IDX SYSTEMS CORP
10-Q, 1996-05-13
COMPUTER INTEGRATED SYSTEMS DESIGN
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<PAGE> 1

                          UNITED STATES
                SECURITIES AND EXCHANGE COMMISSION
                     WASHINGTON, D.C.  20549
                     ________________________
                            FORM 10-Q
         QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(D)
              OF THE SECURITIES EXCHANGE ACT OF 1934

          For the Quarterly Period Ended March 31, 1996
                 _______________________________

                  Commission File Number 0-26816

                     IDX SYSTEMS CORPORATION
      (Exact name of registrant as specified in its charter)

          Vermont                               03-0222230
     (State or other jurisdiction of      (I.R.S. Employer
     incorporation or organization)      Identification No.)

                       1400 Shelburne Road
                   South Burlington, VT  05403
             (Address of principal executive offices)

Registrant's telephone number, including area code:  (802-862-1022)

     Indicate by check mark whether the registrant has filed all reports 
required to be filed by Section 13 or 15(d) of the Securities Exchange Act
of 1934 during the preceding 12 months (or for such shorter period that
the registrant was required to file such reports).

                            Yes   X     No           
     Indicate by check mark whether the registrant has been subject to
such filing requirements for the past 90 days.
                            Yes   X     No          
     The number of shares outstanding of the registrant's common stock as of
May 10, 1996 was 20,741,826.

                 [Exhibit index begins on Page 18]<PAGE>
<PAGE> 2
                     IDX SYSTEMS CORPORATION
                            FORM 10-Q
          For the quarterly Period Ended March 31, 1996

                        TABLE OF CONTENTS
                                                             	Page
PART I.   FINANCIAL INFORMATION

ITEM 1.   Interim Financial Statements:

          a)   Condensed consolidated balance sheets 
               as of March 31, 1996 and 
               December 31, 1995 (unaudited)	                  3

          b)   Condensed consolidated statements of 
               income for the three months ended
               March 31, 1996 and 1995 (unaudited							       4

          c)   Condensed consolidated statements 
               of cash flows for the three months 
               ended March 31, 1996 and 1995 (unaudited) 	 				5
     
          d)   Notes to condensed consolidated 
               financial statements						                      7

ITEM 2.   Management's discussion and analysis of 
          financial condition and results of operations     			8

PART II.  OTHER INFORMATION

ITEM 1.   Legal proceedings							                            16

ITEM 2.   Changes in securities						                         16

ITEM 3.   Defaults upon senior securities					                16

ITEM 4.   Submission of matters to a vote of security holders	16

ITEM 5.   Other information							                            16

ITEM 6.   Exhibits and reports on Form 8-K 				               16

SIGNATURES 										                                         17

EXHIBIT INDEX									                                        18<PAGE>

<PAGE> 3
Item 1.   Interim Financial Statements

                     IDX SYSTEMS CORPORATION
               Condensed Consolidated Balance Sheets
                          (In thousands)
                           (Unaudited)  
<TABLE>
<CAPTION>                                        
                              	      March 31      December 31    
                              	        1996           1995
                         						        ----	          ----
<S>						                           <C>		           <C> 	  
ASSETS

Cash and cash equivalents           $ 19,402       $ 33,262
Securities available-for-sale         56,927         46,514
Accounts receivable, net              33,586         28,013
Other current assets                   2,296          2,081
Deferred tax asset                     1,535          1,535
						                               -------       --------	
Total current assets                 113,746        111,405
						
Property and equipment, net           16,267         16,221

Other assets                             295            284
Deferred tax asset                       501            501
                              						--------   	   --------	
                                         796            785    
     						                         --------       --------  	
Total assets                        $130,809       $128,411
						                              ========       ======== 

LIABILITIES AND STOCKHOLDERS' EQUITY

Accounts payable and accrued
  expenses                         $  10,616       $ 12,857
Deferred revenue                       7,976          7,766     
Accrued income taxes                   1,319          1,267
		                                  --------	      --------
Total current liabilities             19,911         21,890

Long term debt                         2,907          2,907

Minority interest                      1,295          1,182

Stockholders' equity                 106,696        102,432
                              						--------	      --------
Total liabilities and         
stockholders' equity                $130,809       $128,411
                              						========	      ======== 

</TABLE>


                     See accompanying notes.<PAGE>

<PAGE> 4
Item 1.  Interim Financial Statements.

