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                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                    FORM 10-Q

      |X|   QUARTERLY  REPORT  PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
            EXCHANGE ACT OF 1934

                For the quarterly period ended September 30, 2005

                                       OR

      |_|   TRANSITION  REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
            EXCHANGE ACT OF 1934 [NO FEE REQUIRED]

                         Commission file number 0-13801

                              QUALITY SYSTEMS, INC.
             (Exact name of Registrant as specified in its charter)

                California                                   95-2888568
     (State or Other Jurisdiction of                      (I.R.S. Employer
      Incorporation or Organization)                     Identification No.)

18191 Von Karman Avenue, Irvine California                       92612
 (Address of Principal Executive Offices)                     (Zip Code)

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

Indicate by check mark whether the Registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the preceding  twelve 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 ninety days. Yes |X| No |_|

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

Indicate by check mark whether the  Registrant is a shell company (as defined in
Rule 12b-2 of the Exchange Act). Yes |_| No |X|

Indicate the number of shares outstanding of each of the Registrant's classes of
Common  Stock as of the latest  practicable  date:  13,201,628  shares of Common
Stock, $0.01 par value, as of November 1, 2005.

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                                     PART I

                       CONSOLIDATED FINANCIAL INFORMATION

ITEM 1 - FINANCIAL STATEMENTS

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



                                                                                 SEPTEMBER 30,     MARCH 31,
                                                                                     2005             2005
                                                                                 -------------     ---------
                                     ASSETS                                       (UNAUDITED)
                                                                                             
Current assets:
       Cash and cash equivalents ............................................      $  63,126       $  51,157
       Accounts receivable, net .............................................         40,733          33,362
       Inventories, net .....................................................            547             960
       Income tax receivable ................................................            177              15
       Net current deferred tax assets ......................................          1,796           1,796
       Other current assets .................................................          1,975           1,677
                                                                                   ---------       ---------
                 Total current assets .......................................        108,354          88,967

Equipment and improvements, net .............................................          3,113           2,697
Capitalized software costs, net .............................................          4,823           4,334
Goodwill ....................................................................          1,840           1,840
Other .......................................................................          1,715           1,604
                                                                                   ---------       ---------
                 Total assets ...............................................      $ 119,845       $  99,442
                                                                                   =========       =========

                     LIABILITIES AND SHAREHOLDERS' EQUITY

Current liabilities:
       Accounts payable .....................................................      $   3,450       $   2,284
       Deferred revenue .....................................................         28,627          24,115
       Accrued compensation and related benefits ............................          3,874           3,436
       Other current liabilities ............................................          4,759           4,021
                                                                                   ---------       ---------
                 Total current liabilities ..................................         40,710          33,856

Deferred revenue, net of current ............................................          1,447           1,362
Net deferred tax liabilities ................................................            291             291
Deferred compensation .......................................................          1,457           1,202
                                                                                   ---------       ---------
                 Total liabilities ..........................................         43,905          36,711
                                                                                   ---------       ---------

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

Shareholders' equity:
       Common stock, $0.01 par value; authorized 20,000 shares; issued and
           outstanding 13,186 and 13,111 shares at September 30, 2005 and
           March 31, 2005, respectively .....................................            131             131
       Additional paid-in capital ...........................................         46,639          44,499
       Retained earnings ....................................................         30,068          19,213
       Deferred compensation ................................................           (898)         (1,112)
                                                                                   ---------       ---------
                 Total shareholders' equity .................................         75,940          62,731
                                                                                   ---------       ---------
                 Total liabilities and shareholders' equity .................      $ 119,845       $  99,442
                                                                                   =========       =========


     See accompanying condensed notes to consolidated financial statements.


                                       1


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



                                                    THREE MONTHS ENDED             SIX MONTHS ENDED
                                               ----------------------------  ----------------------------
                                               SEPTEMBER 30,  SEPTEMBER 30,  SEPTEMBER 30,  SEPTEMBER 30,
                                                    2005           2004           2005           2004
                                               -------------  -------------  -------------  -------------
                                                                                   
Revenues:
 Software, hardware and supplies .........        $13,661        $ 9,307        $26,634        $18,110
 Implementation and training services ....          3,031          2,300          5,521          4,566
                                                  -------        -------        -------        -------
System sales .............................         16,692         11,607         32,155         22,676
                                                  -------        -------        -------        -------

 Maintenance and other services ..........          9,676          7,022         18,539         13,796
 Electronic data interchange services ....          3,174          2,588          6,276          4,875
                                                  -------        -------        -------        -------
Maintenance, EDI and other services ......         12,850          9,610         24,815         18,671
                                                  -------        -------        -------        -------

   Total revenue .........................         29,542         21,217         56,970         41,347
                                                  -------        -------        -------        -------

Cost of revenue:
 Software, hardware and supplies .........          1,907          1,692          4,364          4,044
 Implementation and training services ....          1,942          1,579          3,766          2,971
                                                  -------        -------        -------        -------
Total cost of system sales ...............          3,849          3,271          8,130          7,015
                                                  -------        -------        -------        -------

 Maintenance and other services ..........          3,637          2,956          7,045          5,902
 Electronic data interchange services ....          2,125          1,710          4,187          3,121
                                                  -------        -------        -------        -------
Total cost of maintenance and other
services .................................          5,762          4,666         11,232          9,023
                                                  -------        -------        -------        -------
   Total cost of revenue .................          9,611          7,937         19,362         16,038
                                                  -------        -------        -------        -------

   Gross profit ..........................         19,931         13,280         37,608         25,309
                                                  -------        -------        -------        -------

Operating expenses:
   Selling, general and administrative ...          8,920          5,414         16,952         10,367
   Research and development costs ........          1,977          1,818          3,718          3,430
                                                  -------        -------        -------        -------
     Total operating expenses ............         10,897          7,232         20,670         13,797
                                                  -------        -------        -------        -------

   Income from operations ................          9,034          6,048         16,938         11,512

Interest income ..........................            460            170            801            290
                                                  -------        -------        -------        -------

Income before provision for income
taxes ....................................          9,494          6,218         17,739         11,802
Provision for income taxes ...............          3,700          2,503          6,870          4,705
                                                  -------        -------        -------        -------

   Net income ............................        $ 5,794        $ 3,715        $10,869        $ 7,097
                                                  =======        =======        =======        =======

Net income per share:
 Basic ...................................        $  0.44        $  0.29        $  0.83        $  0.56
                                                  =======        =======        =======        =======
 Diluted .................................        $  0.43        $  0.28        $  0.80        $  0.54
                                                  =======        =======        =======        =======

Weighted average shares outstanding:
Basic ....................................         13,149         12,780         13,131         12,722
                                                  =======        =======        =======        =======
Diluted ..................................         13,564         13,196         13,529         13,160
                                                  =======        =======        =======        =======


     See accompanying condensed notes to consolidated financial statements.


                                       2


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



                                                                                            SIX MONTHS ENDED
                                                                                     ------------------------------
                                                                                     SEPTEMBER 30,    SEPTEMBER 30,
                                                                                         2005             2004
                                                                                     -------------    -------------
                                                                                                  
Cash flows from operating activities:
             Net income .......................................................        $ 10,869         $  7,097
             Adjustments to reconcile net income to net cash provided by
             operating activities:
               Depreciation ...................................................             649              466
               Amortization of capitalized software costs .....................           1,160              932
               Provision for bad debts ........................................             724              295
               Provision for inventory obsolescence ...........................             118              103
               Non-cash compensation from issuance of options .................             215              215
               Tax benefit from exercise of stock options .....................           1,015              244
             Changes in assets and liabilities:
               Accounts receivable ............................................          (8,095)          (5,157)
               Inventories ....................................................             294             (436)
               Other current assets ...........................................            (298)            (158)
               Income tax receivable ..........................................            (162)              --
               Other assets ...................................................            (111)             (40)
               Accounts payable ...............................................           1,166              413
               Deferred revenue ...............................................           4,597            3,670
               Accrued compensation and related benefits ......................             438             (391)
               Income taxes payable ...........................................              --              846
               Other current liabilities ......................................             738            1,008
               Deferred compensation ..........................................             255               14
                                                                                       --------         --------
Net cash provided by operating activities .....................................          13,572            9,121
                                                                                       --------         --------

Cash flows from investing activities:
             Additions to equipment and improvements ..........................          (1,065)            (756)
             Additions to capitalized software costs ..........................          (1,649)          (1,031)
                                                                                       --------         --------
Net cash used in investing activities .........................................          (2,714)          (1,787)
                                                                                       --------         --------

Cash flows from financing activities:
             Dividends paid ...................................................             (14)              --
             Proceeds from the exercise of stock options ......................           1,125              793
                                                                                       --------         --------
Net cash provided by financing activities .....................................           1,111              793
                                                                                       --------         --------

Net increase in cash and cash equivalents .....................................          11,969            8,127

Cash and cash equivalents at beginning of period ..............................          51,157           51,395
                                                                                       --------         --------

Cash and cash equivalents at end of period ....................................        $ 63,126         $ 59,522
                                                                                       ========         ========

Supplemental disclosures of cash flow information:
               Cash paid during the period for income taxes, net of refunds ...        $  6,542         $  3,741
                                                                                       ========         ========


     See accompanying condensed notes to consolidated financial statements.


                                       3


                              QUALITY SYSTEMS, INC.
              CONDENSED NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (UNAUDITED)

1. Basis of Presentation

The accompanying unaudited consolidated financial statements as of September 30,
2005 and for the three and six months ended  September  30, 2005 and 2004,  have
been prepared in accordance with the requirements of Form 10-Q and Article 10 of
Regulation S-X, and therefore do not include all information and footnotes which
would be presented were such financial  statements  prepared in accordance  with
accounting  principles  generally accepted in the United States. These financial
statements should be read in conjunction with the audited  financial  statements
presented in the Company's  Annual Report on Form 10-K for the fiscal year ended
March 31, 2005.  In the opinion of  management,  the  accompanying  consolidated
financial  statements  reflect all  adjustments  which are  necessary for a fair
presentation  of the  results  of  operations  and cash  flows  for the  periods
presented.   The  results  of  operations  for  such  interim  periods  are  not
necessarily  indicative  of results of  operations  to be expected  for the full
year.

References  to  dollar  amounts  in  this  financial  statement  section  are in
thousands, except share and per share data, unless otherwise specified.  Certain
prior year  amounts  have been  reclassified  to conform  with  fiscal year 2006
presentation.

2. Stock Split

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

3. Summary of Significant Accounting Policies

Principles of consolidation.  The consolidated  financial statements include the
accounts  of the  Company  and  its  wholly-owned  subsidiary.  All  significant
inter-company accounts and transactions have been eliminated.

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

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

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

When  evidence  of fair value  exists for the  undelivered  elements  only,  the
residual  method,  provided  for  under SOP 98-9,  is used.  Under the  residual
method,  the Company defers  revenue  related to the  undelivered  elements in a
system sale based on VSOE of fair value of each of the undelivered elements, and
allocates  the  remainder of the contract  price net of all discounts to revenue
recognized from the delivered  elements.  Undelivered  elements of a system sale
may include  implementation  and  training  services,  hardware  and third party
software,  maintenance, future purchase discounts, or other services. If VSOE of


                                       4


fair value of any  undelivered  element does not exist,  all revenue is deferred
until  VSOE of fair  value of the  undelivered  element  is  established  or the
element has been delivered.

