QUALITY SYSTEMS INC
10-Q, 1997-11-13
COMPUTER INTEGRATED SYSTEMS DESIGN
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<PAGE> 1
               U. S. SECURITIES AND EXCHANGE COMMISSION
                        WASHINGTON, D.C. 20549
                        ______________________
                              FORM 10-Q
(Mark One)

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

For the quarterly period ended September 30, 1997
                         ________________________
                                   OR

       TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
[   ]  SECURITIES EXCHANGE ACT OF 1934

For the transition period from  ______________ to  ___________________

                    Commission file number 0-13801
                                           _______

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

      California                                      95-2888568
_______________________________                 ___________________
(State or other jurisdiction of                   (I.R.S. Employer
incorporation or organization)                  Identification No.)

17822 East 17th Street, Tustin, California                    92780
__________________________________________                  __________
 (Address of principal executive offices)                   (Zip Code)

Issuer's telephone number, including area code: (714) 731-7171
                                                ______________
                     NOT APPLICABLE
   ________________________________________________________________
   (Former name, former address and former fiscal year, if changed,
    since last year)

Indicate by check mark whether the issuer (1) has filed all reports 
required to be filed by Section 13 or 15(d) of the Securities Exchange Act 
of 1934 during the preceding 12 months (or for such shorter period that the 
registrant was required to file such reports); and (2) has been subject to 
such filing requirements for the past 90 days.
           Yes   XX       No
                ----           ----

              APPLICABLE ONLY TO CORPORATE ISSUERS:

Indicate the number of shares outstanding of each of the issuer's classes 
of common stock, as of the latest practicable date.

         5,973,112 shares of Common Stock, $.01 par value,
                       as of November 7, 1997

<PAGE> 2

                   PART I.  CONSOLIDATED FINANCIAL INFORMATION
                   -------  ----------------------------------
     Item 1.  Financial Statements
     -------  --------------------
                           QUALITY SYSTEMS, INC.
                        CONSOLIDATED BALANCE SHEETS
                               (in thousands)
<TABLE>
<CAPTION>

                                                  September 30, March 31,
                                    ASSETS            1997        1997
                                                  -----------   --------
                                                  (unaudited)
<S>                                                <C>         <C>
Current Assets:                                   
  Cash and cash equivalents                         $15,850     $21,852
  Short-term investments                                938         883
  Accounts receivable, net                            8,238       6,574
  Inventories                                         1,521       1,071
  Other current assets                                  752         628
                                                    -------     -------
     Total current assets                            27,299      31,008
Equipment and Improvements, net                       1,760       1,391
Capitalized Software Costs, net                       1,640       1,041
Excess of Cost Over Net Assets
  Of Acquired Business, net                           2,710       2,868
Deferred Tax Asset                                    1,440         -
Other Assets, net                                     2,201       1,558
                                                    -------     -------
     Total assets                                   $37,050     $37,866
                                                    =======     =======

LIABILITIES AND SHAREHOLDERS' EQUITY

Current Liabilities:
  Accounts payable                                  $ 1,688     $ 1,345
  Deferred service revenue                            1,766       1,493
  Estimated costs to complete
    system installations                                861         565
  Other current liabilities                           3,009       1,992
                                                    -------     -------
     Total current liabilities                        7,324       5,395
Deferred Tax Liability                                  -           201
                                                    -------     -------
     Total liabilities                                7,324       5,596
                                                    -------     -------
Commitments and Contingencies

Shareholders' Equity:  
  Common stock, $0.01 par value, 20,000
    shares authorized, 5,976 and 5,997
    shares issued and outstanding, respectively          60          60
  Additional paid-in capital                         33,986      34,144
  Accumulated deficit                                (4,320)     (1,934)
                                                    -------     -------
     Total shareholders' equity                      29,726      32,270
                                                    -------     -------
     Total liabilities and shareholders' equity     $37,050     $37,866
                                                    =======     =======
</TABLE>

See notes to consolidated financial statements.

<PAGE> 3

                               QUALITY SYSTEMS, INC.
                     CONSOLIDATED STATEMENTS OF OPERATIONS
                                  (Unaudited)
                   (in thousands, except per share amounts)

<TABLE>
<CAPTION>

                                     Three Months Ended   Six Months Ended
                                     ------------------   ----------------
                                        September 30,       September 30,
                                       1997      1996       1997    1996
                                     --------  --------   -------  -------
<S>                                 <C>       <C>        <C>      <C>
Net Revenues:
  Sales of computer systems,
    upgrades and supplies            $ 4,848   $ 2,534    $ 9,558  $ 5,363
  Maintenance and other services       2,644     2,040      5,107    3,966
                                     --------  --------   -------  -------
                                       7,492     4,574     14,665    9,329
Cost of Products and Services          3,010     2,309      6,577    4,633
                                     --------  --------   -------  -------
Gross Profit                           4,482     2,265      8,088    4,696

Selling, General and 
  Administrative Expenses              3,317     1,779      5,854    3,217
Research and Development Costs           723       475      1,551      932
Purchased In-Process
  Research and Development              -         -         4,720    8,300
                                     --------  --------   -------  -------

Income (Loss) from Operations            442        11     (4,037)  (7,753)

Investment and Other Income              219       313        495      668
                                     --------  --------   -------  -------
Income (Loss) before Provision for
  (Benefit from) Income Taxes            661       324     (3,542)  (7,085)
Provision for (Benefit from)
  Income Taxes                           312       172     (1,156)     530
                                     --------  --------   -------  -------
Net Income (Loss)                    $   349   $   152    $(2,386) $(7,615)
                                     ========  ========   =======  =======



Net Income (Loss) per Share            $0.06     $0.03     $(0.40)  $(1.29)
                                       =====     =====     ======   ======

Weighted Average Number of
  Shares Outstanding                   6,033     5,965      5,988    5,886
                                     =======   =======    =======  =======

</TABLE>

See notes to consolidated financial statements.

