007

 

 

 

 

 

 

 

 

 

Cash flows from operating activities:

 

 

 

 

 

 

 

 

 

 

Net income

 

$

46,119

 

$

40,078

 

$

33,232

 

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

 

 

 

 

 

 

 

 

 

 

Depreciation

 

 

2,911

 

 

2,369

 

 

1,950

 

Amortization of capitalized software costs

 

 

5,163

 

 

4,149

 

 

3,231

 

Amortization of other intangibles

 

 

1,034

 

 

 

 

 

Gain on life insurance proceeds, net

 

 

 

 

(755

)

 

 

Provision for bad debts

 

 

2,089

 

 

1,171

 

 

1,480

 

(Recovery)/provision for inventory obsolescense

 

 

(13

)

 

52

 

 

35

 

Share-based compensation

 

 

1,977

 

 

3,757

 

 

3,923

 

Deferred income taxes

 

 

4,462

 

 

(199

)

 

(1,642

)

Tax benefit from exercise of stock options

 

 

3,382

 

 

1,376

 

 

2,694

 

Excess tax benefit from share-based compensation

 

 

(3,381

)

 

(1,311

)

 

(2,527

)

Loss on disposal of equipment and improvements

 

 

96

 

 

 

 

 

Changes in assets and liabilities:

 

 

 

 

 

 

 

 

 

 

Accounts receivable

 

 

(11,369

)

 

(13,811

)

 

(20,760

)

Inventories

 

 

(88

)

 

99

 

 

(649

)

Income tax receivable

 

 

(5,433

)

 

 

 

1,195

 

Other current assets

 

 

(1,202

)

 

(89

)

 

(1,595

)

Other assets

 

 

(448

)

 

381

 

 

(594

)

Accounts payable

 

 

(299

)

 

(561

)

 

2,312

 

Deferred revenue

 

 

3,130

 

 

5,447

 

 

3,532

 

Accrued compensation and related benefits

 

 

136

 

 

1,825

 

 

1,031

 

Income taxes payable

 

 

(1,541

)

 

1,226

 

 

315

 

Other current liabilities

 

 

2,055

 

 

(1,232

)

 

1,814

 

Deferred compensation

 

 

(68

)

 

(373

)

 

593

 

 

 

  

 

  

 

  

 

Net cash provided by operating activities

 

 

48,712

 

 

43,599

 

 

29,570

 

 

 

  

 

  

 

  

 

Cash flows from investing activities:

 

 

 

 

 

 

 

 

 

 

Additions to capitalized software costs

 

 

(5,863

)

 

(6,019

)

 

(5,042

)

Additions to equipment and improvements

 

 

(3,218

)

 

(2,113

)

 

(3,240

)

Proceeds from sale of marketable securities

 

 

14,825

 

 

91,825

 

 

 

Purchases of marketable securities

 

 

 

 

(114,645

)

 

 

Proceeds from life insurance policy, net

 

 

 

 

755

 

 

 

Purchase of HSI, including direct transaction costs

 

 

(8,241

)

 

 

 

 

Purchase of PMP, including direct transaction costs

 

 

(16,950

)

 

 

 

 

 

 

  

 

  

 

  

 

Net cash used in investing activities

 

 

(19,447

)

 

(30,197

)

 

(8,282

)

 

 

  

 

  

 

  

 

Cash flows from financing activities:

 

 

 

 

 

 

 

 

 

 

Excess tax benefit from share-based compensation

 

 

3,381

 

 

1,311

 

 

2,527

 

Proceeds from the exercise of stock options

 

 

12,519

 

 

4,760

 

 

6,062

 

Dividends paid

 

 

(30,763

)

 

(20,455

)

 

(27,074

)

Loan repayment

 

 

(3,268

)

 

 

 

 

 

 

  

 

  

 

  

 

Net cash used in financing activities

 

 

(18,131

)

 

(14,384

)

 

(18,485

)

 

 

  

 

  

 

  

 

Net increase (decrease) in cash and cash equivalents

 

 

11,134

 

 

(982

)

 

2,803

 

 

Cash and cash equivalents at beginning of year

 

 

59,046

 

 

60,028

 

 

57,225

 

 

 

  

 

  

 

  

 

Cash and cash equivalents at end of year

 

$

70,180

 

$

59,046

 

$

60,028

 

 

 

  

 

  

 

  

 




QUALITY SYSTEMS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS — (Continued)

(IN THOUSANDS)

 

 

 

 

 

 

 

 

 

 

 

 

 

Fiscal Year Ended

 

 

 

 

 

 

 

March 31,
2009

 

March 31,
2008

 

March 31,
2007

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Supplemental disclosures of cash flow information:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash paid during the year for income taxes, net of refunds

 

$

26,455

 

$

20,546

 

$

18,360

 

 

 

  

 

  

 

  

 

Non-cash investing and financing activities:

 

 

 

 

 

 

 

 

 

 

Unrealized loss on marketable securities

 

$

 

$

(326

)

$

 

Tax effect of unrealized loss on marketable securities

 

 

 

 

130

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reclassification of unrealized loss on marketable securities, net of tax

 

 

196

 

 

 

 

 

 

 

  

 

  

 

  

 

Unrealized loss on marketable securities, net of tax

 

$

196

 

$

(196

)

$

 

 

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

Effective May 20, 2008, the Company acquired HSI in a transaction summarized as follows:

 

 

 

 

 

 

 

 

 

 

Fair value of net assets assumed

 

$

20,609

 

$

 

$

 

Cash paid for HSI stock

 

 

(8,241

)

 

 

 

 

Common stock issued for HSI stock

 

 

(7,350

)

 

 

 

 

 

 

  

 

  

 

  

 

Liabilities assumed

 

$

5,018

 

$

 

$

 

 

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

Effective October 28, 2008, the Company acquired PMP in a transaction summarized as follows:

 

 

 

 

 

 

 

 

 

 

Fair value of net assets assumed

 

$

23,875

 

$

 

$

 

Cash paid for PMP stock

 

 

(16,950

)

 

 

 

 

Common stock issued for PMP stock

 

 

(2,750

)

 

 

 

 

 

 

  

 

  

 

  

 

Liabilities assumed

 

$

4,175

 

$

 

$

 

 

 

  

 

  

 

  

 

In thousands)

             
  Fiscal Year Ended March 31, 
  2011  2010  2009 
Supplemental disclosures of cash flow information:            
Cash paid during the period for income taxes, net of refunds $29,044  $24,506  $26,455 
          
             
Non-cash investing activities:            
Tenant improvement allowance received from landlord $1,970  $  $ 
          
             
Unrealized gain on marketable securities, net of tax $  $  $196 
          
             
Issuance of stock options with fair value of $433 in connection with the acquisition of PMP $  $433  $ 
          
             
Effective February 10, 2010, the Company acquired Opus in a transaction summarized as follows:            
Fair value of net assets acquired $  $32,209  $ 
Cash paid     (250)   
Common stock issued for Opus stock     (8,815)   
Fair value of contingent consideration     (11,516)   
          
             
Liabilities assumed $  $11,628  $ 
          
             
Effective August 12, 2009, the Company acquired NextGen IS in a transaction summarized as follows:            
Fair value of net assets acquired $  $1,453  $ 
Cash paid     (300)   
Fair value of contingent consideration     (1,074)   
          
             
Liabilities assumed $  $79  $ 
          
             
Effective October 28, 2008, the Company acquired PMP in a transaction summarized as follows:            
Fair value of net assets acquired $  $  $23,875 
Cash paid        (16,950)
Common stock issued for PMP stock        (2,750)
          
             
Liabilities assumed $  $  $4,175 
          
             
Effective May 20, 2008, the Company acquired HSI in a transaction summarized as follows:            
Fair value of net assets acquired $  $  $20,609 
Cash paid        (8,241)
Common stock issued for HSI stock        (7,350)
          
             
Liabilities assumed $  $  $5,018 
          
The accompanying notes to these consolidated financial statements are an integral
part of these consolidated financial statements.

60




QUALITY SYSTEMS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
MARCH 31, 20092011 and 20082010

(DOLLAR AND SHARE AMOUNTS IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)

1.

Description of Business

In thousands, except shares and per share data)

1. Organization of Business
Description of Business
Quality Systems, Inc., and its wholly-owned subsidiaries operates as four business divisions and is comprised ofof: (i) the QSI Dental Division; (ii) the NextGen Division, (“QSI Division”) and wholly-owned subsidiaries,which consists of NextGen Healthcare Information Systems, Inc.(“NextGen”); (iii) the Inpatient Solutions Division, which consists of NextGen Inpatient Solutions, LLC (“NextGen Division”IS” f/k/a Sphere) and Opus Healthcare Solutions, LLC (“Opus”),; (iv) the Practice Solutions Division, which consists of Lackland Acquisition II, LLC dba Healthcare Strategic Initiatives (“HSI”) and Practice Management Partners, Inc. (“PMP”) and (v) Quality Systems India Healthcare Private Limited (“QSIH”) (collectively, the Company)“Company”). The Company develops and markets healthcare information systems that automate certain aspects of medical and dental practices, networks of practices such as physician hospital organizations (“PHOs”) and management service organizations (“MSOs”), ambulatory care centers, community health centers and medical and dental schools. The Company also provides revenue cycle management (“RCM”) services through itsthe Practice Solutions division of NextGen. Operationally, HSI and PMP are administered as part of the NextGen Division.

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

QSI Dental Division, NextGen Division, Inpatient Solutions Division and Practice Solutions Division.

The two divisionsQSI Dental Division, co-located with the Corporate Headquarters in Irvine, California, currently focuses on developing, marketing and supporting software suites sold to dental practices.
The NextGen Division, with headquarters in Horsham, Pennsylvania, provides integrated clinical, financial and connectivity solutions for ambulatory and dental provider organizations.
The Inpatient Solutions Division, with its primary location in Austin, Texas, provides integrated clinical, financial and connectivity solutions for rural and community hospitals.
The Practice Solutions Division, with locations in St. Louis, Missouri and Hunt Valley, Maryland, focuses primarily on providing physician practices with RCM services, primarily billing and collection services for medical practices. This Division combines a web-delivered SaaS model and the NextGenpm software platform to execute its service offerings.
Located in Bangalore, India, QSIH was formed in January 2011 to function as the Company’s India-based captive to offshore technology application development and business processing services.
The Divisions operate largely as stand-alone operations, with each divisionDivision maintaining its own distinct product lines, product platforms, development, implementation and support teams, sales staffing and branding. The two divisionsDivisions share the resources of the Company’s “corporate office”office,” which includes a variety of accounting and other administrative functions. Additionally, there are a small but growing number of clients who are simultaneously utilizing software or services from eachmore than one of our two divisions.the Divisions.
Acquisitions
On May 20, 2008, the Company acquired St. Louis-based HSI, a full-service healthcare RCM company. HSI operates under the umbrella of the Company’s Practice Solutions Division. Founded in 1996, HSI provides RCM services to providers including health systems, hospitals and physicians in private practice with an in-house team of more than 200 employees, including specialists in medical billing, coding and compliance, payor credentialing and information technology. The Company intends to cross sell both software and RCM services to the acquired client base of HSI and the NextGen Division.
On October 28, 2008, the Company acquired Maryland-based PMP, a full-service healthcare RCM company. This acquisition is also part of the Company’s growth strategy for the Practice Solutions Division. Similar to HSI, PMP operates under the umbrella of the Company’s Practice Solutions Division. Founded in 2001, PMP provides physician billing and technology management services to healthcare providers, primarily in the Mid-Atlantic region. The Company intends to cross sell both software and RCM services to the acquired client base of PMP and the NextGen Division.
On August 12, 2009, the Company acquired NextGen IS, a provider of financial information systems to the small hospital inpatient market. This acquisition is also part of the Company’s strategy to expand into the small hospital market and to add new clients by taking advantage of cross selling opportunities between the ambulatory and inpatient markets.

61

The QSI Division, co-located


On February 10, 2010, the Company acquired Opus, a provider of clinical information systems to the small hospital inpatient market. Founded in 1987 and headquartered in Austin, Texas, Opus delivers web-based clinical solutions to hospital systems and integrated health networks nationwide. This acquisition complements and will be integrated with our corporate headquarters in Irvine, California, currently focuses on developing, marketing and supportingthe assets of NextGen IS. Both companies are established developers of 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 UNIX based medical practice management software product.

The NextGen Division, with headquarters in Horsham, Pennsylvania, and significant locations in Atlanta, Georgia, St. Louis, Missouri and Hunt Valley, Maryland, focuses principally on developing and marketing products and services for medical practices.

2.

Summary of Significant Accounting Policies

the inpatient market and will operate under the Company’s Inpatient Solutions Division.

2. Summary of Significant Accounting Policies
Principles of ConsolidationConsolidation..The consolidated financial statements include the accounts of the CompanyQuality Systems, Inc. and its wholly-owned subsidiaries. On May 20, 2008, the Company acquired HSI, a full-service healthcare RCM company. On October 28, 2008, the Company acquired PMP, a full-service healthcare RCM company.subsidiaries, which consists of NextGen Healthcare Information Systems, Lackland Acquisition II, LLC dba Healthcare Strategic Initiatives, Practice Management Partners, Inc., NextGen Inpatient Solutions, LLC and Opus Healthcare Solutions, LLC and Quality Systems India Healthcare Private Limited. All significant intercompany accounts and transactions have been eliminated.

Business Segments.The Company has prepared operating segment information in accordance with Financial Accounting Standards Board (“FASB”) Accounting Standards Codification (“ASC”) Topic 280,Segment Reporting,or ASC 280, which requires that companies disclose “operating segments” based on the manner in which management disaggregates the Company’s operations for making internal operating decisions. See Note 14.
Basis of Presentation.The accompanying consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America.

America (“GAAP”).
Certain prior yearperiod amounts have been reclassified to conform with fiscal year 20092011 presentation.

References to dollar amounts in the consolidated financial statement sections are in thousands, except shares and per share data, unless otherwise specified.

Revenue Recognition.The Company recognizes revenue for system sales 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, FASB ASC Topic 985-605,Software, Revenue Recognition” (SOP 98-9).Recognition, or ASC 985-605. The Company generates revenue from the sale of licensing rights to its software products directly to end-users and value-added resellers, or VARs. The Company also generates revenue from sales of hardware and third partythird-party software, implementation, training, EDI,electronic data interchange (“EDI”), post-contract support (maintenance), and other services, including RCM,revenue cycle management (“RCM”), performed for customersclients who license its products.



A typical system contract contains multiple elements of the above items. SOP 98-9FASB ASC Topic 985-605-25,Software, Revenue Recognition, Multiple Elements,or ASC 985-605-25, 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 specificvendor-specific objective evidence (VSOE)(“VSOE”). The Company limits its assessment of VSOE for each element to either the price charged when the same element is sold separately or the price established by management having the relevant authority to do so, for an element not yet sold separately. VSOE calculations are updated and reviewed quarterly or annually depending on the nature of the product or service. The Company has established VSOE for the related undelivered elements based on the bell-shaped curve method. Maintenance VSOE for the Company’s largest customersclients is based on stated renewal rates only if the rate is determined to be substantive and falls within the Company’s customary pricing practices.

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,ASC 985-605, 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. 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 system sales contract amount upon contract execution except for maintenance which is billed separately. 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 andor determinable and collection is considered probable, revenue from licensing rights and sales of hardware and third partythird-party software is generally recognized upon physical or electronic 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.

62


§

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 andor 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 ofFASB ASC Topic 605-35,Revenue Recognition, Construction-Type and Certain Production-Type Contracts” (SOP 81-1).Contracts,or ASC 605-35. Pursuant to SOP 81-1,ASC 605-35, the Company uses the percentage of completion method provided all of the following conditions exist:

§

the contract includes provisions that clearly specify the enforceable rights regarding goods or services to be provided and received by the parties, the consideration to be exchanged and the manner and terms of settlement;

§

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

§

the Company can be expected to perform its contractual obligations; and

§

reliable estimates of progress towards completion can be made.

The Company measures completion using labor input hours. Costs of providing services, including services accounted for in accordance with SOP 81-1,ASC 605-35, 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.

Product returns are estimated in accordance with Statement of Financial Accounting Standards No. 48, “RevenueFASB ASC Topic 605-15,Revenue Recognition, When Right of Return Exists” (SFAS 48).Products,or ASC 605-15. The Company also ensures that the other criteria in SFAS 48ASC 605-15 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, net of an allowance for returns, 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.