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

Provided  the fees are fixed  and  determinable  and  collection  is  considered
probable,  revenue from  licensing  rights and sales of hardware and third party
software is generally  recognized  upon shipment and transfer of title.  Revenue
from  implementation  and training  services is recognized as the  corresponding
services  are  performed.  Maintenance  revenue is  recognized  ratably over the
contractual maintenance period.

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

o     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;

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

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

o     reliable estimates of progress towards completion can be made.

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

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

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

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

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

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


                                       5


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

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

Computers and electronic test equipment                                3-5 years
Furniture and fixtures                                                 5-7 years
Vehicles                                                                 7 years
Leasehold improvements    lesser of lease term or estimated useful life of asset

Software  development  costs.  Development  costs  incurred in the  research and
development  of new software  products  and  enhancements  to existing  software
products  are  expensed as incurred  until  technological  feasibility  has been
established.  After  technological  feasibility is  established,  any additional
development  costs are  capitalized  in accordance  with  Statement of Financial
Accounting  Standards No. 86,  "Accounting for the Costs of Computer Software to
be Sold, Leased or Otherwise  Marketed" (SFAS 86). Such costs are amortized on a
straight  line basis over the estimated  economic  life of the related  product,
which is generally three years. The Company reviews 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.

Stock-based   compensation.   The  Company  accounts  for  stock-based  employee
compensation  using the  intrinsic  value  method as  prescribed  by  Accounting
Principles Board Opinion No. 25, "Accounting for Stock Issued to Employees" (APB
25), and has adopted the disclosure  provisions  from the Statement of Financial
Accounting     Standards     No.    148,     "Accounting     for     Stock-Based
Compensation-Transition  and Disclosure" (SFAS 148) that supercedes Statement of
Financial   Accounting   Standards   No.  123,   "Accounting   for   Stock-Based
Compensation"  (SFAS 123). SFAS 148 requires pro forma disclosures of net income
and net income per share as if the fair value  based  method of  accounting  for
stock-based  awards  had been  applied  to  employee  grants.  It also  requires
disclosure  of option  status  on a more  prominent  and  frequent  basis.  Such
disclosure  for the three and six months  ended  September  30, 2005 and 2004 is
presented below.

The Company  accounts  for stock  options and warrants  issued to  non-employees
based on the fair value method, but has not elected this treatment for grants to
employees  and Board of Director  members.  Under the fair value  based  method,
compensation  cost is recorded based on the value of the award at the grant date
and is recognized over the service period.

On August 8,  2005,  the Board of  Directors  granted  9,500  options  under the
Company's  1998 Stock  Option Plan to selected  employees  at an exercise  price
equal to the market price of the Company's common stock on the date of the grant
($64.89 per share). The options vest in four equal annual installments beginning
August 8, 2006 and expire on August 8, 2012.  No  compensation  expense has been
recorded for these options.  The Company's fair value  calculations  for options
granted on August 8, 2005 were made using the Black-Scholes option pricing model
with the following  assumptions:  expected life - approximately 57 months; stock
volatility - 47.7%, risk free interest rate of 3.7%; and no dividends during the
expected  term.  Although  the Company  paid a one-time  dividend in fiscal year
2005,  as the Company had not paid a dividend to its  shareholders  prior to the
one-time  dividend  in fiscal  year  2005 and has no  commitment  to any  future
dividends,  management believes that using a zero dividend rate in the valuation
of the stock options granted on August 8, 2005 is appropriate.

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


                                       6




                                            THREE MONTHS ENDED        SIX MONTHS ENDED
                                              SEPTEMBER 30,             SEPTEMBER 30,
                                          ---------------------     ---------------------
                                            2005         2004         2005         2004
                                          ---------------------     ---------------------
                                                                     
Net income, as reported .............     $  5,794     $  3,715     $ 10,869     $  7,097
Add: Option expense, net of tax .....           65           64          130          129
Deduct: Stock-based employee
compensation expense determined
under the fair value based method,
net of related tax effects ..........         (504)        (220)      (1,106)        (364)
                                          --------     --------     --------     --------
Pro forma net income ................     $  5,355     $  3,559     $  9,893     $  6,862
                                          ========     ========     ========     ========

Net income per share:
   Basic, as reported ...............     $   0.44     $   0.29     $   0.83     $   0.56
                                          ========     ========     ========     ========
   Basic, pro forma .................     $   0.41     $   0.28     $   0.75     $   0.54
                                          ========     ========     ========     ========
   Diluted, as reported .............     $   0.43     $   0.28     $   0.80     $   0.54
                                          ========     ========     ========     ========
   Diluted, pro forma ...............     $   0.39     $   0.27     $   0.73     $   0.52
                                          ========     ========     ========     ========


4. Recent Accounting Pronouncements

In  December  2004,  the  Financial  Accounting  Standard  Board  (FASB)  issued
Statement of Financial  Accounting  Standards  No. 123R,  "Share-Based  Payment"
(SFAS 123R) which is a revision of SFAS 123.  Statement  123R  supersedes APB 25
and amends  Statement of Financial  Accounting  Standards No. 95,  "Statement of
Cash Flows" (SFAS 95). SFAS 123R requires all share-based payments to employees,
including  grants of employee  stock  options,  to be  recognized  in the income
statement based on their fair values and the pro forma disclosure alternative is
no longer allowable under SFAS 123R. Subsequently, in April 2005, the Securities
and  Exchange   Commission  (SEC)  extended  the  effective  date  for  required
implementation  of SFAS 123R as described  above to the first  annual  reporting
period  beginning after June 15, 2005, which for the Company will commence April
1, 2006. The Company has not completed the process of evaluating the impact that
will result from  adopting  SFAS 123R and is  therefore  unable to disclose  the
impact that adoption will have on the Company's  financial  position and results
of operations.

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

5. Composition of Certain Financial Statement Captions

Accounts  receivable  include  amounts related to maintenance and services which
were  billed  but not yet  rendered  as of the  end of the  period.  Undelivered
maintenance and services are included on the consolidated  balance sheet as part
of the deferred revenue balance.



                                                              SEPTEMBER 30,   MARCH 31,
                                                                  2005          2005
                                                              -------------   ---------
                                                               (Unaudited)
                                                                        
Accounts receivable, excluding undelivered maintenance
 and services .............................................     $ 25,173      $ 22,162
Undelivered maintenance and services billed in advance,
 included in deferred revenue .............................       17,714        13,037
                                                                --------      --------
Accounts receivable, gross ................................       42,887        35,199

Reserve for bad debts .....................................       (2,154)       (1,837)
                                                                --------      --------

Accounts receivable, net ..................................     $ 40,733      $ 33,362
                                                                ========      ========



                                       7


Inventories are summarized as follows:



                                                                 SEPTEMBER 30,  MARCH 31,
                                                                      2005        2005
                                                                 -------------  ---------
                                                                  (Unaudited)
                                                                           
Computer systems and components, net of reserve for
 obsolescence of $266 and $146, respectively ..................     $   525      $   891
Miscellaneous parts and supplies ..............................          22           69
                                                                    -------      -------

                                                                    $   547      $   960
                                                                    =======      =======


Other current liabilities are summarized as follows:



                                                                 SEPTEMBER 30,  MARCH 31,
                                                                      2005        2005
                                                                 -------------  ---------
                                                                  (Unaudited)
                                                                           
Other deposits ................................................     $   997      $    --
Customer deposits .............................................         927          527
Sales tax payable .............................................         802          833
Commission payable ............................................         533          625
Professional services .........................................         345          417
Payroll tax payable ...........................................         308           --
Deferred rent .................................................         291          198
Accrued EDI expenses ..........................................          --          419
Other accrued expenses ........................................         556        1,002
                                                                    -------      -------

                                                                    $ 4,759      $ 4,021
                                                                    =======      =======


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



                                                                 SEPTEMBER 30,  MARCH 31,
                                                                      2005        2005
                                                                 -------------  ---------
                                                                  (Unaudited)
                                                                           
Maintenance ...................................................     $ 5,899      $ 4,639
Implementation services .......................................      20,024       17,471
Undelivered software and other ................................       4,151        3,367
                                                                    -------      -------

                                                                    $30,074      $25,477
                                                                    =======      =======


6. Intangible Assets - Goodwill

In  accordance  with  Statement  of  Financial  Accounting  Standards  No.  142,
"Goodwill and Other Intangible Assets" (SFAS 142), the Company does not amortize
goodwill as the goodwill has been determined to have indefinite useful life. The
balance of goodwill is related to the Company's NextGen  Healthcare  Information
Systems  Division  (NextGen or  Division),  which was  acquired by virtue of two
acquisitions completed in May of 1996 and 1997, respectively. In accordance with
SFAS 142, the Company has compared the fair value of the NextGen  Division  with
the carrying  amount of assets  associated with the Division and determined that
none of the goodwill  recorded as of June 30, 2005 (the annual  assessment date)
was  impaired.  The fair  value of NextGen  was  determined  using a  reasonable
estimate of future cash flows of the Division and a risk adjusted  discount rate
to compute a net present value of future cash flows.

7. Intangible Assets - Capitalized Software Development Costs

The  Company  had  the  following   amounts  related  to  capitalized   software
development:



                                                         SEPTEMBER 30,    MARCH 31,
                                                              2005          2005
                                                         -------------    ---------
                                                          (Unaudited)
                                                                     
  Gross carrying amount ..............................      $ 14,936       $ 13,287
  Accumulated amortization ...........................       (10,113)        (8,953)
                                                            --------       --------

  Capitalized software costs, net ....................      $  4,823       $  4,334
                                                            ========       ========

  Aggregate amortization expense during the six and
twelve month periods ended, respectively .............      $  1,160       $  1,952
                                                            ========       ========



                                       8


Activity  related to net  capitalized  software  costs for the six month  period
ended September 30, 2005 is as follows:

Beginning of period ................................................    $ 4,334
Capitalized costs ..................................................      1,649
Amortization expense ...............................................     (1,160)
                                                                        -------
End of the period ..................................................    $ 4,823
                                                                        =======

The  following  table  represents  the  remaining   estimated   amortization  of
intangible assets with determinable lives as of September 30, 2005:

For the year ended March 31,
2006 .................................................................    $1,242
2007 .................................................................     2,124
2008 .................................................................     1,254
2009 .................................................................       203
                                                                          ------
Total ................................................................    $4,823
                                                                          ======

8. Income Taxes

The provision  for income taxes for the six months ended  September 30, 2005 was
$6,870 as compared to $4,705 for the year ago period.  The  effective  tax rates
for the six  months  ended  September  30,  2005 and 2004 were  38.7% and 39.9%,
respectively.  The provision for income taxes for the six months ended September
30, 2005 differs from the combined  statutory  rates primarily due to the impact
of varying state income tax rates,  research and development tax credits and the
domestic manufacturer's  deduction.  The effective rate for the six months ended
September 30, 2005 decreased from the prior year primarily due to the relatively
larger  impact  of  research  and  development  tax  credits  and  the  domestic
manufacturer's  production  activities  deduction under the Jobs Creation Act of
2004,  which is  effective  for the  fiscal  year  ending  March 31,  2006.  The
provision  for income taxes for the six months ended  September 30, 2004 differs
from the combined  statutory  rates primarily due to the impact of varying state
income tax rates and research and development tax credits.