                     IDX SYSTEMS CORPORATION
            Condensed Consolidated Statements of Income
             (In thousands, except per share amounts)  
                           (Unaudited)
<TABLE>
<CAPTION>
                                   	Three Months Ended
                                        	March 31
                                   	1996          1995
	                          				    	----          ---- 
<S>					    	                      <C>	           <C> 
Revenues                      
    Software license fees         	$12,428        $ 9,104
    Maintenance and service fees    16,780         14,220
    Hardware sales                   8,137          5,921
						                             -------        -------   
Total revenues                      37,345         29,245
Operating expenses:
   Cost of license, maintenance
      and service fees              12,779         11,928
   Cost of hardware sales            6,612          4,568
   Selling, general and 
	     administrative          	      7,491          5,103
   Research and development          5,786          4,289
					                             	-------        -------
                                    32,668         25,888
						                             -------        ------- 	
Operating income                     4,677          3,357
Interest and other income              910            254
						                             -------        -------
Income before income taxes           5,587          3,611
Income tax provision                 2,234            192
						                             -------	       -------
Net Income                          $3,353         $3,419
						                             =======	       ======= 
Net Income per share                $  .16
						                             =======
Historical income before 
   income taxes                                    $3,611
Pro forma income taxes                              1,444
								                                          -------
Pro forma net income                               $2,167
 								                                         =======		
Pro forma net income per share                	    $  .13
								                                          =======	
Average shares outstanding          21,282         17,269 
						                             =======        =======
</TABLE>
                               See accompanying notes.         







<PAGE> 5
Item 1.   Interim Financial Statements

                     IDX SYSTEMS CORPORATION
                     Condensed Consolidated 
                     Statements of Cash Flows
                          (In thousands)
                           (Unaudited)

<TABLE>
<CAPTION>
                                    Three Months Ended 
                                          March 31

           	                        1996          1995
					                              	----          ----
<S>						                           <C>		         <C>				      
OPERATING ACTIVITIES
Net Income                          $3,353        $3,419
Adjustments to reconcile net 
      income to net cash used 
      in operating activities:
         Depreciation                1,123           891
         Increase in allowance 
           for doubtful accounts        29            85
Minority interest                      112          (142)
Loss on disposal of property and
      equipment                         15           164
Changes in operating assets and
      liabilities:
         Accounts receivable        (5,602)       (5,052)
         Prepaid expenses             (327)          (35)
         Accounts payable             (508)         (563)
         Accrued expenses           (1,681)         (385)
         Deferred revenue              211         1,259
         Other, net                    111          (224)
					                               ------        ------ 
Net cash used in operating 
	      activities        	          (3,164)         (583)











                     See accompanying notes.<PAGE>


<PAGE> 6


INVESTING ACTIVITIES
Purchase of property and 
      equipment    		             $(1,186)         $(959)
Proceeds from sale of property
      and equipment                     4             42
Purchase of securities available-
      for-sale                    (20,989)           151
Sale of securities available-
      for-sale                     10,443            100
					                             -------		      -------			
Net cash used in investing
      activities                  (11,728)          (666)


FINANCING ACTIVITIES
Proceeds from sale of 
	    common stock                   1,032            182
Issuance of notes receivable
     to related parties                              512
Proceeds from related parties                        692  
Payments on long-term debt 
	    related to real estate                         (474)
					                            -------		       --------
Net cash provided by financing 
      activities                   1,032             912
					                           ======== 	      ========	
Decrease in cash and cash 
      equivalents                (13,860)           (337)

Cash and cash equivalents at 
     	beginning of period         33,262           6,460
					                            -------        --------	
Cash and cash equivalents at
	    end of period               $19,402          $6,123
					                            =======       	========
</TABLE>










                     See accompanying notes.<PAGE>

<PAGE> 7
Notes to Condensed Consolidated Financial Statements



Note 1 - Interim Statement Presentation

The unaudited consolidated financial statements have been prepared by the
Company pursuant to the rules and regulations of the Securities and Exchange
Commission and in accordance with generally accepted accounting principles.
Accordingly, certain information and footnote disclosures normally included 
in annual financial statements have been omitted or condensed.  In the 
opinion of management, all necessary adjustments have been made to provide
a fair presentation.  The operating results for the three months ended 
March 31, 1996 are not necessarily indicative of the results that may be 
expected for the year ending December 31, 1996. For further information, 
refer to the consolidated financial statements and footnotes included in 
the Company's latest annual report on Form 10-K.