Revenue related to sales arrangements whichthat include the right to use software stored on the Company’s hardware is accounted for under the Emerging Issues Task Force Issue (EITF) No. 00-3 “Application of AICPA Statement of Position 97-2 to arrangements that include the right to use software stored on another entity’s hardware.” EITF No. 00-3FASB ASC Topic 985-605-05,Software, Revenue Recognition,Hosting Arrangements,or ASC 985-605-05, which requires that for software licenses and related implementation services to continue to fall under SOP No. 97-2,ASC 985-605-05, the customer must have the contractual right to take possession of the software without incurring a significant penalty and it must be feasible for the customer to either host the software themselves or through another third party.third-party. If an arrangement is not deemed to be accounted for under SOP 97-2,ASC 985-605-05, the entire arrangement is accounted for as a service contract in accordance with EITF Issue No. 00-21 “Revenue Arrangements with Multiple Deliverables.”ASC 985-605-25. In that instance, the entire arrangement would be recognized asduring the period that the hosting services are being performed.

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,FASB ASC Topic 985-605-55,Software, Revenue Recognition, Flowchart of Revenue Recognition on Software Arrangements, or ASC 985-605-55, such discounts whichthat are incremental to the range of discounts reflected in the pricing of the other elements of the arrangement, whichthat are incremental to the range of discounts typically given in comparable transactions, and whichthat 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.

RCM service revenue is derived from services fees, which include amounts charged for ongoing billing and other related services, and are generally billed to the customer as a percentage of total collections. The Company does not recognize revenue for services fees until these collections are made, as the services fees are not fixed andor determinable until such time.

Revenue is divided into two categories, “system sales” and “maintenance, EDI, RCM and other services”.services.” Revenue in the system sales category includes software license fees, third partythird-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, RCM and other services category includes maintenance, EDI, RCM services, follow on training and implementation services, annual third partythird-party license fees, hosting services and other services revenue.

63


Cash and Cash EquivalentsEquivalents..Cash and cash equivalents generally consist of cash, money market funds and short-term U.S. Treasury securities with original maturities of 90 days or less than 90 days.at the time of purchase. The Company had cash deposits at U.S. banks and financial institutions at March 31, 20092011 of which $76,364$113,733 was in excess of the Federal Deposit Insurance Corporation insurance limit of $250 per owner. The Company is exposed to credit loss for amounts in excess of insured limits in the event of non-performancenonperformance by the institutions; however, the Company does not anticipate non-performancenonperformance by these institutions.
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.

Restricted Cash.Restricted cash consists of cash which is being held by HSI acting as agent for the disbursement of certain state social services programs. The Company records an offsetting “Care Services liability” (see also Note 9) when it initially receives such cash from the government social service programs and relieves both restricted cash and the Care Services liability when amounts are disbursed. HSI earns an administrative fee which is based on a percentage of funds disbursed on behalf of certain government social service programs.

Marketable Securities and ARS Put Option Rights.Marketable securities are classified as available-for-sale and are recorded at fair value, based on quoted market rates when observable or valuation analysis when appropriate. In addition,Unrealized gains and losses, net of taxes, are reported as a component of shareholders’ equity. Realized gains and losses on investments are included as interest income.
As of March 31, 2011, the Company’s marketable securities consisted of fixed-income municipal securities. Previously, the Company classifies marketable securities as current or non-current based upon whether such assets are reasonably expected to be realized in cash or sold or consumed during the normal operating cycle of the business.

The Company’salso held investments at March 31, 2009 and 2008 are in tax exempt municipal Auction Rate Securities (ARS)auction-rate securities (“ARS”), which arewere classified as either current or non-current marketable securities on the Company’s Consolidated Balance Sheets, depending on the liquidity and timing of expected realization of such securities. The ARS arewere rated by one or more national rating agencies and havehad contractual terms of up to 30 years, but generally havehad interest rate reset dates that occuroccurred every 7, 28 or 35 days. Despite the underlying long-term maturity of ARS, such securities were priced and subsequently traded as short-term investments because of the interest rate reset feature. If there arewere insufficient buyers, the auction is said to “fail” and the holders arewere unable to liquidate the investments through auction. A failed auction doesdid not result in a default of the debt instrument. Under their respective terms, the securities will continuecontinued to accrue interest and be auctioned until the auction succeeds,succeeded, the issuer callscalled the securities or the securities mature.

matured. In February 2008, the Company began to experience failed auctions on its ARS. To determine their estimated fair values at March 31, 2009 and 2008, factors including credit quality, assumptions about the likelihood of redemption, observable market data such as yields or spreads of fixed rate municipal bonds and other trading instruments issued by the same or comparable issuers were considered.

The Company’s ARS are managedwere held by UBS Financial Services Inc. (UBS)(“UBS”). On November 13, 2008, the Company entered into an Auction Rate Security Rights Agreement (the Rights Agreement)“Rights Agreement”) with UBS, whereby the Company accepted UBS’UBS’s offer to purchase the Company’s ARS investments at any time during the period of June 30, 2010 through July 2, 2012. As a result,On June 30, 2010, the earliest date allowable under the Rights Agreement, the Company has obtained an asset, ARS put option rights, whereby the Company has a right to “put” the ARS back to UBS. The Company expects to exerciseexercised its ARS put option rights and put its ARS back to UBSUBS. The ARS were sold and settled on June 30,July 1, 2010 the earliest date allowable under the Rights Agreement.

As of September 30, 2008, the Company had the intent and ability to hold these securities until anticipated recovery. As a result, the Company recognized the unrealized loss through September 30, 2008 as a temporary impairment in other comprehensive income within shareholders’ equity.

By accepting the Rights Agreement, the Company can no longer assert that it has the intent to hold the auction rate securities until anticipated recovery and has elected to reclassify its investments in ARS as trading securities, as defined by SFAS No. 115 “Accounting in Certain Investments in Debt and Equity Securities”, on the date of Company’s acceptanceat 100% of the Rights Agreement. As trading securities, the ARS are carried at fair value with changes recorded through earnings. At March 31, 2009, the Company held ARS with a$7,700 par value of $8,125. In the fourth quarter of fiscal year 2009, the Company recognized a pre-tax unrealized loss of approximately $730 through its earnings. The charge was measured as the approximate midpoint between various losses in values.

As the Company will be permitted to put the ARS back to UBS at par value, the Company accounted for the ARS put option rights as a separate asset that was measured at its fair value with changes recorded through earnings. The Company has valued the ARS put option right as the approximate midpoint between various fair values, measured as the difference between the par value of the ARS and the fair value of the securities, discounted by the credit risk of the broker and other factors such as the Company’s historical experience to sell ARS at par. The estimated fair value of the ARS put option rights as of March 31, 2009 was determined to be $468. The Company is required to assess the fair value of these two individual assets and to record corresponding changes in fair value in each reporting period through the Consolidated Statements of Income until the ARS put option rights are exercised

value.


and the ARS are redeemed or sold. The Company expects that the fair value movements in the ARS will be largely offset by the future changes in the fair value of the ARS put option rights. Since the ARS put option rights represent the right to sell the securities back to UBS at par, the Company will be required to periodically assess the economic ability of UBS to meet that obligation in assessing the fair value of the ARS put option rights. The Company will continue to classify the ARS as long-term investments until June 30, 2009, one year prior to the expected settlement.

Allowance for Doubtful AccountsAccounts..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 customersclients 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 revenuesrevenue 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 inas a component of deferred revenue (see also Note 9).

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

Equipment and Improvements.Equipment and improvements are stated at cost less accumulated depreciation and amortization. Repair and maintenance costs that do not improve service potential or extend economic life are expensed as incurred. 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:

generally have the following ranges:

Computers equipment3-5 years

Computers and electronic test equipment

3-5 years

Furniture and fixtures

5-7 years

Leasehold improvements

lesser of lease term or estimated useful life

of asset
Costs incurred to develop internal-use software during the application development stage are capitalized, stated at cost, and amortized using the straight-line method over the estimated useful lives of the assets, which is seven years. Application development stage costs generally include costs associated with internal-use software configuration, coding, installation and testing. Costs of significant upgrades and enhancements that

64


result in additional functionality are also capitalized, whereas costs incurred for maintenance and minor upgrades and enhancements are expensed as incurred.
Software Development Costs.Development costs incurred in the research and development of new software products and enhancements to existing software products for external use are expensed as incurred until technological feasibility has been established. After technological feasibility is established, any additional external software development costs are capitalized in accordance with SFAS No. 86, “Accounting for theFASB ASC Topic 985-20,Software, Costs of Computer Software to be Sold, Leased or Otherwise Marketed” (SFAS 86).Marketed, or ASC 985-20. Such capitalized costs are amortized on a straight-line basis over the estimated economic life of the related product, ofwhich is typically 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 AssetsGoodwill.. The Company follows SFAS No. 142, “Goodwill and Other Intangible Assets” (SFAS 142). Goodwill is related to the NextGen Division and the HSI, PMP, NextGen IS and PMPOpus acquisitions, which closed on May 20, 2008, and October 28, 2008, August 12, 2009 and February 10, 2010, respectively (see Notes 5 6 and 7)6). Under SFAS 142,In accordance with FASB ASC Topic 350-20,Intangibles — Goodwill and Other, Goodwill, or ASC 350-20, the Company tests goodwill for impairment annually at the end of its first fiscal quarter, referred to as the annual test date and has determined that there was no impairment to its goodwill as of June 30, 2010. The Company will also test for impairment between annual test dates if an event occurs or circumstances change that would indicate the carrying amount may be impaired. Impairment testing for goodwill is performed at a reporting-unit level, which is defined as an operating segment or one level below and operating segment (referred to as a component). A component of an operating segment is a reporting unit if the component constitutes a business for which discrete financial information is available and segment management regularly reviews the operating results of that component.
The Company has determined that NextGen, HSI and PMP each qualify as a separate reporting unit while NextGen IS and Opus are aggregated as one reporting unit at which goodwill impairment testing is required to perform an annual assessmentperformed.
An impairment loss would generally be recognized when the carrying amount of the implied fair value of goodwill and intangiblereporting unit’s net assets with indefinite lives for impairment. Relating to NextGen Division’s goodwill,exceeds the Company compared theestimated fair value of the NextGen Divisionreporting unit. As of March 31, 2011, the Company has not identified any events or circumstances that would require an interim goodwill impairment test. See Note 6.
Intangible Assets.Intangible assets consist of capitalized software costs, customer relationships, trade names and certain software technology. Intangible assets related to customer relationships, trade names, and software technology arose in connection with the carrying amountacquisition of itsHSI, PMP, NextGen IS and Opus. These intangible assets were recorded at fair value and determinedare stated net of accumulated amortization. Intangible assets are amortized over their remaining estimated useful lives, ranging from 3 to 9 years. The Company’s amortization policy for intangible assets is based on the principles in FASB ASC Topic 350-30,Intangibles — Goodwill and Other, General Intangibles Other than Goodwill, or ASC 350-30, which requires that nonethe amortization of intangible assets reflect the pattern that the economic benefits of the goodwill recorded was impaired as of June 30, 2008 (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 10 years and risk adjusted discount rates of between 15 and 25 percent to compute a net present value of future cash flows. intangible assets are consumed.
Long-Lived Assets.The Company will perform its initialassesses the recoverability of long-lived assets at least annually or whenever adverse events or changes in circumstances indicate that impairment test on HSImay have occurred in accordance with FASB ASC Topic 360-10,Property, Plant, and PMP as of June 30, 2009.

Long-Lived Assets. The Company follows SFAS No. 144, “Accounting for theEquipment, Impairment or Disposal of Long-Lived Assets” (SFAS 144). Assets, or ASC 360-10. If the future undiscounted cash flows expected to result from the use of the related assets are less than the carrying value of such assets, impairment has been incurred and a loss is recognized to reduce the carrying value of the long-lived assets to fair value, which is determined by discounting estimated future cash flows.

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 atto its long-lived assets as of March 31, 2009.

2011. In addition to the recoverability assessment, the Company routinely reviews the remaining estimated lives of its long-lived assets.

Income Taxes.The Company accounts for income taxes in accordance with FASB ASC Topic 740,Income Taxes,or ASC 740.Income taxes are provided based on current taxable income and the future tax consequences of 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 are also recognized for operating losses that are available to offset future taxable income and tax credits that are available to offset future income taxes. At each reporting period, management assesses the realizable value of deferred tax assets based on, among other things, estimates of future taxable income and adjusts the related valuation allowance as necessary. In June 2006, the FASB issued Interpretation No. 48, “Accounting for Uncertainty in Income Taxes – an Interpretation of SFAS No. 109” (FIN 48). FIN 48 clarifies the accounting for uncertainty in income taxes recognized in an enterprise’s financial statements in accordance with SFAS No. 109, “Accounting for Income Taxes.” FIN 48 prescribes a recognition threshold of more-likely-than-not and measurement of a tax position taken or expected to be taken in an enterprise’s tax return. Management makes a number of assumptions and estimates in determining the appropriate amount of expense to record for income taxes. These assumptions and estimates consider the taxing jurisdiction in which the Company operates as well as current tax regulations. Accruals are established for estimates of tax effects for certain transactions and future projected profitability of the Company’s businesses based on management’s interpretation of existing facts and circumstances.
Self-Insurance Liabilities.Effective January 1, 2010, the Company became self-insured with respect to healthcare claims, subject to stop-loss limits. The Company adopted FIN 48 effective April 1, 2007. See Note 12.accrues for estimated self-insurance costs and uninsured exposures based on claims filed and an estimate of claims incurred but not reported as of each balance sheet date. However, it is possible that recorded accruals may not be adequate to cover the future payment of claims. Adjustments, if any, to estimated accruals resulting from ultimate claim payments will be reflected in earnings during the periods in which such adjustments are determined. Periodically, the Company reevaluates the adequacy of the accruals by comparing amounts accrued on the balance sheets for anticipated losses to an updated actuarial loss forecasts and third-party claim administrator loss estimates and makes adjustments to the accruals as needed. The self-insurance accrual is included in other current liabilities. If any of the factors that

65


contribute to the overall cost of insurance claims were to change, the actual amount incurred for the self-insurance liabilities would be directly affected.
As of March 31, 2011 and 2010, the self-insurance accrual was approximately $475 and $516, respectively, and is included in other current liabilities on the accompanying consolidated balance sheets. If any of the factors that contribute to the overall cost of insurance claims were to change, the actual amount incurred for the self-insurance liabilities would be directly affected.
Advertising Costs.Advertising costs are charged to operations as incurred. The Company does not have any direct-response advertising. Advertising costs, which includesinclude trade shows and conventions, were approximately $3,459, $2,580$7,122, $6,198 and $2,159$3,459 for the years ended March 31, 2009, 20082011, 2010 and 2007,2009, respectively, and were included in selling, general and administrative expenses in the Consolidated Statementsaccompanying consolidated statements of Income.

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 the Company’s request for prospective customers whichclients that 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.

Other Comprehensive Income.Loss.Comprehensive income and loss includes all changes in Shareholders’ Equityshareholders’ equity during a period except those resulting from investments by owners and distributions to owners. The components of accumulated other comprehensive income (loss),loss, net of income tax, consist of unrealized losses on marketable securities of $(196)$196 as of March 31, 2008. There were no other comprehensive income items for the years ended March 31, 2011 or 2010.
Foreign Currency Translation.The U.S. dollar is considered to be the functional currency for QSIH because it acts primarily as an extension of the Company’s operations. The determination of functional currency is primarily based on QSIH’s relative financial and operational dependence. Assets and liabilities are re-measured at current exchange rates, except for property and equipment, depreciation and investments, which are translated at historical exchange rates. Revenues and expenses are re-measured at weighted average exchange rates in effect during the year except for costs related to the above mentioned balance sheet items, which are translated at historical rates. Foreign currency gains and losses are included in other income (expense) in the consolidated statements of income. The net foreign currency gain (loss) for the year ended March 31, 2011 was not significant because QSIH was formed in January 2011. There was no net foreign currency translation for the years ended March 31, 2010 and 2009 or 2007.

1

 

 

 

 

 

 

 

 

 

 

 

 

Year Ended March 31,

 

 

 

 

 

 

 

2009

 

2008

 

2007

 

 

 

 

 

 

 

 

 

Net income

 

$

46,119

 

$

40,078

 

$

33,232

 

Other comprehensive income:

 

 

 

 

 

 

 

 

 

 

Unrealized gain (loss) on marketable securities, net of tax

 

 

 

 

(196

)

 

 

 

 

  

 

  

 

  

 

Comprehensive income

 

$

46,119

 

$

39,882

 

$

33,232

 

 

 

  

 

  

 

  

 

and 2008, respectively.

Earnings per Share.Pursuant to SFAS No. 128, “EarningsFASB ASC Topic 260,Earnings Per Share” (SFAS 128)Share, or ASC 260, the Company provides dual presentation of “basic” and “diluted” earnings per share (EPS)(“EPS”).