9. Net Income Per Share

The following table reconciles the weighted average shares outstanding for basic
and diluted net income per share for the periods indicated. Basic net income per
share is based upon the weighted  average  number of common shares  outstanding.
Diluted  net  income  per share 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 (unaudited).

                                        THREE MONTHS ENDED     SIX MONTHS ENDED
                                          SEPTEMBER 30,          SEPTEMBER 30
                                        ------------------    ------------------
                                          2005       2004       2005       2004
                                        -------    -------    -------    -------

Net income .........................    $ 5,794    $ 3,715    $10,869    $ 7,097
Basic net income per common share:
  Weighted average of common
   shares outstanding ..............     13,149     12,780     13,131     12,722
                                        -------    -------    -------    -------
Basic net income per common share ..    $  0.44    $  0.29    $  0.83    $  0.56
                                        =======    =======    =======    =======

Net income .........................    $ 5,794    $ 3,715    $10,869    $ 7,097
Diluted net income per common
 Share:
 Weighted average of common
  shares outstanding ...............     13,149     12,780     13,131     12,722
 Effect of potentially
  dilutive securities (options) ....        415        416        398        438
                                        -------    -------    -------    -------
 Weighted average of common
  shares outstanding-diluted .......     13,564     13,196     13,529     13,160
                                        -------    -------    -------    -------
Diluted net income per common
 share .............................    $  0.43    $  0.28    $  0.80    $  0.54
                                        =======    =======    =======    =======


                                       9


10. Operating Segment Information

The Company has  prepared  operating  segment  information  in  accordance  with
Statement of Accounting  Standards  No. 131  "Disclosures  About  Segments of an
Enterprise and Related  Information"  (SFAS 131) to report  components  that are
evaluated regularly by the Company's chief operating decision maker, or decision
making group in deciding how to allocate resources and in assessing performance.

The  Company's  reportable  operating  segments  include its NextGen  Healthcare
Information Systems Division and the QSI Division.

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

Operating  segment data for the three and six month periods ended  September 30,
2005 and 2004 is as follows (unaudited):



                                         THREE MONTHS ENDED         SIX MONTHS ENDED
                                           SEPTEMBER 30,              SEPTEMBER 30,
                                       ---------------------     ---------------------
                                         2005         2004         2005         2004
                                       --------     --------     --------     --------
                                                                  
Revenue:
  QSI Division ....................    $  4,018     $  3,955     $  7,851     $  7,936
  NextGen Division ................      25,524       17,262       49,119       33,411
                                       --------     --------     --------     --------
Consolidated revenue ..............    $ 29,542     $ 21,217     $ 56,970     $ 41,347
                                       ========     ========     ========     ========

Operating income(loss):
  QSI Division ....................    $  1,303     $  1,137     $  2,020     $  2,399
  NextGen Division ................       9,853        6,064       18,556       11,259
  Unallocated corporate expenses ..      (2,122)      (1,153)      (3,638)      (2,146)
                                       --------     --------     --------     --------
Consolidated operating income .....    $  9,034     $  6,048     $ 16,938     $ 11,512
                                       ========     ========     ========     ========


11. Concentration of Credit Risk

The Company had cash  deposits at U.S.  banks and financial  institutions  which
exceeded  federally insured limits at September 30, 2005. The Company is exposed
to  credit  loss for  amounts  in  excess  of  insured  limits  in the  event of
non-performance  by the institutions;  however,  the Company does not anticipate
non-performance by these institutions.

12. Commitments and Guarantees

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

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

The  Company's  standard  sales  agreements in the NextGen  division  contain an
indemnification  provision pursuant to which it shall indemnify,  hold harmless,
and agree to reimburse the indemnified  party for losses suffered or incurred by
the indemnified party in connection with any United States patent, any copyright
or other  intellectual  property  infringement  claim by any  third  party  with
respect to its software. The QSI division arrangements occasionally utilize this
type of language as well. As the Company has not incurred any significant  costs
to defend lawsuits or settle claims related to these indemnification


                                       10


agreements, the Company believes that its estimated exposure on these agreements
is currently minimal.  Accordingly,  the Company has no liabilities recorded for
these indemnification obligations.

From time to time, the Company offers future purchase  discounts on its products
and services as part of irs 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 our request for
prospective customers which directly result in a purchase of our software by the
visiting  prospects.  Amounts  earned by existing  users under this  program are
treated as a selling expense in the period in which commissionable  software has
been recognized as revenue.

13. Subsequent Events

Stock options grant. On October 5, 2005, the Board of Directors  granted a total
of  62,000  stock  options  under  the  Company's  1998  Stock  Option  Plan  to
non-management   Directors  pursuant  to  the  Company's   previously  announced
compensation plan for  non-management  directors,  at an exercise price equal to
the market price of the Company's  common stock on the date of the grant ($68.13
per share).  The options  fully vest on January 5, 2006 and expire on October 5,
2012. No compensation expense has been recorded for these options.

Amendment to Articles of  Incorporation.  On October 6, 2005,  the Company filed
with the California Secretary of State an amendment to the Company's Articles of
Incorporation  to increase  the level of its  authorized  shares of common stock
from  20,000,000  shares  to  50,000,000  shares.  The  amendment  was  approved
previously by the Company's shareholders and the Board.

Litigation. After the close of business on October 26, 2005, the Company learned
that a lawsuit has been filed against the Company and six of its eight directors
by Ahmed Hussein,  a director and  significant  shareholder of the Company.  The
complaint  names the Company and individual  directors,  Patrick Cline,  Maurice
DeWald,  Vincent Love,  Steven  Plochocki,  Sheldon  Razin and Louis  Silverman.
Director Ibrahim Fawzy was not named as a defendant.

Filed in the Superior Court for Orange County, California, the complaint alleges
that in connection  with the Company's 2005 Annual  Shareholders'  Meeting,  the
certified  results from the independent  inspector of election  included certain
proxies  that should not have been  included in the final vote  tabulation.  The
independent  inspector of election has  certified  the election of the Company's
eight  directors (as previously  announced)  after hearing Mr.  Hussein's  claim
concerning this matter. Specifically, Mr. Hussein seeks (i) a determination that
the election of directors at the Annual Meeting is invalid, (ii) a determination
that the  votes  of the  disputed  shares  were  improper  and in  violation  of
applicable regulations,  (iii) an order requiring that the election of directors
at the Annual Meeting be retabulated  without  including the disputed  shares in
the  count,  (iv)  an  order  requiring  the  election  of  directors  with  the
retabulated  votes in a manner so as to provide Mr.  Hussein  with the  greatest
number of directors possible, and (v) costs.

The Company  believes that Mr.  Hussein's claims lack merit and that the results
certified  by the  independent  inspector of elections  are  conclusive  of this
matter. The Company intends to defend itself vigorously.


                                       11


Item 2. Management's  Discussion and Analysis of Financial Condition and Results
of Operations.

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

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

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

We believe revenue  recognition,  the allowance for doubtful accounts,  goodwill
impairment and software development costs are among the most critical accounting
policies that impact our consolidated financial statements.  We believe that our
significant  accounting policies,  as described in Note 3 of our Condensed Notes
to  Consolidated  Financial  Statements,   "Summary  of  Significant  Accounting
Policies",  should  be read in  conjunction  with  Management's  Discussion  and
Analysis of Financial Condition and Results of Operations.

Revenue  Recognition.  We currently  recognize  revenue pursuant to SOP 97-2, as
amended by SOP 98-9.  We generate  revenue from the sale of licensing  rights to
use our software  products sold directly to end-users and value-added  resellers
(VARs).  We also  generate  revenue  from  sales of  hardware  and  third  party
software,   and   implementation,   training,   software   customization,   EDI,
post-contract support ("maintenance") and other services performed for customers
who license our products.

A typical system contract  contains  multiple  elements of the above items.  SOP
97-2, as amended,  requires  revenue earned on software  arrangements  involving
multiple  elements to be allocated to each  element  based on the relative  fair
values of those  elements.  The fair value of an element must be based on vendor
specific  objective  evidence  (VSOE).  We limit our assessment of VSOE for each
element to either the price  charged  when the same  element is sold  separately
(using a rolling average of stand alone  transactions) or the price  established
by  management  having the  relevant  authority to do so, for an element not yet
sold separately.  VSOE  calculations are updated and reviewed at the end of each
quarter.

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

When  evidence  of fair value  exists for the  undelivered  elements  only,  the
residual  method,  provided  for  under SOP 98-9,  is used.  Under the  residual
method,  the Company defers  revenue  related to the  undelivered  elements in a
system sale based on VSOE of fair value of each of the undelivered elements, and
allocates  the  remainder of the contract  price net


                                       12


of all discounts to revenue recognized from the delivered elements.  Undelivered
elements of a system  sale may include  implementation  and  training  services,
hardware and third party software,  maintenance,  future purchase discounts,  or
other services. If VSOE of fair value of any undelivered element does not exist,
all revenue is deferred until VSOE of fair value of the  undelivered  element is
established or the element has been delivered.

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

Provided  the fees are fixed  and  determinable  and  collection  is  considered
probable,  revenue from  licensing  rights and sales of hardware and third party
software is generally  recognized  upon shipment and transfer of title.  Revenue
from  implementation  and training  services is recognized as the  corresponding
services  are  performed.  Maintenance  revenue is  recognized  ratably over the
contractual maintenance period.

Contract  accounting  is applied where  services  include  significant  software
modification,  development or customization.  In such instances, the arrangement
fee is  accounted  for  in  accordance  with  Statement  of  Position  No.  81-1
"Accounting for  Performance of  Construction-Type  and Certain  Production-Type
Contracts" (SOP 81-1).

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

o     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;

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

o     the Company can be expected to perform it's contractual obligations; and

o     reliable estimates of progress towards completion can be made.

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

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

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

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

Goodwill  Impairment.  Our long-lived assets include goodwill of $1.8 million as
of September  30, 2005 and 2004,  respectively.  We adopted  SFAS 142  effective
April 1, 2001. The statement  applies to the  amortization of goodwill and other
intangible  assets. We ceased amortizing  amounts related to goodwill  beginning
April 1, 2001 as we determined  that it had an indefinite  life.  The balance of
goodwill is related to our NextGen Division.  Under SFAS 142, we are required to
perform  an  annual  assessment  of the  implied  fair  value  of  goodwill  and
intangible  assets with indefinite  lives for  impairment.  We have compared the
fair value of the NextGen Division with the carrying amount of assets associated
with the Division and determined  that none of the goodwill  recorded as of June


                                       13


30, 2005 (the date of our last annual  impairment  test) was impaired.  The fair
value of the NextGen  Division was  determined  using a  reasonable  estimate of
future cash flows of the Division and a risk adjusted discount rate to compute a
net present value of future cash flows.

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

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

Company Overview

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

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

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

The  QSI  Division,  co-located  with  our  Corporate  Headquarters  in  Irvine,
California,  currently focuses on developing,  marketing and supporting software
suites sold to dental and certain  niche  medical  practices.  In addition,  the
Division  supports a number of  medical  clients  that  utilize  the  Division's
UNIX(1) based medical practice management software product.

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

Both Divisions develop and market practice management software which is designed
to automate and streamline a number of the administrative functions required for
operating a medical or dental practice. Examples of practice management software
functions include

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


                                       14


scheduling  and billing  capabilities.  It is important to note that in both the
medical and dental  environments,  practice  management  software  systems  have
already  been  implemented  by the vast  majority of  practices.  Therefore,  we
actively compete for the replacement market.