Note 2 - Pro Forma Net Income and Net Income Per Share Information

Pro forma net income represents actual historical pre-tax earnings in 1995
less the tax provision which the Company would have recognized had it been
taxed as a "C" Corporation in 1995.  Prior to October 1, 1995, the Company
was taxed as an "S" Corporation.  Pro forma net income per share is computed 
using pro forma net income and the weighted average number of Common and 
dilutive Common Stock equivalent shares.  Common Stock equivalents are 
attributable to stock options using the treasury stock method and, for the 
three-month period ended March 31, 1995, include the weighted average 
estimated number of shares which was necessary to fund the payment of 
undistributed S Corporation earnings in excess of the previous twelve months
net income.  Common Stock and Common Stock equivalent shares issued during
the twelve-month period prior to the effective date of the initial public
offering have been included in the calculations as if they were outstanding
for the three-month period ended March 31, 1995 using the treasury stock
method.  The initial public offering price was used in the determination of
Common Stock equivalents for all periods presented up to the effective date 
of the initial public offering.  After that date, the market prices of Common
Stock were used for computing Common Stock equivalents.  Primary and fully
diluted pro forma net income per share are the same for the three-month 
period ended March 31, 1995 and primary and fully diluted net income per
share are the same for the three-month period ended March 31, 1996. 

Note 3 - Reclassifications

Certain prior period amounts have been reclassified to conform with 
current period presentations.<PAGE>


<PAGE> 8
Item 2.   Management's Discussion and Analysis of Financial Condition and
          Results of Operations

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


Results of Operations
- - ---------------------

REVENUES
The Company's total revenues increased to $37.3 million in the first three 
months of 1996 from $29.2 million in the corresponding period in 1995, an 
increase of $8.1 million or 27.7%.  Revenues from software license fees 
increased to $12.4 million in the first three months of 1996 (33.3% of 
total revenues) from $9.1 million (31.1% of total revenues) in the 
corresponding period in 1995, an increase of $3.3 million or 36.5%.  The 
increase was primarily due to an increase in installations of certain of the
Company's software products from its Ambulatory Suite and Group Practice 
Management software.  Revenues from maintenance and service fees increased 
to $16.8 million in the first three months of 1996 (44.9% of total revenues)
from $14.2 million (48.6% of total revenues) in the corresponding period in 
1995, an increase of $2.6 million or 18.0%.  The majority of the increase was 
due to additional maintenance revenues resulting from the continued growth in 
the Company's installed client base.  Hardware revenues increased to $8.1 
million in the first three months of 1996 (21.8%) of total revenues) 
from $5.9 million (20.3% of total revenues) in the corresponding period 
in 1995, an increase of $2.2 million or 37.4%.  The increase in hardware 
revenues was principally due to customers upgrading their hardware systems.

COST OF LICENSE, MAINTENANCE AND SERVICE FEES
The cost of license, maintenance and service fees increased to $12.8 
million in the first three months of 1996 from $11.9 million in the
corresponding period in 1995, an increase of $0.9 million or 7.1%.  
The gross profit margin on license, maintenance and service fees increased 
to 56.2% in the first three months of 1996 from 48.9% in the corresponding 
period in 1995.  The increase in gross profit margin was principally due to 
the growth in software revenue without a corresponding increase in related
costs due to the fixed nature of a significant portion of the Company's
revenue-related costs.