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



equivalents and is based on the assumption that the Company’s outstanding options are included in the calculation of diluted earnings per share, except when their effect would be anti-dilutive. Dilution is computed by applying the treasury stock method. Under this method, options are assumed to be exercised at the beginning of the period (or at the time of issuance, if later), and as if funds obtained thereby were used to purchase common stock at the average market price during the period. The following table reconciles the weighted averageweighted-average shares outstanding for basic and diluted net income per share for the periods presented.

 

 

 

 

 

 

 

 

 

 

 

 

 

Year ended March 31,

 

 

 

 

 

 

 

2009

 

2008

 

2007

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income

 

$

46,119

 

$

40,078

 

$

33,232

 

Basic net income per common share:

 

 

 

 

 

 

 

 

 

 

Weighted average of common shares outstanding

 

 

28,031

 

 

27,298

 

 

26,882

 

 

 

  

 

  

 

  

 

Basic net income per common share

 

$

1.65

 

$

1.47

 

$

1.24

 

 

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

Net income

 

$

46,119

 

$

40,078

 

$

33,232

 

Diluted net income per common share:

 

 

 

 

 

 

 

 

 

 

Weighted average of common shares outstanding

 

 

28,031

 

 

27,298

 

 

26,882

 

Effect of potentially dilutive securities (options).

 

 

365

 

 

472

 

 

668

 

 

 

  

 

  

 

  

 

Weighted average of common shares outstanding - diluted

 

 

28,396

 

 

27,770

 

 

27,550

 

 

 

  

 

  

 

  

 

Diluted net income per common share

 

$

1.62

 

$

1.44

 

$

1.21

 

 

 

  

 

  

 

  

 

indicated:

             
  Fiscal Year Ended March 31, 
  2011  2010  2009 
Net income $61,606  $48,379  $46,119 
             
Basic net income per share:            
Weighted-average shares outstanding — Basic  28,947   28,635   28,031 
          
             
Basic net income per common share $2.13  $1.69  $1.65 
          
             
Net income $61,606  $48,379  $46,119 
             
Diluted net income per share:            
Weighted-average shares outstanding — Basic  28,947   28,635   28,031 
Effect of potentially dilutive securities  171   161   365 
          
             
Weighted-average shares outstanding — Diluted  29,118   28,796   28,396 
          
             
Diluted net income per common share $2.12  $1.68  $1.62 
          
The computation of diluted net income per share does not include 440,338, 279,752257, 75 and 92,500440 options for the years ended March 31, 2009, 20082011, 2010 and 2007,2009, respectively, because their inclusion would have an anti-dilutive effect on earningsnet income per share.

66


Share-Based Compensation. On April 1, 2006, the Company adopted SFAS 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 (APB) No. 25, “Accounting forFASB ASC Topic 718Compensation — Stock Issued to Employees” (APB 25).

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 Statements of Income for the years ended March 31, 2009, 2008 and 2007 reflect the impact of SFAS 123R. Share-based compensation expense recognized under SFAS 123R for the years ended March 31, 2009, 2008 and 2007 was $1,977, $3,757 and $3,923, respectively, which consisted of stock-based compensation expense related to employee and director stock options and included $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 statement of cash flows of the tax effects of employee and director share-based awards that were outstanding upon adoption of SFAS 123R.

SFAS 123RCompensation,or ASC 718, requires companies to estimate the fair value of share-based payment awards on the date of grant using an option-pricing model. Expected term is estimated using historical exercise experience. Volatility is estimated by using the weighted averageweighted-average historical volatility of the Company’s common stock, which 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. The expected dividend yield is the average dividend rate during a period equal to the expected term of the option. Those inputs are then entered into the Black Scholes model to determine the estimated fair value. 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 Statementsconsolidated statements of Income.

income.

Share-based compensation is adjusted on a quarterly basis for changes to estimated forfeitures based on a review of historical forfeiture activity. To the extent that actual forfeitures differ, or are expected to differ, from the estimate, share-based compensation expense is adjusted accordingly. The effect of the forfeiture adjustments for years ended March 31, 2011, 2010 and 2009 was not significant.

The following table shows total stock-basedshare-based compensation expense included in the Consolidated Statementsconsolidated statements of Incomeincome for years ended March 31, 2009, 20082011, 2010 and 2007, respectively.

 

 

 

 

 

 

 

 

 

 

 

 

 

Year ended March 31,

 

 

 

 

 

 

 

2009

 

2008

 

2007

 

 

 

 

 

 

 

 

 

Costs and expenses:

 

 

 

 

 

 

 

 

 

 

Cost of revenue

 

$

195

 

$

496

 

$

524

 

Research and development

 

 

242

 

 

800

 

 

870

 

Selling, general and administrative

 

 

1,540

 

 

2,461

 

 

2,529

 

 

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

Total share-based compensation

 

$

1,977

 

$

3,757

 

$

3,923

 

Amounts capitalized in software development costs

 

 

(21

)

 

(39

)

 

(38

)

 

 

  

 

  

 

  

 

Amounts charged against earnings, before income tax benefit

 

$

1,956

 

$

3,718

 

$

3,885

 

 

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

Amount of related income tax benefit recognized

 

$

549

 

$

969

 

$

910

 

 

 

  

 

  

 

  

 

2009:

             
  Fiscal Year Ended March 31, 
  2011  2010  2009 
Costs and expenses:            
Cost of revenue $272  $85  $195 
Research and development costs  152   108   242 
Selling, general and administrative  3,324   1,880   1,540 
          
             
Total share-based compensation  3,748   2,073   1,977 
             
Amounts capitalized in software development costs  (2)  (27)  (21)
          
             
Amounts charged against earnings, before income tax benefit $3,746  $2,046  $1,956 
             
Related income tax benefit  (1,343)  (608)  (549)
          
             
Decrease in net income $2,403  $1,438  $1,407 
          
Sales Taxes.In accordance with the guidance of EITF Issue No. 06-3, “How Taxes Collected from Customers and Remitted to Governmental Authorities Should Be Presented in the Income Statement” (EITF 06-3)FASB ASC Topic 605-45,Revenue Recognition, Principal Agent Considerations, or ASC 605-45, the Company accounts for sales taxes imposed on its goods and services on a net basis in the Consolidated Statementsconsolidated statements of Income.

income.

Use of Estimates.The preparation of consolidated financial statements in conformity with generally accepted accounting principles in the United States of America (GAAP)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-goingongoing basis, the Company evaluates its estimates, including those related to uncollectible receivables, vendor specific objective evidence, valuation of marketable securities and ARS put option rights,self-insurance accruals 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 PronouncementsStandards.. On April 9,In October 2009, the FASB issued three FSPs intendedan amendment to provide additional applicationits accounting guidance on revenue arrangements with multiple deliverables. This new accounting guidance addresses the unit of accounting for arrangements involving multiple deliverables and enhancedhow consideration should be allocated to separate units of accounting, when applicable. This guidance is effective for fiscal years beginning on or after June 15, 2010. There was no material impact from the adoption of this guidance on our consolidated financial position or results of operations.
In October 2009, FASB issued an amendment to its accounting guidance on certain revenue arrangements that include software elements. The new accounting guidance excludes from consideration of software revenue recognition principles all tangible products containing both software and non-software components that function together to deliver the product’s essential functionality. This guidance is effective for fiscal years beginning on or after June 15, 2010. This guidance must be adopted in the same period that the company adopts the amended accounting for arrangements with multiple deliverables described in the preceding paragraph. There was no material impact from the adoption of this guidance on our consolidated financial position or results of operations.
In January 2010, FASB issued an amendment regarding improving disclosures regardingabout fair value measurementsmeasurements. This new guidance requires some new disclosures and other-than-temporary impairments of securities.

FSP FAS 157-4, “Determining Fair Value When the Volume and Level of Activity for the Asset or Liability Have Significantly Decreased and Identifying Transactions That Are Not Orderly,” provides guidelines for makingclarifies some existing disclosure requirements about fair value measurements more consistent with the principles presented in FASB Statement No. 157, “Fair Value Measurements.” FSP FAS 157-4 must be applied prospectivelymeasurement. The new disclosures and retrospective application is not permitted. FSP FAS 157-4 isclarifications of existing disclosures are effective for interim and annual reporting periods endingbeginning after JuneDecember 15, 2009, with early adoption permittedexcept for periods ending after March 15, 2009. An entity early adopting FSP FAS 157-4 must also early adopt FSP FAS 115-2the disclosures about purchases, sales, issuances and FAS 124-2.

FSP FAS 115-2 and FAS 124-2. “Recognition and Presentationsettlements in the roll forward of Other-Than-Temporary Impairments,” provides additional guidance designed to create greater clarity and consistencyactivity in accounting for and presenting impairment losses on debt securities. FSP FAS 115-2 and FAS 124-2 isLevel 3 fair value measurements. Those disclosures are effective for interimfiscal years beginning after December 15, 2010 and annual periods ending after June 15, 2009, with early adoption permitted for periods ending after March 15, 2009. An entity may early adopt this FSP only if it also elects to early adopt FSP FAS 157-4.

FSP FAS 107-1 and APB 28-1, “Interim Disclosures about Fair Value of Financial Instruments,” enhances consistency in financial reporting by increasing the frequency of fair value disclosures. FSP 107-1 and APB 28-1 is effective for interim periods ending after June 15, 2009, with early adoption permitted for periods ending after March 15, 2009. However, an entity may early adopt these interim fair value disclosure requirements only if it also elects to early adopt FSP FAS 157-4 and FSP FAS 115-2 and FAS 124-2.



The Company is currently evaluating thewithin those fiscal years. There was no impact if any, thatfrom the adoption of these FSPs will have on itsthis guidance to our consolidated financial statements.position or results of operations as the amendment only addresses disclosures.

67

On


In April 1, 2009, the2010, FASB issued an amendment to Stock Compensation. The amendment clarifies that an employee stock-based payment award with an exercise price denominated in the currency of a market in which a substantial portion of the entity’s equity shares trades should not be considered to contain a condition that is not a market, performance, or service condition. Therefore, an entity would not classify such an award as a liability if it otherwise qualifies as equity. The amendments are effective for fiscal years, and interim periods within those fiscal years, beginning on or after December 15, 2010. We do not anticipate any impact from our adoption of this guidance since our stock-based payment awards have an exercise price denominated in the same currency of the market in which our Company shares are traded.
In December 2010, FASB Staff Position (FSP) FAS 141(R)-1, “Accountingissued an amendment to goodwill impairment test. The amendments modify Step 1 of the goodwill impairment test for Assets Acquiredreporting units with zero or negative carrying amounts. For those reporting units, an entity is required to perform Step 2 of the goodwill impairment test if it is more likely than not that a goodwill impairment exists. In determining whether it is more likely than not that goodwill impairment exists, an entity should consider whether there are any adverse qualitative factors indicating that impairment may exist. The qualitative factors are consistent with the existing guidance and Liabilities Assumed in a Business Combination That Arise from Contingencies.” The FSP amends the guidance in FASB Statement No. 141 (Revised 2007), “Business Combinations,” to: (i)examples, which require that assets acquiredgoodwill of a reporting unit be tested for impairment between annual tests if an event occurs or circumstances change that would more likely than not reduce the fair value of a reporting unit below its carrying amount. The amendments are effective for fiscal years, and liabilities assumedinterim periods within those years, beginning after December 15, 2010. Early adoption is not permitted. We do not anticipate any impact from our adoption of this guidance since we do not have any reporting units with zero or negative carrying amounts at December 31, 2010.
In December 2010, FASB issued an amendment to the disclosure of supplementary pro forma information for business combinations. The amendments in this ASU specify that if a public entity presents comparative financial statements, the entity should disclose revenue and earnings of the combined entity as though the business combination that arise from contingencies be recognized at fair value if fair value can be reasonably estimated. If fair value of such an asset or liability cannot be reasonably estimated,occurred during the asset or liability would generally be recognized in accordance with FASB Statement No. 5, “Accounting for Contingencies,” and FASB Interpretation No. 14, “Reasonable Estimationcurrent year had occurred as of the Amount of a Loss;” (ii) eliminate the requirement to disclose an estimatebeginning of the rangecomparable prior annual reporting period only. The amendments also expand the supplemental pro forma disclosures to include a description of outcomesthe nature and amount of recognized contingencies atmaterial, nonrecurring pro forma adjustments directly attributable to the acquisition date. For unrecognized contingencies, the FASB decided to require that entities include only the disclosures required by Statement No. 5 and that those disclosures bebusiness combination included in the business combination footnote;reported pro forma revenue and (iii) require that contingent consideration arrangements of an acquiree assumed by the acquirer in a business combination be treated as contingent consideration of the acquirer and should be initially and subsequently measured at fair value in accordance with Statement No. 141R. This FSP isearnings. The amendments are effective prospectively for assets or liabilities arising from contingencies in business combinations for which the acquisition date is on or after the beginning of the first annual reporting period beginning on or after December 15, 2008.

In November 2008, the FASB ratified EITF Issue No. 08-6, “Equity Method Investment Accounting Considerations” (EITF 08-6). EITF 08-6 clarifies the accounting for certain transactions and impairment considerations involving equity method investments. EITF 08-62010. Early adoption is effective for fiscal years beginning after December 15, 2008, with early adoption prohibited.permitted but was not elected. The Company does not currently have any investments that are accounted for underexpect the equity method and therefore EITF 08-6 will notamendments to have a significant impact on the Company’s consolidated financial statements.

In November 2008, the FASB ratified EITF Issue No. 08-7, “Accounting for Defensive Intangible Assets” (EITF 08-7). EITF 08-7 clarifies the accounting for certain separately identifiable intangible assets which an acquirer does not intend to actively use but intends to hold to prevent its competitors from obtaining access to them. EITF 08-7 requires an acquirer in a business combination to account for a defensive intangible asset as a separate unit of accounting which should be amortized to expense over the period the asset diminishes in value. EITF 08-7 is effective for fiscal years beginning after December 15, 2008, with early adoption prohibited. The Company is currently in the process of evaluating the impact the new EITF will have on its consolidated financial statements.

In October 2008, the FASB issued Staff Position (FSP) FAS 157-3, “Determining the Fair Value of a Financial Asset When The Market for That Asset Is Not Active” (FSP FAS 157-3), to clarify the application of the provisions of SFAS No. 157, “Fair Value Measurements,” in an inactive market and how an entity would determine fair value in an inactive market. FSP FAS 157-3 was effective upon issuance. The Company has considered the FSP in its determination of estimated fair values of its ARS for the fiscal year 2009. The Company does not currently have any assets that are inactive and therefore FAS 157-3 will not have a significant impact on the Company’s consolidated financial statements.

In June 2008, the FASB issued FSP EITF 03-6-1, “Determining Whether Instruments Granted in Share-Based Payment Transactions Are Participating Securities” (FSP EITF 03-6-1). FSP EITF 03-6-1 concluded that unvested share-based payment awards that contain nonforfeitable rights to dividends or dividend equivalents (whether paid or unpaid) are participating securities and shall be included in the computation of basic earnings per share (“EPS”) pursuant to the two-class method. This FSP becomes effective on April 1, 2009. Early adoption of the FSP is not permitted; however, it will apply retrospectively to EPS data for all periods presented in the financial statements or in financial data. We do not currently anticipate that this FSP will have a material impact on the Company’s EPS data in fiscal year 2010 or on EPS for any prior periods presented in the financial data upon adoption.

In May 2008, the FASB issued SFAS No. 162, “The Hierarchy of Generally Accepted Accounting Principles” (SFAS 162). SFAS 162 defines the order in which accounting principles that are generally accepted should be followed. SFAS 162 is effective 60 days following the Securities and Exchange Commission’s approval of the Public Company Accounting Oversight Board (PCAOB) amendments to AU Section 411, “The Meaning of Present Fairly in Conformity with Generally Accepted Accounting Principles”. We do not expect the adoption of SFAS 162 to have a material impact on the Company’s consolidated financial statements.



In April 2008, the FASB finalized FSP FAS No. 142-3, “Determination of the Useful Life of Intangible Assets” (FSP FAS 142-3). The position amends the factors that should be considered in developing renewal or extension assumptions used to determine the useful life of a recognized intangible asset under SFAS No. 142, “Goodwill and Other Intangible Assets”. The position applies to intangible assets that are acquired individually or with a group of other assets and both intangible assets acquired in business combinations and asset acquisitions. FSP 142-3 is effective for fiscal years beginning after December 15, 2008, and interim periods within those fiscal years. Management is currently evaluating the impact of the pending adoption of FSP FAS 142-3 on the consolidated financial statements.