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

Electronic Data Interchange (EDI)/connectivity products are intended to automate
a number of manual,  often  paper-based  or telephony  intensive  communications
between  patients  and/or  providers  and/or payors.  Two of the more common EDI
services are forwarding insurance claims electronically from providers to payors
and assisting  practices  with issuing  statements to patients.  Most  practices
utilize at least some of these services from us or one of our competitors. Other
EDI/connectivity  services are used more  sporadically by client  practices.  We
typically  compete to  displace  incumbent  vendors  for  claims and  statements
accounts,   and   attempt  to   increase   usage  of  other   elements   in  our
EDI/connectivity  product line. In general,  EDI services are only sold to those
accounts utilizing software from one of our Divisions.

The QSI Division's  practice management software suite utilizes a UNIX operating
system.  Its Clinical  Product Suite (CPS)  utilizes a Windows  NT(2)  operating
system and can be fully  integrated with the practice  management  software from
each Division.  CPS incorporates a wide range of clinical tools  including,  but
not limited to, periodontal charting and digital imaging of X-ray and inter-oral
camera images as part of the electronic  patient record.  The Division develops,
markets, and manages our EDI/connectivity  applications.  The QSInet Application
Service Provider  (ASP/Internet)  offering is also developed and marketed by the
Division.

Our NextGen Division develops and sells proprietary  electronic  medical records
software and practice  management systems under the NextGen(R)(3)  product name.
Major product categories of the NextGen suite include Electronic Medical Records
(NextGen(emr)),   Enterprise  Practice  Management  (NextGen(epm)),   Enterprise
Appointment   Scheduling   (NextGen(eas)),   Enterprise   Master  Patient  Index
(NextGen(epi)),   NextGen  Image   Control   System   (NextGen(ics)),   Realtime
Transaction Server Server  (NextGen(rts)),  Electronic Data Interchange,  System
Interfaces,  a  Patient-centric  Web  Portal  solution  (NextMD(4).com),  and  a
handheld product (NextGen(pda)).  NextGen also markets a version of NextGen(emr)
with reduced capabilities (NextGen Express).  NextGen products utilize Microsoft
Windows technology and can operate in a client-server environment as well as via
private intranet, the Internet, or within an ASP environment.

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

Inclusive  of  divisional  EDI  revenue,  the  NextGen  Division  accounted  for
approximately  86.4% of our  revenue  for the  second  quarter  of  fiscal  2006
compared  to 81.4% in the  second  quarter  of  fiscal  2005.  The QSI  Division
accounted  for 13.6% and 18.6% of revenue in the second  quarter of fiscal  2006
and 2005,  respectively.  The NextGen  Division's year over year revenue grew at
47.9% and 28.3% in the  second  quarter of fiscal  2006 and 2005,  respectively,
while the QSI Division's  year over year revenue  increased by 1.6% and declined
by 5.6% in the second quarter of fiscal 2006 and 2005, respectively.

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

- ----------
(2)   Microsoft  Windows,  Windows NT,  Windows 95,  Windows 98, Windows XP, and
      Windows 2000 are registered trademarks of the Microsoft Corporation.

(3)   NextGen  is a  registered  trademark  of  NextGen  Healthcare  Information
      Systems, Inc.

(4)   NextMD  is  a  registered  trademark  of  NextGen  Healthcare  Information
      Systems, Inc.


                                       15


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  these  or  other  risks  actually  occur,  our
business,  financial  condition or results of operations will likely suffer. Any
of these  or other  factors  could  harm our  business  and  future  results  of
operations and may cause you to lose all or part of your investment.

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

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

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

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

o     the size and timing of orders from clients;

o     the specific mix of software, hardware, and services in client orders;

o     the length of sales cycles and installation processes;

o     the ability of our  clients to obtain  financing  for the  purchase of our
      products;

o     changes in pricing policies or price reductions by us or our competitors;

o     the timing of new product announcements and product introductions by us or
      our competitors;

o     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;

o     the availability and cost of system components;

o     the financial stability of clients;

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

o     our ability to develop,  introduce and market new  products,  applications
      and product enhancements;

o     our success in expanding our sales and marketing programs;

o     deferrals of client orders in anticipation of new products,  applications,
      product enhancements, or public/private sector initiatives;

o     execution of or changes to our strategy;

o     personnel changes; and

o     general market/economic factors.

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

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

Our  sales  are  dependent  upon  clients'  initial   decisions  to  replace  or
substantially  modify their existing  information  systems,  and  subsequently a
decision  as to which  products  and  services  to  purchase.  These  are  major
decisions for healthcare  providers,  and  accordingly,


                                       16


the sales cycle for our systems can vary significantly and typically ranges from
six to twenty four months from initial contact to contract execution/shipment.

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

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

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

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

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

o     actual or anticipated quarterly variations in operating results;

o     rumors  about  our  performance,   software   solutions,   or  merger  and
      acquisition activity;

o     changes in  expectations  of future  financial  performance  or changes in
      estimates of securities analysts;

o     governmental regulatory action;

o     health care reform measures;

o     client relationship developments;

o     purchases or sales of company stock;

o     changes occurring in the markets in general; and

o     other factors, many of which are beyond our control.

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

Two of our directors are significant  shareholders,  which makes it possible for
them to have significant  influence over the outcome of all matters submitted to
our  shareholders  for approval and which  influence  may be alleged to conflict
with our  interests  and the  interests  of our other  shareholders.  Two of our
directors  and  principal  shareholders   beneficially  owned  an  aggregate  of
approximately 38% of the outstanding shares of our common stock at September 30,
2005. The Company's  Bylaws permit its shareholders to cumulate their votes, the
effect  of  which  is  to   provide   shareholders   with   sufficiently   large
concentrations  of Company shares the  opportunity  to assure  themselves one or
more  seats on the  Company's  Board.  The  amounts  required  to assure a Board
position  can vary based upon the  number of shares  outstanding,  the number of
shares  voting,  the number of  directors  to be elected,  the number of "broker
non-votes",  and  the  number  of  shares  held  by the  shareholder  exercising
cumulative voting rights. In the event that cumulative voting is invoked,  it is
likely that the two of our directors  holding an aggregate of approximately  38%
of the  outstanding  shares of our common stock at September  30, 2005 will each
have  sufficient  votes to assure  themselves of one or more seats on our Board.
With or without  cumulative  voting,  these  shareholders  will have significant
influence  over the outcome of all matters  submitted  to our  shareholders  for
approval,  including the election of our directors and other corporate  actions.
In addition,  such influence by one or both of these  affiliates  could have the
effect of  discouraging  others from  attempting  to purchase  us, take us over,
and/or reducing the market price offered for our common stock in such an event.


                                       17


Certain  matters  presented to  shareholders  for approval at the Company's 2005
Annual Shareholders'  Meeting held on September 21, 2005 were contested by Ahmed
Hussein,  one of the  aforementioned  directors and principal  shareholders.  In
particular,  Mr.  Hussein  (i)  opposed  shareholder  approval of our 2005 Stock
Option  and  Incentive  Plan and (ii)  sought  to  elect  three of his  director
nominees.  Upon  certification  of the  election,  the  2005  Stock  Option  and
Incentive Plan was adopted by the shareholders and two of Mr. Hussein's nominees
were elected to the Board.  After the close of business on October 26, 2005,  we
learned that a lawsuit has been filed against us and six of our eight  directors
(those  elected by the  shareholders,  but not  nominated by Mr.  Hussein).  The
complaint alleges that in connection with our 2005 Annual Shareholders' Meeting,
the  certified  results  from the  independent  inspector  of election  included
certain proxies that should not have been included in the final vote tabulation.
The  independent  inspector of election has  certified the election of the eight
directors  presently  serving on the Board  after  hearing Mr.  Hussein's  claim
concerning this matter.  Mr. Hussein continues to pursue his claim in California
State Superior  Court.  As result of such  litigation,  the Company's  operating
results  and  share  price  may be  negatively  impacted  due  to  the  negative
publicity,  additional expenses incurred,  management distraction,  and/or other
factors.

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

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

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

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

The industry in which we operate is subject to significant technological change.
The software market generally is characterized  by rapid  technological  change,
changing


                                       18


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

In response  to  increasing  market  demand,  we are  currently  developing  new
generations of certain of our software products.  There can be no assurance that
we will successfully  develop these new software products or that these products
will operate  successfully,  or that any such  development,  even if successful,
will be  completed  concurrently  with or prior  to  introduction  of  competing
products.  Any such  failure or delay  could  adversely  affect our  competitive
position or could make our current products obsolete.

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

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

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

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

o     use of cash as  acquisition  currency  may  adversely  impact  interest or
      investment income,  thereby potentially  negatively affecting our earnings
      and /or earnings per share;

o     difficulty  in  effectively   integrating  any  acquired  technologies  or
      software products into our current products and technologies;

o     difficulty  in  predicting  and  responding  to issues  related to product
      transition such as development, distribution and customer support;

o     the possible adverse impact of such acquisitions on existing relationships
      with third party partners and suppliers of technologies and services;

o     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;

o     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


                                       19


      or legal  and  financial  contingencies,  including  any  deficiencies  in
      internal  controls and procedures and the costs  associated with remedying
      such deficiencies;

o     difficulty  in  integrating   acquired   operations  due  to  geographical
      distance, and language and cultural differences; and

o     The  possibility  that  acquired  assets  become  impaired,  requiring the
      Company to take a charge to earnings which could be significant.

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

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

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

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

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

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

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

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


                                       20


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

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

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

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

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

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

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


                                       21


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

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

o     state and federal privacy and confidentiality laws;

o     our contracts with customers and partners;

o     state laws regulating healthcare professionals;

o     Medicaid laws;

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

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

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

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

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

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

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


                                       22


able to maintain our exiting links to payors or develop new connections on terms
that are economically satisfactory to us, if at all.

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

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

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

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

o     privacy  regulations  to  protect  the  privacy of plan  participants  and
      patients' medical records; and

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

As these regulations mature and become better defined,  we anticipate that these
regulations  will  continue  to  directly  affect  certain of our  products  and
services,  but we cannot  fully  predict the impact at this time.  We have taken
steps to modify our  products,  services and internal  practices as necessary to
facilitate our and our client's compliance with the final regulations, but there
can be no  assurance  that we will be  able  to do so in a  timely  or  complete
manner. Achieving compliance with these regulations could be costly and distract
management's attention and divert other Company resources, and any noncompliance
by us could result in civil and criminal penalties.

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

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

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


                                       23


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

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

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

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

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

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

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

Results of Operations

Overview of results

o     We have experienced significant growth in our total revenue as a result of
      revenue  growth  in  our  NextGen  Division.   Revenue  grew  37.8%  on  a
      consolidated  basis in the six


                                       24


      months  ended  September  30, 2005 versus 2004 and 21.8% in the six months
      ended September 30, 2004 versus 2003.

o     Consolidated  income from  operations  grew 47.1% in the six months  ended
      September 30, 2005 versus 2004 and 54.1% in the six months ended September
      30, 2004 versus  2003.  This  performance  was driven  principally  by the
      results in our NextGen Division.

o     We have  benefited  and hope to  continue  to benefit  from the  increased
      demands on healthcare providers for greater efficiency and lower costs, as
      well as increased  adoption rates for electronic medical records and other
      technology.