<PAGE> 4

                             QUALITY SYSTEMS, INC.
                     CONSOLIDATED STATEMENTS OF CASH FLOWS
                                  (Unaudited)
                                 (in thousands)
<TABLE>
<CAPTION>

                                           Six Months Ended September 30,
                                           -----------------------------
                                               1997            1996
                                           ------------    -------------
<S>                                        <C>               <C>
Cash Flows from Operating Activities:
  Net loss                                  $(2,386)          $(7,615)
  Adjustments to reconcile net
    loss to net cash provided by
    operating activities:
   Purchased in-process
     research and development                 4,720             8,300
   Depreciation and amortization                846               494
   Gains on short-term investments              (55)              (51)
   Equity in loss of Clinitec
     International, Inc.                        -                  31
   Deferred income taxes                     (1,572)               26
Changes, net of amounts acquired, in:
  Accounts receivable                        (1,467)             (804)
  Inventories                                  (450)             (162)
  Other current assets                         (161)             (184)
  Other assets                                 (134)              -
  Accounts payable                              289              (351)
  Deferred service revenue                      112               127
  Estimated costs to complete
    system installations                        296                73
  Income taxes payable and taxes
    related to equity accounts                  101               221
  Other current liabilities                     464               (17)
                                           ------------    -------------
Net Cash Provided by
  Operating Activities                          603                88
                                           ------------    -------------
Cash Flows from Investing Activities:
  Proceeds from sales of 
    short-term investments                      -                 402
  Purchases of short-term investments           -                 (57)
  Net additions to equipment 
    and improvements                           (523)             (275)
  Additions to capitalized 
    software costs                             (885)             (253)
  Purchase of Additional Ownership 
    Interest in Clinitec 
    International, Inc.                         -              (4,946)
  Purchase of Net Assets of MicroMed 
    Healthcare Information Systems, Inc.     (5,259)              -
  Change in other assets                        230               (57)
                                           ------------    -------------

Net Cash Used in Investing Activities        (6,437)           (5,186)
                                           ------------    -------------

Cash Flows from Financing Activities:        $               $
  Purchases of Common Stock                      (182)            -
  Proceeds from Exercise of
    Stock Options                                  14               3
                                           ------------    -------------
Net Cash Provided by (Used in)
  Financing Activities                           (168)              3
                                           ------------    -------------
Net Decrease in Cash and Cash Equivalents      (6,002)         (5,095)

Cash and Cash Equivalents,
  beginning of period                          21,852          27,872
                                           ------------    -------------
Cash and Cash Equivalents, end of period     $ 15,850        $ 22,777
                                           ============    =============
</TABLE>

Supplemental Information - During the six months ended September 30, 1997 
and 1996, the Company made income tax payments, net of refunds received, of 
$321 and $312, respectively.

<TABLE>
<CAPTION>

                                          Six Months Ended September 30,
                                          ------------------------------
                                              1997            1996
                                          -------------   --------------
<S>                                         <C>            <C>
Detail of businesses acquired in
  purchase transactions:

Purchased In-Process
  Research and Development                   $ 4,720        $ 8,300
Fair Value of Assets Acquired (net of
  previous investment, if any)                 1,216          4,023
Liabilities Assumed                             (677)          (483)
Common Stock Issued in the Acquisition           -           (6,894)
                                          -------------   --------------
Cash Paid for the Acquisitions,
  net of cash acquired                       $ 5,259        $ 4,946
                                          =============   ==============

</TABLE>

     See notes to consolidated financial statements.


<PAGE> 5                        
                             QUALITY SYSTEMS, INC.

                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS


NOTE 1 - BASIS OF PRESENTATION
- ------   ---------------------

The accompanying unaudited consolidated financial statements have been 
prepared in accordance with the requirements of Form 10-Q and, therefore, 
do not include all information and footnotes which would be presented were 
such financial statements prepared in accordance with generally accepted 
accounting principles, and should be read in conjunction with the audited 
financial statements presented in the Company's Annual Report for the 
fiscal year ended March 31, 1997.  In the opinion of management, the 
accompanying financial statements reflect all adjustments which are 
necessary for a fair presentation of the results of operations for the 
interim 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.

Certain amounts in the accompanying consolidated financial statements have 
been reclassified to conform with the September 30, 1997 presentation.


NOTE 2 - ACQUISITION OF MICROMED HEALTHCARE INFORMATION SYSTEMS, INC.
- ------   ------------------------------------------------------------

On May 15, 1997, the Company acquired substantially all of the assets of 
MicroMed Healthcare Information Systems, Inc. ("MicroMed"), a developer and 
marketer of proprietary information systems utilizing a graphical user 
interface client/server platform for medical group practices.  The purchase 
price consists of an initial cash payment of $4.8 million paid at the 
closing of the transaction and an additional payment of up to $6.0 million 
due no later than June 29, 1998. The additional payment will be determined 
using a formula based primarily upon Revenues and Pre-Tax Operating Income 
of the MicroMed Business, each as defined in the related Asset Purchase 
Agreement, for the twelve months ending March 31, 1998.  Up to 15% of the 
additional payment, if any, is payable in the Company's Common Stock at the 
sole election of the Company with the balance of any such payment payable 
in cash.  As of the closing date of the transaction, MicroMed also had an 
operating loan payable to the Company in the amount of $550,000.  For 
accounting purposes, the loan balance is considered part of the purchase 
price in addition to the $4.8 million payment made at the closing.  The 
acquisition was treated as a purchase for financial reporting purposes.  In 
connection with this treatment, the Company allocated $4.7 million of the 
purchase price paid at the closing of the transaction to purchased in-
process research and development which was charged against operations 
during the quarter ending June 30, 1997.


<PAGE> 6

NOTE 3 - STOCK REPURCHASE PLAN
- ------   ---------------------

In February 1997, the Company's Board of Directors authorized the 
repurchase on the open market of up to 10% of the Company's outstanding 
Common Stock at various times through February 1998, subject to compliance 
with applicable laws and regulations.  The timing and amount of any 
repurchase is at the discretion of the Company's management.  The Company's 
management could, in the exercise of its judgment, repurchase fewer shares 
than authorized.  During the six months ended September 30, 1997, the 
Company repurchased 27,600 shares at a cost of $182,000.  Since the 
inception of the repurchase program through November 7, 1997, 30,600 shares 
have been repurchased at a cost of $205,000.


NOTE 4 - INCOME TAXES
- ------   ------------

The provisions for income taxes for the three months ending September 30, 
1997 and 1996 differ from the combined statutory rate primarily due to the 
impact of non-deductible amortization of certain intangible assets acquired 
in the May 1996 acquisition of Clinitec International, Inc. ("Clinitec").

The provision for income taxes for the six months ended September 30, 1997 
differs from the combined statutory rate primarily due to the effect of 
varying state tax rates together with the impact of non-deductible 
amortization of certain intangible assets acquired in the May 1996 
acquisition of Clinitec.  The MicroMed acquisition was structured as a 
taxable transaction while the Clinitec acquisition was tax-free at the 
acquisition date.  Consequently, the provision for income taxes for the six 
months ended September 30, 1996 differs from the combined statutory rate 
primarily due to the non-deductible amortization of certain intangible 
assets and the non-deductible $8.3 million charge for purchased in-process 
research and development each of which were incurred in connection with the 
May 1996 acquisition of Clinitec.


NOTE 5 - RECENTLY ISSUED ACCOUNTING STANDARDS
- ------   ------------------------------------

In February 1997, the Financial Accounting Standards Board ("FASB") issued 
Statement of Financial Accounting Standards No. 128, Earnings per Share 
(EPS), ("SFAS No. 128"), which is effective for financial statements for 
interim and annual periods ending after December 15, 1997.  SFAS No. 128 
requires the Company to report Basic EPS, as defined therein, which 
excludes all common share equivalents from the earnings per share 
computation, and Diluted EPS, as defined therein, which is calculated 
similar to the Company's primary earnings per share computation.  The 
Company has determined that the adoption of this statement would not have 
had a material impact on the earnings per share calculations for the 
periods presented in the accompanying consolidated financial statements.