In December 2007, the FASB issued SFAS No. 141 (Revised 2007), “Business Combinations” (SFAS 141(R)). SFAS 141(R) retains the fundamental requirements of the original pronouncement requiring that the purchase method be used for all business combinations. SFAS 141(R) defines the acquirer as the entity that obtains control of one or more businesses in the business combination, establishes the acquisition date as the date that the acquirer achieves control and requires the acquirer to recognize the assets acquired, liabilities assumed and any noncontrolling interest at their fair values as of the acquisition date. In addition, SFAS 141(R) requires expensing of acquisition-related and restructure-related costs, remeasurement of earn out provisions at fair value, measurement of equity securities issued for purchase at the date of close of the transaction and non-expensing of in-process research and development related intangibles. SFAS 141(R) applies prospectively to business combinations for which the acquisition date is on or after the beginning of the first annual reporting period beginning on or after December 15, 2008. An entity may not apply it before that date. This pronouncement will be applied by the Company when it becomes effective and when or if the Company effectuates a business combination, otherwise there is no impact on the Company’s consolidated financial statements.

3.Cash and Cash Equivalents

At March 31, 20092011 and 2008,2010, the Company had cash and cash equivalents of $70,180$116,617 and $59,046,$84,611, respectively. Cash and cash equivalents 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.

4.Fair Value Measurements

Effective April 1, 2008, the

The Company implemented the requirementsapplies ASC 820 with respect to fair value measurements of SFAS No. 157, “Fair Value Measurements” (SFAS 157) for its(a) nonfinancial assets and liabilities that are recognized or disclosed at fair value and (b) all financial assets and liabilities. SFAS 157 refines the definition ofAs defined by ASC 820, fair value expands disclosure requirements about fair value measurements and establishes specific requirements as well as guidelines for a consistent framework to measure fair value. SFAS 157 defines fair value asis the price that would be received to sell an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants. Further, SFAS 157 requiresparticipants on the measurement date. The Company to maximize the use of observable market inputs, minimize the use of unobservable market inputs and disclose in the form of an outlined hierarchy the details of suchestimates fair value measurements. SFAS 157 specifiesutilizing market data or assumptions that market participants would use in pricing the asset or liability in a hierarchy of valuation techniques based on whethercurrent transaction, including assumptions about risk and the risks inherent in the inputs to athe valuation technique. The Company’s financial instruments, other than those presented in the disclosures below, include accounts receivables, accounts payable and accrued liabilities. The carrying value of these assets and liabilities approximates fair value measurement are considered to be observable or unobservablebecause of the short-term nature of these instruments. ASC 820 prioritizes the inputs used in a marketplace. Observable inputs reflect market data obtained from independent sources, while unobservable inputs reflect the Company’s market assumptions. This hierarchy requires the use of observable market data when available. These two types of inputs have createdmeasuring fair value into the following fair value hierarchy:

hierarchy (with Level 1 as the highest priority):

Level 1

Quoted market prices in active markets for identical assets or liabilities;

Level 2

Observable inputs other than those included in Level 1. For1 (for example, quoted prices for similar assets in active markets or quoted prices for identical assets in inactive markets;markets); and

Level 3

Unobservable inputs reflecting management’s own assumptions about the inputs used in estimating the value of the asset.

68


Recurring Fair Value Measurements
The adoptionfair value hierarchy requires the use of SFAS 157 did not have a material impact on the Company’s consolidatedobservable market data when available. The financial position or results of operations.

On February 12, 2008, the FASB amended the implementation of SFAS 157 related to non-financial assets and liabilities until fiscal periods beginning after November 15, 2008. As a result,



are classified in their entirety based on the Company has not appliedlowest level of input that is significant to the above fair value proceduresmeasurement. The Company’s assessment of the significance of a particular input to its goodwillthe fair value measurement requires judgment and long-lived asset impairment analyses duringmay affect the current year. The Company believes that the adoptionvaluation of SFAS 157 for non-financialfair value assets and liabilities will not have a material impact on its consolidated financial position or results of operations.

and their placement within the fair value hierarchy levels. The following table summarizestables sets forth by level within the fair value hierarchy the Company’s financial assets measuredand liabilities that were accounted for at fair value on a recurring basis in accordance with SFAS 157 as ofat March 31, 20092011 and March 31, 2008:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Balance as of
March 31,
2009

 

Quoted Prices in
Active Markets
For Identical
Assets (Level 1)

 

Significant
Other Observable
Inputs (Level 2)

 

Unobservable
Inputs
(Level 3)

 

 

 

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

70,180

 

$

70,180

 

$

 

$

 

Restricted cash

 

 

1,303

 

 

1,303

 

 

 

 

 

Marketable securities (1)

 

 

7,395

 

 

 

 

 

 

7,395

 

ARS put option rights

 

 

468

 

 

 

 

 

 

468

 

 

 

  

 

  

 

  

 

  

 

 

 

$

79,346

 

$

71,483

 

$

 

$

7,863

 

 

 

  

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Balance as of
March 31,
2008

 

Quoted Prices in
Active Markets
For Identical
Assets (Level 1)

 

Significant
Other Observable
Inputs (Level 2)

 

Unobservable
Inputs
(Level 3)

 

 

 

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

59,046

 

$

59,046

 

$

 

$

 

Restricted cash

 

 

 

 

 

 

 

 

 

Marketable securities (1)

 

 

22,624

 

 

 

 

 

 

22,624

 

 

 

  

 

  

 

  

 

  

 

 

 

$

81,670

 

$

59,046

 

$

 

$

22,624

 

 

 

  

 

  

 

  

 

  

 

(1) 2010:

                 
      Quoted Prices       
      in Active  Significant    
      Markets for  Other    
  Balance at  Identical  Observable  Unobservable 
  March 31,  Assets  Inputs  Inputs 
  2011  (Level 1)  (Level 2)  (Level 3) 
ASSETS                
Cash and cash equivalents $116,617  $116,617  $  $ 
Restricted cash  3,787   3,787       
Marketable securities  1,120   1,120       
             
                 
  $121,524  $121,524  $  $ 
             
                 
LIABILITIES                
Contingent consideration related to acquisitions $13,658     $12,743  $915 
             
                 
  $13,658  $  $12,743  $915 
             
                 
      Quoted Prices       
      in Active  Significant    
      Markets for  Other    
  Balance at  Identical  Observable  Unobservable 
  March 31,  Assets  Inputs  Inputs 
  2010  (Level 1)  (Level 2)  (Level 3) 
ASSETS                
Cash and cash equivalents $84,611  $84,611  $  $ 
Restricted cash  2,339   2,339       
Marketable securities (1)  7,158         7,158 
ARS put option rights (2)  548         548 
             
                 
  $94,656  $86,950  $  $7,706 
             
                 
LIABILITIES                
Contingent consideration related to acquisitions $12,590  $  $  $12,590 
             
                 
  $12,590  $  $  $12,590 
             
(1)Marketable securities consist of ARS.
(2)ARS put option rights are included in other current assets.
On June 30, 2010, the earliest date allowable under the Rights Agreement, the Company exercised its ARS put option rights and put its ARS back to UBS, resulting in a net loss of ARS.

$6, which is included in other income on the accompanying consolidated statements of income. The ARS were sold and settled on July 1, 2010 at 100% of the $7,700 par value. The Company recorded interest of $83 from the ARS for year ended March 31, 2011. The Company has no outstanding ARS or ARS put option rights at March 31, 2011.

The Company’s contingent consideration liability is accounted for at fair value on a recurring basis and is adjusted to fair value when the carrying value differs from fair value. The categorization of the framework used to measure fair value of the NextGen IS contingent consideration liability is considered Level 3 due to the subjective nature of the unobservable inputs used. The fair value of the Company’s ARS, including the Company’s ARS put option rights has beenNextGen IS contingent consideration liability of $915 was estimated by management based on its assumptionsthe probability of what market participants would use in pricing the asset in a current transaction, or level 3 - unobservable inputs in accordance with SFAS 157, and represents $7,863 and $22,624 or 9.9% and 27.7%, of total financial assets measured at fair value in accordance with SFAS 157 at March 31, 2009 and 2008, respectively. Management used a model to estimate the fair value of these securities that includedachieving certain level 2 inputs as well as assumptions, such as a liquidity discount, credit rating of the issuers, based on management’s judgment, which are highly subjective and therefore considered level 3 inputs in the fair value hierarchy. The estimate of the fair value of the ARS could change based on market conditions. For additional information on cash and cash equivalents, restricted cash or marketable securities, see Note 2.business milestones.

69


The following table presents activity in the Company’s financial assets and liabilities measured at fair value using significant unobservable inputs (Level 3), as defined by SFAS 157ASC 820, as of and for the year ended March 31, 2009:

 

 

 

 

 

Balance at March 31, 2008

 

$

22,624

 

Transfer in/(out) of Level 3

 

 

 

Proceeds from sales (at par)

 

 

(14,825

)

Unrealized loss, net of tax

 

 

(404

)

Recognition of ARS put option rights

 

 

468

 

 

 

  

 

Balance at March 31, 2009

 

$

7,863

 

 

 

  

 

Upon execution2011:

         
  Assets  Liabilities 
Balance at March 31, 2009 $7,863  $ 
Transfer into Level 3     12,590 
Proceeds from sale at par  (425)   
Recognized gain  268    
       
         
Balance at March 31, 2010 $7,706  $12,590 
Transfer out of Level 3     (12,743)
Earnout payments     (253)
Goodwill adjustment (1)     532 
Fair value adjustments, net     789 
Proceeds from sale at par  (7,700)   
Recognized loss  (6)   
       
         
Balance at March 31, 2011 $  $915 
       
(1)Adjustment made to goodwill that should have been recorded as part of the Rights Agreement (see Note 2), the final purchase price allocation as of March 31, 2010. Refer to Note 5 — Business Combinations for additional details.
Non-Recurring Fair Value Measurements
The Company electedhas certain assets, including equipment and improvements, goodwill and other intangible assets, which are measured at fair value on a non-recurring basis and are adjusted to fair value the ARS put option rights under SFAS No. 159, “The Fair Value Option for Financial Assets and Liabilities”.only if an impairment charge is recognized. The Company fair valued the ARS put option rights at the inceptioncategorization of the Rights Agreement and is requiredframework used to do so each reporting period, with corresponding changes in fair value being reported through earnings. The Company’s valuation resulted in an estimatedmeasure fair value of $468 for the ARS put option rights asassets is considered Level 3 due to the subjective nature of March 31, 2009, which was recognized in



other (expense) income within the Consolidated Statement of Income forunobservable inputs used. During the year ended March 31, 20092011, there were no adjustments to fair value of such assets.

Fair Value of Financial Instruments
The estimated fair value of financial instruments is determined using the best available market information and appropriate valuation methodologies. However, considerable judgment is includednecessary in other assetsinterpreting market data to develop the estimates of fair value. Accordingly, the estimates presented are not necessarily indicative of the amounts that the Company could realize in a current market exchange, or the value that ultimately will be realized upon maturity or disposition. The use of different market assumptions may have a material effect on the Balance Sheet asestimated fair value amounts. The Company’s financial instruments, other than those presented in the disclosures above, include cash and cash equivalents, accounts receivables, accounts payable and accrued liabilities. The carrying value of March 31, 2009.

these assets and liabilities approximates fair value because of the short-term nature of these instruments.

Interest income related to cash and cash equivalents and marketable securities for each of the three years ended March 31, 2011, 2010 and 2009 is as follows:

 

 

 

 

 

 

 

 

 

 

 

 

 

Year ended March 31,

 

 

 

 

 

 

 

2009

 

2008

 

2007

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Interest income

 

$

1,203

 

$

2,661

 

$

3,306

 

 

 

  

 

  

 

  

 

             
  Fiscal Year Ended March 31, 
  2011  2010  2009 
Interest Income $263  $226  $1,203 
          
5.Business Combinations

Acquisition of Healthcare Strategic Initiatives

On May 20, 2008,February 10, 2010, the Company acquired HSI,Opus, a full-service healthcare RCM company, resulting in HSI becoming a wholly-owned subsidiaryprovider of QSI. HSI’s results of operations have been included in the consolidated financial statements since the date of acquisition.

This acquisition is a part of the Company’s growth strategy for NextGen Practice Solutions. HSI operates under the umbrella of NextGen Practice Solutions. Founded in 1996, HSI currently provides RCM services to providers including healthclinical information systems hospitals, and physicians in private practice with an in-house team of employees including specialists in medical billing, coding and compliance, payor credentialing, and information technology. The Company intends to cross sell both software and RCM services to the acquired customer base of HSI and NextGen.

small hospital inpatient market. The Opus purchase price totaled approximately $15,591 plus up$21,113, which includes a fair value adjustment of $532 to approximately $1,650 in incentives tiedgoodwill and the contingent consideration liability that was recorded during the year ended March 31, 2011. The fair value of the total Opus contingent consideration of $12,048 was estimated at the time of purchase based on the probability of Opus achieving certain earnout payments to future performance. The purchase price consisted of cash and restricted QSI common stock, subject to restrictions on resale lapsingbe paid over a two year period to the selling security holders and transaction related costs. former stock option holders (“option holders”) of Opus if certain operational and strategic objectives were met.

On March 30, 2011, the Company entered into an amendment to the merger agreement to early terminate the terms of the earnout under the original merger agreement for $12,250, payable in 143,000 shares of Company common stock to the selling security holders and $856 in cash to the option holders.

70


The fair value of the 232,081 sharesOpus earnout settlement was $12,743, which is the fair value of common stock issued was determinedthe Opus contingent consideration recorded in other current liabilities as of March 31, 2011. In reviewing the final settlement, the Company identified an error in the initial purchase price allocation related to the fair value of the price collar provisions in the merger agreement. As a result, the Company recorded an adjustment of $532 to goodwill and contingent consideration liability to correct the initial purchase price allocation as of February 10, 2010. The Company has concluded that this correction is not material to any periods affected.
On August 12, 2009, the Company acquired NextGen IS, a provider of financial information systems to the small hospital inpatient market. The NextGen IS purchase price totaled $1,374, including contingent consideration payable over a five year period, consisting of maintenance revenue and license fee payments, estimated at approximately $1,074 based on a formulathe probability of achieving certain business milestones, but which tookin no event shall exceed $2,500.
The Company accounted for the average of the closing price of QSI’s common shares during the 45 day trading period ending on May 19, 2008. The total purchase price for HSI is as follows:

 

 

 

 

 

Cash

 

$

8,000

 

Common stock

 

 

7,350

 

Direct transaction costs

 

 

241

 

 

 

  

 

Total purchase price

 

$

15,591

 

 

 

  

 

The acquisition of HSI was accounted forOpus and NextGen IS acquisitions as a purchase business combination as defined in Statement of Financial Accounting Standards No. 141, “Business Combinations” (SFAS 141).FASB ASC Topic 805,Business Combinations, or ASC 805. Under the purchaseacquisition method of accounting, the purchase price was allocated to HSI’sthe tangible and intangible assets acquired and liabilities assumed based on their estimated fair values as of May 20, 2008.the acquisition date. The fair value of the assets acquired and liabilities assumed represent management’s estimate of fair value. The Company is amortizingestimated fair value of the customer relationshipsacquired tangible and intangible assets and liabilities assumed were determined using multiple valuation approaches depending on the type of tangible or intangible asset over six yearsacquired, including but not limited to the income approach, the excess earnings method as well as the relief from royalty method approach.

The total purchase price for Opus and the trade name over four years. The $10,839 assigned to goodwillNextGen IS is expected to be deductible for tax purposes. See Notes 6 and 7 for a discussion of goodwill and intangibles acquired. As stated above, the Company has agreed to pay additional consideration in future periods, based upon the attainment by the acquired entity of defined operating objectives. In accordance with SFAS 141, the Company does not accrue contingent consideration obligations prior to attainment of these objectives. At March 31, 2009, the maximum potential future consideration pursuant to such arrangements, to be resolved over the following two years, is $1,650. Any such payments would result in increases in goodwill.

summarized as follows:

         
  Opus  NextGen IS 
Cash paid $250  $300 
Common stock issued at fair value  8,815    
Contingent consideration  12,048   1,074 
       
         
Total purchase price $21,113  $1,374 
       
The following table summarizes the final allocation of the Opus and NextGen IS purchase price:

 

 

 

 

 

Current assets (including restricted cash of $1,470 and accounts receivable of $2,176)

 

$

3,808

 

Equipment and improvements and other long-term assets

 

 

342

 

 

 

  

 

Total tangible assets acquired

 

 

4,150

 

Customer relationships

 

 

5,241

 

Trade name

 

 

379

 

Goodwill

 

 

10,839

 

Current liabilities, including long-term debt due within one year

 

 

(4,369

)

Long-term debt

 

 

(649

)

 

 

  

 

Net assets acquired

 

$

15,591

 

 

 

  

 

         
  Opus  NextGen IS 
Fair value of the net tangible assets acquired and liabilities assumed:        
Cash and cash equivalents $2,036  $ 
Current assets (including accounts receivable of $1,753 and $158 for Opus and NextGen IS, respectively)  3,435   158 
Equipment and improvements and other long-term assets  483    
Accounts payable and accrued liabilities  (7,678)   
Current liabilities, including long-term debt due within one year     (79)
Deferred revenues  (3,950)   
       
         
Total tangible assets acquired and liabilities assumed  (5,674)  79 
         
Fair value of identifiable intangible assets acquired:        
Customer relationships  1,250   156 
Software technology  12,000   119 
Goodwill (including assembled workforce of $1,000 and and $84 for Opus and NextGen IS, respectively)  13,537   1,020 
       
         
Total identifiable intangible assets acquired  26,787   1,295 
       
         
Total purchase price $21,113  $1,374 
       
The pro forma effects of this acquisitionthe Opus and NextGen IS acquisitions would not have been material to the Company’s results of operations for the year ended March 31, 20092010 and is therefore is not presented.