NextGen Division

o     Our NextGen  Division has  experienced  significant  growth in revenue and
      operating  income.  Divisional  revenue grew 47.0% in the six months ended
      September 30, 2005 versus 2004 and 30.0% in the six months ended September
      30,  2004  versus  2003  while  divisional   operating  income  (excluding
      unallocated corporate expenses) grew 64.8% in the six months end September
      30, 2005 versus 2004 and 56.2% in the six months ended  September 30, 2004
      versus 2003.

o     During  the six  months  ended  September  30,  2005,  we  added  staffing
      resources to departments  including sales,  support,  implementation,  and
      software  development and intend to continue to do so during the remainder
      of fiscal year 2006.

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

QSI Division

o     Our QSI Division  experienced a revenue  decline of 1.1% in the six months
      ended  September  30, 2005  versus  2004 and 3.9% in the six months  ended
      September 30, 2004 versus 2003. The Division  experienced a 15.8% decrease
      in operating income (excluding  unallocated corporate expenses) in the six
      months ended September 30, 2005 versus 2004.

o     Our goals for the QSI  Division  include  maximizing  revenue  and  profit
      performance  given  the  constraints  present  in this  Division's  target
      market.

The  following  table sets forth for the periods  indicated,  the  percentage of
revenues represented by each item in our Consolidated Statements of Income.



                                                 THREE MONTHS ENDED         SIX MONTHS ENDED
                                                   SEPTEMBER 30,              SEPTEMBER 30,
                                              ------------------------  ------------------------
                                                  2005         2004         2005         2004
                                              -----------  -----------  -----------  -----------
                                              (unaudited)  (unaudited)  (unaudited)  (unaudited)
                                                                            
Revenues:
   Software, hardware and supplies ........       46.2%        43.9%        46.8%        43.8%
   Implementation and training services ...       10.3         10.8          9.7         11.0
                                                 -----        -----        -----        -----
System sales ..............................       56.5         54.7         56.5         54.8

   Maintenance and other services .........       32.8         33.1         32.5         33.4
   Electronic data interchange services ...       10.7         12.2         11.0         11.8
                                                 -----        -----        -----        -----
Maintenance, EDI and other services .......       43.5         45.3         43.5         45.2

                                                 -----        -----        -----        -----
     Total revenue ........................      100.0        100.0        100.0        100.0
                                                 -----        -----        -----        -----

Cost of revenue:
   Software, hardware and supplies ........        6.4          8.0          7.7          9.8
   Implementation and training services ...        6.6          7.4          6.6          7.2
                                                 -----        -----        -----        -----
Total cost of system sales ................       13.0         15.4         14.3         17.0

   Maintenance and other services .........       12.3         13.9         12.4         14.3
   Electronic data interchange services ...        7.2          8.1          7.3          7.5
                                                 -----        -----        -----        -----
Total cost of maintenance, EDI and
other services ............................       19.5         22.0         19.7         21.8

                                                 -----        -----        -----        -----
   Total cost of revenue ..................       32.5         37.4         34.0         38.8
                                                 -----        -----        -----        -----

   Gross profit ...........................       67.5         62.6         66.0         61.2
                                                 -----        -----        -----        -----

   Selling, general and administrative ....       30.2         25.5         29.8         25.1
   Research and development ...............        6.7          8.6          6.5          8.3
                                                 -----        -----        -----        -----

   Income from operations .................       30.6         28.5         29.7         27.8
                                                 -----        -----        -----        -----

Interest income ...........................        1.6          0.8          1.4          0.7
                                                 -----        -----        -----        -----

Income before provision for income
taxes .....................................       32.1         29.3         31.1         28.5
Provision for income taxes ................       12.5         11.8         12.0         11.3
                                                 -----        -----        -----        -----

   Net income .............................       19.6%        17.5%        19.1%        17.2%
                                                 =====        =====        =====        =====



                                       25


For the Three-Month Periods September 30, 2005 versus 2004

Net Income.  The Company's  net income for the three months ended  September 30,
2005 was $5.8  million  or $0.44  per  share on a basic and $0.43 per share on a
fully diluted basis. In comparison, we earned $3.7 million or $0.29 per share on
a basic and $0.28 per share on a fully  diluted basis for the three months ended
September  30,  2004.  The  increase  in net income for the three  months  ended
September 30, 2005 was achieved primarily through the following:

o     a 39.2% increase in consolidated revenue;

o     a 47.9% increase in NextGen  Division revenue which accounted for 86.4% of
      consolidated revenue; and

o     an increase in the consolidated gross profit percentage which increased to
      67.5% in the quarter  ended  September  30, 2005 versus  62.6% in the same
      period last year.

Revenue.  Revenue for the three months ended  September 30, 2005 increased 39.2%
to $29.5  million from $21.2  million for the three months ended  September  30,
2004. NextGen Division revenue increased 47.9% from approximately  $17.3 million
to  approximately  $25.5  million  in the  period,  while QSI  Division  revenue
increased by 1.6% during the period.

We report revenue in two major categories,  "Systems sales" and "Maintenance and
other services". Revenue in the systems sales category includes software license
fees, hardware,  third party software,  supplies and implementation and training
services related to the 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  and other category  includes  maintenance,  EDI, and
other revenue.  Maintenance and EDI revenue are the principal sources of revenue
in this category.

System Sales. Company-wide sales of systems for the three months ended September
30, 2005,  increased 43.8% to $16.7 million from $11.6 million in the prior year
quarter.

Our  increase in revenue from sales of systems was  principally  the result of a
46.7% increase in category  revenue at our NextGen  Division whose sales in this
category grew from $11.0 million during the quarter ended  September 30, 2004 to
$16.1  million  during the quarter ended  September 30, 2005.  This increase was
driven primarily by higher sales of NextGen(emr)  and  NextGen(epm)  software to
both new and  existing  clients,  as well as delivery of related  implementation
services, offset by declines in sales of related hardware, third party software,
and supplies.

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



                              -------------------------------------------------------
                                            Hardware,
                                           Third Party   Implementation
                                          Software and    and Training      Total
                              Software      Supplies        Services     System Sales
                              --------    ------------   --------------  ------------
                                                               
Three months ended
  September 30, 2005
QSI Division ...........       $   250       $   124         $   196       $   570
NextGen Division .......        12,274         1,013           2,835        16,122
                               -------       -------         -------       -------
Consolidated ...........       $12,524       $ 1,137         $ 3,031       $16,692
                               =======       =======         =======       =======
                               -------       -------         -------

Three months ended
  September 30, 2004
QSI Division ...........       $   196       $   321         $   100       $   617
NextGen Division .......         7,484         1,306           2,200        10,990
                               -------       -------         -------       -------
Consolidated ...........       $ 7,680       $ 1,627         $ 2,300       $11,607
                               =======       =======         =======       =======



                                       26


NextGen Division software revenue increased 64.0% between the three months ended
September 30, 2004 and the three months ended September 30, 2005. The Division's
software revenue  accounted for 76.1% of divisional  system sales revenue during
the three months ended  September  30, 2005, an increase from 68.1% in the prior
year period.  Sales of additional  licenses to existing  customers  grew to $2.2
million  during the three  months  ended  September  30,  2005  compared to $1.3
million in the year ago  period.  The  increase in  software's  share of systems
sales was not the  result of any new  trend or  change in  emphasis  on our part
relative to software sales.  Software  license revenue growth continues to be an
area of primary  emphasis for the NextGen  Division and  management  was pleased
with the Division's performance in this area.

During the three months ended September 30, 2005, 6.3% of NextGen's system sales
revenue was  represented by hardware and third party software  compared to 11.9%
in the same prior year  period.  We have noted that the last  several  quarter's
results  have  included a  relatively  lower  amount of hardware and third party
software compared to prior periods. However, this decrease was not the result of
any  change in  emphasis  on our part.  The  number of  customers  who  purchase
hardware and third party  software  and the dollar  amount of hardware and third
party  software  revenue  fluctuates  each  quarter  depending  on the  needs of
customers.  The inclusion of hardware and third party software in the Division's
sales  arrangements  is  typically  at the request of the  customer and is not a
priority focus for us.

Implementation  and training revenue at the NextGen Division  increased 28.9% in
the three months  ended  September  30, 2005  compared to the three months ended
September 30, 2004.  Implementation and training revenue at the NextGen Division
decreased  its share of  divisional  system sales  revenue to 17.6% in the three
months ended  September 30, 2005 from 20.0% in the three months ended  September
30, 2004.  The growth in  implementation  and training  revenue is the result of
increases in the amount of implementation  and training services rendered to our
customers.  The amount of  implementation  and training services revenue and the
corresponding  rate of growth compared to a prior period in any given quarter is
dependant on several factors including timing of customer  implementations,  the
availability of qualified  staff,  and the mix of services being  rendered.  The
number of  implementation  and training staff increased  during the three months
ended  September  30,  2005 versus 2004 in order to  accommodate  the  increased
amount of  implementation  services sold in conjunction with increased  software
sales. In order to achieve continued increased revenue in this area,  additional
staffing  increases are  anticipated,  though actual future increases in revenue
and staff will depend upon the availability of qualified staff, business mix and
conditions, and our ability to retain current staff members.

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

For the QSI  Division,  total  system sales  decreased  7.6% in the three months
ended  September 30, 2005 compared to the three months ended September 30, 2004.
We do not presently foresee any material changes in the business environment for
the Division with respect to the constrained  environment that has been in place
for the past several years.

Maintenance and Other  Services.  For the three months ended September 30, 2005,
Company-wide  revenue from  maintenance  and other  services grew 33.7% to $12.9
million from $9.6 million in the same period in the prior year.  The increase in
this category  resulted from an increase in maintenance and EDI revenue from the
NextGen Division's client base offsetting slight decreases in the QSI Division's
revenue in these areas. Total NextGen Division maintenance revenue for the three
months ended  September 30, 2005 grew 32.2% to $5.6 million from $4.2 million in
the same year ago period,  while EDI revenue grew 48.1% to $2.0 million compared
to $1.4  million  during the same prior year period.  QSI  Division


                                       27


maintenance  revenue  declined 2.6% in the same period while QSI  divisional EDI
revenue declined by 5.6% between the same periods.

The  following  table  details  revenue  included in the  Maintenance  and other
category for the three month periods ended September 30, 2005 and 2004:

                                      ------------------------------------------
                                      Maintenance    EDI       Other      Total
                                      -----------  -------    -------    -------
Three months ended
  September 30, 2005
QSI Division .......................    $ 1,748    $ 1,158    $   542    $ 3,448
NextGen Division ...................      5,612      2,016      1,774      9,402
                                        -------    -------    -------    -------
Consolidated .......................    $ 7,360    $ 3,174    $ 2,316    $12,850
                                        =======    =======    =======    =======

Three months ended
  September 30, 2004
QSI Division .......................    $ 1,794    $ 1,227    $   317    $ 3,338
NextGen Division ...................      4,245      1,361        666      6,272
                                        -------    -------    -------    -------
Consolidated .......................    $ 6,039    $ 2,588    $   983    $ 9,610
                                        =======    =======    =======    =======

The growth in  maintenance  revenue for the NextGen  Division  has come from new
customers  that have been added each quarter as well as our relative  success in
retaining existing maintenance customers.  NextGen's EDI revenue growth has come
from new  customers  and from further  penetration  of the  Division's  existing
customer base. We intend to continue to promote  maintenance and EDI services to
both new and existing customers.