COST OF HARDWARE SALES
The cost of hardware sales increased to $6.6 million in the first three 
months of 1996 from $4.6 million in the corresponding period in 1995, an  
increase of $2.0 million or 44.7%.  The gross profit margin on hardware 
sales decreased to 18.7% of hardware revenues in the three months
ended March 31, 1996, from 22.9% in the corresponding period in 1995.  
The decrease was generally due to price reductions on hardware in the
marketplace.
<PAGE>

<PAGE> 9

SELLING, GENERAL AND ADMINISTRATIVE EXPENSES
Selling, general and administrative expenses increased to $7.5 million in 
the first three months of 1996 from $5.1 million in the corresponding 
period in 1995, an increase of $2.4 million or 46.8%.  As a percentage of 
total revenues, selling, general and administrative expenses increased to 
20.1% in the first three months of 1996 from 17.4% in the corresponding 
period in 1995. Approximately $1.2 million of those expenses in the first 
three months of 1996 were due to a 40% increase in the Company's sales and 
marketing staff over the same period in 1995. 

RESEARCH AND DEVELOPMENT
Research and development expenses increased to $5.8 million in the first 
three months of 1996 from $4.3 million in the corresponding period in 1995, 
an increase of $1.5 million or 34.9%. The increase was due to an increase of
staff to support the development of additional products for
the Company's Care Management and Enterprise suites.  As a percentage of 
total revenues, research and development expenses increased to 15.5% in the 
first three months of 1996 from 14.7% in the corresponding period in 1995.

LIQUIDITY AND CAPITAL RESOURCES
Since its inception in 1969, the Company has funded its operations, 
working capital needs and capital expenditures primarily from operations.

Cash flows from operations are principally comprised of net income and 
depreciation and are primarily affected by the net effect of the change 
in accounts receivable, deferred revenue, accounts payable and accrued 
expenses.  Accounts receivable from customers have been collected 
consistently in the 65 to 80 day range.

Cash and cash equivalents at March 31, 1996 were $19.4 million, a decrease 
of $13.9 million from December 31, 1995.  The majority of the decrease was 
due to the continued investing of proceeds in investment grade securities
from the Company's initial public offering of common stock which was 
consummated on November 22, 1995.

The Company has a revolving line of credit with a bank allowing the Company 
to borrow up to $2.0 million bearing interest at the prime rate.  There were
no borrowings as of March 31, 1996.

The Company has no significant commitments for capital expenditures at this 
time.
<PAGE>

<PAGE> 10

INCOME TAXES
From July 1, 1987 to November 1, 1995, the Company was treated for federal 
and certain state income tax purposes as an S Corporation under the Internal 
Revenue Code of 1986, as amended (the "Code").  As a result, the Company's 
stockholders, rather than the Company, were required to pay federal and 
certain state income taxes based upon the Company's earnings whether or not 
the earnings were distributed to such stockholders.  On November 1, 1995, 
the Company terminated its S corporation status and, accordingly, has become 
subject to federal and state income taxes.

For purposes of financial statement presentations, the Company's financial 
statements reflect pro forma financial information for 1995 as if the 
Company had been taxed as a C corporation.  For the quarter ended 
March 31, 1996, the Company provided for taxes at a rate of approximately 
40% of pre-tax income.

FACTORS AFFECTING FUTURE RESULTS
This report, and other reports, proxy statements and other communications 
to stockholders, as well as oral statements made by the Company's officers 
or its agents, may contain forward-looking statements with respect to, 
among other things, the Company's future revenues, operating income, earnings 
per share, or plans and objectives of management, including plans or objectives 
relating to products or services of the Company.  There are a number of
factors of which the Company is aware that may cause the Company's actual 
results to vary materially from those forecast or projected in any such
forward-looking statement.  The following are certain, but not necessarily all,
of the factors which the management of the Company presently believes could
cause the Company's actual operating results to be materially less than 
forecast or projected in any forward-looking statement.

The Company's revenues and operating results can vary significantly from 
quarter to quarter as a result of a number of factors, including the volume
and timing of systems sales and installations, and length of sales cycles and
installation efforts.  The timing of revenues from systems sales is difficult
to forecast because the Company's sales cycle can vary depending upon factors
such as the size of the transaction, the changing business plans of its 
customers, and general economic conditions.  In addition, because revenue is
recognized at various points during the installation process, the timing of
revenue recognition varies considerably based on a number of factors, including
availability of personnel, availability of client resources and complexity of 
the needs of the client organization.  The Company's initial contact with a 
potential customer depends in significant part on the customer's decision to 
replace, or substantially modify, its existing information systems. How and 
when to implement, replace or substantially modify an information 
system are major decisions for health care organizations.  Accordingly, 
the sales cycle for the Company's systems is typically three to 18 months or
more than from initial contact to 