71

Acquisition of Practice Management Partners, Inc.


On October 28, 2008, the Company, through its NextGen subsidiary, acquired PMP, a full-service healthcare RCM company, resulting in PMP becoming a wholly-owned subsidiary of NextGen and, ultimately QSI. PMP’s results of operations have been included in the consolidated financial statements since the date of acquisition.

This acquisition is also part of the Company’s growth strategy for NextGen Practice Solutions. Similar to HSI, PMP operates under the umbrella of NextGen Practice Solutions. Founded in 2001, PMP provides physician billing and technology management services to healthcare providers, primarily in the Mid-Atlantic region. The Company intends to cross sell both software and RCM services to the acquired customer base of PMP and NextGen.

The purchase price totaled approximately $19,700 plus up to approximately $3,000 in incentives tied to future performance. The purchase price consisted of $16,950 in cash, including direct transaction costs and $2,750 in restricted QSI common stock, subject to restrictions on resale lapsing over a two year period, and transaction related costs. The value of the 67,733 shares of common stock issued was determined based on a formula which took the average of the closing price of QSI’s common shares during the 45 day trading period ending on October 27, 2008. The total purchase price for PMP is as follows:

 

 

 

 

 

Cash

 

$

16,622

 

Common stock

 

 

2,750

 

Direct transaction costs

 

 

328

 

 

 

  

 

Total purchase price

 

$

19,700

 

 

 

  

 

The acquisition of PMP was accounted for as a purchase business combination as defined in SFAS 141. Under the purchase method of accounting, the purchase price was allocated to PMP’s tangible and intangible assets acquired and liabilities assumed based on their estimated fair values as of October 28, 2008. The fair value of the assets acquired and liabilities assumed represent management’s estimate of fair value. The Company is amortizing the customer relationships intangible asset over nine years and the trade name over four years. The $16,052 assigned to goodwill is not expected to be deductible for tax purposes. See Notes 6 and 7 for a discussion of goodwill and intangibles acquired. As stated above, the Company has agreed to pay additional consideration in future periods, based upon the attainment by the acquired entity of defined operating objectives.

6. Goodwill
In accordance with SFAS 141, the Company does not accrue contingent consideration obligations prior to attainment of these objectives. At March 31, 2009, the maximum potential future consideration pursuant to such arrangements, to be resolved over the following two years, is $3,000. Any such payments would result in increases in goodwill.



The following table summarizes the allocation of the purchase price:

 

 

 

 

 

Current assets (including restricted cash of $125 and accounts receivable of $2,029)

 

$

2,518

 

Equipment and improvements and other long-term assets

 

 

1,485

 

 

 

  

 

Total tangible assets acquired

 

 

4,003

 

Customer relationships

 

 

3,559

 

Trade name

 

 

259

 

Goodwill

 

 

16,052

 

Current liabilities, including long-term debt due within one year

 

 

(1,882

)

Long-term liabilies and debt, including deferred tax liability

 

 

(2,291

)

 

 

  

 

Net assets acquired

 

$

19,700

 

 

 

  

 

The pro forma effects of this acquisition would not have been material to the Company’s results of operations for the year ended March 31, 2009 and therefore is not presented.

6.

Goodwill

In accordance with SFAS 142,ASC 350-20, the Company does not amortize goodwill as the goodwill has been determined to have an indefinite useful life.

Goodwill consists of the following:

 

 

 

 

 

 

 

March 31,
2009

 

 

 

 

 

 

NextGen Healthcare Information Systems, Inc.

 

$

1,840

 

Healthcare Strategic Initiatives

 

 

10,839

 

Practice Management Partners

 

 

16,052

 

 

 

  

 

Total

 

$

28,731

 

 

 

  

 


             
  Balance at      Balance at 
  March 31,      March 31, 
  2010  Adjustment (1)  2011 
NextGen Division            
NextGen Healthcare Information Systems, Inc. $1,840  $  $1,840 
          
Total NextGen Division goodwill  1,840      1,840 
             
Inpatient Solutions Division            
Opus Healthcare Solutions, Inc.  13,005   532   13,537 
NextGen Inpatient Solutions, LLC  1,020      1,020 
          
Total Inpatient Solutions Division goodwill  14,025   532   14,557 
          
             
Practice Solutions Division            
Practice Management Partners, Inc.  19,485      19,485 
Healthcare Strategic Initiatives  10,839      10,839 
          
Total Practice Solutions Division goodwill  30,324      30,324 
          
             
Total goodwill $46,189  $532  $46,721 
          

7.

(1)

Intangible Assets – Customer Relationships and Trade Name

Adjustment made to goodwill that should have been recorded as part of the final purchase price allocation as of March 31, 2010. Refer to Note 5 — Business Combinations for additional details.

7. Intangible Assets
In connection with the Opus acquisition, the Company recorded $13,250 of intangible assets related to customer relationships and software technology. The Company hadamortizes the followingOpus customer relationships intangible asset over 4 years and the software technology over 8 years.
In connection with the NextGen acquisition, the Company recorded $275 of intangible assets related to customer relationships and software technology. The Company amortizes the NextGen IS customer relationships intangible asset over 4 years and the software technology over 3 years.
In connection with the PMP acquisition, the Company recorded $3,817 of intangible assets related to customer relationships and trade name. The Company amortizes the PMP customer relationships intangible asset over 9 years and trade name over 4 years.
In connection with the HSI acquisition, the Company recorded $5,620 of intangible assets related to customer relationships and trade name. The Company amortizes the HSI customer relationships intangible asset over 6 years and trade name over 4 years.
The Company’s intangible assets, other than capitalized software development costs, with determinable lives are summarized as of March 31, 2009:follows:
                 
  March 31, 2011 
  Customer      Software    
  Relationships  Trade Name  Technology  Total 
Gross carrying amount $10,206  $637  $12,119  $22,962 
Accumulated amortization  (3,879)  (429)  (1,764)  (6,072)
             
                 
Net intangible assets $6,327  $208  $10,355  $16,890 
             
                 
Aggregate amortization expense during the year $1,522  $160  $1,573  $3,255 
             
                 
  March 31, 2010 
  Customer      Software    
  Relationships  Trade Name  Technology  Total 
Gross carrying amount $10,206  $637  $12,119  $22,962 
Accumulated amortization  (2,357)  (269)  (191)  (2,817)
             
                 
Net intangible assets $7,849  $368  $11,928  $20,145 
             
                 
Aggregate amortization expense during the year $1,434  $158  $191  $1,783 
             

72

 

 

 

 

 

 

 

 

 

 

 

 

 

Customer
Relationships

 

Trade Name

 

Total

 

 

 

 

 

 

 

 

 

Balance as of April 1, 2008

 

$

 

$

 

$

 

Acquisition

 

 

8,800

 

 

637

 

 

9,437

 

Amortization

 

 

(923

)

 

(111

)

 

(1,034

)

 

 

  

 

  

 

  

 

Balance as of March 31, 2009

 

$

7,877

 

$

526

 

$

8,403

 

 

 

  

 

  

 

  

 


Activity related to the intangible assets is summarized as follows:
                 
  Customer      Software    
  Relationships  Trade Name  Technology  Total 
Balance as of March 31, 2009 $7,877  $526  $  $8,403 
Acquisition  1,406      12,119   13,525 
Amortization (1)  (1,434)  (158)  (191)  (1,783)
             
                 
Balance as of March 31, 2010  7,849   368   11,928   20,145 
Acquisition            
Amortization (1)  (1,522)  (160)  (1,573)  (3,255)
             
                 
Balance as of March 31, 2011 $6,327  $208  $10,355  $16,890 
             
(1)Amortization of the customer relationships and trade name intangible assets is included in operating expenses and amortization of the software technology intangible assets is included in cost of revenue for software, hardware and supplies.
The following table represents the remaining estimated amortization of intangible assets with determinable lives as of March 31, 2009:

 

 

 

 

 

Year ending March 31,

 

 

 

 

2010

 

$

1,428

 

2011

 

 

1,428

 

2012

 

 

1,428

 

2013

 

 

1,317

 

2014

 

 

1,269

 

2015 and beyond

 

 

1,533

 

 

 

  

 

Total

 

$

8,403

 

 

 

  

 

2011:

     
For the year ended March 31,    
2012 $3,320 
2013  3,184 
2014  3,055 
2015  2,013 
2016 and beyond  5,318 
    
     
Total $16,890 
    

8.

Capitalized Software Costs

As of March 31, 2009 and 2008, the Company had the following amounts

8. Capitalized Software Costs
The Company’s capitalized software development costs are summarized as follows:
         
  March 31,  March 31, 
  2011  2010 
Gross carrying amount $52,123  $41,429 
Accumulated amortization  (36,973)  (29,883)
       
         
Net capitalized software costs $15,150  $11,546 
       
         
Aggregate amortization expense during the year $7,091  $5,927 
       
Activity related to net capitalized software costs:costs is summarized as follows:
         
  Fiscal Year Ended March 31, 
  2011  2010 
Beginning of the year $11,546  $9,552 
Capitalized  10,695   7,921 
Amortization  (7,091)  (5,927)
       
         
End of the year $15,150  $11,546 
       

73

 

 

 

 

 

 

 

 

 

 

March 31, 2009

 

March 31, 2008

 

 

 

 

 

 

 

 

Gross carrying amount

 

$

33,508

 

$

27,645

 

Accumulated amortization

 

 

(23,956

)

 

(18,793

)

 

 

  

 

  

 

Net capitalized software costs

 

$

9,552

 

$

8,852

 

 

 

  

 

  

 

Aggregate amortization expense during the year

 

$

5,163

 

$

4,149

 

 

 

  

 

  

 

 

 

 

 

 

 

 

 

Activity related to net capitalized software costs for the years ended March 31, 2009 and 2008 is as follows:

 

 

March 31, 2009

 

March 31, 2008

 

 

 

 

 

 

 

Beginning of the year

 

$

8,852

 

$

6,982

 

Capitalization

 

 

5,863

 

 

6,019

 

Amortization

 

 

(5,163

)

 

(4,149

)

 

 

  

 

  

 

End of the year

 

$

9,552

 

$

8,852

 

 

 

  

 

  

 


The following table represents the remaining estimated amortization of capitalized software costs as of March 31, 2009:

 

 

 

 

 

Year ending March 31,

 

 

 

 

2010

 

$

5,165

 

2011

 

 

3,213

 

2012

 

 

1,174

 

 

 

  

 

 

 

 

 

 

Total

 

$

9,552

 

 

 

  

 


9.

Composition of Certain Financial Statement Captions

2011:

     
For the year ended March 31,    
2012 $6,975 
2013  5,269 
2014  2,705 
2015  201 
    
     
Total $15,150 
    
9. Composition of Certain Financial Statement Captions
Accounts receivable include amounts related to maintenance and services whichthat were billed but not yet rendered as of the end of the year.at each period end. Undelivered maintenance and services are included on the accompanying Consolidated Balance Sheets as parta component of the deferred revenue balance.

 

 

 

 

 

 

 

 

 

 

March 31, 2009

 

March 31, 2008

 

 

 

 

 

 

 

 

Accounts receivable, excluding undelivered software, maintenance and services

 

$

64,003

 

$

50,417

 

 

Undelivered software, maintenance and implementation services billed in advance, included in deferred revenue

 

 

29,944

 

 

28,696

 

 

 

  

 

  

 

Accounts receivable, gross

 

 

93,947

 

 

79,113

 

 

Allowance for doubtful accounts

 

 

(3,877

)

 

(2,528

)

 

 

  

 

  

 

Accounts receivable, net

 

$

90,070

 

$

76,585

 

 

 

  

 

  

 

 

 

 

 

 

 

 

 

Inventories are summarized as follows:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

March 31, 2009

 

March 31, 2008

 

 

 

 

 

 

 

 

Computer systems and components, net of reserve for obsolescence of $210 and $223, respectively

 

$

1,105

 

$

992

 

Miscellaneous parts and supplies

 

 

20

 

 

32

 

 

 

  

 

  

 

Inventories, net

 

$

1,125

 

$

1,024

 

 

 

  

 

  

 

balance on the accompanying consolidated balance sheets.

         
  March 31,  March 31, 
  2011  2010 
Accounts receivable, excluding undelivered software, maintenance and services $90,487  $72,500 
Undelivered software, maintenance and implementation services billed in advance, included in deferred revenue  56,002   39,447 
       
         
Accounts receivable, gross  146,489   111,947 
         
Allowance for doubtful accounts  (6,717)  (4,489)
       
         
Accounts receivable, net $139,772  $107,458 
       

Inventories are summarized as follows:
         
  March 31,  March 31, 
  2011  2010 
Computer systems and components, net of reserve for obsolescence of $264 and $237, respectively $1,925  $1,322 
Miscellaneous parts and supplies  8   18 
       
         
Inventories $1,933  $1,340 
       
Equipment and improvements are summarized as follows:
         
  March 31,  March 31, 
  2011  2010 
Computer equipment $23,567  $18,599 
Furniture and fixtures  5,861   5,136 
Leasehold improvements  4,434   1,969 
       
         
   33,862   25,704 
Accumulated depreciation and amortization  (21,263)  (17,272)
       
         
Equipment and improvements, net $12,599  $8,432 
       

74

 

 

 

 

 

 

 

 

 

 

March 31, 2009

 

March 31, 2008

 

 

 

 

 

 

 

Computer and electronic test equipment

 

$

15,384

 

$

11,454

 

Furniture and fixtures

 

 

3,520

 

 

2,975

 

Leasehold improvements

 

 

1,595

 

 

1,259

 

 

 

  

 

  

 

 

 

 

20,499

 

 

15,688

 

Accumulated depreciation and amortization

 

 

(13,743

)

 

(10,915

)

 

 

  

 

  

 

Equipment and improvements, net

 

$

6,756

 

$

4,773

 

 

 

  

 

  

 

 

 

 

 

 

 

 

 

Accrued compensation and related benefits are summarized as follows:

 

 

 

 

 

 

 

 

 

 

 

 

 

March 31, 2009

 

March 31, 2008

 

 

 

 

 

 

 

Payroll, bonus and commission

 

$

5,768

 

$

5,443

 

Vacation

 

 

3,743

 

 

2,903

 

 

 

  

 

  

 

Accrued compensation and related benefits

 

$

9,511

 

$

8,346

 

 

 

  

 

  

 

 

 

 

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

March 31, 2009

 

March 31, 2008

 

 

 

 

 

 

 

Maintenance

 

$

9,083

 

$

10,175

 

Implementation services

 

 

28,655

 

 

25,929

 

Annual license services

 

 

8,176

 

 

6,532

 

Undelivered software and other

 

 

2,191

 

 

2,259

 

 

 

  

 

  

 

Deferred Revenue

 

$

48,105

 

$

44,895

 

 

 

  

 

  

 

 

 

 

 

 

 

 

 

Other current liabilities are summarized as follows:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

March 31, 2009

 

March 31, 2008

 

 

 

 

 

 

 

Care services liabilities

 

$

1,303

 

$

 

Accrued EDI expenses

 

 

1,258

 

 

 

Accrued royalties

 

 

933

 

 

216

 

Deferred rent

 

 

782

 

 

607

 

Customer deposits

 

 

674

 

 

621

 

Sales tax payable

 

 

602

 

 

765

 

Professional fees

 

 

409

 

 

600

 

Commission payable

 

 

385

 

 

346

 

Other accrued expenses

 

 

2,542

 

 

1,239

 

 

 

  

 

  

 

Other current liabilities

 

$

8,888

 

$

4,394

 

 

 

  

 

  

 


10.