The following  table  provides the number of billing sites which were  receiving
maintenance services as of the last business day of the quarters ended September
30, 2005 and 2004 respectively, as well as the number of billing sites receiving
EDI services during the last month of each respective period at each Division of
the Company.  The table presents  summary  information only and includes billing
entities  added and removed for any reason.  Note also that a single  client may
include one or multiple  billing  sites,  and changes in billing  protocols  for
certain  clients  can cause  period to period  changes  in the number of billing
sites.



                    -------------------------------------------------------------------
                          NextGen                   QSI                 Consolidated
                    -------------------     -------------------     -------------------
                    Maintenance     EDI     Maintenance     EDI     Maintenance     EDI
                    -------------------------------------------------------------------
                                                                 
September 30,
2004 ...........        465         372         304         219         769         591
Billing sites
added ..........        248         184           5          20         253         204
Billing sites
removed ........         (6)        (79)        (29)        (40)        (35)       (119)
                       ----        ----        ----        ----        ----        ----
September 30,
2005 ...........        707         477         280         199         987         676
                       ====        ====        ====        ====        ====        ====


Cost of Revenue.  Cost of revenue for the three months ended  September 30, 2005
increased  21.1% to $9.6 million in the quarter  ended  September  30, 2005 from
$7.9 million in the quarter ended September 30, 2004,  while the cost of revenue
as a percentage of net revenue decreased to 32.5% from 37.4%.

The  decrease in our  consolidated  cost of revenue as a  percentage  of revenue
between the three  months  ended  September  30, 2005 and the three months ended
September 30, 2004 is attributable to three main factors:

o     a reduction in the level of hardware and third party software expense as a
      percentage of revenue in the NextGen Division and the QSI Division;

o     a reduction in the level of employee compensation expense included in cost
      of sales as a percentage of revenue in the NextGen Division;

o     an increase in the NextGen  Division's share of consolidated  revenue from
      81.4% in the  quarter  ended  September  30,  2004 to 86.4% in the quarter
      ended September 30, 2005. The NextGen Division's gross profit has been and
      continues to be higher than the QSI Division; and

o     a decrease  in the cost of revenue as a  percentage  of revenue at each of
      our Divisions causing a corresponding  increase in gross profit margins of
      both of our Divisions.


                                       28


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

                        --------------------------------------------
                        Hardware,   Payroll
                         Third        and                     Total
                         Party      related                  Cost of      Gross
                        Software    Benefits      Other      Revenue     Profit
                        ---------   --------      -----      -------     ------
Three months ended
September 30, 2005
QSI Division ........      4.5%       18.3%       21.2%       44.0%       56.0%
NextGen Division ....      5.0        11.2        14.5        30.7        69.3
                          ----        ----        ----        ----        ----
Consolidated ........      4.9%       12.2%       15.4%       32.5%       67.5%
                          ====        ====        ====        ====        ====

Three months ended
September 30, 2004
QSI Division ........      9.3%       16.9%       24.1%       50.3%       49.7%
NextGen Division ....      5.5        12.9        16.1        34.5        65.5
                          ----        ----        ----        ----        ----
Consolidated ........      6.2%       13.7%       17.5%       37.4%       62.6%
                          ====        ====        ====        ====        ====

During the three  months  ended  September  30,  2005,  hardware and third party
software  constituted a smaller portion of consolidated  revenue compared to the
same year ago period driven  principally by the composition of NextGen  Division
revenue.  We have noted that the last several  quarter's results have included a
relatively lower amount of hardware and third party software compared with prior
periods. However, this reduction was not the result of any change in emphasis on
our part. The number of customers who purchase hardware and third party software
and the dollar amount of hardware and third party software purchased  fluctuates
each quarter depending on the needs of the customers and is not a priority focus
for us.

Our payroll and benefits  expense  associated  with  delivering our products and
services  decreased to 12.2% of  consolidated  revenue in the three months ended
September 30, 2005 compared to 13.7% during the three months ended September 30,
2004. The absolute level of consolidated  payroll and benefit expenses grew from
$2.9 million in the three months ended September 30, 2004 to $3.6 million in the
three months ended September 30, 2005, an increase of 24% or $0.7 million.  This
increase  was due  primarily  to  additions  to related  headcount,  payroll and
benefits expense associated with delivering products and services in the NextGen
Division  where such  expenses  increased  to $2.9 million in three months ended
September  30, 2005 from $2.2 million in the three months  ended  September  30,
2004.  Payroll and benefits  expense  associated  with  delivering  products and
services in the QSI Division  during the three months ended  September  30, 2005
and 2004 remained relatively unchanged at approximately $0.7 million.

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

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

"Other,"  which  consists of outside  service  costs,  amortization  of software
development costs and other costs,  declined on a consolidated basis to 15.4% of
revenue  during the three months ended  September  30, 2005  compared to 17.5% a
year ago.

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

As a result of the foregoing events and activities,  gross profit percentage for
the Company and our two operating Divisions increased for the three month period
ended September 30, 2005 versus the prior year period.


                                       29


The following  table details  revenue and cost of revenue on a consolidated  and
divisional basis for the three month periods ended September 30, 2005 and 2004:

                            --------------------------------------------------
                                 Three months                 Three months
                             ended September 30,          ended September 30,
                            ---------------------        ---------------------
                              2005           %             2004           %
                            -------       -------        -------       -------
QSI Division
Revenue .............       $ 4,018         100.0%       $ 3,955         100.0%
Cost of revenue .....         1,769          44.0          1,990          50.3
                            -------       -------        -------       -------
Gross profit ........       $ 2,249          56.0        $ 1,965          49.7
                            =======       =======        =======       =======

NextGen Division
Revenue .............       $25,524         100.0        $17,262         100.0
Cost of revenue .....         7,842          30.7          5,947          34.5
                            -------       -------        -------       -------
Gross profit ........       $17,682          69.3        $11,315          65.5
                            =======       =======        =======       =======

Consolidated
Revenue .............       $29,542         100.0        $21,217         100.0
Cost of revenue .....         9,611          32.5          7,937          37.4
                            -------       -------        -------       -------
Gross profit ........       $19,931          67.5%       $13,280          62.6%
                            =======       =======        =======       =======

Selling,   General   and   Administrative   Expenses.   Selling,   general   and
administrative  expenses for the three months ended September 30, 2005 increased
64.8% to $8.9  million as compared to $5.4  million for the three  months  ended
September  30,  2004.  The  increase  in the  amount of such  expenses  resulted
primarily from a $0.8 million  increase in  commissions  expenses in the NextGen
Division, a $0.8 million increase in salaries and wages in the NextGen Division,
a net  $0.9  million  increase  in other  selling,  general  and  administrative
expenses in the  NextGen  Division  and a $1.0  million  increase  in  corporate
related expenses. Approximately half of the increase in year over year corporate
related  expense was related to expenses  associated  with the  contested  proxy
election  which  occurred  in  conjunction  with the 2005  Annual  Shareholders'
Meeting. Selling, general and administrative expenses as a percentage of revenue
increased  from 25.5% in the three months ended  September  30, 2004 to 30.2% in
the  three  months  ended  September  30,  2005 due to the fact that the rate of
growth  in  selling,  general  and  administrative  expense  was  more  than the
aggregate revenue growth rate for the Company.

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 a
wide  range of  areas.  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 three
months ended  September  30, 2005 and 2004 were $2.0  million and $1.8  million,
respectively.  The increases in research and development expenses were primarily
due  to  increased   investment  in  the  NextGen  product  line.  Research  and
development  costs as a  percentage  of net revenue  decreased to 6.7% from 8.6%
during the months ended September 30, 2005.  Research and  development  expenses
are expected to continue at or above current dollar levels.

Interest  Income.  Interest income for the three months ended September 30, 2005
increased 171% to  approximately  $0.5 million compared with $0.2 million in the
three months ended September 30, 2004. Interest income in the three months ended
September 30, 2005 increased primarily due to the effect of an increase in short
term  interest  rates  versus  the prior year  quarter as well as  comparatively
higher amounts of funds  available for investment  during the three months ended
September 30, 2005.

Our  investment  policy is determined  by our Board of  Directors.  We currently
maintain our cash in very liquid short term assets  including money market funds
and short term U.S.  Treasuries  with maturities of less than 90 days. Our Board
of Directors may consider alternate uses for our cash including, but not limited
to payment of a special dividend,  initiation of a regular dividend,  initiation
of a stock buy-back  program,  an expansion of our investment  policy to include
investments   with   maturities  of  greater  than  90  days,  or  other  items.
Additionally,  it is possible  that we will  utilize  some or all of our cash to
fund an  acquisition  or other similar  business  activity.  Any or all of these
programs could significantly impact our investment income in future periods.


                                       30


Provision for Income Taxes.  The provision for income taxes for the three months
ended  September  30,  2005  was  approximately  $3.7  million  as  compared  to
approximately  $2.5 million for the year ago period. The effective tax rates for
the  three  months  ended  September  30,  2005 and 2004 were  39.0% and  40.3%,
respectively.  The  provision  for  income  taxes  for the  three  months  ended
September 30, 2005 differs from the combined  statutory  rates  primarily due to
the impact of varying state income tax rates,  the research and  development tax
credits, and the newly-created domestic manufacturer's  deduction under Internal
Revenue  Code  Section  199.  The  effective  rate for the  three  months  ended
September 30, 2005 decreased from the prior year primarily due to the relatively
larger  impact  of  research  and  development  tax  credits  and  the  domestic
manufacturer's  deduction  which  became  effective  at the start of fiscal year
2006.  The provision  for income taxes for the three months ended  September 30,
2004 differs from the combined  statutory  rates  primarily due to the impact of
varying state income tax rates and research and development tax credits.

For the Six-Month Periods September 30, 2005 versus 2004

Net Income. The Company's net income for the six months ended September 30, 2005
was $10.9  million  or $0.83 per share on a basic and $0.80 per share on a fully
diluted  basis.  In  comparison,  we earned $7.0 million or $0.56 per share on a
basic  and  $0.54 per share on a fully  diluted  basis in the six  months  ended
September  30,  2004.  The  increase  in net  income  for the six  months  ended
September 30, 2005, was achieved primarily through the following:

o     a 37.8% increase in consolidated revenue;

o     a 47.0% increase in NextGen  Division revenue which accounted for 86.2% of
      consolidated revenue; and

o     increase in the  consolidated  gross profit  percentage which increased to
      66.0% in the six months ended  September 30, 2005 versus 61.2% in the same
      period last year.

Revenue.  Revenue for the six months ended September 30, 2005 increased 37.8% to
$57.0  million from $41.3  million for the six months ended  September 30, 2004.
NextGen Division revenue increased 47.0% from $33.4 million during the six month
ended  September 30, 2004 to $49.1 million during the six month ended  September
30, 2005, while QSI Division revenue declined by 1.1% during the same period.

We report revenue in two major categories,  "Systems sales" and "Maintenance and
other services". Revenue in the systems sales category includes software license
fees, hardware,  third party software,  supplies 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  and other category  includes  maintenance,  EDI, and
other revenue.  Maintenance and EDI revenue are the principal sources of revenue
in this category.

System Sales.  Company-wide  sales of systems for the six months ended September
30, 2005  increased  41.8% to $32.2 million from $22.7 million in the same prior
year period.