In June 1997, the FASB issued SFAS No. 130, Reporting Comprehensive Income, 
("SFAS No. 130").  This statement establishes standards for the reporting 
of comprehensive income and its components in a financial statement that is 
displayed with the same prominence as other financial statements.

<PAGE> 7

Comprehensive income, as defined, includes all changes in equity (net 
assets) during a period from non-owner sources.  Examples of items to be 
included in comprehensive income, which are excluded from net income, 
include foreign currency translation adjustments and unrealized gain/loss 
on available-for-sale securities.  The disclosures prescribed by SFAS No. 
130 are effective for interim periods and fiscal years beginning after 
December 15, 1997.

In June 1997, the FASB issued SFAS No. 131, Disclosures About Segments of 
an Enterprise and Related Information, ("SFAS No. 131").  This statement 
establishes standards for the way companies report information about 
operating segments in annual financial statements.  It also establishes 
standards for related disclosure about products and services, geographic 
areas and major customers.  The Company has not yet determined the impact, 
if any, of adopting this new standard.  The disclosures prescribed by SFAS 
No. 131 are effective for interim periods and fiscal years beginning after 
December 15, 1997.

<PAGE> 8

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 on Form 10-Q, including discussions of 
the Company's product development plans and business strategies and market 
factors influencing the Company's results, are forward-looking statements 
that involve certain risks and uncertainties.  Actual results may differ 
from those anticipated by the Company as a result of various factors, both 
foreseen and unforeseen, including, but not limited to, the Company's 
ability to continue to develop new products and increase systems sales in a 
market characterized by rapid technological evolution, consolidation, and 
competition from larger, better capitalized competitors.  Many other 
economic, competitive, governmental and technological factors could impact 
the Company's ability to achieve its goals and interested persons are urged 
to review the risks described below, as well as in the Company's other 
public disclosures and filings with the Securities and Exchange Commission.

RISK FACTORS

DEPENDENCE ON PRINCIPAL PRODUCT AND NEW PRODUCT DEVELOPMENT - The Company 
currently derives substantially all of its net revenues from sales of its 
health care information systems and related services. The Company believes 
that a primary factor in the market acceptance of its systems has been its 
ability to meet the needs of users of health care information systems.  The 
Company's future financial performance will depend in large part on the 
Company's ability to continue to meet the increasingly sophisticated needs 
of its clients through the timely development and successful introduction 
of new and enhanced versions of its systems and other complementary 
products.  The Company has historically expended a significant amount of 
its net revenues on product development and believes that significant 
continuing product development efforts will be required to sustain the 
Company's growth.

There can be no assurance that the Company will be successful in its 
product development efforts, that the market will continue to accept the 
Company's existing or new products, or that products or product 
enhancements will be developed in a timely manner, meet the requirements of 
health care providers or achieve market acceptance.  If new products or 
product enhancements do not achieve market acceptance, the Company's 
business, operating results and financial condition could be adversely 
affected.  At certain times in the past, the Company has also experienced 
delays in purchases of its products by clients anticipating the launch of 
new products by the Company.  There can be no assurance that material order 
deferrals in anticipation of new product introductions will not occur.

COMPETITION - The market for health care information systems is intensely 
competitive and the Company faces significant competition from a number of 
different sources.  The electronic medical records market, in particular, 
is subject to rapid changes in technology and the Company expects that 
competition in this portion of the market will increase as new competitors 
enter the marketplace. In addition, several of the Company's competitors 
have significantly greater name recognition as well as substantially 
greater financial, technical, product development and marketing resources 
than the Company.

<PAGE> 9

The industry is highly fragmented and includes numerous competitors, none 
of which the Company believes dominates the overall market for either group 
practice management or electronic medical records systems. Furthermore, the 
Company also competes indirectly and to varying degrees with other major 
health care related companies, information management companies generally, 
and other software developers which may more directly enter the markets in 
which the Company competes.

There can be no assurance that future competition or new product 
introductions will not have a material adverse effect on the Company's 
business, financial condition and results of operations.  Competitive 
pressures and other factors, such as new product introductions by the 
Company or its competitors, may result in price erosion that could have a 
material adverse effect on the Company's business, financial condition and 
results of operations.

The Company believes that once a health care provider has chosen a 
particular health care information system vendor, the provider will, for a 
period of time, be more likely to rely on that vendor for its future 
information system requirements.  In addition, if the health care industry 
continues to undergo further consolidation as it has recently experienced, 
each sale of the Company's systems will assume even greater importance to 
the Company's business, financial condition and results of operations.  The 
Company's inability to make initial sales of its systems to either newly 
formed groups and/or health care providers that are replacing or 
substantially modifying their health care information systems could have a 
material adverse effect on the Company's business, financial condition and 
results of operations.  Furthermore, if new systems sales do not 
materialize, maintenance service revenues can be expected to decrease over 
time due to failure to capture new maintenance revenues therefrom and to 
attrition of existing maintenance revenues associated with the Company's 
existing clients whose systems become obsolete or are replaced by 
competitor's products.

TECHNOLOGICAL CHANGE - The software market generally is characterized by 
rapid technological change, changing customer needs, frequent new product 
introductions and evolving industry standards.  The introduction of 
products incorporating new technologies and the emergence of new industry 
standards could render the Company's existing products obsolete and 
unmarketable.  There can be no assurance that the Company 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 
revenues or research funding could impair the Company's ability to respond 
to technological advances in the marketplace and to remain competitive.  If 
the Company is 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, the Company's business, results of 
operations and financial condition will be materially adversely affected.

<PAGE> 10

In response to increasing market demand, the Company is currently 
developing new generations of certain of its group practice management 
software products that will be designed for the client/server and 
Internet/intranet environments. There can be no assurance that the Company 
will successfully develop these new software products or that these 
products will operate successfully on the principal client/server operating 
systems, which include UNIX*, Microsoft Windows**, Windows NT** and Windows 
95**, or that any such development, even if successful, will be completed 
concurrently with or prior to introduction by competitors of products 
designed for the client/server and Internet/intranet environments.  Any 
such failure or delay could adversely affect the Company's competitive 
position or could make the Company's current UNIX-BASED practice management 
product line obsolete.