Other Expense


Current and non-current deferred revenue are summarized as follows:
         
  March 31,  March 31, 
  2011  2010 
Maintenance $11,108  $13,242 
Implementation services  52,197   38,137 
Annual license services  10,127   8,214 
Undelivered software and other  3,263   4,516 
       
         
Deferred revenue $76,695  $64,109 
       
         
Deferred revenue, net of current $1,099  $474 
       
Accrued compensation and related benefits are summarized as follows:
         
  March 31,  March 31, 
  2011  2010 
Payroll, bonus and commission $5,014  $4,185 
Vacation  5,233   4,766 
       
         
Accrued compensation and related benefits $10,247  $8,951 
       
Other expense for the year ended March 31, 2009 consisted of impairment losses related to the fair value of the Company’s ARS investmentscurrent liabilities are summarized as well as gains recorded on its ARS Put Option Rights. The Company recognized a pre-tax unrealized impairment charge on its ARS of $730. At the same time, the Company estimated the fair value of the ARS Put Option Rights at $468. See Note 2.

11.

Other Income - Gain from Life Insurance Proceeds

On September 26, 2007, Mr. Gregory Flynn, Executive Vice President and General Manager of the Company’s QSI Division passed away. Mr. Flynn participated in the Company’s deferred compensation plan which is funded through the purchase of life insurance policies with the Company named as beneficiary. As a result of Mr. Flynn’s passing, for the year ended March

follows:

         
  March 31,  March 31, 
  2011  2010 
Contingent consideration related to acquisitions $13,658  $5,275 
Care services liabilities  3,787   2,336 
Accrued EDI expense  2,801   2,000 
Accrued royalties  1,752   926 
Accrued travel  1,026   125 
Customer deposits  962   1,036 
Outside commission payable  599   468 
Sales tax payable  589   506 
Self insurance reserve  475   516 
Deferred rent  437   641 
Professional services  155   391 
Other accrued expenses  3,075   2,000 
       
         
Other current liabilities $29,316  $16,220 
       

31, 2008 the Company recorded additional compensation expense of $198 which was offset by net insurance proceeds of $953. The additional compensation expense was recorded in Selling, General and Administrative Expenses and the insurance proceeds were recorded as Other

10. Income in the Consolidated Statement of Income during fiscal year 2008.

12.

Income Taxes

Tax

During the years ended March 31, 2009, 20082011, 2010, and 2007,2009, the Company claimedrecognized federal research and development tax credits of $859, $779$927, $605 and $787,$859, respectively, and state research and development tax credits of approximately $166, $113$119, $129 and $99,$166, respectively. Due to the expiration of the Internal Revenue Service (“IRS”) statute related to research and development credits on December 31, 2007,2009, the Company’s research and development credits claimed for the year ended March 31, 20082010 represent credits for the nine-month period from April 1, 20072009 through December 31, 2007. 2009. In December 2010, subsequent to the filing of the fiscal year 2010 federal income tax return, a retroactive extension was enacted to extend the research credit through December 31, 2011.
The Company also claimed the qualified production activities deduction under Section 199 of the Internal Revenue Code (“IRC”) for $2,747, $3,069$8,134, $4,133, and $1,457$2,747 during the years ended March 31, 2009, 20082011, 2010, and 2007,2009, respectively. The research and development credits and the qualified production activities income deduction takencalculated by the Company involve certain assumptions and judgments regarding qualification of expenses under the relevant tax code provisions.

75


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

 

 

 

 

 

 

 

 

 

 

 

 

 

Year ended March 31,

 

 

 

 

 

 

 

2009

 

2008

 

2007

 

 

 

 

 

 

 

 

 

Current:

 

 

 

 

 

 

 

 

 

 

Federal taxes

 

$

18,818

 

$

18,120

 

$

18,106

 

State taxes

 

 

4,992

 

 

4,348

 

 

4,488

 

 

 

  

 

  

 

  

 

Total

 

 

23,810

 

 

22,468

 

 

22,594

 

 

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

Deferred:

 

 

 

 

 

 

 

 

 

 

Federal taxes

 

 

2,802

 

 

333

 

 

(1,347

)

State taxes

 

 

596

 

 

124

 

 

(295

)

 

 

  

 

  

 

  

 

Total

 

 

3,398

 

 

457

 

 

(1,642

)

 

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

$

27,208

 

$

22,925

 

$

20,952

 

 

 

  

 

  

 

  

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

Year ended March 31,

 

 

 

 

 

 

 

2009

 

2008

 

2007

 

 

 

 

 

 

 

 

 

Current:

 

 

 

 

 

 

 

 

 

 

Federal income tax statutory rate

 

 

35.0

%

 

35.0

%

 

35.0

%

Increase (decrease) resulting from:

 

 

 

 

 

 

 

 

 

 

State income taxes, net of Federal benefit

 

 

5.2

 

 

4.8

 

 

5.0

 

Research and development tax credits

 

 

(1.3

)

 

(1.3

)

 

(1.7

)

Qualified Production Activities Income Deduction

 

 

(1.4

)

 

(1.8

)

 

(0.9

)

Other

 

 

(0.4

)

 

(0.3

)

 

1.3

 

 

 

  

 

  

 

  

 

Effective income tax rate

 

 

37.1

%

 

36.4

%

 

38.7

%

 

 

  

 

  

 

  

 


             
  Fiscal Year Ended March 31, 
  2011  2010  2009 
Current:            
Federal taxes $28,979  $23,750  $18,818 
State taxes  6,501   5,043   4,992 
          
             
Total current taxes  35,480   28,793   23,810 
          
             
Deferred:            
Federal taxes $(2,168) $(768) $2,802 
State taxes  (502)  (186)  596 
          
             
Total deferred taxes  (2,670)  (954)  3,398 
          
             
Provision for income taxes $32,810  $27,839  $27,208 
          

The provision for income taxes differs from the amount computed at the federal statutory rate as follows:
             
  Fiscal Year Ended March 31, 
  2011  2010  2009 
Current:            
Federal income tax statutory rate  35.0%  35.0%  35.0%
             
Increase (decrease) resulting from:            
State income taxes, net of Federal benefit  4.1   4.3   5.2 
Research and development tax credits  (1.0)  (0.9)  (1.3)
Qualified production activities income deduction  (3.0)  (2.0)  (1.4)
Other  (0.3)  0.1   (0.4)
          
             
Effective income tax rate  34.8%  36.5%  37.1%
          
The net deferred tax assets (liabilities)and liabilities in the accompanying Consolidated Balance Sheetsconsolidated balance sheets consist of the following:
         
  March 31,  March 31, 
  2011  2010 
Deferred tax assets:        
Deferred revenue and allowance for doubtful accounts $8,646  $5,577 
Inventory valuation  122   115 
Purchased in-process research and development     601 
Accrued compensation and benefits  3,180   2,325 
Deferred compensation  1,078   783 
State income taxes  452   640 
Compensatory stock option expense  1,759   252 
Other  1,071   125 
       
         
Total deferred tax assets  16,308   10,418 
       
         
Deferred tax liabilities:        
Accelerated depreciation $(2,181) $(1,529)
Capitalized software  (5,913)  (4,806)
Intangibles assets  (6,132)  (6,938)
Prepaid expense  (3,069)  (2,326)
       
         
Total deferred tax liabilities  (17,295)  (15,599)
       
         
Deferred tax assets (liabilities), net $(987) $(5,181)
       

76

 

 

 

 

 

 

 

 

 

 

March 31, 2009

 

March 31, 2008

 

 

 

 

 

 

 

Deferred tax assets:

 

 

 

 

 

 

 

Deferred revenue and allowance for doubtful accounts

 

$

3,271

 

$

4,534

 

Inventory valuation

 

 

100

 

 

137

 

Purchased in-process research and development

 

 

912

 

 

1,187

 

Intangibles assets

 

 

 

 

102

 

Accrued compensation and benefits

 

 

1,955

 

 

1,701

 

Deferred compensation

 

 

789

 

 

806

 

State income taxes

 

 

185

 

 

92

 

Compensatory stock option expense

 

 

125

 

 

1,139

 

Unrealized loss on marketable securities

 

 

 

 

130

 

Other

 

 

779

 

 

801

 

 

 

  

 

  

 

Total deferred tax assets

 

 

8,116

 

 

10,629

 

 

 

  

 

  

 

 

 

 

 

 

 

 

 

Deferred tax liabilities:

 

 

 

 

 

 

 

Accelerated depreciation

 

 

(1,114

)

 

(545

)

Capitalized software

 

 

(4,126

)

 

(3,746

)

Intangibles assets

 

 

(1,412

)

 

 

Prepaid expense

 

 

(2,036

)

 

(1,516

)

 

 

  

 

  

 

Total deferred tax liabilities

 

 

(8,688

)

 

(5,807

)

 

 

  

 

  

 

Deferred tax assets (liabilities), net

 

$

(572

)

$

4,822

 

 

 

  

 

  

 


The deferred tax assets and liabilities have been shown net in the accompanying Consolidated Balance Sheetsconsolidated balance sheets based on the long-term or short-term nature of the items whichthat 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.

On April 1, 2007, the Company adopted the provisions of FASB Interpretation No. 48, “Accounting for Uncertainty in Income Taxes (FIN 48) an interpretation of FASB Statement No. 109 (SFAS 109).” The adoption of the provisions of FIN 48 had no material effect on the consolidated financial statements. As a result, there was no cumulative effect related to adopting FIN 48. However, certain amounts have been reclassified in the Company’s Consolidated Balance Sheets in order to comply with the requirements of the statement. At adoption, the Company had $394 of unrecognized

Uncertain tax benefits, $89 of which would affect the Company’s effective tax rate if recognized in the future. positions
A reconciliation of the beginning and ending amount of unrecognized tax benefits, which is recorded in income taxes payable in the Company’s Consolidated Balance Sheet,consolidated balance sheet, is as follows:

 

 

 

 

 

Balance at April 1, 2008

 

$

613

 

Additions for prior year tax positions

 

 

15

 

Reductions for prior year tax positions

 

 

(561

)

 

 

  

 

 

Balance at March 31, 2009

 

$

67

 

 

 

  

 

     
Balance as of March 31, 2009 $67 
Additions for prior year tax positions  598 
Reductions for prior year tax positions  (9)
    
     
Balance as of March 31, 2010 $656 
Additions for prior year tax positions  34 
Reductions for prior year tax positions  (18)
    
     
Balance as of March 31, 2011 $672 
    
The total amount of unrecognized tax benefit that, if recognized, would decrease the income tax provision is $67.

$672.

The Company’s continuing practice is to recognize estimated interest and/or penalties related to income tax matters in general and administrative expenses. The Company had approximately $12$83 and $8$59 of accrued interest related to income tax matters at March 31, 20092011 and 2008,2010, respectively. No penalties were accrued.

Uncertain tax positions

The Company’s income tax returns filed for tax years 20052007 through 20072009 and 20042006 through 20072009 are subject to examination by the federal and state taxing authorities, respectively. The Company is currently not under examination by the Internal Revenue Service (IRS). However, the CompanyIRS and is under routineexamination by one state income tax authority and pending examination by three states.additional state agencies. The Company does not anticipate



that total unrecognized tax benefits will significantly change due to the settlement of audits or the expiration of statute of limitations within the next twelve months.

13.

11. 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 ServiceIRS limit based on the Internal Revenue CodeIRC 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 $357, $317$479, $371 and $250$357 were made by the Company to the 401(k) plan for the fiscal years ended March 31, 2011, 2010 and 2009, 2008 and 2007, respectively.

The Company has a deferred compensation plan (the Deferral Plan)“Deferral Plan”) for the benefit of those officers and employees who qualify for inclusion. Participating employees may defer up to 75% of their salary and 100% of their annual bonus 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 (“insurance subaccounts”).funds. Deferred compensation liability was $1,838$2,488 and $1,906$1,883 at March 31, 20092011 and 2008,2010, 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 $1,715$2,953 and $1,858$2,670 at March 31, 20092011 and 2008,2010, respectively. The values of the life insurance policies and the related Company obligation are included on the accompanying Consolidated Balance Sheetsconsolidated balance sheets in long-term other assets and long-term deferred compensation, respectively. The Company made contributions of $33, $48 and $29 to the Deferral Plan for each of the fiscal years ended March 31, 2011, 2010 and 2009, 2008 and 2007, respectively.

The Company has a voluntary employee stock contribution plan for the benefit of full-time employees. The plan is designed to allow certainqualified 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/his or her gross payroll each pay period to be used to purchase shares on the open market by a broker designated by the Company. In addition, the Company will match 5% of each employee’s contribution and will pay all brokerage commissions and fees in connection with each purchase. The amount of the Company match is discretionary and subject to change. The plan is not intended to be an employee benefit plan under the Employee Retirement Income Security Act of 1974, and is therefore not required to comply with that Act. Contributions of approximately $14, $28$39, $35 and $10$14 were made by the Company for the fiscal years ended March 31, 2011, 2010 and 2009, 2008 and 2007, respectively.

77

14.


12. Share-Based Awards
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 Stockcommon stock were reserved for the issuance of options. The 1998 Plan provides that employees, directors and consultants of the Company may, at the discretion of the Board of Directors or a duly designated compensation committee, be granted options to purchase shares of Common Stock.common stock. The exercise price of each option granted shall bewas 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 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 terminated on December 31, 2007. As of March 31, 2009,2011, there were 496,751228,510 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 beencommon stock were 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 may, at the discretion of the Board of Directors or a duly designated compensation committee, be



granted awards to purchaseacquire shares of Common Stock.common stock. The exercise price of each option award granted shall be determined by the Board of Directors at the date of grant in accordance with the terms of the 2005 Plan, and under the 2005 Plan awards 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. Upon an acquisition of the Company by merger or asset sale, each outstanding awardoption may be subject to accelerated vesting under certain circumstances. The 2005 Plan terminates on May 25, 2015, unless terminated earlier by the Board. AtBoard of Directors. As of March 31, 2009, 2,076,6992011, there were 470,268 outstanding options and 1,786,624 shares were available for future grant under the 2005 Plan. As of March 31, 2009, there were 323,331 outstanding options related to this Plan.

A summary of stock option transactions during the years ended March 31, 2009, 20082011, 2010 and 20072009 is as follows:
                 
      Weighted-  Weighted-    
      Average  Average  Aggregate 
      Exercise  Remaining  Intrinsic 
  Number of  Price  Contractual  Value 
  Shares  per Share  Life (years)  (in thousands) 
Outstanding, March 31, 2008  1,303,734  $22.81         
Granted  298,331  $38.71         
Exercised  (697,083) $17.96      $17,182 
Forfeited/Canceled  (84,900) $25.93         
                
                 
Outstanding, March 31, 2009  820,082  $32.39         
Granted  289,484  $58.44         
Exercised  (237,603) $24.64      $8,254 
                
                 
Outstanding, March 31, 2010  871,963  $43.15   4.5     
Granted  55,000  $58.29   7.3     
Exercised  (153,714) $37.19   2.0  $7,093 
Forfeited/Canceled  (74,471) $55.01   5.8     
                
                 
Outstanding, March 31, 2011  698,778  $44.40   3.9  $27,213 
                
                 
Vested and expected to vest, March 31, 2011  679,965  $44.21   3.9  $26,608 
                
                 
Exercisable, March 31, 2011  297,260  $36.66   2.3  $13,875 
                

78

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of
Shares

 

Weighted
Average
Exercise
Price

 

Weighted
Average
Remaining
Contractual
Life

 

Aggregate
Intrinsic Value
(in thousands)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Outstanding, March 31, 2006

 

 

1,798,372

 

$

16.78

 

 

 

 

 

 

 

Granted

 

 

75,000

 

$

38.36

 

 

 

 

 

 

 

Exercised

 

 

(411,414

)

$

14.74

 

 

 

 

$

10,393

 

Forfeited/Canceled

 

 

(8

)

$

3.25

 

 

 

 

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Outstanding, March 31, 2007

 

 

1,461,950

 

$

18.46

 

 

 

 

 

 

 

Granted

 

 

225,500

 

$

38.78

 

 

4.31

 

 

 

 

Exercised

 

 

(325,266

)

$

14.64

 

 

2.48

 

$

4,955

 

Forfeited/Canceled

 

 

(58,450

)

$

21.12

 

 

3.33

 

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Outstanding, March 31, 2008

 

 

1,303,734

 

$

22.81

 

 

3.40

 

$

12,220

 

Granted

 

 

298,331

 

$

38.71

 

 

4.62

 

 

 

 

Exercised

 

 

(697,083

)

$

17.96

 

 

2.27

 

$

17,182

 

Forfeited/Canceled

 

 

(84,900

)

$

25.93

 

 

2.89

 

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Outstanding, March 31, 2009

 

 

820,082

 

$

32.39

 

 

3.63

 

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vested and expected to vest, March 31, 2009

 

 

811,056

 

$

32.32

 

 

3.62

 

$

10,496

 

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Exercisable, March 31, 2007

 

 

520,650

 

$

20.32

 

 

 

 

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

 

Exercisable, March 31, 2008

 

 

654,298

 

$

19.90

 

 

 

 

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

 

Exercisable, March 31, 2009

 

 

354,737

 

$

24.25

 

 

2.84

 

$

7,448

 

 

 

  

 

 

 

 

 

 

 

 

 

 


The Company continues to utilizeaccounts for share-based compensation in accordance with ASC 718 and utilizes 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

Year EndedYear Ended
March 31, 2011March 31, 2010March 31, 2009

Year Ended
March 31, 2008

Year Ended
March 31, 2007

Expected life
 

4.2 years
 

4.4 - 4.8 years
 

4.0 years

Expected volatility

42.6% - 44.7

%

45.5% - 47.7
%42.0% - 46.7%

Expected life

dividends

4.01 years

1.9% - 2.2

3.75%

1.9% - 4.01 years

2.2

%

3.75

2.9% - 4.75 years

3.5

%

Expected volatility

42.00% - 46.70%

42.37% - 44.81%

47.70% - 48.50%

Expected dividends

2.90% - 3.50%

2.67% - 3.38%

2.05% - 2.36%

Risk-free rate

1.07%

1.5% - 3.40%

2.1

%

2.46%

0.8% - 5.09%

2.4

%

4.53%

1.1% - 5.09%

3.4

%

During

The weighted average grant date fair value of stock options granted during the yearyears ended March 31, 2011, 2010 and 2009 298,331 options were granted under the 2005 Planwas $18.48, $19.30 and no options were granted under the 1998 Plan. During the year ended March 31, 2008, 25,000 options were granted under the 2005 Plan and 200,500 were granted under the 1998 Plan. $11.22 per share, respectively.
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 1.94%3.6%, 1.7% and 1.9% for employee options for the years ended March 31, 2011, 2010 and 2009 and 0.0% for director options for the yearyears ended March 31, 2011, 2010 and 2009. Based on historical experience of option cancellations,Forfeiture rates will be adjusted over the Company has estimated an annualized forfeiture rate of 2.0% for employee options and 0.0% for director options



forrequisite service period when actual forfeitures differ, or are expected to differ, from the year ended March 31, 2008. The weighted average grant date fair value of stock options granted duringestimate.