Our  increase in revenue from sales of systems was  principally  the result of a
44.3% increase in category  revenue at our NextGen  Division whose systems sales
grew from $21.6 million to $31.1 million.  This increase was driven primarily by
higher sales of NextGen(emr) and NextGen(epm)  software to both new and existing
clients,  as well as delivery of related  implementation  and training services,
partially offset by declines in the sale of hardware,  third party software, and
supplies.

Category  revenue in the QSI  Division  declined by 5.4%  between the six months
ended September 30, 2004 and the six months ended September 30, 2005.

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

                                        Hardware,
                                       Third Party   Implementation     Total
                                      Software and    and Training     System
                            Software     Supplies       Services        Sales
                            --------  ------------   --------------    -------
Six months ended
 September 30, 2005
QSI Division .........      $   301      $   438         $   322       $ 1,061
NextGen Division .....       23,460        2,435           5,199        31,094
                            -------      -------         -------       -------
Consolidated .........      $23,761      $ 2,873         $ 5,521       $32,155
                            =======      =======         =======       =======

Six months ended
 September 30, 2004
QSI Division .........      $   519      $   446         $   157       $ 1,122
NextGen Division .....       14,220        2,925           4,409        21,554
                            -------      -------         -------       -------
Consolidated .........      $14,739      $ 3,371         $ 4,566       $22,676
                            =======      =======         =======       =======


                                       31


NextGen Division  software revenue  increased 65.0% between the six months ended
September 30, 2005 and the six months ended  September 30, 2004.  The Division's
software revenue accounted for 75.4% of divisional  systems sales revenue during
the six months  ending  September  30, 2005,  an increase  from 66.0% in the six
months  ended  September  30,  2004.  Sales of  additional  licenses to existing
customers  grew to $3.5 million  during the six months ended  September 30, 2005
compared  to $2.1  million in the year ago  period.  This  increase  was not the
result of any new trend or change in emphasis  on our part  relative to software
sales.  Software license revenue continues to be an area of primary emphasis for
the NextGen division and management was pleased with the Division's  performance
in this area.

During the six months ended September 30, 2005, 7.8% of NextGen's  systems sales
revenue was  represented by hardware and third party software  compared to 13.6%
in the same prior year  period.  We have noted that the last  several  quarter's
results  have  included a  relatively  lower  amount of hardware and third party
software compared to prior periods. However, this decrease was not the result of
any  change in  emphasis  on our part.  The  number of  customers  who  purchase
hardware and third party  software  and the dollar  amount of hardware and third
party  software  revenue  fluctuates  each  quarter  depending  on the  needs of
customers.  The inclusion of hardware and third party software in the division's
sales  arrangements  is  typically  at the request of the  customer and is not a
priority focus for us.

Implementation and training revenue at the NextGen Division increased 17.9% from
the six months  ended  September  30,  2004  compared  to the six  months  ended
September 30, 2005.  Implementation and training revenue at the NextGen Division
decreased  its share of  category  revenue  from 20.5% in the six  months  ended
September  30, 2004 to 16.7% in the six months ended  September  30,  2005.  The
growth in implementation  and training revenue is the result of increases in the
amount of implementation  and training  services rendered to our customers.  The
number of  implementation  and training staff increased during the course of the
six months  ended  September  30, 2005 versus 2004 in order to  accommodate  the
increased amount of  implementation  services sold in conjunction with increased
software sales. In order to achieve  continued  increased  revenue in this area,
additional  staffing  increases are anticipated,  though actual future increases
will depend upon the availability of qualified staff,  business conditions,  and
our ability to retain current staff members.

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

Maintenance  and Other  Services.  For the six months ended  September 30, 2005,
Company-wide  revenue from  maintenance  and other  services grew 32.9% to $24.8
million  from $18.7  million  during the same period last year.  The increase in
this  category  resulted  principally  from an increase in  maintenance  and EDI
revenue  from  the  NextGen  Division's  client  base.  Total  NextGen  Division
maintenance  revenue for the six months ended  September  30, 2005 grew 39.4% to
$11.2 million from $8.0 million in the period a year ago, while EDI revenue grew
62.6% to $3.9  million  compared to $2.4  million  during the same  period.  QSI
Division  maintenance revenue declined 4.4% from $3.7 million to $3.5 million in
the same period  while QSI  Divisional  EDI  revenue  declined by 4.7% from $2.5
million to $2.3 million during such period.

The following  table details  revenue  included in Maintenance and other for the
six month periods ended September 30, 2005 and 2004:

                                   ---------------------------------------------
                                   Maintenance     EDI        Other       Total
                                   -----------   -------     -------     -------
Six months ended
  September 30, 2005
QSI Division ...................     $ 3,517     $ 2,340     $   933     $ 6,790
NextGen Division ...............      11,153       3,936       2,936      18,025
                                     -------     -------     -------     -------
Consolidated ...................     $14,670     $ 6,276     $ 3,869     $24,815
                                     =======     =======     =======     =======

Six months ended
  September 30, 2004
QSI Division ...................     $ 3,678     $ 2,455     $   681     $ 6,814
NextGen Division ...............       8,000       2,421       1,436      11,857
                                     -------     -------     -------     -------
Consolidated ...................     $11,678     $ 4,876     $ 2,117     $18,671
                                     =======     =======     =======     =======


                                       32


The growth in overall  maintenance revenue has come from new customers that have
been added each quarter, additional software purchases by existing customers, as
well as our  relative  success  in  retaining  existing  maintenance  customers.
NextGen  EDI  revenue  growth  has come  from  new  customers  and from  further
penetration of the Division's  existing  customer base. We intend to continue to
promote maintenance and EDI services to both new and existing customers.

The following  table  provides the number of billing sites which were  receiving
maintenance services as of the last business day of the quarters ended September
30, 2005 and 2004 respectively, as well as the number of billing sites receiving
EDI services during the last month of each respective period at each division of
the Company.  The table presents  summary  information only and includes billing
entities  added and removed for any reason.  Note also that a single  client may
include one or multiple billing sites, and changes in billing  arrangements with
certain  clients  can cause  period to period  changes  in the number of billing
sites.

                  -------------------------------------------------------------
                       NextGen                QSI               Consolidated
                  ------------------   ------------------    ------------------
                  Maintenance    EDI   Maintenance    EDI    Maintenance    EDI
                  -------------------------------------------------------------

September 30,
2004 ............     465        372       304        219        769        591
Billing sites
added ...........     248        184         5         20        253        204
Billing sites
removed .........      (6)       (79)      (29)       (40)       (35)      (119)
                     ----       ----      ----       ----       ----       ----
September 30,
2005 ............     707        477       280        199        987        676
                     ====       ====      ====       ====       ====       ====

Cost of Revenue. The cost of revenue for the six months ended September 30, 2005
increased  20.7% to $19.4 million from $16.0 million,  while the cost of revenue
as a  percentage  of net revenue  decreased  to 34.0% from 38.8% during the same
period a year ago.

The  decrease in our  consolidated  cost of revenue as a  percentage  of revenue
between  the six  months  ended  September  30,  2005 and the six  months  ended
September 30, 2004 is attributable to three main factors:

o     a  reduction  in the  level of third  party  hardware  and  software  as a
      percentage of revenue in the NextGen Division;

o     a reduction in the level of employee compensation expense included in cost
      of sales as a percentage of revenue in the NextGen Division;

o     an increase in the NextGen  Division's share of consolidated  revenue from
      80.8% in the six months ended September 30, 2004 to 86.2% in September 30,
      2005.  The  NextGen  Division's  gross  profit  percentage  has  been  and
      continues to be higher than that of the QSI Division; and

o     a decrease  in the cost of revenue as a  percentage  of revenue at each of
      our Divisions causing a corresponding  increase in gross profit margins at
      both of our Divisions.

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

                        --------------------------------------------     ------
                        Hardware,   Payroll
                         Third        and                     Total
                         Party      related                  Cost of      Gross
                        Software    Benefits      Other      Revenue     Profit
                        ---------   --------      -----      -------     ------

Six months ended
September 30, 2005
QSI Division ........      8.8%       18.7%       21.1%       48.6%       51.4%
NextGen Division ....      5.7        11.2        14.7        31.6        68.4
                          ----        ----        ----        ----        ----
Consolidated ........      6.2%       12.2%       15.6%       34.0%       66.0%
                          ====        ====        ====        ====        ====

Six months ended
September 30, 2004
QSI Division ........      8.1%       17.2%       24.4%       49.7%       50.3%
NextGen Division ....      7.5        13.6        15.1        36.2        63.8
                          ----        ----        ----        ----        ----
Consolidated ........      8.0%       14.3%       16.5%       38.8%       61.2%
                          ====        ====        ====        ====        ====


                                       33


During the six months ended  September 30, 2005,  the cost of hardware and third
party software  constituted 6.2% of consolidated revenue compared to 8.0% in the
same year ago period. We have noted that the last several quarter's results have
included a relatively lower amount of hardware and third party software compared
to prior  periods.  However this year over year  reduction was not the result of
any  change in  emphasis  on our part.  The  number of  customers  who  purchase
hardware and third party  software  and the dollar  amount of hardware and third
party software  purchased  fluctuates each quarter depending on the needs of the
customers and is not a priority focus for us.

Our payroll and benefits  expense  associated  with  delivering our products and
services  decreased  to 12.2% of  consolidated  revenue in the six months  ended
September 30, 2005 compared to 14.3% in the six months ended September 30, 2004.
The absolute level of consolidated  payroll and benefit  expenses grew from $5.9
million in the six months ended  September 30, 2004 to $7.0 million in September
30, 2005, an increase of 18.6%.  This increase was due primarily to additions to
headcount,  payroll and benefits expense associated with delivering products and
services in the NextGen Division.  These divisional  expenses  increased to $5.5
million in the six months ended  September  30, 2005 compared to $4.5 million in
the six months ended  September 30, 2004, an increase of 22.2%.  The  Division's
payroll and benefits expense associated with delivering products and services as
a percentage  of divisional  revenue in the six months ended  September 30, 2005
decreased to 11.2% compared to 13.6% in the prior year period. Headcount expense
as a percentage of revenue for the six month period ended  September 30, 2005 at
the QSI Division  increased compared to the prior year at 18.7% versus 17.2%, in
the prior year period.

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

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

"Other,"  which  consists of outside  service  costs,  amortization  of software
development  costs and other costs,  declined  slightly to 15.6% of revenue from
16.5% in the year ago period.

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

As a result of the foregoing events and activities,  our gross profit percentage
for the  Company and our two  operating  Divisions  increased  for the six month
period ended September 30, 2005 versus the prior year period.