<PAGE> 11

contract execution, and the installation cycle is typically three to 18 
months or more from contract execution to completion of installation.  
During the sales cycle, the Company expends substantial time, effort and 
funds preparing contract proposals and negotiating the contract.  Because 
a significant percentage of the Company's expenses are relatively fixed, a 
variation in the timing of systems sales and installations can cause 
significant variations in operating results from quarter to quarter.  
The Company's future operating results may fluctuate as a result of these 
and other factors, such as customer purchasing patterns, and the timing of 
new product and service introductions and product upgrade releases.

The Company's revenues have historically followed seasonal patterns with a 
lower level of sales and installations occurring in the fiscal quarter ending 
September 30 and a greater level of sales and installations occurring in the 
fiscal quarter ending June 30 (formerly the fiscal year end of the Company).  
The Company believes that such seasonal fluctuation is attributable to a 
number of factors, including the Company's former sales and installation 
compensation program, which was formerly based significantly on fiscal year 
sales and installation goals, and the holiday schedules of its clients.  
In 1995, the Company changed its fiscal year end from June 30 to December 31.  
The Company is not able to predict what impact, if any, the change will have 
on the seasonality of the Company's business.  The Company believes that 
quarterly results of operations will continue to be subject to significant
fluctuations and that its results of operations for any particular quarter or
fiscal year may not be indicative of results of operations for future periods.
There can be no assurance that future seasonal and quarterly fluctuations will
continue and will not have a material adverse effect on the Company's results 
of operations, financial condition or business.  

As a developer of information systems, the Company must aniticpate and adapt to
evolving industry standards and new technological developments.  The market for 
the Company's products is characterized by continued and rapid technological 
advances in both hardware and software development, requiring ongoing 
expenditures for research and development and the timely introduction of new 
products and enhancements to existing products.  The establishment of standards
is largely a function of user acceptance.  Therefore, such standards are subject
to change.  The Company's future success will depend in part upon its ability to
enhance its existing products, to respond effectively to technology changes, to
migrate its clients to new technologies, to sell additional products to its 
existing client base and to introduce new products and technologies to meet
the evolving needs of its clients in the health care information systems 
market.  The Company is currently devoting significant resources toward the
development of enhancements to its existing products and the migration of 
existing products to new hardware and software platforms.  There can be no 
assurance that the Company will successfully complete the development of 
these products or this migration in a timely fashion or that the Company's 
current or future products will satisfy the needs of the health
care information systems market.  Further, there can be no assurance that 
products or technologies developed by others will not adversely affect the
Compamy's competitive position or render its products or technologies 
noncompetitive or obsolete.




<PAGE> 12

Health care providers demand the highest level of reliability and quality from
their information systems.  The Company devotes substantial resources to meet 
these demands in developing its software.  The Company's products may, from
time to time, contain undetected errors or bugs.  Errors or bugs in software
products may result in loss of, or delay in, market acceptance of the products.
Delays or difficulties associated with new product introductions or product
enhancements could have a material adverse effect on the Company's results of 
operations, financial condition or business.
 
The Company currently derives a significant percentage of its revenues from 
sales of financial and administrative information systems and related 
services.  As a result, any factor adversely affecting sales of these 
products and services could have a material adverse effect on the
Company's results of operations, financial condition or business.  
Although the Company has experienced increasing annual sales, revenues 
associated with existing products may decline as a result of several factors, 
including price competition.  There can be no assurance that the Company will 
continue to be successful in marketing its current products or any new or 
enhanced products or maintaining the current pricing for its existing products.

The market for health care information systems is highly competitive.  The 
Company's competitors vary in size, and in the scope and breadth of the 
products and services which they offer.  The Company competes with different 
companies in each of its target markets.  Many of the Company's competitors 
have greater financial, development, technical, marketing and sales resources 
than the Company.  In addition, other entities not currently offering 
products and services similar to those offered by the Company, including 
claims processing organizations, hospitals, third-party administrators, 
insurers, healthcare organizations and others, may enter certain markets in 
which the Company competes.  There can be no assurance that future 
competition will not have a material adverse effect on the Company's results 
of operations, financial condition or business.  There can also be no 
assurance that the Company will be able to compete successfully in the future.