During the years ended March 31, 2009, 20082011, 2010 and 2007 was $11.22, $12.41 and $14.33 per share, respectively. The expected dividend yield is the average dividend rate during a period equal to the expected life of the option.

On November 5, 2008, the Board of Directors granted2009, a total of 80,14155,000, 289,484 and 298,331 options, respectively, were granted under the Company’s 2005 Plan to selected employees at an exercise price equal to the market price of the Company’s common stock on the date of grant ($42.20 per share). The options vest in four equal annual installments beginning November 5, 2009 and expire on November 5, 2013. The fair value of these options was $12.48 per share.

On September 9, 2008, the Board of Directors granted a total of 35,000 options under the Company’s 2005 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 ($45.61 per share). The options vest in four equal annual installments beginning September 9, 2009 and expire on September 9, 2015. The fair value of these options was $13.21 per share.

On August 18, 2008, the Board of Directors granted a total of 50,000 options under the Company’s 2005 Plan to an employee at an exercise price equal to the market price of the Company’s common stock on the date of grant ($40.08 per share). The options vest in four equal annual installments beginning August 18, 2009 and expire on August 18, 2013. The fair value of these options was $11.72 per share.

On August 11, 2008, the Board of Directors granted a total of 25,000 options under the Company’s 2005 Plan to selected employees at an exercise price equal to the market price of the Company’s common stock on the date of grant ($40.71 per share). The options vest in four equal annual installments beginning August 11, 2009 and expire on August 11, 2013. The fair value of these options was $11.96 per share.

On June 13, 2008, the Board of Directors granted a total of 108,190 options under the Company’s 2005 Plan to selected employees at an exercise price equal to the market price of the Company’s common stock on the date of grant ($32.79 per share). The options vest in four equal annual installments beginning June 13, 2009 and expire on June 13, 2013. The fair value of these options was $9.24 per share.

On May 31, 2008, 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 2009. Under the program, options may also be granted as an incentive to prospective employees to join the Company. 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, vesting 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 285,000, of which 20,000 is reserved for new employees (such new employee grants not being subject to the earnings and revenue criteria set forth above). Based on performance versus established plan targets, no expense related to the performance plan was recorded for the year ended March 31, 2009 and no options were issued under the program in fiscal year 2009.

On February 8, 2008, the Board of Directors granted 25,000 options under the Company’s 2005 Plan to selected employees, at an exercise price equal to the market price of the Company’s common stock on the date of grant ($33.51 per share). The options vest in four equal annual installments beginning February 8, 2009 and expire on February 8, 2013. The fair value of these options was $9.42 per share.

On November 5, 2007, the Board of Directors granted 6,000 options under the Company’s 1998 Plan to an employee, at an exercise price equal to the market price of the Company’s common stock on the date of grant ($33.25 per share). The options vest in four equal annual installments beginning November 5, 2008 and expire on November 5, 2012. The fair value of these options was $9.69 per share.

On August 9, 2007, 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 ($43.26 per share). The options vest in four equal annual installments beginning August 9, 2008 and expire on August 9, 2012. The fair value of these options was $12.97 per share.



On June 12, 2007, the Board of Directors granted a total of 159,500 options under a previously approved performance-based equity incentive program for selected employees based on fiscal year 2007 performance. These shares were issued under the Company’s 1998 Stock Option Plan at an exercise price equal to the market price of the Company’s common stock on the date of grant ($38.83 per share). Thegrant. A summary of stock options vest in four equal annual installments beginning June 12, 2008 and expire on June 12, 2012. The fair value of these options was $12.86 per share.

On September 20, 2006, the Board of Directors granted a total of 35,000 options under the Company’s 19982005 Plan to non-management directors pursuant toduring 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, 2007years ended March 31, 2011, 2010 and expire on September 20, 2013. The fair value of these options was $15.52 per share.

2009 is as follows:

             
  Number of      Vesting  
Option Grant Date Shares  Exercise Price  Terms (1) Expires
November 29, 2010  10,000  $64.32  Five years November 29, 2018
August 3, 2010  5,000  $55.24  Five years August 3, 2018
June 4, 2010  25,000  $56.29  Five years June 4, 2018
June 2, 2010  15,000  $58.62  Five years June 2, 2018
            
             
Fiscal year 2011 option grants  55,000         
             
February 16, 2010  118,059  $56.95  Five years February 16, 2018
February 16, 2010  3,000  $56.95  Two years February 16, 2013
December 7, 2009  63,425  $60.29  Five years December 7, 2017
November 30, 2009  75,000  $59.49  Five years November 30, 2017
September 17, 2009  30,000  $58.03  Five years September 17, 2017
            
             
Fiscal year 2010 option grants  289,484         
             
November 5, 2008  80,141  $42.20  Four years November 5, 2013
September 9, 2008  35,000  $45.61  Four years September 9, 2015
August 18, 2008  50,000  $40.08  Four years August 18, 2013
August 11, 2008  25,000  $40.71  Four years August 11, 2013
June 13, 2008  108,190  $32.79  Four years June 13, 2013
            
             
Fiscal year 2009 option grants  298,331         
(1)Options vest in equal annual installments on each grant anniversary date beginning one year after the grant date.
Performance-Based Awards
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. The fair value of these options was $13.29 per share.

On July 25, 2006,May 26, 2010, the Board of Directors approved a performance-basedits fiscal year 2011 equity incentive program for certain employees to be awarded options to purchase the Company’s common stockstock. The maximum number of options available under the equity incentive program plan is 280,000, of which 115,000 are reserved for the Company’s named executive officers and 165,000 for non-executive employees of the Company. Under the program, executives are eligible to receive options based on meeting certain target increases in earnings per share performance and revenue growth during fiscal year 2007.2011. Under the program, the non-executive employees are eligible to receive options based on satisfying certain management established criteria and recommendations of senior management. 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 eight years and vesting in five years, vest in four equal annual installments commencing one year following the date of grant. The maximum

79


Compensation expense associated with the performance based awards under the Company’s 2011 incentive plan are initially based on the number of options originally available underexpected to vest after assessing the performance-based equity incentive program plan was 115,000. On January 29, 2007, a committee comprisedprobability that certain performance criteria will be met. Cumulative adjustments are recorded quarterly to reflect subsequent changes in the estimated outcome of allperformance-related conditions. The Company utilized the independent directors ofBlack-Scholes option valuation model and recorded stock compensation expense related to 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 numberawards 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 inapproximately $788 during the year ended March 31, 2007. A total of 159,500 options2011 using the assumptions below. During the year ended March 31, 2009, there was granted during the quarter ended June 30, 2007no stock compensation expense related to performance based on the achievement of certain fiscal 2007 revenue and earnings per share performance targets included in the fiscal year 2007 equity incentive program.

awards.

         
  Year Ended Year Ended
  March 31, 2011 March 31, 2010
Expected life 4.3 years 4.4 years
Expected volatility  41.6%  45.5%
Expected dividends  1.5%  2.2%
Risk-free rate  2.2%  2.3%
Non-vested stock option award activity, including employee stock options and performance-based awards, forduring the yearyears ended March 31, 2011, 2010 and 2009 is summarized as follows:

 

 

 

 

 

 

 

 

 

 

Non-vested
Number of
Shares

 

Weighted-Average
Grant Date Fair
Value per Share

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Non-vested, March 31, 2008

 

 

649,436

 

$

9.57

 

Granted

 

 

298,331

 

$

11.22

 

Vested

 

 

(397,522

)

$

8.14

 

Forfeited/Canceled

 

 

(84,900

)

$

10.17

 

 

 

  

 

 

 

 

Non-vested, March 31, 2009

 

 

465,345

 

$

11.74

 

 

 

  

 

 

 

 

         
      Weighted- 
      Average 
  Non-Vested  Grant-Date 
  Number of  Fair Value 
  Shares  per Share 
Outstanding, March 31, 2008  649,436  $9.57 
Granted  298,331  $11.22 
Vested  (397,522) $8.14 
Forfeited/Canceled  (84,900) $10.17 
        
         
Outstanding, March 31, 2009  465,345  $11.74 
Granted  289,484  $19.30 
Vested  (143,993) $12.03 
        
         
Outstanding, March 31, 2010  610,836  $15.26 
Granted  55,000  $18.48 
Vested  (189,847) $12.86 
Forfeited/Canceled  (74,471) $18.82 
        
         
Outstanding, March 31, 2011  401,518  $16.17 
        
As of March 31, 2009, $5,2822011, $4,740 of total unrecognized compensation costs related to stock options is expected to be recognized over a weighted averageweighted-average period of 4.235.0 years. This amount does not include the cost of new options that may be granted in future periods noror any changes in the Company’s forfeiture percentage. The total fair value of options vested during the years ended March 31, 2011, 2010 and 2009 was $2,442, $1,732 and $3,236, respectively.
Restricted Stock Units
On May 27, 2009, the Board of Directors approved its Outside Director Compensation Plan, whereby each non-employee Director is to be awarded shares vestedof restricted stock units upon election or re-election to the Board. The restricted stock units are awarded under the 2005 Plan. Such restricted stock units vest in two equal, annual installments on the first and second anniversaries of the grant date and are nontransferable for one year following vesting. Upon each vesting of the award, one share of common stock shall be issued for each restricted stock unit. The weighted-average grant date fair value for the restricted stock units was estimated using the market price of its common stock on the date of grant. The fair value of these restricted stock units is amortized on a straight-line basis over the vesting period.

80


As of March 31, 2011, 17,146 restricted stock units were issued and approximately $427 and $136 of compensation expense was recorded under this Plan during the years ended March 31, 2011 and 2010, respectively. There were no restricted stock units issued during the year ended March 31, 2009 was $3,236.

2009. Restricted stock units award activity for the years ended March 31, 2011 and 2010 is summarized as follows:

         
      Weighted- 
      Average 
      Grant-Date 
  Number of  Fair Value 
  Shares  per Share 
Outstanding, March 31, 2009       
Granted  8,000  $53.86 
        
         
Outstanding, March 31, 2010  8,000  $53.86 
Granted  9,146  $54.62 
Vested  (5,698) $54.43 
        
         
Outstanding, March 31, 2011  11,448  $54.18 
        

15.

Commitments, Guarantees and Contingencies

As of March 31, 2011, $368 of total unrecognized compensation costs related to restricted stock units is expected to be recognized over a weighted-average period of 1.1 years. This amount does not include the cost of new restricted stock units that may be granted in future periods.
13. Commitments, Guarantees and Contingencies
Rental Commitments.Commitments
The Company leases facilities and offices under irrevocable operating lease agreements expiring at various dates through May 2013September 2016 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, 2011, 2010 and 2009 2008was $3,964, $4,264 and 2007 was $3,560, $2,737 and $2,329, respectively. Rental commitments under these agreements are as follows:

 

 

 

 

 

Year Ending March 31,

 

 

 

 

2010

 

$

4,475

 

2011

 

 

4,311

 

2012

 

 

2,439

 

2013

 

 

985

 

2014

 

 

135

 

 

 

  

 

 

 

$

12,345

 

 

 

  

 

     
Year ended March 31,    
2012 $5,137 
2013  5,475 
2014  5,424 
2015  5,008 
2016 and beyond  5,697 
    
     
  $26,741 
    
Commitments and Guarantees.Guarantees
Software license agreements in both the QSI Dental Divisions and NextGen DivisionsDivision 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 theseits performance guarantee or other related 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 does 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 and all other criteria for revenue recognition have been met, 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, provided also, that all other criteria of revenue recognition have been met.

Certain standard sales agreements contain a money back guarantee providing for a performance guarantee that is already part of the software license agreement as well as training and support. The money back guarantee also warrants that the software will remain robust and flexible to allow participation in the federal health incentive programs. The specific elements of the performance guarantee pertain to aspects of the software, which the Company has already tested and confirmed to consistently meet using the Company’s existing software without any modifications or enhancements. To date, the Company has not incurred any costs associated with this guarantee and does not expect to incur significant costs in the future. Therefore, no accrual has been made for potential costs associated with this guarantee.
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 partythird-party with respect to its software. The QSI Dental 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.

81

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 whichclients that 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.

Litigation.Litigation
The Company has experienced certain legal claims by parties asserting that it has infringed certain intellectual property rights. The Company believes that these claims are



without merit and the Company has defended them vigorously. However, in order to avoid the further legal costs and diversion of management resources it is reasonably possible that a settlement may be reached which could result in a liability to the Company. However, at this time it is not possible to estimate with reasonable certainty what amount, if any, may be incurred as a result of a settlement. Litigation is inherently uncertain and always difficult to predict.

16.

Operating Segment Information

14. Operating Segment Information
The Company has prepared operating segment information in accordance with SFAS 131 “Disclosures About Segments of an Enterprise and Related Information,”ASC 280 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
During fiscal year 2011, as a result of certain organizational changes, the composition of the Company’s NextGen Division was revised to exclude the Company’s inpatient solutions entities (Opus and NextGen IS), both of which are now aggregated in the Company’s Inpatient Solutions Division. Following the reorganization, the Company now operates four reportable segments include(not including Corporate), comprised of the NextGen Division, the Inpatient Solutions Division, the QSI Dental Division and the QSIPractice Solutions Division.
Prior period segment results were revised accordingly to reflect the organizational changes. The results of operations related to the fiscal year 2010 acquisitions of Opus and NextGen IS are now included in the Inpatient Solutions Division. The results of operations related to the fiscal year 2009 acquisitions of HSI and PMP acquisitions are included in the Practice Solutions Division.
The QSI Dental Division, co-located with the Company’s corporate headquarters in Irvine, California, currently focuses on developing, marketing and supporting software suites sold to dental practices.
The NextGen Division.

Division, with headquarters in Horsham, Pennsylvania, provides integrated clinical, financial and connectivity solutions for ambulatory and dental provider organizations.