The following  table details  revenue and cost of revenue on a consolidated  and
divisional basis for the six month periods ended September 30, 2005 and 2004:

                                       Six months               Six months
                                   ended September 30,      ended September 30,
                                   -------------------      -------------------
                                     2005         %           2004         %
                                   -------     -------      -------     -------
QSI Division
Revenue ......................     $ 7,851       100.0%     $ 7,936       100.0%
Cost of revenue ..............       3,817        48.6        3,940        49.7
                                   -------     -------      -------     -------
Gross profit .................       4,034        51.4        3,996        50.3
                                   =======     =======      =======     =======

NextGen Division
Revenue ......................      49,119       100.0       33,411       100.0
Cost of revenue ..............      15,545        31.6       12,098        36.2
                                   -------     -------      -------     -------
Gross profit .................      33,574        68.4       21,313        63.8
                                   =======     =======      =======     =======

Consolidated
Revenue ......................      56,970       100.0       41,347       100.0
Cost of revenue ..............      19,362        34.0       16,038        38.8
                                   -------     -------      -------     -------
Gross profit .................     $37,608        66.0%     $25,309        61.2%
                                   =======     =======      =======     =======


                                       34


Selling,   General   and   Administrative   Expenses.   Selling,   general   and
administrative  expenses for the six months ended  September 30, 2005  increased
63.5% to $17.0  million as  compared to $10.4  million for the six months  ended
September  30,  2004.  The  increase  in the  amount of such  expenses  resulted
primarily from increases of $1.5 million in salaries and related benefits in the
NextGen division,  $1.3 million in commission  expenses in the NextGen Division,
$1.8 million in other general selling,  general and  administrative  expenses in
the NextGen Division and $2.0 million in increased  corporate  related expenses.
Approximately  $0.6 million of the increase in year over year corporate  related
expenses  was  salaries  and related  benefits  and $0.5  million was related to
expenses  associated  with  the  contested  proxy  election  which  occurred  in
conjunction with the 2005 Annual  Shareholders'  Meeting.  Selling,  general and
administrative  expenses as a percentage of revenue  increased from 25.1% in the
six months ended  September 30, 2004 to 29.8% in the six months ended  September
30, 2005 due to selling,  general,  administrative  expenses growing at a faster
rate then revenue.

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 six
months ended  September  30, 2005 and 2004 were $3.7  million and $3.4  million,
respectively.  The increases in research and development expenses were primarily
due  to  increased   investment  in  the  NextGen  product  line.  Research  and
development costs as a percentage of net revenue decreased to 6.5% from 8.3% due
in part, to the fact that revenue  growth  exceeded the increase in research and
development spending. Research and development expenses are expected to continue
at or above current levels.

Interest  Income.  Interest  income for the six months ended  September 30, 2005
increased  176.2% to $0.8 million  compared  with $0.3 million in the six months
ended September 30, 2004.  Interest income in the six months ended September 30,
2005 increased primarily due to the effect of an increase in short term interest
rates versus the prior year period as well as  comparatively  higher  amounts of
funds available for investment during the six months ended September 30, 2005.

Our  investment  policy is determined  by our Board of  Directors.  We currently
maintain our cash in very liquid short term assets  including money market funds
and short term U.S.  Treasuries  with maturities of less than 90 days. 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 regular  dividend,
initiation of a stock buy back program, an expansion of our investment policy to
include  investments  with  maturities  of greater than 90 days, or other items.
Additionally,  it is possible  that we will  utilize  some or all of our cash to
fund an  acquisition  or other similar  business  activity.  Any or all of these
programs could significantly impact our investment income in future periods.

Provision  for Income  Taxes.  The provision for income taxes for the six months
ended  September  30,  2005  was  approximately  $6.9  million  as  compared  to
approximately  $4.7 million for the year ago period. The effective tax rates for
the six  months  ended  September  30,  2005  and 2004  were  38.7%  and  39.9%,
respectively.  The provision for income taxes for the six months ended September
30, 2005 differs from the combined  statutory  rates primarily due to the impact
of varying state income tax rates,  research and development tax credits and the
newly-created  domestic  manufacturer's  deduction  under Internal  Revenue Code
Section 199. The  effective  rate for the six months  ended  September  30, 2005
decreased from the prior year  primarily due to the relatively  larger impact of
research and development tax credits and the domestic manufacturer's  deduction,
which is effective for the fiscal year ending March 31, 2006.  The provision for
income  taxes for the six months  ended  September  30,  2004  differs  from the
combined statutory rates primarily due to the impact of varying state income tax
rates and research and development tax credits.


                                       35


Liquidity and Capital Resources

The following table presents selected  financial  statistics and information for
each of the six months ended September 30, 2005 and 2004:

                                                              Six months ended
                                                                September 30,
                                                             -------------------
                                                               2005        2004
- --------------------------------------------------------------------------------

Cash and cash equivalents ..............................     $63,126     $59,522

Net increase in cash and cash equivalents
during the six month period ............................     $11,969     $ 8,127

Net income during the period ...........................     $10,869     $ 7,097

Net cash provided by operations during the
period .................................................     $13,572     $ 9,121

Number of days of sales outstanding at start of
the period .............................................         119          99

Number of days of sales outstanding at the end
of the period ..........................................         126         108

The  Company's  principal  source of cash was cash provided by  operations.  The
number of days sales  outstanding  at the end of the period  increased by 7 days
during the six month period ended  September 30, 2005 compared to the prior year
period. Such increase was primarily due to an increase in the volume of services
sold by the NextGen  Division which had not yet been  rendered,  resulting in an
increase in both deferred revenue and accounts  receivable.  If amounts included
in both accounts  receivable and deferred revenue were netted out, the Company's
turnover of accounts  received  expressed as days sales  outstanding would be 71
days as of  September  30,  2005  and 72 days as of  March  31,  2005.  Provided
turnover of accounts  receivable,  deferred revenue,  and  profitability  remain
consistent  with the six months ended  September 30, 2005,  we anticipate  being
able to continue to generate cash from  operations  during fiscal 2006 primarily
from the net income of the Company.

Cash and cash equivalents  increased by $12.0 million between March 31, 2005 and
September  30,  2005  primarily  as a  result  of  cash  provided  by  operating
activities.  Cash and cash  equivalents  increased  approximately  $8.1  million
during the six months ended  September 30, 2004,  also  primarily as a result of
cash generated by operating activities.

Net cash used in investing  activities  for the six months ended  September  30,
2005 and 2004 was $2.7 million and $1.8 million  respectively.  Net cash used in
investing  activities  for the six  months  ended  September  30,  2005 and 2004
consisted of additions to equipment and improvements and capitalized software.

During the six months ended  September  30, 2005,  we received  proceeds of $1.1
million  from the  exercise of stock  options and recorded a reduction in income
tax liability of $1.0 million  related to tax deductions  received from employee
stock option exercises. The benefit was recorded as additional paid in capital.

At September 30, 2005, we had cash and cash  equivalents  of $63.1  million.  We
intend  to  expend  some  of  these  funds  for  the   development  of  products
complementary to our existing product line as well as new versions of certain of
our products. These developments are intended to take advantage of more powerful
technologies  and to  increase  the  integration  of our  products.  We  have no
additional significant current capital commitments.

Management  believes that its cash and cash equivalents on hand at September 30,
2005,  together with cash flows from  operations,  if any, will be sufficient to
meet its working  capital and capital  expenditure  requirements in the ordinary
course of business for the balance of fiscal 2006.


                                       36


Contractual Obligations

The following  table  summarizes  our  significant  contractual  obligations  at
September 30, 2005, and the effect that such obligations are expected to have on
our liquidity and cash in future periods:



- --------------------------------     --------------------------------------------------
                                                 Less
                                                than a       1-3        3-5     Beyond
Contractual Obligations               Total      year       years      years    5 years
- --------------------------------     ------     ------     ------     ------    -------
                                                                  
Non-cancelable lease obligations     $4,774     $  769     $2,472     $1,467     $   66
                                     ======     ======     ======     ======     ======


Item 3. Qualitative and Quantitative Disclosures About Market Risk

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

Item 4. Controls and Procedures

The Chief Executive Officer and Chief Financial Officer (our principal executive
officer and principal financial officer,  respectively)  conducted an evaluation
of the design and  operation of our  "disclosure  controls and  procedures"  (as
defined in Rules  13a-15(e) and 15d-15(e)  under the Securities  Exchange Act of
1934,  as  amended  ("Exchange  Act")).  Based  on that  evaluation,  which  was
conducted  within 90 days of the date on which this  quarterly  report was filed
with the Securities and Exchange  Commission,  the Chief  Executive  Officer and
Chief Financial  Officer  concluded that the disclosure  controls and procedures
are effective to ensure that information  required to be disclosed by use in the
reports  filed  or  submitted  by us  under  the  Exchange  Act is  accumulated,
recorded, processed, summarized and reported to management,  including our Chief
Executive Officer and Chief Financial Officer,  as appropriate,  to allow timely
decisions regarding whether or not disclosure is required.

During the quarter  ended  September  30,  2005,  no  significant  changes  have
occurred in our "internal controls over financial reporting" (as defined in Rule
13a-15(f)  under  the  Exchange  Act)  that  have  materially  affected,  or are
reasonably  likely to  materially  affect,  our  financial  reporting  function.
However,  we are performing  ongoing  evaluations  of our internal  processes in
order to find opportunities to further enhance our internal controls system.


                                       37


                                     PART II

                                OTHER INFORMATION

Item 1. Legal Proceedings.

After the close of business  on October 26,  2005,  the Company  learned  that a
lawsuit has been filed  against the  Company and six of its eight  directors  by
Ahmed  Hussein,  a director and  significant  shareholder  of the  Company.  The
complaint  names the Company and individual  directors,  Patrick Cline,  Maurice
DeWald,  Vincent Love,  Steven  Plochocki,  Sheldon  Razin and Louis  Silverman.
Director Ibrahim Fawzy was not named as a defendant.

Filed in the Superior Court for Orange County, California, the complaint alleges
that in connection  with the Company's 2005 Annual  Shareholders'  Meeting,  the
certified  results from the independent  inspector of election  included certain
proxies  that should not have been  included in the final vote  tabulation.  The
independent  inspector of election has  certified  the election of the Company's
eight  directors (as previously  announced)  after hearing Mr.  Hussein's  claim
concerning this matter. Specifically, Mr. Hussein seeks (i) a determination that
the election of directors at the Annual Meeting is invalid, (ii) a determination
that the  votes  of the  disputed  shares  were  improper  and in  violation  of
applicable regulations,  (iii) an order requiring that the election of directors
at the Annual Meeting be retabulated  without  including the disputed  shares in
the  count,  (iv)  an  order  requiring  the  election  of  directors  with  the
retabulated  votes in a manner so as to provide Mr.  Hussein  with the  greatest
number of directors possible, and (v) costs.

The Company  believes that Mr.  Hussein's claims lack merit and that the results
certified  by the  independent  inspector of elections  are  conclusive  of this
matter. The Company intends to defend itself vigorously.

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds.

None.

Item 3. Defaults Upon Senior Securities.

None.

Item 4. Submission of Matters to a Vote of Securities Holders.

Information concerning the Company's 2005 Annual Meeting of Shareholders held on
September  21,  2005 is  contained  in Form 8-K filed  with the  Securities  and
Exchange Commission on October 11, 2005.

Item 5. Other Information.

None.

Item 6. Exhibits.

Exhibits:

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

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


                                       38


                                   SIGNATURES

Pursuant to the  requirements  of the  Securities  Exchange Act of 1934, we have
duly caused this report to be signed on its behalf by the undersigned  thereunto
duly authorized.

      QUALITY SYSTEMS, INC.


Date: November 4, 2005                  By: /s/ Louis Silverman
                                            ------------------------------------
                                            Louis Silverman
                                            Chief Executive Officer


Date: November 4, 2005                  By: /s/ Paul Holt
                                            ------------------------------------
                                            Paul Holt
                                            Chief Financial Officer; Principal
                                            Accounting Officer


                                       39