FLUCTUATION IN QUARTERLY OPERATING RESULTS - The Company's revenues and 
operating results have in the past fluctuated, and may in the future 
fluctuate, from quarter to quarter and period to period as a result of a 
number of factors including, without limitation: the size and timing of 
orders from clients; the length of sales cycles and installation processes; 
the ability of the Company's clients to obtain financing for the purchase 
of the Company's products; changes in pricing policies or price reductions 
by the Company or its competitors; the timing of new product announcements 
and product introductions by the Company or its competitors; the 
availability and cost of supplies; the financial stability of major 
clients; market acceptance of new products, applications and product 
enhancements; the Company's ability to develop, introduce and market new 
products, applications and product enhancements and to control costs; the 
Company's success in expanding its sales and marketing programs; deferrals 
of client orders in anticipation of new products, applications or product 
enhancements; changes in Company strategy; personnel changes; and general 
economic factors.

The Company's products are generally shipped as orders are received and 
accordingly, the Company has historically operated with minimal backlog.  
As a result, sales in any quarter are dependent on orders booked and 
shipped in that quarter and are not predictable with any degree of 
certainty.  Furthermore, the Company's systems can be relatively large and 
expensive and individual systems sales can represent a significant portion 
of the Company's revenues for a quarter such that the loss of even one such 
sale can have a significant adverse impact on the Company's quarterly 
profitability.  Clients often defer systems purchases until the Company's 
quarter end, so quarterly results generally cannot be predicted and 
frequently are not known until the quarter has concluded.  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 system.  How and when to implement, replace or substantially 
modify an information system are major decisions for health care providers.  
Accordingly, the sales cycle for the Company's systems can vary 
significantly and typically ranges from three to 12 months from initial 
contact to contract execution/shipment and the installation cycle is 
typically two to four months from contract execution/shipment to completion 
of installation.


*     UNIX is a registered trademark of AT&T Corporation.
**    Microsoft Windows, Windows NT and Windows 95 are registered
      trademarks of Microsoft Corporation.


<PAGE> 11

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.  
As a result, the Company believes that interim period-to-period comparisons 
of its results of operations are not necessarily meaningful and should not 
be relied upon as indications of future performance. Further, the Company's 
historical operating results are not necessarily indicative of future 
performance for any particular period.

Due to all of the foregoing factors, it is possible that in some future 
quarter the Company's operating results may be below the expectations of 
public market analysts and investors.  In such event, the price of the 
Company's Common Stock would likely be materially adversely affected.

PROPRIETARY TECHNOLOGY - The Company is heavily dependent on the 
maintenance and protection of its intellectual property and relies largely 
on license agreements, confidentiality procedures and employee 
nondisclosure agreements to protect its intellectual property.  The 
Company's software is not patented and existing copyright laws offer only 
limited practical protection.  There can be no assurance that the legal 
protections and precautions taken by the Company will be adequate to 
prevent misappropriation of the Company's technology or that competitors 
will not independently develop technologies equivalent or superior to the 
Company's.  Further, the laws of some foreign countries do not protect the 
Company's proprietary rights to as great an extent as do the laws of the 
United States.

The Company does not believe that its 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 the Company with respect to its current or future products or that 
any such assertion will not require the Company to enter into a license 
agreement or royalty arrangements with the party asserting the claim.  As 
competing health care information systems increase in complexity and 
overall capabilities and the functionality of these systems further 
overlaps, providers of such systems may become increasingly subject to 
infringement claims.  Responding to and defending any such claims may 
distract the attention of Company management and have a material adverse 
effect on the Company's business, financial condition and results of 
operations.  In addition, claims may be brought against third parties from 
which the Company purchases software, and such claims could adversely 
affect the Company's ability to access third party software for its 
systems.

CLINITEC INTERNATIONAL, INC. - A principal component of the Company's 
business strategy is the May 1996 acquisition of Clinitec International, 
Inc. ("Clinitec").  The Company's future financial results will depend in 
part on the Company's ability to achieve market acceptance for Clinitec's 
products and to successfully integrate Clinitec's business with the 
Company's.  There can be no assurance that the Company will be able to 
successfully coordinate its business activities with those of Clinitec.  
Furthermore, there can be no assurance that the Company will be successful 
in fully integrating Clinitec's products with those of the Company or that 
the acquisition of Clinitec will not have an adverse effect upon the 
Company's operating results.  In addition, Clinitec was formed in January 
1994 to develop and market electronic medical records software systems.  
Clinitec's proprietary software products are thus relatively new and 
Clinitec has sold only a limited quantity of these products to date.  There 
can be no assurance that Clinitec's products will achieve broad market 
acceptance.

<PAGE> 12                
    
MICROMED HEALTHCARE INFORMATION SYSTEMS, INC. - A principal component of 
the Company's business strategy is the May 1997 acquisition of MicroMed 
Healthcare Information Systems, Inc. ("MicroMed").  The Company's future 
financial results will depend in part on the Company's ability to achieve 
market acceptance for MicroMed's products and to successfully integrate 
MicroMed's business with the Company's.  There can be no assurance that the 
Company will be able to successfully coordinate its business activities 
with those of MicroMed.  Furthermore, there can be no assurance that the 
Company will be successful in fully integrating MicroMed's products with 
those of the Company or that the acquisition of MicroMed will not have an 
adverse effect upon the Company's operating results.  In addition, MicroMed 
was formed in February 1993 to develop and market medical practice 
management software systems.  MicroMed's proprietary software products are 
thus new and MicroMed has sold only a limited quantity of these products to 
date.  There can be no assurance that MicroMed's products will achieve 
broad market acceptance.

ABILITY TO MANAGE GROWTH - The Company has recently experienced a period of 
growth and increased personnel which has placed, and will continue to 
place, a significant strain on the Company's resources.  The Company 
anticipates expanding its overall software development, marketing, sales, 
client management and training capacity.  In the event the Company is 
unable to identify, hire, train and retain qualified individuals in such 
capacities within a reasonable time frame, such failure could have a 
material adverse effect on the Company.  In addition, the Company's ability 
to manage future increases, if any, in the scope of its operations or 
personnel will depend on significant expansion of its research and 
development, marketing and sales, management and administrative, and 
financial capabilities.  The failure of the Company's management to 
effectively manage expansion in its business could have a material adverse 
effect on the Company's business, results of operations and financial
condition.

PRODUCT LIABILITY - Certain of the Company's products provide applications 
that relate to patient medical information.  Any failure by the Company's 
products to provide accurate and timely information could result in claims 
against the Company.  The Company maintains insurance 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 business, financial condition and results of 
operations.  Even unsuccessful claims could result in the Company's 
expenditure of funds in litigation and 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, 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.  Such claims could 
have a material adverse affect on the Company's business, financial 
condition and results of operations.