Certain of the Company's products provide applications that relate to patient 
medical histories and treatment plans.  Any failure by the Company's products 
to provide accurate and timely information could result in product liability 
claims against the Company by its clients or their affiliates or patients.  
The Company maintains insurance that it believes is adequate to protect 
against claims associated with the use of its products, but there can be no 
assurance that its insurance coverage would adequately cover any claim 
asserted against the Company.  A successful claim brought against the Company 
in excess of its insurance coverage could have a material adverse effect on 
the Company's results of operations, financial condition or business.  Even 
unsuccessful claims could result in the expenditure of funds in litigation, 
as well as diversion of management time and resources.  There can be no 
assurance that the Company will not be subject to product liability claims,
that such claims will not result in liability in excess of its insurance 
coverage or that the Company's insurance will cover such claims or that 
appropriate insurance will continue to be available to the Company in the 
future at commercially reasonable rates.








<PAGE> 13
     
The success of the Company is dependent to a signifcant degree on its key 
management, sales and marketing, and technical personnel.  The Company 
believes that its continued future success will also depend upon its ability
to attract, motivate and retain highly skilled, managerial, sales and 
marketing, and technical personnel, including software programmers and systems
architects skilled in the computer languages in which the Company's products 
operate. Competition for personnel in the software and information services
industries is intense.  The loss of key personnel, or the inability to hire or
retain qualified personnel, could have a material adverse effect on the 
Company's results of operations, financial condition or business.  Although
the Company has been successful to date in attracting and retaining skilled
personnel, there can be no assurance that the Company will continue to be 
successful in attracting and retaining the personnel it requires to 
successfully develop new and enhanced products and to continue to grow
and operate profitably.

The Company's success is dependent to a significant extent on its ability to 
maintain the confidentiality of the software incorporated in its current 
products and other products as they are released.  The Company depends upon a 
combination of trade secret, copyright and trademark laws, license 
agreements, nondisclosure and other contractual provisions and various 
security measures to protect its proprietary rights in its products.  The 
Company distributes its products under software license agreements which 
grant clients a nonexclusive license to the Company's products and 
contain terms and conditions prohibiting the unauthorized reproduction 
or transfer of the Company's products.  In addition, the Company 
attempts to protect its trade secrets and other proprietary information 
through agreements with employees and consultants.  The Company also seeks to 
protect the source code of its products as an unpublished copyright work.  
There can be no assurance that the legal protections afforded to the Company
or the precautions taken by the Company will be adequate to prevent 
misappropriation of the Company's technology.  In addition, these protections
do not prevent independent third-party development of functionally equivalent
or superior technologies, products or services. Any infringement or 
misappropriation of the Company's proprietary software would disadvantage 
the Company in its efforts to retain and attract new clients in a highly 
competitive market and could cause the Company to lose revenues or
incur substantial litigation expense.  Although the Compay believes that its 
products, trademarks and other proprietary rights do not infringe upon the 
proprietary rights of third parties, there can be no assurance that third 
parties will not assert infringement claims against the Company in the future
and that such claims will not have a material adverse effect on the Company's
results of operations, financial condition or business.

The health care industry in the United States is subject to changing political,
economic and regulatory influences that may affect the procurement practices 
and operations of health care organizations.  The Company's products are 
designed to function within the structure of the health care financing and 
reimbursement system currently being used in the United States.  During the past
several years, the health care industry has been subject to increasing levels
of governmental regulation of, among other things, reimbursement rates and 
certain capital expenditures.  From time to time, certain proposals to reform
the health care system have been considered by Congress.  These proposals, if
enacted, may increase government involvement 


<PAGE> 14

in health care, lower reimbursement rates and otherwise change the operating
environment for the Company's clients.  Healthcare organizations may react 
to these proposals and the uncertainty surrounding such proposals 
by curtailing or deferring investments, including those for the 
the Company's products and services.  The Company cannot predict with
any certainty what impact, if any, such proposals or health care reforms might
have on its results of operations, financial condition or business.