The two divisionsInpatient Solutions Division, with its primary location in Austin, Texas, provides integrated clinical, financial and connectivity solutions for rural and community hospitals.
The NextGen Division, with headquarters in Horsham, Pennsylvania, and significant locations in Atlanta, Georgia and Austin, Texas, focuses principally on developing and marketing products and services for medical practices.
The Practice Solutions Division, with locations in St. Louis, Missouri and Hunt Valley, Maryland, focuses primarily on providing physician practices with RCM services, primarily billing and collection services for medical practices. This Division combines a Web-delivered SaaS model and the NextGenpm software platform to execute its service offerings.
The Divisions operate largely as stand-alone operations, with each divisionDivision maintaining its own distinct product lines, product platforms, development, implementation and support teams, sales staffing and branding. The two divisionsDivisions share the resources of the Company’s “corporate office”office,” which includes a variety of accounting and other administrative functions. Additionally, there are a small but growing number of clients who are simultaneously utilizing software or services from eachmore than one 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 UNIX based medical practice management software product. The NextGen Division, with headquarters in Horsham, Pennsylvania, and significant locations in Atlanta, Georgia, St. Louis, Missouri and Hunt Valley, Maryland, focuses principally on developing and marketing products and services for medical practices.

Divisions.

The accounting policies of the Company’s operating segments are the same as those described in Note 2, - Summary of Significant Accounting Policies, except that the disaggregated financial results of the segments reflect allocation of certain functional expense categories consistent with the basis and manner in which Company management internally disaggregates financial information for the purpose of assisting in making internal operating decisions. Certain corporate overhead costs, such as executive and accounting department personnel-related expenses, are not allocated to the individual segments by management.

82


Operating segment data is as follows:
             
  Fiscal Year Ended March 31, 
  2011  2010  2009 
Revenue:            
QSI Dental Division $19,966  $17,128  $15,851 
NextGen Division  266,546   228,730   203,954 
Inpatient Solutions Division  17,898   2,891    
Practice Solutions Division  48,953   43,062   25,710 
          
             
Consolidated revenue $353,363  $291,811  $245,515 
          
             
Operating income:            
QSI Dental Division $4,672  $3,460  $3,385 
NextGen Division  104,391   87,432   81,323 
Inpatient Solutions Division  5,362   676    
Practice Solutions Division  4,235   2,314   2,455 
Unallocated corporate expense  (24,568)  (18,158)  (14,760)
          
             
Consolidated operating income $94,092  $75,724  $72,403 
          
Management evaluates performance based onupon stand-alone segment operating income. Because the Company does not evaluate performance based onupon return on assets at the operating segment level, assets are not tracked internally by segment. Therefore, segment asset information is not presented.
All of the recorded goodwill at March 31, 20092011 relates to the Company’s NextGen Division, includingInpatient Solutions Division and Practice Solutions Division. The goodwill relating to the fiscal year 2009 acquisitions of HSI and PMP.

Operating segment data forPMP is recorded in the Practice Solutions Division. The goodwill relating to the fiscal year 2010 acquisitions of Opus and NextGen IS is recorded in the Inpatient Solutions Division. See Note 6.

15. Subsequent Events
On April 1, 2011, the Company entered into an Asset Purchase Agreement (“Agreement”), with IntraNexus, Inc. The purchase price consisted of cash consideration of $3,250 plus additional contingent consideration to be made over a three years ended March 31 wasyear period as follows:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

QSI Division

 

NextGen
Division

 

Unallocated
Corporate
Expenses

 

Consolidated

 

 

 

 

 

 

 

 

 

 

 

2009

 

 

 

 

 

 

 

 

 

 

 

 

 

Revenue

 

$

15,852

 

$

229,663

 

$

 

$

245,515

 

Operating income(loss)

 

 

3,385

 

 

83,778

 

 

(14,760

)

 

72,403

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2008

 

 

 

 

 

 

 

 

 

 

 

 

 

Revenue

 

 

16,037

 

 

170,463

 

 

 

 

186,500

 

Operating income(loss)

 

 

3,662

 

 

66,558

 

 

(10,831

)

 

59,389

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2007

 

 

 

 

 

 

 

 

 

 

 

 

 

Revenue

 

 

16,589

 

 

140,576

 

 

 

 

157,165

 

Operating income(loss)

 

 

4,391

 

 

56,317

 

 

(9,830

)

 

50,878

 


17.

Subsequent Events

defined in the Agreement, not to exceed $1,650.

On May 27, 2009,25, 2011, the Board of Directors approved a quarterly cash dividend of $0.30$0.35 per share on the Company’s outstanding shares of common stock, payable to shareholders of record as of June 12, 200917, 2011 with an expected distribution date on or about July 6, 2009.5, 2011.

83



16. Selected Quarterly Operating Results

18.

Selected Quarterly Operating Results (unaudited)

The following table presents quarterly unaudited consolidated financial information for the eight quarters in the period endedpreceding March 31, 2009.2011. Such information is presented on the same basis as the annual information presented in the accompanying consolidated financial statements. In management’s opinion, this information reflects all adjustments that are necessary for a fair presentation of the results for these periods.

COMPARISON BY QUARTER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Quarter Ended (Unaudited)

 

 

                

 

 

06/30/07

 

09/30/07

 

12/31/07

 

03/31/08

 

06/30/08

 

09/30/08

 

12/31/08

 

03/31/09

 

 

 

                

Revenues:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Software, hardware and supplies

 

$

16,739

 

$

18,514

 

$

20,591

 

$

20,519

 

$

21,369

 

$

21,297

 

$

22,336

 

$

20,384

 

Implementation and training services

 

 

3,248

 

 

3,182

 

 

3,115

 

 

3,861

 

 

3,585

 

 

3,486

 

 

2,675

 

 

3,629

 

 

 

                        

System sales

 

 

19,987

 

 

21,696

 

 

23,706

 

 

24,380

 

 

24,954

 

 

24,783

 

 

25,011

 

 

24,013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Maintenance

 

 

12,559

 

 

13,442

 

 

14,861

 

 

15,593

 

 

17,136

 

 

17,234

 

 

19,152

 

 

19,340

 

Electronic data interchange services

 

 

5,024

 

 

5,406

 

 

5,739

 

 

6,281

 

 

6,670

 

 

6,985

 

 

8,008

 

 

7,859

 

RCM and related services

 

 

134

 

 

222

 

 

256

 

 

259

 

 

1,957

 

 

4,527

 

 

6,835

 

 

8,112

 

Other services

 

 

4,328

 

 

4,380

 

 

3,528

 

 

4,719

 

 

4,507

 

 

5,452

 

 

6,473

 

 

6,507

 

 

 

                        

Maintenance, EDI, RCM and other services

 

 

22,045

 

 

23,450

 

 

24,384

 

 

26,852

 

 

30,270

 

 

34,198

 

 

40,468

 

 

41,818

 

 

 

                        

Total revenue

 

 

42,032

 

 

45,146

 

 

48,090

 

 

51,232

 

 

55,224

 

 

58,981

 

 

65,479

 

 

65,831

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cost of revenue:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Software, hardware and supplies

 

 

2,488

 

 

2,477

 

 

2,984

 

 

2,938

 

 

3,486

 

 

3,395

 

 

3,030

 

 

3,273

 

Implementation and training services

 

 

2,409

 

 

2,423

 

 

2,638

 

 

2,871

 

 

3,015

 

 

2,626

 

 

2,143

 

 

2,502

 

 

 

                        

Total cost of system sales

 

 

4,897

 

 

4,900

 

 

5,622

 

 

5,809

 

 

6,501

 

 

6,021

 

 

5,173

 

 

5,775

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Maintenance

 

 

3,127

 

 

3,033

 

 

3,131

 

 

3,155

 

 

3,082

 

 

2,947

 

 

2,826

 

 

3,004

 

Electronic data interchange services

 

 

3,509

 

 

3,742

 

 

4,162

 

 

4,363

 

 

4,891

 

 

5,256

 

 

5,541

 

 

5,686

 

RCM and related services

 

 

98

 

 

138

 

 

166

 

 

156

 

 

1,305

 

 

3,132

 

 

4,475

 

 

5,762

 

Other services

 

 

2,911

 

 

2,962

 

 

3,067

 

 

3,553

 

 

3,448

 

 

3,866

 

 

5,085

 

 

5,114

 

 

 

                        

Total cost of maintenance, EDI, RCM and other services

 

 

9,645

 

 

9,875

 

 

10,526

 

 

11,227

 

 

12,726

 

 

15,201

 

 

17,927

 

 

19,566

 

 

 

                        

Total cost of revenue

 

 

14,542

 

 

14,775

 

 

16,148

 

 

17,036

 

 

19,227

 

 

21,222

 

 

23,100

 

 

25,341

 

 

 

                        

Gross profit

 

 

27,490

 

 

30,371

 

 

31,942

 

 

34,196

 

 

35,997

 

 

37,759

 

 

42,379

 

 

40,490

 

 

 

                        

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Selling, general and administrative

 

 

12,643

 

 

13,188

 

 

13,283

 

 

14,146

 

 

15,252

 

 

18,283

 

 

18,601

 

 

18,309

 

Research and development costs

 

 

2,800

 

 

2,688

 

 

2,874

 

 

2,988

 

 

3,119

 

 

3,342

 

 

3,624

 

 

3,692

 

 

 

                        

Total operating expenses

 

 

15,443

 

 

15,876

 

 

16,157

 

 

17,134

 

 

18,371

 

 

21,625

 

 

22,225

 

 

22,001

 

 

 

                        

Income from operations

 

 

12,047

 

 

14,495

 

 

15,785

 

 

17,062

 

 

17,626

 

 

16,134

 

 

20,154

 

 

18,489

 

Interest income

 

 

739

 

 

645

 

 

710

 

 

567

 

 

374

 

 

340

 

 

328

 

 

161

 

Other income (expense)

 

 

 

 

 

 

953

 

 

 

 

 

 

 

 

 

 

(279

)

 

 

                        

Income before provision for income taxes

 

 

12,786

 

 

15,140

 

 

17,448

 

 

17,629

 

 

18,000

 

 

16,474

 

 

20,482

 

 

18,371

 

Provision for income taxes

 

 

4,846

 

 

5,468

 

 

6,234

 

 

6,377

 

 

6,886

 

 

5,975

 

 

7,332

 

 

7,015

 

 

 

                        

Net income

 

$

7,940

 

$

9,672

 

$

11,214

 

$

11,252

 

$

11,114

 

$

10,499

 

$

13,150

 

$

11,356

 

 

 

                        

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income per share

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic*

 

$

0.29

 

$

0.35

 

$

0.41

 

$

0.41

 

$

0.40

 

$

0.38

 

$

0.46

 

$

0.40

 

Diluted*

 

$

0.29

 

$

0.35

 

$

0.40

 

$

0.41

 

$

0.40

 

$

0.37

 

$

0.46

 

$

0.40

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average shares outstanding:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic

 

 

27,134

 

 

27,287

 

 

27,362

 

 

27,408

 

 

27,465

 

 

27,930

 

 

28,340

 

 

28,393

 

Diluted

 

 

27,657

 

 

27,718

 

 

27,696

 

 

27,712

 

 

27,771

 

 

28,211

 

 

28,473

 

 

28,526

 

Dividends declared per common share

 

$

0.25

 

$

0.25

 

$

0.25

 

$

0.25

 

$

0.25

 

$

0.30

 

$

0.30

 

$

0.30

 


                                 
  Quarter Ended 
(Unaudited) 06/30/09  09/30/09  12/31/09  03/31/10  06/30/10  09/30/10  12/31/10  03/31/11 
Revenues:                                
Software, hardware and supplies $17,776  $22,856  $24,346  $24,783  $24,756  $20,375  $29,675  $31,708 
Implementation and training services  3,457   3,380   3,313   4,226   4,308   4,499   4,262   4,946 
                         
                                 
System sales  21,233   26,236   27,659   29,009   29,064   24,874   33,937   36,654 
                                 
Maintenance  21,640   21,475   22,139   23,938   25,536   27,529   27,908   29,046 
Electronic data interchange services  8,161   8,796   8,897   9,181   9,764   10,142   10,360   10,756 
Revenue cycle management and related services  8,992   8,888   9,602   9,183   10,772   11,175   11,496   11,622 
Other services  6,612   6,303   6,665   7,202   7,791   7,737   8,170   9,030 
                         
                                 
Maintenance, EDI, RCM and other services  45,405   45,462   47,303   49,504   53,863   56,583   57,934   60,454 
                         
                                 
Total revenues  66,638   71,698   74,962   78,513   82,927   81,457   91,871   97,108 
                         
                                 
Cost of revenue:                                
Software, hardware and supplies  2,704   3,737   2,810   2,864   6,212   4,696   5,667   3,204 
Implementation and training services  2,881   3,296   2,898   2,908   2,990   3,475   3,677   4,868 
                         
                                 
Total cost of system sales  5,585   7,033   5,708   5,772   9,202   8,171   9,344   8,072 
                                 
Maintenance  3,025   3,255   3,392   3,667   3,454   3,238   3,381   2,875 
Electronic data interchange services  5,890   6,164   6,525   6,683   6,709   6,773   6,908   7,321 
Revenue cycle management and related services  6,522   6,856   7,124   7,213   8,145   8,222   8,715   8,733 
Other services  4,867   5,003   5,560   4,963   4,349   3,724   3,981   6,165 
                         
                                 
Total cost of maintenance, EDI, RCM and other services  20,304   21,278   22,601   22,526   22,657   21,957   22,985   25,094 
                         
                                 
Total cost of revenue  25,889   28,311   28,309   28,298   31,859   30,128   32,329   33,166 
                         
                                 
Gross profit  40,749   43,387   46,653   50,215   51,068   51,329   59,542   63,942 
                                 
Operating expenses:                                
Selling, general and administrative  20,093   20,061   21,574   25,223   26,238   24,829   27,958   29,285 
Research and development costs  3,977   4,346   3,954   4,269   5,456   5,232   5,358   5,751 
Amortization of acquired intangible assets  357   367   377   682   347   445   445   445 
                         
                                 
Total operating expenses  24,427   24,774   25,905   30,174   32,041   30,506   33,761   35,481 
                         
                                 
Income from operations  16,322   18,613   20,748   20,041   19,027   20,823   25,781   28,461 
                                 
Interest income  78   59   43   46   60   129   55   19 
Other income (expense), net  58      136   74   (6)  65      2 
                         
                                 
Income before provision for income taxes  16,458   18,672   20,927   20,161   19,081   21,017   25,836   28,482 
Provision for income taxes  6,112   6,852   7,775   7,100   6,989   7,587   8,305   9,929 
                         
                                 
Net income $10,346  $11,820  $13,152  $13,061  $12,092  $13,430  $17,531  $18,553 
                         
Net income per share:                                
Basic* $0.36  $0.41  $0.46  $0.45  $0.42  $0.46  $0.60  $0.64 
Diluted* $0.36  $0.41  $0.46  $0.45  $0.42  $0.46  $0.60  $0.64 
                                 
Weighted-average shares outstanding:                                
Basic  28,492   28,597   28,667   28,784   28,896   28,935   28,978   29,005 
Diluted  28,635   28,742   28,833   28,929   29,057   29,078   29,140   29,202 
                                 
Dividends declared per common share $0.30  $0.30  $0.30  $0.30  $0.30  $0.30  $0.30  $0.35 

*

Quarterly EPS willmay not sum to annual EPS due to rounding


84



Schedule

Schedule
SCHEDULE II — VALUATION AND QUALIFYING ACCOUNTS
                 
  Allowance for Doubtful Accounts
  Balance at Additions     Balance at
(in thousands) Beginning of Charged to Costs     End of
For the year ended Year and Expenses Deductions Year
March 31, 2011 $4,489  $3,780  $(1,552) $6,717 
March 31, 2010 $3,877  $3,465  $(2,853) $4,489 
March 31, 2009 $2,528  $2,089  $(740) $3,877 
                 
  Allowance for Inventory Obsolescence
  Balance at Additions     Balance at
(in thousands) Beginning of Charged to Costs     End of
For the year ended Year and Expenses Deductions Year
March 31, 2011 $237  $27  $  $264 
March 31, 2010 $210  $27  $  $237 
March 31, 2009 $223  $  $(13) $210 

85


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, 2009

 

$

2,528

 

$

2,089

 

$

(740

)

$

3,877

 

March 31, 2008

 

$

2,438

 

$

1,171

 

$

(1,081

)

$

2,528

 

March 31, 2007

 

$

2,556

 

$

1,480

 

$

(1,598

)

$

2,438

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ALLOWANCE FOR INVENTORY OBSOLESCENCE

(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, 2009

 

$

223

 

$

 

$

(13

)

$

210

 

March 31, 2008

 

$

324

 

$

52

 

$

(153

)

$

223

 

March 31, 2007

 

$

304

 

$

35

 

$

(15

)

$

324

 



INDEX TO EXHIBITS ATTACHED TO THIS REPORT

*XBRL information is furnished and not filed or a part of a registration statement or prospectus for purposes of section 11 or 12 of the Securities and Exchange Act of 1933, as amended, is deemed not filed for purposes of section 18 of the Securities and Exchange Act of 1934, as amended, and otherwise is not subject to liability under these section.

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