<PAGE> 13

UNCERTAINTY IN HEALTH CARE INDUSTRY; GOVERNMENT REGULATION - The health 
care industry is subject to changing political, economic and regulatory 
influences that may affect the procurement processes and operation of 
health care facilities.  During the past several years, the health care 
industry has been subject to an increase in governmental regulation of, 
among other things, reimbursement rates and certain capital expenditures.  
Certain legislators have announced that they intend to examine proposals to 
reform certain aspects of the U.S. health care system including proposals 
which may increase governmental involvement in health care, lower 
reimbursement rates and otherwise change the operating environment for the 
Company's clients.  Health care providers may react to these proposals and 
the uncertainty surrounding such proposals by curtailing or deferring 
investments, including those for the Company's systems and related 
services.  Cost-containment measures instituted by health care providers as 
a result of regulatory reform or otherwise could result in greater 
selectivity in the allocation of capital funds.  Such selectivity could 
have an adverse effect on the Company's ability to sell its systems and 
related services.  The Company cannot predict what impact, if any, such 
proposals or health care reforms might have on its business, financial 
condition and results of operations.

The Company's software may 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/hardware products, application of detailed recordkeeping and 
manufacturing standards, and FDA approval or clearance prior to marketing.  
An approval or clearance could create delays in marketing, and the FDA 
could require supplemental filings or object to certain of these 
applications.

DEPENDENCE UPON KEY PERSONNEL - The Company's future performance also 
depends in significant part upon the continued service of its key technical 
and senior management personnel, many of whom have been with the Company 
for a significant period of time.  Because the Company has a relatively 
small number of employees when compared to other leading companies in the 
same industry, its dependence on maintaining its employees is particularly 
significant.  The Company is also dependent on its ability to attract and 
retain high quality personnel, particularly highly skilled software 
engineers for applications development.  The industry is characterized by a 
high level of employee mobility and aggressive recruiting of skilled 
personnel.  There can be no assurance that the Company's current employees 
will continue to work for the Company.  Loss of services of key employees 
could have a material adverse effect on the Company's business, results of 
operations and financial condition.  The Company does not maintain key man 
life insurance on any of its employees.  The Company may need to grant 
additional stock options to key employees and to provide other forms of 
incentive compensation to attract and retain such key personnel.


GENERAL

Quality Systems, Inc. ("QSI") and its wholly-owned subsidiaries, Clinitec 
and MicroMed, (all three collectively the "Company") develop and market 
health care information systems that automate medical and dental group 
practices, physician hospital organizations ("PHO's"), management service 
organizations ("MSOs"), health maintenance organizations ("HMOs") and 
community health centers.  In response to the growing need for more 
comprehensive, cost-effective information solutions for physician and

<PAGE> 14

dental practice management, the Company's systems provide clients with the 
ability to redesign patient care and other workflow processes, to improve 
productivity and reduce information processing and administrative costs and 
to provide multi-site access to patient information.  The Company's 
proprietary software systems include general patient information and 
summary medical records, appointment scheduling, billing, insurance claims 
submission and processing, managed care plan implementation and referral 
management, treatment outcome studies, treatment planning, drug 
formularies, patient electronic medical records, word processing and 
accounting.  In addition to providing fully integrated information 
solutions to its clients, the Company provides comprehensive hardware and 
software installation, maintenance and support services, system training 
services and electronic insurance claims submission services.

The Company currently has an installed base of more than 500 operating 
health care information systems serving PHOs, MSOs, HMOs, group practices, 
specialty practices, community health centers, dental schools and other 
health care organizations, each of which consists of one to 120 physicians 
or dentists.  The Company believes that as health care providers are 
increasingly required to reduce costs while maintaining the quality of 
health care, the Company will be able to capitalize on its strategy of 
providing fully integrated information systems and superior customer 
service.

QSI is a California corporation formed in 1974 and was founded with an 
early focus on providing information systems and services primarily for 
dental group practices.  QSI's initial "turnkey" systems were designed to 
improve productivity while reducing information processing costs and 
personnel requirements.  In the mid-1980's, QSI capitalized on the 
opportunity presented by the increasing pressure of cost containment on 
physicians and health care organizations and further expanded its 
information processing systems into the broader medical market.  Today, QSI 
develops and provides integrated UNIX-based health care information systems 
for both the medical and dental markets.  These systems operate on a stand-
alone basis or in a networked environment and are expandable to accommodate 
client needs.

Augmenting its practice management software, QSI added Clinitec's 
electronic medical records software to its product line in 1995 and 
completed its acquisition of Clinitec in May 1996.  Clinitec's principal 
product, NextGen*, permits scanning, annotation, retrieval and analysis of 
medical records in all formats, from documents to photographs and X-rays.  
NextGen has been developed using a client/server platform, a graphical user 
interface for compatibility with UNIX, Microsoft Windows, Windows NT and 
Windows 95 operating systems, and a relational database for flexibility in 
screen customization, reporting and logic flow.  With the addition of 
NextGen, the Company is able to provide its clients with a comprehensive 
information management solution.  NextGen, in conjunction with QSI's 
practice management software, was first installed at a beta site in August 
1995 and is currently being installed in additional sites.  The Company is 
also in the process of designing an alternative client/server version of 
its practice management products utilizing a graphical user interface with 
the intent of enabling a more seamless integration of the QSI and NextGen 
applications.


*     NextGen is a registered trademark of Clinitec International, Inc.

<PAGE> 15

Further augmenting its product line, the Company purchased substantially 
all of the assets of MicroMed in May 1997.  MicroMed develops proprietary 
medical practice management systems that utilize a client/server platform, 
a graphical user interface for compatibility with Windows 95 and Windows NT 
operating systems, and a relational database that is ANSI SQL compliant in 
contrast with the Company's existing UNIX-based practice management systems 
which are primarily character based.  MicroMed was formed in 1993 and, as 
of October 1997, MicroMed had seven installed customer sites which include 
a medical center with more than 70 doctors, 20 locations and nearly 100 
simultaneous users.

<PAGE> 16

RESULTS OF OPERATIONS

The following table sets forth for the periods indicated, the percentage of 
net revenues represented by each item in the Company's consolidated 
statements of operations.  The consolidated statements of operations 
include the operations of Clinitec from May 17, 1996, the date of 
Clinitec's acquisition, and the operations of MicroMed from May 15, 1997, 
the date of MicroMed's acquisition.

<TABLE>
<CAPTION>
                                        Three Months        Six Months
                                           Ended             Ended
                                        September 30,      September 30,
                                      ----------------   ----------------
                                       1997      1996     1997      1996
                                      ------    ------   ------    ------
<S>                                  <C>       <C>      <C>       <C>   
Net Revenues:
  Sales of computer systems,
     upgrades and supplies             64.7%     55.4%    65.2%     57.5%
  Maintenance and other services       35.3      44.6     34.8      42.5
                                      ------    ------   ------    ------
                                      100.0     100.0    100.0     100.0
Cost of Products and Services          40.2      50.5     44.8      49.7
                                      ------    ------   ------    ------
Gross Profit                           59.8      49.5     55.2      50.3

Selling, General and  
  Administrative Expenses              44.3      38.9     39.9      34.4
Research and Development Costs          9.6      10.4     10.6      10.0
Purchased In-Process
  Research and Development              -         -       32.2      89.0
                                      ------    ------   ------    ------
Income (Loss) from Operations           5.9       0.2    (27.5)    (83.1)

Investment and Other Income             2.9       6.9      3.3       7.2
                                      ------    ------   ------    ------
Income (Loss) before Provision for
  (Benefit from) Income Taxes           8.8       7.1    (24.2)    (75.9)

Provision for (Benefit from)
  Income Taxes                          4.2       3.8     (7.9)      5.7
                                      ------    ------   ------    ------
Net Income (Loss)                       4.6%      3.3%   (16.3)%   (81.6)%
                                      ======    ======   ======    ======

</TABLE>

<PAGE> 17

For the Three-Month Periods Ended September 30, 1997 and 1996.