The U.S. Food and Drug Administration (the "FDA") has promulgated a draft 
policy for the regulation of certain computer products as medical devices 
under the 1976 Medical Device Amendments to the Federal Food, Drug and 
Cosmetic Act (the "FDC Act") and has recently indicated an interest in 
modifying such draft policy.  To the extent that computer software is a 
medical device under the policy, the manufacturers of such products could 
be required, depending on the product, to (i) register and list their products
with the FDA, (ii) notify the FDA and demonstrate substantial equivalence 
to other products on the market before marketing such products, or (iii) 
obtain FDA approval by demonstrating safety and effectiveness before  
marketing a product.  In addition, such products would be subject to the FDC 
Act's general controls, including those relating to good manufacturing 
practices and adverse experience reporting.  Although it is not possible to 
anticipate the final form of the FDA's policy with regard to computer software, 
the Company expects that, whether or not the draft is finalized or changed,
the FDA is likely to become increasingly active in regulating computer
software that is intended for use in health care settings.  The FDA, if it
chooses to regulate such software, can impose extensive requirements 
governing pre- and post-market conditions such as device investigation, 
approval, labeling and manufacturing.  There can be no assurance that such 
proposed changes, if adopted, will not have a material adverse effect on the
Company's results of operations, financial condition or business.

The Company intends to continue to grow in part through acquisitions of 
complementary products, technologies and businesses or alliances with 
complimentary businesses. The Company's ability to expand successfully 
through acquisitions or alliances depends on many factors, including 
the successful identification and acquisition of products, technologies or
businesses and management's ability to effectively integrate and operate 
the acquired or aligned products, technologies or businesses.  There is   
significant competition for acquisition and alliance opportunities in the 
health care information systems industry, which may intensify due to 
consolidation in the industry, thereby increasing the costs of capitalizing 
on such opportunities.  The Company competes for acquisition and alliance 
opportunities with other companies that have significantly greater financial 
and management resources.  There can be no assurance that the Company will be 
successful in acquiring or aligning with any complementary products, 
technologies or businesses; or, if acquired or aligning with,  that the 
Company will be able to successfully integrate any such products, 
technologies or businesses into its current business and operations.  The 
failure to successfully integrate any significant products, technologies or 
businesses could have a materal adverse effect on the Company's results
of operations, financial condition or business.






<PAGE> 15


Market prices for securities of companies such as the Company are highly 
volatile.  Factors such as announcements of technological innovations or new
products or services by the Company or its competitors, proprietary rights
developments and market conditions for health care or technology stocks in 
general could have a significant impact on the future market price of the 
Company's Common Stock.

Because of these and other factors, past financial performance should not be
considered an indicator of future performance.  Investors should not use 
historical trends to anticipate future results.































<PAGE> 16 

Item 1.    LEGAL PROCEEDINGS

           None.

Item 2.    CHANGES IN SECURITIES

           None.

Item 3.    DEFAULTS UPON SENIOR SECURITIES

           Not applicable.

Item 4.    SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS

           None.

Item 5.    OTHER INFORMATION
 
           None.

Item 6.    EXHIBITS, FINANCIAL STATEMENT SCHEDULES, AND REPORTS ON FORM 8-K.

           (a)  The exhibits filed as part of this Form 10-Q are listed on 
the exhibit Index immediately preceding such exhibits, which Exhibt Index
is incorporated herein by reference.

           (b)  No Current Reports on Form 8-K were filed by the Company
during the last quarter of the period covered by this report.







































<PAGE> 17
Signatures

Pursuant to the requirement of the Securities Exchange Act of 1934. the 
registrant has duly caused this report to be signed on its behalf by the 
undersigned thereunto duly authorized.

                                         IDX SYSTEMS CORPORATION

<TABLE>
<S>                                      <C>
Date:  May 13, 1996                          /s/JOHN A. KANE
                                         ------------------------------------
                                         John A. Kane, 
                                         Vice President, Finance and
                                         Administration, Chief Financial
                                         Officer and Treasurer
                                         (Principal Financial and 
                                         Accounting Officer)
</TABLE>     

<PAGE>
<PAGE> 18

                          Exhibit Index

     The following exhibits are filed as part of this Quarterly Report on 
Form 10-Q:

Exhibit No. 	Description                                     Page

11        		Statement regarding computation of 
			         per share earnings.           			                19


























<PAGE> 19                
     		   	             EXHIBIT 11
            	       IDX SYSTEMS CORPORATION
             	Schedules of Net Income Per Share and
                	Pro Forma Net Income Per Share
          	    (in thousands, except for per share data)
<TABLE>
<CAPTION>
                         	      Primary                 Fully Diluted
                    	       ------------------  	     ------------------                    			       
                            Three Months Ended   	    Three Months Ended 						
                                 March 31		                March 31
                    	       1996          1995        1996          1995
                    	       ------------------	       ------------------
<S>				                     <C>		       <C>     	     <C>        <C>  
Weighted average shares
   outstanding              20,409      13,903        20,409     13,903

Net dilutive effect of 
   stock options-based 
   on the treasury stock 
   method using the IPO 
   price until the  
   effective date and 
   average price there- 
   after for primary and 
   ending price, if higher
   for fully diluted           873      1,387           873        1,387
          
Effect of final S 
   corporation distribution             1,789                      1,789

Effect of common and common
   stock equivalent shares 
   issued by the Company 
   during the twelve
   month period immediately 
   preceding the Company's 
   initial public offering 
   in November 1995, as if 
   they were outstanding for 
   all periods presented 
   prior to the initial
   public offering, using 
   the treasury stock method,
   as described above                      190                       190
                             --------------------      ---------------------
Total shares                 21,282      7,269    	    21,282     17,269
                    	        ====================   	  ====================
Net income                   $3,353                    $3,353
                              =====                     =====
Net income per share         $  .16                 	 $   .16
                              =====                     =====
Pro forma net income                    $2,167                    $2,167
                                         =====                     =====
Pro forma net income per share          $  .13                    $  .13
                                         =====                     =====
</TABLE>

<TABLE> <S> <C>

<ARTICLE> 5
<LEGEND>
This schedule contains summary financial information extracted from the 
Company's condensed consolidated balance sheet and statement of income
and is qualified in its entirety by reference to such Form 10Q.
</LEGEND>
<MULTIPLIER> 1,000
       
<S>                             <C>                     <C>
<PERIOD-TYPE>                   3-MOS                   3-MOS
<FISCAL-YEAR-END>                          DEC-31-1996             DEC-31-1995
<PERIOD-START>                             JAN-01-1996             JAN-01-1995
<PERIOD-END>                               MAR-31-1996             MAR-31-1995
<CASH>                                          19,402                   6,123 
<SECURITIES>                                    56,927                   5,788
<RECEIVABLES>                                   34,140                  25,502 
<ALLOWANCES>                                     (554)                   (465)
<INVENTORY>                                          0                       0
<CURRENT-ASSETS>                               113,746                  40,364
<PP&E>                                          31,991                  25,483
<DEPRECIATION>                                  15,724                  12,169    
<TOTAL-ASSETS>                                 130,809                  66,474
<CURRENT-LIABILITIES>                           19,911                  14,367
<BONDS>                                          2,907                   3,000
                                0                       0
                                          0                       0
<COMMON>                                           205                      36
<OTHER-SE>                                     106,491                  48,174
<TOTAL-LIABILITY-AND-EQUITY>                   130,809                  66,474
<SALES>                                          8,137                   5,921
<TOTAL-REVENUES>                                37,345                  29,245
<CGS>                                            6,612                   4,568
<TOTAL-COSTS>                                   32,668                  25,888
<OTHER-EXPENSES>                                     0                       0
<LOSS-PROVISION>                                    25                      78
<INTEREST-EXPENSE>                                  34                      50     
<INCOME-PRETAX>                                  5,587                   3,611
<INCOME-TAX>                                     2,234                     192
<INCOME-CONTINUING>                              3,353                   3,419
<DISCONTINUED>                                       0                       0
<EXTRAORDINARY>                                      0                       0
<CHANGES>                                            0                       0
<NET-INCOME>                                     3,353                   3,419
<EPS-PRIMARY>                                      .16                     .13
<EPS-DILUTED>                                      .16                     .13 
        

</TABLE>


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