The Company's net income for the three months ended September 30, 1997 was 
$349,000, or $0.06 per share on 6,033,000 weighted average shares 
outstanding, as compared to net income of $152,000, or $0.03 per share on 
5,965,000 weighted average shares outstanding, for the three months ended 
September 30, 1996.

Net Revenues.  Net revenues for the three months ended September 30, 1997 
increased 63.8% to $7.5 million from $4.6 million for the three months 
ended September 30, 1996.  Sales of computer systems, upgrades and supplies 
increased 91.3% to $4.9 million from $2.5 million while net revenues from 
maintenance and other services grew 29.6% to $2.6 million from $2.0 million 
during the comparable periods.  The increase in net revenues from sales of 
computer systems, upgrades and supplies was principally due to an increase 
in such revenues for Clinitec and the contribution of such revenues from 
MicroMed which was acquired in May 1997.  The increase in maintenance and 
other services net revenue resulted principally from an increase in such 
revenues for QSI which has a larger client base than the more recently 
formed Clinitec and MicroMed organizations.  The Company's quarterly 
results fluctuate and there can be no assurance that similar revenue 
increases or revenue levels will be achieved in future quarters.

Cost of Products and Services.  Cost of products and services for the three 
months ended September 30, 1997 increased 30.4% to $3.0 million from $2.3 
million for the three months ended September 30, 1996 while cost of 
products and services as a percentage of net revenues decreased to 40.2% 
from 50.5% during the comparable periods.  The increase in cost of products 
and services in amount during the September 30, 1997 quarter as compared to 
the September 30, 1996 quarter results from a combination of the effects 
of: the increase in net revenues; increased product development, customer 
service, support, and training personnel reflecting the Company's recent 
growth in annual sales volumes; and, the impact of the acquisition of 
MicroMed.  The decrease in the cost of products and services as a 
percentage of net revenues results primarily from a combination of the 
overall increase in net revenues during the September 1997 quarter as 
compared to the September 1996 quarter and a large increase in the dollar 
amount of systems sales which did not include any significant amount of 
hardware content.  Systems sales without significant hardware components 
generally yield higher margins than those systems sales that also include 
significant hardware components.  The mixture of sales with and without 
significant hardware components fluctuates from quarter to quarter and 
there can be no assurance that the mixture of such sales attained in the 
quarter ended September 30, 1997 will be achieved in future quarters.

Selling, General and Administrative Expenses.  Selling, general and 
administrative expenses for the three months ended September 30, 1997 
increased 86.5% to $3.3 million from $1.8 million for the three months 
ended September 30, 1996 primarily as a result of: the inclusion of 
MicroMed's selling, general and administrative expenses for the September 
1997 quarter following the May 1997 acquisition of the MicroMed business; 
an increase in the September 1997 quarter commission expense arising from 
the increased sales volume; and, an increase in QSI's and Clinitec's 
selling efforts, sales personnel and administrative infrastructure.

<PAGE> 18

In addition, primarily as a result of the effects of the less mature 
Clinitec and MicroMed infrastructures and the increase in commissions 
expense, selling, general and administrative expenses as a percentage of 
net revenues increased to 44.3% from 38.9% for the respective periods.

Research and Development Costs.  Research and development costs for the 
three months ended September 30, 1997 increased 52.2% to $723,000 from 
$475,000 for the three months ended September 30, 1996.  The increase is 
principally the result of the inclusion of MicroMed's research and 
development costs for the September 1997 quarter following the May 1997 
purchase of the MicroMed business and an increase in Clinitec research and 
development efforts.  Research and development costs as a percentage of net 
revenues decreased to 9.6% as compared to 10.4% for the respective periods 
primarily as a result of the effect of increased revenues offset in part by 
the inclusion of MicroMed's operations for the September 1997 quarter.

Investment and Other Income.  Investment and other income for the three 
months ended September 30, 1997 decreased 30.0% to $219,000 from $313,000 
for the three months ended September 30, 1996 primarily as a result of a 
decrease in average funds available for investment during the quarter ended 
September 30, 1997.  The decrease in available funds is primarily the 
result of the payment made to acquire the MicroMed business in May 1997 
together with amounts used to fund the growth of Clinitec over the last 
twelve months and more recently the growth of MicroMed.

Provision for Income Taxes.  The provision for income taxes for the three 
months ended September 30, 1997 was $312,000 as compared to $172,000 for 
the three months ended September 30, 1996.  The provisions for income taxes 
for the three months ended September 30, 1997 and 1996 differ from the 
combined statutory rate primarily due to the impact of non-deductible 
amortization of certain intangible assets acquired in the May 1996 Clinitec 
acquisition.


For the Six-Month Periods Ended September 30, 1997 and 1996.

After recognizing a $4.7 million charge for purchased in-process research 
and development in connection with the acquisition of the MicroMed 
business, the Company incurred a net loss of $(2.4) million, or $(0.40) per 
share on 5,988,000 weighted average shares outstanding, for the six months 
ended September 30, 1997.  In comparison, after recognizing an $8.3 million 
charge for purchased in-process research and development in connection with 
the Clinitec acquisition, the Company incurred a net loss of $(7.6) 
million, or $(1.29) per share on 5,886,000 weighted average shares 
outstanding, for the six months ended September 30, 1996.

Net Revenues.  Net revenues for the six months ended September 30, 1997 
increased 57.2% to $14.7 million from $9.3 million for the six months ended 
September 30, 1996.  Sales of computer systems, upgrades and supplies 
increased 78.2% to $9.6 million from $5.4 million while net revenues from 
maintenance and other services grew 28.8% to $5.1 million from $4.0 million 
during the comparable periods.  The increase in net revenues from sales of 
computer systems, upgrades and supplies was due to an increase in such 
revenues for both QSI and Clinitec together with the contribution of such 
revenues from MicroMed which was acquired in May 1997.  The increase in 
maintenance and other services net revenue resulted principally from an 
increase in such revenues for QSI which has a larger client base

<PAGE> 19

than the more recently formed Clinitec and MicroMed organizations.  The 
Company's periodic results fluctuate and there can be no assurance that 
similar revenue increases or revenue levels will be achieved in future 
periods.

Cost of Products and Services.  Cost of products and services for the six 
months ended September 30, 1997 increased 42.0% to $6.6 million from $4.6 
million for the six months ended September 30, 1996 while cost of products 
and services as a percentage of net revenues decreased to 44.8% from 49.7% 
during the comparable periods.  The increase in cost of products and 
services in amount during the September 30, 1997 period as compared to the 
September 30, 1996 period results from a combination of the effects of: the 
increase in net revenues; increased product development, customer service, 
support, and training personnel during the September 30, 1997 period 
reflecting the Company's recent growth in annual sales volumes; and, the 
impact of the acquisition of MicroMed.  The decrease in the cost of 
products and services as a percentage of net revenues for the period ended 
September 30, 1997 as compared to the period ended September 30, 1996 
results primarily from a combination of the overall increase in net 
revenues during the September 1997 period as compared to the September 1996 
period and a large increase in the dollar amount of systems sales which did 
not include any significant amount of hardware content.  Systems sales 
without significant hardware components generally yield higher margins than 
those systems sales that also include significant hardware components.  The 
mixture of sales with and without significant hardware components 
fluctuates from quarter to quarter and there can be no assurance that the 
mixture of such sales attained in the period ended September 30, 1997 will 
be achieved in future periods.

Selling, General and Administrative Expenses.  Selling, general and 
administrative expenses for the six months ended September 30, 1997 
increased 82.0% to $5.9 million from $3.2 million for the six months ended 
September 30, 1996 primarily as a result of: the consolidation of 
MicroMed's selling, general and administrative expenses during the portion 
of the period ended September 30, 1997 following the May 1997 acquisition 
of the MicroMed business; the inclusion of such Clinitec expenses for the 
entire six-month period ended September 30, 1997 as compared to the 
inclusion of such Clinitec expenses for only that portion of the 
corresponding period ended September 30, 1996 following the May 1996 
Clinitec acquisition; an increase in the September 1997 period commission 
expense arising from the increased sales volume; and, an increase in QSI's 
and Clinitec's selling efforts, sales personnel and administrative 
infrastructure.  In addition, primarily as a result of the less mature 
Clinitec and MicroMed infrastructures and the increase in commission 
expense, selling, general and administrative expenses as a percentage of 
net revenues increased to 39.9% from 34.4% for the respective periods.

Research and Development Costs.  Research and development costs for the six 
months ended September 30, 1997 increased 66.4% to $1.6 million from 
$932,000 for the six months ended September 30, 1996.  The increase is the 
result of increased research and development efforts by QSI and Clinitec as 
well as consolidation of MicroMed's research and development costs during 
the portion of the period ended September 30, 1997 following the May 1997 
purchase of the MicroMed business.  Research and development costs as a 
percentage of net revenues increased to 10.6% as compared to 10.0% for the 
respective periods as a result of the inclusion of MicroMed's operations.  
Without including MicroMed's operations, the percentage would have

<PAGE> 20

decreased somewhat due to the impact of increased revenues offset in part 
by increased QSI and Clinitec research and development efforts.

Purchased In-Process Research and Development.  In connection with the 
acquisition of MicroMed in May 1997, MicroMed's in-process research and 
development for which technological feasibility had not been established 
was valued in excess of $4.7 million.  After allocating the purchase price 
paid to identifiable tangible and certain intangible assets, the remaining 
$4.7 million unallocated portion of the purchase price was allocated to 
MicroMed's in-process research and development.  In accordance with 
Statement of Financial Accounting Standards No. 86, "Accounting for the 
Costs of Computer Software to be Sold, Leased or Otherwise Marketed," 
software development costs must be expensed until technological feasibility 
has been established.  Accordingly, the $4.7 million value allocated to 
MicroMed's purchased in-process research and development was expensed 
during the six month period ended September 30, 1997.  Correspondingly, 
Clinitec was acquired in May 1996, and its in-process research and 
development for which technological feasibility had not been established as 
of the acquisition date was valued at $8.3 million which value was 
accordingly charged to operations during the six month period ended 
September 30, 1996.

Investment and Other Income.  Investment and other income for the six 
months ended September 30, 1997 decreased 25.9% to $495,000 from $668,000 
for the six months ended September 30, 1996 primarily as a result of a 
decrease in average funds available for investment during the period ended 
September 30, 1997.  The decrease in available funds is primarily the 
result of the timing and amounts of the cash payments made to acquire 
Clinitec and MicroMed in May 1996 and May 1997, respectively, together with 
amounts used to fund the growth of Clinitec over the last twelve months and 
more recently the growth of MicroMed.

Provision for (Benefit from) Income Taxes.  The benefit from income taxes 
for the six months ended September 30, 1997 was $(1.2) million as compared 
to a provision of $530,000 for the six months ended September 30, 1996.  
The benefit from income taxes for the six months ended September 30, 1997 
differs from the combined statutory rate primarily due to the effect of 
varying state tax rates together with the impact of non-deductible 
amortization of certain intangible assets acquired in the May 1996 
acquisition of Clinitec.  The MicroMed acquisition was structured as a 
taxable transaction while the Clinitec acquisition was tax-free at the 
acquisition date.  Consequently, the provision for income taxes for the six 
months ended September 30, 1996 differs from the combined statutory rate 
primarily due to the non-deductible amortization of certain intangible 
assets and the non-deductible $8.3 million charge for purchased in-process 
research and development each of which was incurred in connection with the 
May 1996 acquisition of Clinitec.


LIQUIDITY AND CAPITAL RESOURCES.

Cash and cash equivalents decreased $6.0 million for the six months ended 
September 30, 1997 primarily as a result of the purchase of the MicroMed 
business.  Correspondingly, cash and cash equivalents decreased $5.1 
million for the six months ended September 30, 1996 principally as a result 
of the payment of the cash portion of the purchase price for the remaining 
75% ownership interest in Clinitec in May 1996.

<PAGE> 21

Net cash provided by operating activities for the six months ended 
September 30, 1997 was $603,000 consisting primarily of the Company's 
$(2.4) million net loss adjusted for the principal non-cash operating 
expenses of depreciation, amortization and the $4.7 million charge for the 
MicroMed purchased in-process research and development and the related tax 
benefit, offset by an increase in accounts receivable.  The increase in 
accounts receivable during the period ended September 30, 1997 resulted 
primarily from increased sales as compared to the six months ended March 
31, 1997 and the timing of such sales during the respective periods.  Net 
cash provided by operating activities for the six months ended September 
30, 1996 was $88,000 consisting primarily of the Company's $(7.6) million 
net loss adjusted for the principal non-cash operating expenses of 
depreciation, amortization and the $8.3 million charge for the Clinitec 
purchased in-process research and development, offset by an increase in 
accounts receivable and a decrease in accounts payable.

Net cash used in investing activities for the six months ended September 
30, 1997 was $6.4 million consisting principally of $5.3 million, including 
a $550,000 operating loan made by QSI to MicroMed prior to the acquisition 
date, used to purchase the MicroMed business, plus additions to equipment 
and improvements and capitalized software.  Net cash used in investing 
activities for the six months ended September 30, 1996 was $5.2 million 
consisting principally of the payment of the $4.9 million cash portion of 
the May 1996 purchase price for the remaining 75% ownership interest in 
Clinitec, related legal costs of the acquisition, and additions to 
equipment and improvements and capitalized software offset in part with 
proceeds from the sales of short-term investments.

Net cash used in financing activities for the six months ended September 
30, 1997 was $168,000 consisting of the purchase of 27,600 shares of the 
Company's Common Stock offset in part by proceeds from the exercise of 
stock options.  Net cash provided by financing activities was negligible 
for the six months ended September 30, 1996.

In February 1997, the Company's Board of Directors authorized the 
repurchase on the open market of up to 10% of the Company's outstanding 
Common Stock at various times through February 1998, subject to compliance 
with applicable laws and regulations.  The timing and amount of any 
repurchase is at the discretion of the Company's management.  The Company's 
management could, in the exercise of its judgment, repurchase fewer shares 
than authorized.  During the six months ended September 30, 1997, the 
Company repurchased 27,600 shares at a cost of $182,000.  Since the 
inception of the repurchase program through November 7, 1997, 30,600 shares 
have been repurchased at a cost of $205,000.

At September 30, 1997, the Company had cash and cash equivalents of $15.9 
million and short-term investments of $938,000.  Short-term investments 
include a $675,000 investment in a fund which trades in special situation 
securities.  There can be no assurance that the markets for these 
securities will not change, causing a loss of principal.

In March 1996, QSI raised $20.2 million to be used for general corporate 
purposes, including the financing of product sales growth, development of 
new products, working capital requirements, an increase in its ownership 
interest in Clinitec (which was completed in May 1996), and the possible 
acquisitions of complementary businesses and technologies.  The Company 
continues to evaluate potential investment opportunities and in May 1997 
acquired substantially all of the assets of MicroMed for an initial cash

<PAGE> 22

payment of $4.8 million in addition to a previously advanced $550,000 
operating loan plus a potential future additional payment based upon 
operating results of the MicroMed business for the twelve months ending 
March 31, 1998.  The additional payment, if any, ranges up to $6.0 million, 
up to 15% of which is payable at the option of QSI in Common Stock, and is 
due on or before June 29, 1998.  Pursuant to an independent valuation of 
the assets acquired, it is anticipated that a significant portion of any 
future additional payment will be charged to operations as additional 
purchased in-process research and development during the quarter ending 
March 31, 1998.

Except for the acquisition of MicroMed and the Company's intention to 
expend funds on capitalized software in connection with complementary 
products to its existing product line and alternative versions of certain 
of its products for the client/server environment to take advantage of more 
powerful technologies and to enable a more seamless integration of the 
Company's products, the Company has no other significant capital 
commitments.

The Company believes that its cash and cash equivalents and short-term 
investments on hand at September 30, 1997, together with the cash flows 
from operations, if any, will be sufficient to meet its working capital and 
capital expenditure requirements for the next year.

<PAGE> 23

PART II. OTHER INFORMATION
- -------- -----------------

Item  6. Exhibits and Reports on Form 8-K
- -----------------------------------------

  (a)    Exhibits:
         ---------

         The Exhibits listed on the accompanying Index to Exhibits
         on page 25 are filed as part of this report.


  (b)    Reports on Form 8-K:
         --------------------

         None.

<PAGE> 24


SIGNATURES

In accordance with the requirements of the Securities Exchange Act of 1934, 
the Registrant caused this report to be signed on its behalf by the 
undersigned, thereunto duly authorized.


                                        QUALITY SYSTEMS, INC.
<TABLE>
<CAPTION>

<S>                              <C>
Date November 12, 1997           By       /s/ Sheldon Razin
     -----------------             ----------------------------------
                                   Sheldon Razin
                                   President and Chairman
                                   of the Board of Directors;
                                   Principal Executive Officer



Date November 12, 1997           By       /s/ Robert G. McGraw
     -----------------             ----------------------------------
                                   Robert G. McGraw
                                   Chief Financial Officer;
                                   Principal Accounting Officer


</TABLE>


<PAGE> 25


                               INDEX TO EXHIBITS




                                                            Sequential
                                                                  Page
   Exhibit                                                         No.
   -------                                                  ----------




     11.0  Earnings per share computation, is filed herewith       26

     27.0  Financial Data Schedule, is filed herewith.             27


<PAGE> 26

                             EXHIBIT 11.0
                             ------------



The net income per share for the three months ended September 30, 1997 and 
1996 was computed using the weighted average number of shares outstanding 
during the periods of 6,033,000  and 5,965,000, respectively, which amounts 
included common share equivalents from stock options.  The difference 
between primary and fully diluted net income per share for each of the 
three-month periods was not significant.

The net loss per share for the six months ended September 30, 1997 and 1996 
was computed using the weighted average number of shares actually 
outstanding during the periods of 5,988,000 and 5,886,000, respectively, 
and any common share equivalents were excluded because their impact would 
have been anti-dilutive.




<TABLE> <S> <C>

<ARTICLE> 5
       
<S>                             <C>
<PERIOD-TYPE>                   6-MOS
<FISCAL-YEAR-END>                          MAR-31-1998
<PERIOD-END>                               SEP-30-1997
<CASH>                                      15,850,000
<SECURITIES>                                   938,000
<RECEIVABLES>                                8,238,000
<ALLOWANCES>                                         0
<INVENTORY>                                  1,521,000
<CURRENT-ASSETS>                            27,299,000
<PP&E>                                       1,760,000
<DEPRECIATION>                                       0
<TOTAL-ASSETS>                              37,050,000
<CURRENT-LIABILITIES>                        7,324,000
<BONDS>                                              0
                                0
                                          0
<COMMON>                                        60,000
<OTHER-SE>                                  29,666,000
<TOTAL-LIABILITY-AND-EQUITY>                37,050,000
<SALES>                                      9,558,000
<TOTAL-REVENUES>                            14,665,000
<CGS>                                                0
<TOTAL-COSTS>                                6,577,000
<OTHER-EXPENSES>                            12,125,000
<LOSS-PROVISION>                                     0
<INTEREST-EXPENSE>                                   0
<INCOME-PRETAX>                            (3,542,000)
<INCOME-TAX>                               (1,156,000)
<INCOME-CONTINUING>                        (2,386,000)
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                               (2,386,000)
<EPS-PRIMARY>                                   (0.40)
<EPS-DILUTED>                                   (0.40)
        

</TABLE>


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